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A tax cut for wealthy pensioners will bring down NHS waiting lists, Rishi Sunak has insisted – but he did not say how many doctors would stay in their jobs because of it.

Criticism has mounted over the move to scrap the lifetime allowance in the spring budget, which Labour has branded a “tax giveaway to the wealthiest 1%”.

Under the plans, people will be allowed to put aside as much as they can in their private pension scheme without being taxed – removing the £1.07m limit.

Ministers have insisted that it will encourage senior doctors to stay in the workforce for longer, but doubts have been raised after the government’s own data suggested only 105 of them left the NHS due to early retirement last year.

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When it was put to the prime minister only hundreds of doctors might stay on he told BBC Breakfast: “It’s not just about whether they leave or stay; it’s about whether they’re doing the extra shifts, because that’s what’s going to help us get the backlog down.”

Mr Sunak said “thousands of doctors” leave the NHS every year, and “about two-thirds to three-quarters of them have said that they don’t provide extra hours” due to the pension rules.

“The key thing is I want to get the waiting lists down. I think everyone watching who has a family member waiting on NHS waiting lists will want that person – grandmother, grandparent, aunt, uncle – to get that treatment as quickly as possible. Because of this change we’re going to be able to do that.”

However, he did not say how many doctors removing the £1m tax-free threshold could entice back, only that “overall we think about 12,000 people will be working more in the workforce”.

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In response to a written question from Labour last November, health minister Will Quince provided statistics showing 105 doctors left the NHS due to early retirement in 2021/2022.

However, there were warnings of a mass exodus after a survey from the British Medical Association (BMA) last year showed 44% of consultants were threatening to leave in the next 12 months, blaming “a decade of pay erosion and punitive pension taxation”.

The union has welcomed changes to the pension rules, with Committee chair Vish Sharma saying: “The scrapping of the lifetime allowance will be potentially transformative for the NHS as [the majority of] senior doctors will no longer be forced to retire early and can continue to work within the NHS, providing vital patient care.”

He added that the changes will also “reduce the perverse incentive to reduce hours due to pension tax”.

In the spring budget it was also announced that the annual tax-free pension savings allowance would increase by 50% to £60,000.

The department of health suggested 22,000 senior NHS clinicians could have exceed the previous £40,000 allowance, while around 31,000 clinicians had reached at least 75% of the £1.073 million lifetime allowance

How will the NHS pay offer be funded?

During his interview, Mr Sunak was also unable to say how the revised NHS pay offer announced last week will be funded.

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The government has put forward a revised 5% pay offer to NHS staff

Unions reached the deal with the government in a major breakthrough that saw NHS staff offered a one-off payment of 2% of their salary plus a COVID recovery bonus of 4% for the current financial year 2022/23, and a 5% pay increase for 2023/24.

Asked if this is new money, Mr Sunak said: “The NHS does have new money, yes.”

Pressed further, he said: “We’re just about to start the financial year and the NHS and social care will have £14bn more over the next couple of years.”

Mr Sunak was then quizzed on whether the money would come out of that existing budget.

He replied: “People want to know the NHS is well-funded, but what’s also important is how we use that money.”

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The deal with health unions came after months of ministers saying there was no cash to meet their demands, arguing the money would have to come out of frontline services.

Downing Street has insisted the offer – which will require the government to find £4bn in spare cashwill not impact frontline services, saying “areas of underspend” had been identified.

Rwanda deportations ‘will begin once court proceedings have concluded’

Mr Sunak was also grilled on targets for his “stop the boats” plan.

He said “no illegal immigration is acceptable” and his new bill – to ban people claiming asylum if they come to the UK through unauthorised means – “is about fairness”.

Asked whether that means stopping all boats, he said: “That’s what we’re trying to do. I don’t think anyone would sit here and say to you that they tolerate any illegal migration.”

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The home secretary toured Rwanda at the weekend

On whether he could get the number of Channel crossings to zero, he said: “People will be able to judge me by my actions at the next election – I’m perfectly confident about that.”

The prime minister said deporting migrants to Rwanda will begin once court proceedings have concluded.

When it was put to him that Home Secretary Suella Braverman has suggested flights will start this summer, Mr Sunak said: “No, that’s not what she said, and what she said actually was that when the court process has concluded, then we’ll be able to start flights as quickly as we can.

“But ultimately we have to go through the court process, policies being challenged. We won the first battle of those and we’ll continue to defend the policy.”

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Ukraine war: Putin announces 30-hour ‘Easter truce’ – but Zelenskyy says Russian attacks continuing

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Ukraine war: Putin announces 30-hour 'Easter truce' - but Zelenskyy says Russian attacks continuing

Vladimir Putin has announced a 30-hour “Easter truce” in Ukraine – but Volodymyr Zelenskyy says Russian attacks are continuing hours after it was due to begin.

