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A politician for 12 years, in government for nine, and a secretary of state across six different departments, Sajid Javid has been at the top of the political tree in the UK for the best part of a decade, serving as our chancellor, home secretary and health secretary.

He knows a lot about government and a lot about what’s really going on behind closed doors – a seasoned political operator, he also knows how to dodge a question in an interview and when to toe the party line.

But now that he’s decided to quit politics in 2024, he used our conversation in Beth Rigby Interviews to do something quite different: speak honestly about the NHS and how he thinks it needs to change.

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‘Current NHS model is not sustainable’

When he was appointed health secretary in June 2021, no-one envied the job. He was tasked with trying to clear the NHS backlog that had ballooned during the COVID crisis.

When Mr Sajid took up the post, the waiting list was 5.3 million. It is now 7.2 million, and this former health secretary tells me that he thinks it will continue to go up for a while before it comes down.

But what the ex-minister wanted to use our interview for was to talk not about the immediate NHS pressures but the bigger picture.

More on Sajid Javid

Read more: Ex-health secretary issues warning over NHS

He told me that he “doesn’t think the NHS will survive many more years” in its current form unless there is fundamental reform, and said we cannot pretend that the current system is providing good healthcare for people when “everyone is queueing for everything”, from a doctor’s appointment to an ambulance or hospital bed.

“Having worked up close now with the health service, I don’t think the model of the NHS that was set up some 70 years ago is sustainable for the future,” he said.

“You know that the world has changed and the NHS has not moved with that. Even before the pandemic, it was moving in that direction.

“And because of the change in demography, people are living longer, therefore needing more health care, and social care for that matter, new medicines. And everyone rightly wants to get access to new medicines and treatments and also the changing burden of disease.

“You know, we have a lot more obese people today, we have a lot more problems with addiction. So the NHS needs to change… we need an honest debate about the future of the NHS.”

‘Keeping the show on the road’

Mr Javid told me that this debate is being stymied by politics, as politicians with skin in the game are unable to talk about the challenges of the NHS without it being used as an attack by their opponents.

He pointed to the recent furore in Scotland, where reports of discussions around asking the wealthy to pay for treatment provoked a furious backlash and were shut down before they even began.

But he, alongside some others on the backbenchers such as David Davis, wants to use his newfound freedom to open the discussion about how to fund the NHS while maintaining the principle of it being universal and free at the point of use.

Because the question of fundamental reform is a big and urgent one. The NHS now accounts for just over 40% of government spending but is struggling to meet demand, despite record levels of funding.

In the autumn statement, the government announced £6bn of extra funding over the next two years, but nearly all of this will be eaten up by costs of inflation and growing demand, with £800m left for improvement of services, according to Nuffield Trust analysis shared with Sky News.

Matthew Taylor, chief executive of the NHS Confederation, said the new money allocated in November wouldn’t do much more than allow the NHS to “just about keep the show on the road”.

Mr Javid didn’t want to be drawn on what sort of funding model he would recommend, but said it was time to look at the German and French systems to see how fellow Europeans do it.

“They seem to be doing better than we are at the moment, so we have got to ask ourselves how they managed to do that,” he said.

“And they are mostly funded by the taxpayer, but they also have some different models.”

(left to right) Health Secretary Sajid Javid, Prime Minister Boris Johnson and Chancellor of the Exchequer Rishi Sunak look at a CT scanner during a visit to the New Queen Elizabeth II Hospital, Welwyn Garden City, Hertfordshire. Picture date: Wednesday April 6, 2022.
Image:
Javid served as health secretary under Boris Johnson, while the new PM, Rishi Sunak, was chancellor

In Germany, there is a dual public-private system in which healthcare is funded by statutory contributions, with the additional option of taking out private health insurance to replace or top up state cover.

