The National Health Service faces a future of “enormous challenges”, its chief executive has warned on its 75th birthday.
In a speech to mark the anniversary of its creation, Amanda Pritchard, the head of the NHS in England, described the publicly-funded service as a “cornerstone of national life” in Britain.
But she said its staff were battling a combination of COVID backlogs and record demand for services – challenges that workers were ready to meet “head on”.
The health chief also said the service would “continue to embrace” technology – something that could help tackle some of the challenges the NHS faced.
It comes as experts warned that the NHS – created in July 1948 – may not reach its 100th birthday without more resources and fundamental reforms.
Image: Amanda Pritchard, chief executive of NHS England speaking at the NHS anniversary ceremony at Westminster Abbey
The warning, by three leading think-tanks – the King’s Fund, the Health Foundation and the Nuffield Trust – blamed short-term policymaking and a decade of underinvestment, which they said had left the NHS in a “critical condition”.
Separately, NHS Providers – which represents hospital trusts – warned of “enormous pressures” amid a record rise in demand for care and “the biggest financial squeeze in its history”.
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48:35
NHS Special: In Full
Speaking during a special anniversary ceremony at Westminster Abbey – attended by dignitaries including Prime Minister Rishi Sunak, Labour leader Sir Keir Starmer, and the Duke and Duchess of Edinburgh – Ms Pritchard said: “Since the day it was founded, the NHS has continually innovated and adapted to meet the changing needs of our patients and communities.
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“Recent years have brought a once-in-a-century global health emergency and unprecedented challenges. But throughout, our staff, volunteers and partners up and down the country have continued to do what they do best – looking after patients and their loved ones.
Image: The Duke of Edinburgh speaks to Nurse May Parsons
Image: Nurse May Parsons in the procession at the start of the service
“In doing so they provided a beacon of hope for a nation during dark and uncertain times. It is therefore little wonder that the NHS remains the institution that makes our nation most proud to be British – a cornerstone of national life and our shared identity.”
Speaking to journalists at the event, she also addressed the “enormous challenges” faced by staff, including “recovering services, addressing COVID backlogs that inevitably built up over the pandemic and dealing with record demand for services”.
“This milestone 75th anniversary is an opportunity for us to reflect on their hard work and our achievements but to look to the future of the health service too,” she added.
Professor Sir Stephen Powis, national medical director for the health service in England, also said that staff were meeting these new challenges “head on”.
Waiting lists a ‘major issue’
In an interview with Sky News, Health Secretary Steve Barclay refused to accept that Conservative spending cuts have played a role in problems faced by the health service – blaming an ageing population, rising costs and the pandemic instead.
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Health secretary: ‘The NHS needs to evolve’
But Sir Julian Hartley, chief executive of NHS Providers, told Sky News: “It is important to remember that it wasn’t just the pandemic.
“From 2010 to 2019, the NHS spent 18% less than 14 other European countries, so in terms of investment in the NHS, and indeed social care – those are critical issues to resolve.”
He said the NHS is the “most pressurised” it has been in his 30-year career, with its challenges including a rise in demand for emergency care, a lack of reform in social care and a staffing crisis.
The size of the waiting list – currently a record 7.4 million people in England – is also a “major issue”, he said.
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How does the NHS compare globally?
While measures have been announced to address some of the problems, such as the recently unveiled long-term workforce plan, Sir Julian said “that is against the backdrop of enormous pressures of industrial action, of the biggest financial squeeze the NHS has seen for some time”.
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2:55
‘How high will NHS waiting list go?’
The warning came after health minister Maria Caulfield told Sky News that the record-high waiting list “will go up before it comes down”, because the NHS is “offering more procedures”.
She could not detail how much she expects the list to rise by, but insisted that the time between referral and treatment is falling.
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7:38
Labour: ‘The NHS is in jeopardy’
Ms Caulfield said that the NHS will be “thriving” in 25 years’ time, despite assessments from think-tanks that its future hangs in the balance.
Two things can be true at the same time – an adage so apt for the past day.
This was the Trump show. There’s no question about that. It was a show called by him, pulled off for him, attended by leaders who had no other choice and all because he craves the ego boost.
But the day was also an unquestionable and game-changing geopolitical achievement.
Image: World leaders, including Trump and Egypt’s President Abdel Fattah al-Sisi, pose for a family photo. Pic: Reuters
Trump stopped the war, he stopped the killing, he forced Hamas to release all the hostages, he demanded Israel to free prisoners held without any judicial process, he enabled aid to be delivered to Gaza, and he committed everyone to a roadmap, of sorts, ahead.
He did all that and more.
He also made the Israel-Palestine conflict, which the world has ignored for decades, a cause that European and Middle Eastern nations are now committed to invest in. No one, it seems, can ignore Trump.
Love him or loathe him, those are remarkable achievements.
‘Focus of a goldfish’
The key question now is – will he stay the course?
One person central to the negotiations which have led us to this point said to me last week that Trump has the “focus of a goldfish”.
Image: Benjamin Netanyahu applauds while Trump addresses the Knesset, Israel’s parliament. Pic: Reuters
It’s true that he tends to have a short attention span. If things are not going his way, and it looks likely that he won’t turn out to be the winner, he quickly moves on and blames someone else.
So, is there a danger of that with this? Let’s check in on it all six months from now (I am willing to be proved wrong – the Trump-show is truly hard to chart), but my judgement right now is that he will stay the course with this one for several reasons.
First, precisely because of the show he has created around this. Surely, he won’t want it all to fall apart now?
He has invested so much personal reputation in all this, I’d argue that even he wouldn’t want to drop it, even when the going gets tough – which it will.