The Ukrainian president shared a statement on X after his Russian counterpart said a ceasefire would last from 6pm on Saturday to midnight on Easter Sunday – both Moscow time, which is two hours ahead of the UK.

Ukraine war latest: Follow live updates

“Guided by humanitarian considerations… the Russian side declares an Easter truce,” Mr Putin said at a meeting with chief of general staff Valery Gerasimov.

“I order that all military actions be stopped for this period.

“We assume that the Ukrainian side will follow our example. At the same time, our troops must be ready to repel possible violations of the truce and provocations from the enemy, any of its aggressive actions.”

Chief of the General Staff of Russian Armed Forces Valery Gerasimov meets with Vladimir Putin in Moscow. Pic: Reuters
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Russia’s chief of general staff Valery Gerasimov meets with Vladimir Putin in Moscow. Pic: Reuters

Mr Zelenskyy claimed Russian attacks were continuing despite the truce announcement.

He wrote: “As of now… Russian assault operations continue on several frontline sectors, and Russian artillery fire has not subsided.

“Therefore, there is no trust in words coming from Moscow.”

Mr Zelenskyy said in the same statement that a US proposal for a “full and unconditional 30 days ceasefire” has gone “unanswered” by Russia for 39 days.

He added that Ukraine “responded positively” to the American proposal but “Russia ignored it”.

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The Ukrainian president said that “if Russia is now suddenly ready to truly engage in a format of full and unconditional silence, Ukraine will act accordingly – mirroring Russia’s actions”.

“If a complete ceasefire truly takes hold, Ukraine proposes extending it beyond the Easter day of April 20,” he added.

“That is what will reveal Russia’s true intentions – because 30 hours is enough to make headlines, but not for genuine confidence-building measures. Thirty days could give peace a chance.”

Ukrainian President Volodymyr Zelenskyy. Pic: AP
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Ukrainian President Volodymyr Zelenskyy speaking earlier this week. Pic: AP

Shortly after the ceasefire was announced, Ukraine’s foreign minister Andrii Sybiha‎ said there had been a “long history” of Mr Putin’s words not “matching his actions”.

“We know his words cannot be trusted and we will look at actions, not words,” he added.

The ceasefire announcement has echoes of January 2023, when Mr Putin ordered his forces in Ukraine to observe a 36-hour truce for Orthodox Christmas.

At that time, Mr Zelenskyy stopped short of stating his forces would reject Mr Putin’s request, but dismissed the Russian move as playing for time to regroup its invasion forces and prepare additional attacks.

Prisoner exchange

It comes as Ukraine and Russia conducted a swap of more than 500 prisoners of war on Saturday, the latest in a series of exchanges since Russia launched a full-scale invasion more than three years ago.

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Russia and Ukraine swap hundreds of prisoners

Mr Zelenskyy, in a post on the Telegram messaging app, said 277 Ukrainian service personnel had returned home from Russian captivity.

Russia’s defence ministry said 246 servicemen had been handed over by Kyiv.

It said a further 31 injured prisoners of war had been handed over to Ukraine and 15 of its own wounded servicemen had also been returned by Kyiv.

The developments come after US President Donald Trump on Friday said negotiations between Ukraine and Russia are “coming to a head” and insisted that neither side is “playing” him in his push to end the grinding three-year war.

Mr Trump spoke shortly after secretary of state Marco Rubio warned that the US may “move on” from trying to secure a Russia-Ukraine peace deal if there is no progress in the coming days, after months of efforts have failed to bring an end to the fighting.

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Why Putin has suddenly offered an ‘Easter truce’ in Ukraine – and the interesting way it’s being presented

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Why Putin has suddenly offered an 'Easter truce' in Ukraine - and the interesting way it's being presented

Well it is something, but it’s by no means everything – a ceasefire for 30 hours, not 30 days.

This feels like a diplomatic dance, rather than a military, or moral, manoeuvre.

An Easter truce – announced by Vladimir Putin on Saturday – is significant in the sense that, if it holds, it’ll be the first actual cessation of hostilities since the war began.

Ukraine war latest: Follow live updates

And it’s significant in the sense that it’s the first actual concession made by Moscow since Donald Trump initiated peace negotiations two months ago.

But – and there’s always a “but” when it comes to the Kremlin – how much of a concession is it really? And how much difference will it make militarily?

It’s nowhere near what the White House has been asking for, and it’s nowhere near what Ukraine has previously consented to.

The American president’s first proposal was a full 30-day ceasefire. Kyiv agreed but Moscow didn’t, not without conditions.

Then there was the attempted maritime truce. Again, Moscow’s agreement came with strings attached, in the form of sanctions relief, so it never got off the ground.

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Ukraine: Michael Clarke Q&A

So why suddenly suggest a truce now?

America had made no secret of its growing frustration at the lack of progress in peace negotiations.

Trump threatened to “take a pass” on attempts to reach an agreement on Friday after his secretary of state said the US might “walk away”.