France, meanwhile, runs a statutory health insurance system, providing universal coverage for residents financed from four sources:

• Citizens pay obligatory health contributions levied on earned income, paid by employers, employees and the self-employed
• Contributions levied on unearned income
• Central government funding
• And users typically have to pay a small fraction of the cost of treatment they receive

Grasping the nettle on the NHS is, admits Mr Javid at the end of our interview, his unfinished business in politics.

“I would have in a way liked to have more time to look at reform and have that honest debate,” he told me.

But the political reality means that sort of debate is unlikely to happen this side of a general election.

Neither the Conservatives or Labour will want to risk doing anything that might be perceived in any way as creating a two-tier health service or threatening the principle of having an NHS that is free at the point of use.

For Labour, a party always trusted with the NHS, it is a boat Sir Keir Starmer will not want to rock, with Labour insiders telling me there is no way the leadership will open up any discussion about how the NHS funding model might change.

Instead, the shadow health secretary Wes Streeting will focus on how to better organise the NHS and shift attention towards preventive medicine and treatment.

As for Rishi Sunak, he hasn’t the bandwidth to be bold on fundamental reform as he struggles to keep his party even in the race for 2024.

‘Very bad period for country’

Even Mr Javid, perhaps more candid now he is out of cabinet, admitted the “odds are stacked against us” going into the 2024 and that the Liz Truss’s premiership “was a very bad period for our country”.

The former minister, who backed Ms Truss in the summer leadership campaign, said it was “obvious from the start, really, that she wasn’t going to be up for the job”.

Mr Javid told me that her decisions to side-line independent fiscal watchdog the Office of Budget Responsibility was “completely wrong”, as was the fighting with the Bank Of England and Ms Truss’s decision to fire the head of the Treasury as soon as she became prime minister.

“That was before the mini-budget and I think it got worse and worse at that point,” he added. “So I think it is something that was a very bad period for the country.”

A bad period, a bumpy 2023 ahead and a “tough battle” in the 2024 election, this former leading politician has decided it’s time to pursue a career outside politics once more.

He certainly won’t be the last big name Conservative to do so as the party eyes the opposition benches.

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Hundreds of names removed from official Gaza war death list

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Hundreds of names removed from official Gaza war death list

Gaza’s health ministry has removed 1,852 people from its official list of war fatalities since October, after finding that some had died of natural causes or were alive but had been imprisoned.

The list of deaths currently stands at 50,609 following the removals. Gaza’s health ministry records do not distinguish between civilians and combatants.

Almost all of the names removed (97%) had initially been submitted through an online form which allows families to record the deaths of loved ones where the body is missing.

The head of the statistics team at Gaza’s health ministry, Zaher Al Wahidi, told Sky News that names submitted via the form had been removed as a precautionary measure pending a judicial investigation into each one.

“We realised that a lot of people [submitted via the form] died a natural death,” Mr Wahidi said. “Maybe they were near an explosion and they had a heart attack, or [living in destroyed] houses caused them pneumonia or hypothermia. All these cases we don’t [attribute to] the war.”

Others submitted via the form were found to be imprisoned or to be missing with insufficient evidence that they had died.

Some families submitting false claims, Mr Wahidi said, may have been motivated by the promise of government financial assistance.

It is the largest removal of names from the list since the war began, and comes after 1,441 names were removed between August and October – 54% of them originating in hospital morgue records rather than the online form.

chart

Mr Wahidi says his team audited the hospital data after receiving complaints from people who had ended up on the list despite being alive.

They found that hospital clerks, when operating without access to the central population registry and lacking full names or dates of birth for the dead, had marked the wrong people as dead in their records.

In total, 8% of people who were listed as dead in August have since been removed from the official death toll. Many of those may later be added back in, as the judicial investigations proceed.

‘It doesn’t look like manipulation’

Gabriel Epstein, a research assistant at US thinktank The Washington Institute for Near East Policy, said there’s no reason to think the errors are the result of deliberate manipulation intended to inflate the share of women and children among the dead.

“If 90% of the removed entries were men aged 18-40, that would look like manipulation,” he said. “But it doesn’t look like that.”

