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The NHS is in the worst crisis in its 75 years, say health experts.

And you only had to listen to the heart-wrenching stories of the audience during a live Sky News programme on the NHS at Coventry Hospital for the reality of that to be laid bare.

There was James, whose wife died after waiting too long for an ambulance – and Sarah, whose mum died from an infection in hospital after waiting too long to be discharged into community care.

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‘NHS can survive if people fight for it’

Stories that provoked gasps of horror and expressions of distress from the audience, as those around them recounted how they lost loved ones in a health system on its knees.

And as the stories of failings were shared, the obvious question that followed was whether the NHS can survive in its current form, or if it needs a radical rethink.

This is of course an intensely political question, given that it is governments that decide how much investment should be put into the health system, sort out the infrastructure, and decide how it should be organised.

There is a growing discussion in Westminster about how the NHS should be funded, with the former health secretary Sajid Javid telling me last year that he doesn’t believe the NHS can survive and the country needs an “honest conversation” about how we pay for healthcare.

More on Nhs

He thinks the UK should look to European neighbours that have a mix of private insurance and state provision, where patients pay some money for services. He recently said those who can afford it should also pay to see a GP.

But this wasn’t a view shared by our audience, with many shaking their heads when I reflected some of the political discussion back in Westminster around the future of the NHS.

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Sir Rod Stewart calls Sky News

As Phil Brown, a retired children’s nurse, said: “As Nye Bevan [the founder of the NHS] put it, the NHS will survive for as long as there are people even now who are prepared to fight for it.

“Give back an elective nurses council, take away the parking charges, give us a four-day week, we will graft… and watch what all NHS staff can do.”

The audience reflected wider public sentiment, according to Hugh Alderwick, director of policy at the Health Foundation.

“Polling shows strong support for the core principles of the NHS, including it being free at the point of use, available to all and predominantly funded through tax,” he said. “The public want a better health service, rather than a different system and they back additional spending to supply it, with 71% thinking greater government investment in the NHS is necessary.”

Read more special coverage:
NHS needs are long-term, complicated and challenging
Sir Rod Stewart calls in to live Sky News phone-in

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Can the NHS survive?

But if the audience seemed to agree with the principle of an NHS free at the point of use and funded through taxation, the politicians are not offering comprehensive solutions to how to end a crisis that was beginning long before the COVID pandemic.

Chronic staff shortages, the need for more investment, a plan to fix adult social care and weak capital investment in buildings, equipment and IT, are some of the big problems facing the NHS but our politicians tend to deal in sticking plasters not real solutions.

The most obvious example being the ditching of Boris Johnson’s £12bn-a-year plan to better fund the NHS and social care through a National Insurance tax rise and a cap on individual care costs to protect the elderly from exorbitant costs.

That successive government inaction now hitting home with ambulance delays, bed blocking and high levels of unmet needs.

But on both sides of the political divide, parties are for now unwilling to grasp the nettle.

Read more special coverage:
Proposals to make some NHS patients pay for care spark backlash

Where – and why – there are long waits for emergency care

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‘NHS Crisis: Your Say’ Highlights

The Conservatives have delayed social care reform until after the next general election. They have promised a plan on improving emergency care, access and workforce to deal with acute staffing shortages, but there is a private admission within government that it is unlikely that patients will feel much improvement in services before an election and there is certainly no talk of increased investment.

Labour too is unwilling to commit to more funding, anxious that they open up a line of attack from the Conservatives if it commits to spending plans for the NHS.

As deputy leader Angela Rayner put it to me in a recent interview, Labour will focus on reforming the NHS – a big push on changing the way GP surgeries work and increasing preventative medicine – rather than raising taxes to pay for it.

The “retail offer” from Labour is to pay for more doctors and nurses by scrapping non-dom tax status and funnelling the estimated £3.2bn that will raise into extra training places.

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An NHS hospital under pressure

Lord Winston, the IVF pioneer who has worked in the NHS for nearly six decades, told me last week he had never seen it so bad and said he believed more funding would be inevitable. He urged Sir Keir Starmer to show more “courage” when it came to resolving the problems of the NHS.

With an election less than two years away, political leaders are for now playing it safe with difficult decisions delayed. But what was clear from our discussion is that voters want the NHS to survive in its current form. And they will expect their political leaders to deliver it.

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Russia ‘making concessions’ and Ukraine ‘happy’ with peace deal talks, says Trump

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Russia 'making concessions' and Ukraine 'happy' with peace deal talks, says Trump

Donald Trump has claimed Russia is “making concessions” in talks to end the Ukraine war – and that Kyiv is “happy” with how talks are progressing.

Speaking to reporters on Air Force One as he flew out to his Florida estate for Thanksgiving, Mr Trump said “we’re making progress” on a deal and said he would be willing to meet with both Vladimir Putin and Volodymyr Zelenskyy once they are close to an agreement.