I don’t think that in itself would be a problem for Russia, given its military dominance. But I think it could be a problem if Trump blames Putin for the lack of progress, and then pulls the plug on their thaw in relations as well.

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Trump blames Zelenskyy for war

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So this feels like Putin is giving Trump just enough to keep him on side, without actually making any major concession.

And the way it’s being presented is interesting too – at Russia’s initiative, on humanitarian grounds, Ukraine must “follow our example”.

He’s trying to cast himself as the peacemaker in the eyes of the US president – as the one who give solutions, not problems – which appears contrary to Trump’s opinion of Volodymyr Zelenskyy.

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More than 90 Palestinians killed by Israeli strikes in 48 hours, says Gaza health ministry

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More than 90 Palestinians killed by Israeli strikes in 48 hours, says Gaza health ministry

Israeli strikes in Gaza have killed more than 90 people in the past 48 hours, the Hamas-run health ministry in the territory has said.

Women and children were among 15 people who were killed overnight on Friday in the southern city of Khan Younis, according to hospital staff.

At least 11 of those who were killed were sheltering in a tent in the designated humanitarian zone of al Mawasi, where hundreds of thousands of displaced people are living, the hospital workers said.

A further four people were killed in separate strikes on the city of Rafah, including a mother and her daughter, according to Gaza’s European Hospital, where the bodies were taken.

People mourn near the bodies of Palestinians killed in Israeli strikes, at Nasser hospital, in Khan Younis, in the southern Gaza Strip, April 19, 2025. REUTERS/Hatem Khaled
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Mourners at Nasser hospital in Khan Younis. Pic: Reuters

Israel – which has not commented publicly on the latest strikes – has vowed to intensify attacks across Gaza and occupy large “security zones” inside the area.

It says this is to put pressure on Hamas to release more hostages and ultimately agree to disarm and leave the territory.

For weeks, Israeli troops have also blockaded Gaza, barring the entry of food and other goods.

Last month, 15 aid workers were killed and buried in a shallow grave after being fired upon by Israeli troops.

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Sky reveals timeline of IDF’s Gaza aid attack

Hamas is currently holding 59 hostages, 24 of whom are believed to be alive.

The group says it will only return them in exchange for the release of more Palestinian prisoners, a full Israeli withdrawal from Gaza and a lasting truce, as called for in the now-defunct ceasefire agreement reached earlier this year.

Hamas’s armed wing said the fate of Israeli-American hostage Edan Alexander was unknown after a guard who was holding him was found killed.

On Tuesday, Hamas said it had lost contact with a group of militants holding Mr Alexander in Gaza.

Earlier this week, the United Nations warned that almost all of Gaza’s population of more than two million people is relying on the one million prepared meals produced daily by charity kitchens.

Read more:
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Hundreds of names removed from official Gaza war death list

People mourn the death of Palestinians killed in Israeli strikes, at Nasser hospital, in Khan Younis, in the southern Gaza Strip, April 19, 2025. REUTERS/Hatem Khaled
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People at a hospital in Khan Younis mourn the deaths of Palestinians killed in Israeli strikes earlier this week. Pic: Reuters

Palestinians gather at the site of an Israeli strike on a house, in Khan Younis in the southern Gaza Strip April 19, 2025. REUTERS/Hatem Khaled
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Palestinians gather at the site of an Israeli strike on a house. Pic: Reuters

The only other way to get food in Gaza is from markets, but rising prices make them unaffordable for most, according to the World Food Programme. The UN humanitarian office, known as OCHA, called it Gaza’s “worst humanitarian crisis” since the escalation of hostilities in October 2023.

Dr Hanan Balkhy, head of the World Health Organisation’s eastern Mediterranean office, urged the new US ambassador in Israel, Mike Huckabee, to push Israel to lift Gaza’s blockade so medicines and other aid can enter the strip.

“I would wish for him to go in and see the situation first hand,” she said on Friday.

Ambassador to Israel Mike Huckabee places a note, which he says is from U.S. President Donald Trump, in the cracks of the Western Wall, Judaism's holiest prayer site, in Jerusalem's Old City, April 18, 2025. REUTERS/Ronen Zvulun TEMPLATE OUT
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US ambassador to Israel Mike Huckabee places a handwritten note in Jerusalem. Pic: Reuters

In his first appearance as ambassador, Mr Huckabee visited the Western Wall, the holiest Jewish prayer site in Jerusalem’s Old City. He inserted a prayer into the wall, which he said was handwritten by US President Donald Trump.

Mr Huckabee said every effort was being made to bring home the remaining Israeli hostages.

Hamas-led militants attacked southern Israel on 7 October 2023, killing about 1,200 people and abducting 251.

Israel’s offensive has since killed more than 51,000 Palestinians, according to Gaza’s Hamas-run health ministry, which does not distinguish between civilians and combatants.

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