Of those entries removed since the start of the war and whose demographic information was recorded, 41% are men aged 18 to 60, while 59% are women, children and elderly people.

By comparison, 44% of remaining deaths are working-age men. This means that the removals have had the effect of slightly reducing the share of women and children in the official list.

chart

Names were previously added to the list without verification

Until October, Mr Wahidi said, names submitted via the online form had been added to the official list of registered deaths before undergoing a judicial confirmation process.

The publication of unverified deaths submitted via the form had previously led to issues with the data, with 1,295 deaths submitted via the form being removed from the list prior to October. This included 474 people who were later added back again.

Sky News previously understood that names from the form were only published after undergoing judicial confirmation. However, Mr Wahidi says this practice only began in October.

“This does cause me to downgrade the quality of the earlier lists, definitely below where I thought they were,” said Professor Michael Spagat, chair of Every Casualty Counts, an independent civilian casualty monitoring organisation.

Read more:
Analysis: Gaza aid workers’ deaths
What happened to the ceasefire?

A Ministry of Health document from July 2024 confirms that names submitted through the online form were, at the time, included in the official fatality list before being verified.

These names “are initially included in the final count of martyrs, but verification procedures are undertaken afterward”, the document says.

“They basically said that they were posting these things provisionally pending investigation,” said Prof Spagat.

“There may have been literally zero people, including us, who actually absorbed this message, but they weren’t hiding it either.”

More than 1,200 Israelis have been killed in the 7 October attack and ensuing war.


The Data and Forensics team is a multi-skilled unit dedicated to providing transparent journalism from Sky News. We gather, analyse and visualise data to tell data-driven stories. We combine traditional reporting skills with advanced analysis of satellite images, social media and other open source information. Through multimedia storytelling we aim to better explain the world while also showing how our journalism is done.

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Global markets have given Trump a clear no-confidence vote – and his fickleness is making the problem worse

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Global markets have given Trump a clear no-confidence vote - and his fickleness is making the problem worse

Global financial markets gave a clear vote of no-confidence in President Trump’s economic policy.

The damage it will do is obvious: costs for companies will rise, hitting their earnings.

The consequences will ripple throughout the global economy, with economists now raising their expectations for a recession, not only in the US, but across the world.

Tariffs latest: FTSE 100 suffers biggest daily drop since COVID

Financial investors had been gradually re-calibrating their expectations of Donald Trump over the past few months.

Hopes that his actions may not match his rhetoric were dashed on Wednesday as he imposed sweeping tariffs on the US’ trading partners, ratcheting up protectionism to a level not seen in more than a century.

FILE PHOTO: U.S. President Donald Trump holds a "Foreign Trade Barriers" document as he delivers remarks on tariffs in the Rose Garden at the White House in Washington, D.C., U.S., April 2, 2025. REUTERS/Carlos Barria/File Photo
Image:
On Wednesday, Donald Trump announced global tariffs, ratcheting up protectionism. Pic: Reuters

04 April 2025, Hesse, Frankfurt/Main: Stock exchange traders watch their monitors on the trading floor of the Frankfurt Stock Exchange while the display board with the Dax curve shows falling prices. US President Trump had issued a huge tariff package against trading partners around the world. The European Union and China have already announced countermeasures. Photo by: Arne Dedert/picture-alliance/dpa/AP Images
Image:
Traders at the Frankfurt stock exchange watched the DAX plummet on Friday. Pic: Picture-alliance/dpa/AP

Markets were always going to respond to that but they are also battling with another problem: the lack of certainty when it comes to Trump.

More on Donald Trump

He is a capricious figure and we can only guess his next move. Will he row back? How far is he willing to negotiate and offer concessions?

Read more:
No winners from Trump’s tariff gameshow
Trade war sparks ‘$2.2trn’ global sell-off

These are massive unknowns, which are piled on to uncertainty about how countries will respond.

China has already retaliated and Europe has indicated it will go further.