He also said his previously announced deadline of Thursday, which is Thanksgiving, was no longer in place – and that the White House’s initial 28-point peace plan, which sparked such concern in Kyiv, “was just a map”.

U.S. President Donald Trump looks on aboard Air Force One during travel to Palm Beach, Florida, from Joint Base Andrews, Maryland, U.S., Nov
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U.S. President Donald Trump looks on aboard Air Force One during travel to Palm Beach, Florida, from Joint Base Andrews, Maryland, U.S., Nov

Asked if Ukraine had been asked to hand over too much territory, Mr Trump suggested that “over the next couple of months [that] might be gotten by Russia anyway”.

Moscow’s concessions are a promise to stop fighting, “and they don’t take any more land”, he said.

“The deadline for me is when it’s over,” he added. “And I think everybody’s tired of fighting at this moment.”

Read more: A plan with Russian fingerprints all over it

Before boarding the plane, Mr Trump claimed only a few “points of disagreement” remain between the two sides.

Mr Trump’s negotiator Steve Witkoff will be meeting with Mr Putin in Moscow next week, the president said, while American army secretary Daniel Driscoll is due to travel to Kyiv for talks this week.

The chief of Ukraine’s presidential staff, Andriy Yermak, wrote: “Ukraine has never been and will never be an obstacle to peace. We are grateful to the US for all its support.

“The meeting between the presidents will be thoroughly and promptly prepared on our part.”

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‘Ukraine still needs defence support,’ says Zelenskyy

Zelenskyy warns against ‘behind our back’ deal

Yesterday, a virtual “coalition of the willing” meeting that featured Ukraine’s allies took place, which was attended by US secretary of state Marco Rubio.

In a speech, Mr Zelenskyy told attendees: “We firmly believe security decisions about Ukraine must include Ukraine, security decisions about Europe must include Europe.

“Because when something is decided behind the back of a country or its people, there is always a high risk it simply won’t work.”

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What is Russia saying about the latest peace talks?

A joint statement from coalition leaders Sir Keir Starmer, Emmanuel Macron, and Friedrich Merz said they had agreed with Mr Rubio “to accelerate joint work” with the US on the planning of security guarantees for Ukraine.

But a Ukrainian diplomat has warned major sticking points remain in the peace deal being thrashed out – primarily the prospect of territorial concessions.

A warning from the Kremlin

Meanwhile, Moscow has stressed that it will not allow any agreement to stray too far from its own objectives.

Russia’s foreign minister Sergei Lavrov warned any amended peace plan must reflect the understanding reached between Mr Trump and Mr Putin over the summer.

“If the spirit and letter of Anchorage is erased in terms of the key understandings we have established then, of course, it will be a fundamentally different situation,” he said, referring to the two leaders’ meeting in Alaska.

Read more:
Zelenskyy races to beat Trump’s peace plan deadline

In full: Europe’s 28-point counterproposal

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Standing ovation for Zelenskyy

As negotiations continue, so have Russian attacks, with Kyiv hit by a barrage of missiles and hundreds of drones early yesterday morning.

Seven people were killed with power and heating systems disrupted, as residents sheltered underground.

Meanwhile, three people died and homes were damaged after Ukraine launched an attack on southern Russia.

‘A critical juncture’

French President Emmanuel Macron has said peace efforts are gathering momentum, but “are clearly at a critical juncture”.

And during the annual White House turkey pardon ahead of Thanksgiving, Mr Trump told reporters: “I think we’re getting close to a deal. We’ll find out.

“I thought that would have been an easier one, but I think we’re making progress.”

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Trump’s peace plan had Russian fingerprints all over it – and now we know why

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Trump's peace plan had Russian fingerprints all over it - and now we know why

In this story, there’s no substitute for hard news.

To learn of US envoy Steve Witkoff and his Russian interactions is to understand the handbrake turn towards Moscow.

If there was much surprise and confusion about the origins of a peace proposal that had Russian fingerprints all over it, there is less now.

The Bloomberg report of Witkoff’s recent involvement distills eye-watering detail of his contact with Yuri Ushakov, Vladimir Putin’s senior adviser on foreign policy.

Among the revelations, it tells of the American advising the Russian on dealing with Trump.

In a phone call last month, Witkoff told Ushakov that Zelenskyy was coming to visit the White House, and suggested Putin speak to Trump beforehand.

Witkoff reportedly said: “The president will give me a lot of space and discretion to get to the deal.”

He spoke of Trump’s 20-point Gaza peace plan and suggested that “maybe we do the same thing with you”.

Read more:
Who actually wrote Trump’s peace plan?

Steve Witkoff: Real estate mogul turned envoy

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What is Russia saying about the latest peace talks?

A good impression of a useful idiot

Subsequently, Witkoff drafted the controversial peace proposal with his Russian counterparts, and the US pressured Ukraine to accept it.

The report paints an unflattering picture of Trump’s envoy doing a good impression of a useful idiot.