Second, the Abraham Accords. They represented his signature foreign policy achievement in his first term – the normalisation of relations between Israel and the Muslim world.
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4:48
How a huge day for the Middle East unfolded
Back in his first presidency, he tried to push the accords through without solving the Palestinian question. It didn’t work.
This time, he’s grasped the nettle. Now he wants to bring it all together in a grand bargain. He’s doing it for peace but also, of course, for the business opportunities – to help “make America great again”.
Peace – and prosperity – in the Middle East is good for America. It’s also good for Trump Inc. He and his family are going to get even richer from a prosperous Middle East.
Then there is the Nobel Peace Prize. He didn’t win it this year. He was never going to – nominations had to be in by January.
But next year he really could win – especially if he solves the Ukraine challenge too.
If he could bring his coexistence and unity vibe to his own country – rather than stoking the division – he may stand an even greater chance of winning.
France’s reappointed prime minister has offered to suspend controversial reforms to the country’s pension system, days after returning to the top role.
Emmanuel Macron’s pension reform, which gradually raises the age at which a worker can retire on a full pension from 62 to 64, was forced through without a vote in parliament after weeks of street protests in 2023.
Sebastien Lecornu said on Tuesday he would postpone the introduction of the scheme, one of Mr Macron’s main economic policies, until after the 2027 presidential election.
With two no-confidence votes in parliament this week, Mr Lecornu had little choice but to make the offer to secure the support of left-wing MPs who demanded it as the price of their support for his survival.
Image: Mr Lecornu in parliament on Tuesday. Pic: Reuters
The prime minister will hope it is enough to get a slimmed-down 2026 budget passed at a time when France’s public finances are in a mess.
It will be seen as a blow to Mr Macron, leaving him with little in the way of domestic achievements after eight years in office. But it reflects the reality that giving ground on the landmark measure was the only way to ensure the survival of his sixth prime minister in under two years.
Mr Lecornu told MPs he will “suspend the 2023 pension reform until the presidential election”.
“No increase in the retirement age will take place from now until January 2028,” he added.
The move will cost the Treasury €400m (£349m) in 2026, and €1.8bn (£1.5bn) the year after, he said, warning it couldn’t just be added to the deficit and “must therefore be financially offset, including through savings measures”.
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0:49
French PM returns to role days after quitting
On re-taking office, he pledged to “put an end to this political crisis, which is exasperating the French people, and to this instability, which is bad for France’s image and its interests”.
Economists in Europe have previously warned that France – the EU’s second-largest economy – faces a Greek-style debt crisis, with its deficit at 5.4%.
Mr Lecornu is hoping to bring that down to 4.7% with an overall package of cuts totalling €30bn (£26bn), but his plans were dismissed as wishful thinking by France’s independent fiscal watchdog.
Mr Macron has burned through five prime ministers in less than two years, but has so far refused to call another election or resign.
A freed Palestinian prisoner, one of about 1,700 detainees from Gaza who had been held by Israel without charge, has described scenes of systematic torture, humiliation and death inside Israeli detention.
Akram al Basyouni, 45, from northern Gaza, says he was detained on 10 December 2023 at a shelter school in Jabalia and spent nearly two years in custody, including at the Sde Teiman military base.
“Many of our fellow prisoners were beaten to the point of death,” he told Sky News. “When we cried out to the guards for help, they would answer coldly, ‘Let him die’. Five minutes later they would take the body away, wrap it in a bag, and shut the door.”
Al Basyouni said detainees were routinely tortured, beaten with batons and fists, attacked by dogs and gassed during what guards called a “reception ceremony”.
“They beat us so savagely our ribs were shattered. They poured boiling water over the faces and backs of young men until their skin peeled away. We sat on cold metal floors for days, punished even for asking for help.”
Sky News has contacted the Israel Prison Service (IPS) and the Israel Defense Forces for comment but has not yet received a response.
Al Basyouni claimed prisoners were forced to remain on their knees for long hours, deprived of clothing and blankets, and subjected to religious and psychological abuse.
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“They cursed the Prophet, tore up the Koran in front of us, and insulted our mothers and sisters in the foulest language,” he said. “They told us our families were dead. ‘There is no Gaza,’ they said. ‘We killed your children.'”
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3:50
Palestinian prisoners released
Palestinians freed from Israeli prisons in past exchanges have reported frequent beatings, insufficient food and deprivation of medical care.
A 2024 UN report said that since 7 October 2023, thousands of Palestinians have been held arbitrarily and incommunicado by Israel, often shackled, subject to torture and deprived of food, water, sleep and medical care.
Israel has maintained that it follows international and domestic legal standards for the treatment of prisoners and that any prison personnel violations are investigated.
Its National Security Minister Itamar Ben-Gvir, who oversees the country’s prisons, has on multiple occasions boasted about making conditions for Palestinians as harsh as possible while remaining within the law.
Al Basyouni claimed many detainees, including doctors, died from beatings or medical neglect.
“I heard about Dr Adnan al-Bursh, may God have mercy on him,” he said. “He was struck in the chest by a prison guard, over his heart. He lost consciousness immediately and died five minutes later.”
Sky News’ own investigation found that Dr al-Bursh, one of Gaza’s most respected surgeons, died after being tortured in Israeli custody, sustaining broken ribs and severe injuries while being held at Ofer Prison.
Al Basyouni said he also met Dr Hossam Abu Safiya at Ofer and heard that Dr Akram Abu Ouda had been “subjected to severe and repeated torture.”
“Even the doctors were beaten and denied treatment,” he said. “Many reached the brink of death.”
In response to our investigation into Dr al-Bursh’s death, a spokesman for the Israel Prison Service said at the time: “We are not aware of the claims you described and as far as we know, no such events have occurred under IPS responsibility.”