Aerial view of a ro-ro terminal for vehicle shipment in Yantai in eastern China's Shandong province, Thursday, April 3, 2025. (Chinatopix Via AP) CHINA OUT
Image:
Vehicles destined for export, like these in Yantai in eastern China, face massive US tariffs. Pic: Chinatopix/AP

Cargo containers line a shipping terminal at the Port of Oakland on Thursday, April 3, 2025, in Oakland, Calif. (AP Photo/Noah Berger)
Image:
Container ports like Oakland in California might expect activity to fall. Pic: AP

That will compound the problems for the global economy and undoubtedly send shivers through the markets.

Much is yet to be determined, but if there’s one thing markets hate, it’s uncertainty.

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Children among 19 killed in Russian attack on Zelenskyy’s home city

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Children among 19 killed in Russian attack on Zelenskyy's home city

At least 19 people, including nine children, have been killed in a Russian attack on Volodymyr Zelenskyy’s home city, according to Ukrainian officials.

Around 50 people were also wounded in the attack, according to emergency services, and regional governor Serhiy Lysak said more than 30, including a three-month-old baby, were in hospital.

Ukraine’s president said Friday’s attack on Kryvyi Rih showed Russia “does not want a ceasefire”.

“The whole world sees it,” said Mr Zelenskyy.

“Every missile, every strike drone proves that Russia only wants war.

“And only on the pressure of the world on Russia, on all efforts to strengthen Ukraine, our air defence, our forces – only on this does it depend when the war will end.”

Russia’s defence ministry claimed it had struck a military gathering – a statement denounced by the Ukrainian military as misinformation.

Mr Lysak wrote on the Telegram messaging app that 18 people were killed when a missile hit residential areas and sparked fires.

Later on Friday, Russian drones attacked homes and killed one person, Oleksandr Vilkul, the city’s military administrator, said.

Latest updates: President’s home city hit by missile attack

Local authorities said the missile strike damaged about 20 apartment buildings, more than 30 vehicles, an educational building and a restaurant.

They said emergency responders were at the scene and psychologists were helping survivors.

Confirming the “high-precision strike”, the Russian defence ministry said on Telegram it targeted “a meeting of unit commanders and Western instructors” in a city restaurant.

“As a result of the strike, enemy losses total up to 85 servicemen and officers of foreign countries, as well as up to 20 vehicles,” the ministry added.

Volodymyr Zelenskyy says at least 14 people have died, including six children, following a Russian missile strike on Kryvyi Rih. Pic: Telegram/Zelenskiy
Image:
Pic: Telegram/Zelenskyy

Volodymyr Zelenskyy says at least 14 people have died, including six children, following a Russian missile strike on Kryvyi Rih. Pic: Telegram/Zelenskiy
Image:
Pic: Telegram/Zelenskyy

US ‘not interested in negotiations about negotiations’

It comes after the US secretary of state issued a veiled threat to Russia as talks about a ceasefire with Ukraine continue.

Speaking in Brussels during a NATO meeting, Marco Rubio said the US was “not interested in… negotiations about negotiations”.

“We’re testing to see if the Russians are interested in peace. Their actions – not their words, their actions – will determine whether they’re serious or not, and we intend to find that out sooner rather than later,” he said.

Read more:
Israeli troops expand ‘security zone’ in northern Gaza
UK in talks with Brazil over ‘potential sale’ of warships

In March, the US agreed a proposed 30-day ceasefire with Ukraine after talks in Saudi Arabia. Later, Washington negotiated a limited ceasefire about energy infrastructure with Russia.

Since then, the warring countries have accused each other of violating the energy ceasefire.

UK Foreign Secretary David Lammy, who was also in Brussels on Fridaym said Vladimir Putin “continues to obfuscate, continues to drag his feet” on ceasefire talks.

He added that while the Russian president should be accepting a ceasefire, “he continues to bombard Ukraine, its civilian population, its energy supplies”.

“We see you, Vladimir Putin. We know what you are doing,” he said.

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