There must be serious questions surrounding his engagement with the Russians and serious concerns around consequences that are potentially catastrophic.

Moscow’s threat to Ukraine and to the security infrastructure of Western Europe is strengthened on his handshake.

He’ll press the flesh in Russia once more – Donald Trump is sending Witkoff back to Moscow for further talks aimed at bridging the Ukraine-Russia impasse.

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Trump: I think we are getting very close to Ukraine deal

Scandal isn’t what it used to be

Putin has given the Americans little to no encouragement around their reworked plan and Kyiv will shudder at what Trump’s “Mr Fixit” might fix next.

They will despair of his continued involvement at any level and what it says about Trump’s perspective and where his loyalties lie.

In any other job, Witkoff might have been sacked for being irredeemably compromised.

At any other time, this would have been viewed, universally, as a major scandal.

But under Donald Trump, scandal isn’t what it used to be.

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‘Ukraine still needs defence support,’ says Zelenskyy

The president and his point man continue to consort with Vladimir Putin.

On the evidence of Steve Witkoff’s interaction, the power dynamic leans less Trump than we might have thought.

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Venezuela: Maduro brandishes sword and vows to defy any US attempt to overthrow his government

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Venezuela: Maduro brandishes sword and vows to defy any US attempt to overthrow his government

Venezuelan President Nicolas Maduro has vowed to defy any US attempt to overthrow his government – telling crowds that “failure is not an option”.

The 63-year-old brandished a sword as he addressed supporters during a march in Caracas, against a backdrop of growing tensions with Donald Trump’s administration.

Dressed in camouflage fatigues, Mr Maduro said: “We must be ready to defend every inch of this blessed land from imperialist threat or aggression, no matter where it comes from.”

Maduro was swamped by supporters. Pic: Reuters
Image:
Maduro was swamped by supporters. Pic: Reuters

Since September, US military forces have been conducting a series of strikes against vessels suspected of drug trafficking in international waters, killing at least 80 people.

Washington has claimed that several of these boats had departed from Venezuela, with Mr Maduro describing the deployment as an assault on the nation’s sovereignty.

‘Stop this madness’

Yesterday, Cuba also accused the US of seeking a violent overthrow of Mr Maduro’s government – and called its military presence in the region “exaggerated and aggressive”.

The country’s foreign minister, Bruno Rodriguez, said ousting Venezuela’s leader would be extremely dangerous and irresponsible, not to mention a violation of international law.

He added: “We appeal to the people of the United States to stop this madness. The US government could cause an incalculable number of deaths and create a scenario of violence and instability in the hemisphere that would be unimaginable.”

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Is US about to go to war with Venezuela?

Reports suggest the US is planning to launch a new phase of Venezuela-related operations in the coming days.

Critics have questioned the legality of America’s campaign and argue it amounts to extrajudicial killings, with a recent poll suggesting just 29% of voters support this policy.

Officials within Maduro’s government have claimed that Washington’s actions are being driven by economic motives.

Venezuelan minister Delcy Rodriguez said: “They want Venezuela’s oil and gas reserves. For nothing, without paying. They want Venezuela’s gold.

“They want Venezuela’s diamonds, iron, bauxite. They want Venezuela’s natural resources.”

Venezuela's president has remained defiant. Pic: AP
Image:
Venezuela’s president has remained defiant. Pic: AP

Donald Trump, like his predecessor Joe Biden, does not recognise Mr Maduro as the country’s leader.

He is currently on his third term after being declared the winner of last year’s presidential election, despite evidence that the opposition defeated him by a two-to-one margin.

Mr Maduro and senior officials have been repeatedly accused of human rights violations against real and perceived government opponents.

Earlier this week, the US designated Venezuela’s Cartel de los Soles – Cartel of the Suns in English – as a foreign terrorist organisation for importing illegal drugs to the States.

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Venezuelan president dances to speech remix

The Trump administration has claimed that Maduro is part of this group, but Venezuelan officials have described its mere existence as a “ridiculous fabrication”.

Speaking to reporters on Air Force One as he travelled to Florida for Thanksgiving, the president suggested he might be planning to talk to Mr Maduro.

“If we can save lives, if we can do things the easy way, that’s fine,” the US president said. “And if we have to do it the hard way, then that’s fine too.”

Read more world news:
Russia ‘making concessions’, Trump says
Four more arrests over Louvre heist
Brazil’s Bolsonaro begins 27-year jail term

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US strikes alleged drug boat

Carlos Diaz Rosillo, a former US deputy assistant secretary of defence during the first Trump administration, does not believe America will go to war with Venezuela.

He told The World With Dominic Waghorn: “What I do see is a strategy of maximum pressure on the regime. I do think if there’s any change, that change has to come from within the military.”

Dr Rosillo said the official position of the US government is not regime change, but Mr Trump would like to see that happen in Venezuela.

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