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Labour peer and professor Lord Winston has admitted he is “not optimistic” about the future of the NHS as the health service celebrates its 75th anniversary.

The distinguished professor said he did not believe enough money was being spent organising how the NHS is run and that “national poverty” was undermining the delivery of the health service.

“We’ve got the largest employer, perhaps in the world…and the amount of money spent on the administration is absolutely insignificant,” he told Sky News presenter Mark Austin.

“And actually, the need to administer that far more effectively is really clear – it doesn’t matter whether that is in the health service or general practice or certainly in social care, but I think that’s one thing we need to keep in mind.”

Lord Winston, who is one of Britain’s leading medical experts on the study of fertility, said an increase in funding for primary care in recent years had “not actually helped the health service that much” because the key issue was “national poverty”, which he described as a “massive problem in Britain”.

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“We are a poor country because we’ve not managed our finances,” he said, adding that poverty had also had a knock-on effect on education and the environment.

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The Emeritus Professor of Fertility Studies at Imperial College London appeared alongside Dame Clare Gerada, president of the Royal College of General Practitioners, who also said the NHS was picking up wider problems in society.

“Over the last 10-15 years we have seen social determinants of health get worse – green spaces, homelessness, poor housing, poor nutrition – and the NHS is picking up those issues,” she said.

“We’ve also seen our economy go down.

“It’s very complex. If you are saying to me should the NHS change, then yes of course it should change.

“We need to be delivering much more care – in primary care, in general practice and in the community.”

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Lord Winston ‘not optimistic on NHS’

Dame Clare said that unless there were three major shifts – in prevention, personalised care and shifting resources in primary care, “then I do fear for the future of the NHS”.

Lord Winston and Dame Clare made the remarks in a special programme by Sky News to mark the 75th anniversary, asking the central question: can we mend the NHS?

As well as Lord Winston, other NHS experts have cast doubt over the future of the health service.

In a speech to mark the anniversary of its creation, Amanda Pritchard, the head of the NHS in England, warned the service faced a future of “enormous challenges” as a “cornerstone of national life” in Britain.

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”.

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The state of the NHS explained

Meanwhile, other experts warned that the NHS – created in July 1948 – may not reach its 100th birthday without more resources and fundamental reforms.

The warning, by three leading thinktanks – 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”.

Last week, Rishi Sunak unveiled the NHS workforce plan, which would see £2.4bn funnelled into solving the severe staffing crisis in NHS England.

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NHS in ‘critical condition’ at 75 years

Ministers are also aiming to more than halve the number of NHS staff being recruited from abroad in the next 15 years, in order to train more NHS staff domestically to “reduce reliance on international recruitment and agency staff”.

Read more:
NHS at 75: Who was founder Aneurin ‘Nye’ Bevan?
Health secretary refuses to accept austerity cuts contributed to NHS woes

Staffing vacancies currently stand at 112,000, with fears shortfalls could grow to 360,000 by 2037.

The additional funding will help train “record numbers of doctors, nurses, dentists, and other healthcare staff” in England, with plans to employ 300,000 extra staff in the coming years. The funding works out at approximately £21,000 per vacancy.

Asked about the NHS workforce plan announced by the prime minister last week, Lord Winston warned it will take at least a decade to have an impact, especially because the NHS was “losing people all the time” due to disenchantment and early retirement.

“That’s an issue which the government has failed completely to tackle,” he said.

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What are West Bank settlements, who are settlers, and why are they controversial?

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What are West Bank settlements, who are settlers, and why are they controversial?

There are increasing reports of violence and intimidation by Israeli settlers in occupied Palestinian territory.

Sky News chief correspondent Stuart Ramsay has been inside the West Bank, where he’s found settlers feeling emboldened since the October 7 attack by Hamas on Israel.

With the government largely supporting them, they act with impunity and are in many ways enabled by Israel security forces.

But what are the settlements, and why are they controversial?

What are settlements?

A settlement is an Israeli-built village, town, or city in occupied Palestinian territory – either in the West Bank or East Jerusalem.

The largest, Modi’in Illit, is thought to house around 82,000 settlers, according to Peace Now.

There is also a growing movement of Israelis wanting to build settlements in Gaza.

Settlements are illegal under international law and have been condemned by the UN. They are, however, authorised by the Israeli government.

As well as official, government-approved settlements, there are also Israeli outposts.

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Israeli settlers attack Palestinian villages

These are established without government approval and are considered illegal by Israeli authorities. But reports suggest the government often turns a blind eye to their creation.

Israel began building settlements shortly after the 1967 Six-Day War.

The Etzion Bloc in Hebron, which was established that year, now houses around 40,000 people.

Read more:
Israel-Hamas war: A glossary of terms
Israeli-Palestinian conflict: A century of war, heartbreak, hope
What is the two-state solution?

According to the Israel Policy Forum, the settlement programme is intended to protect Israel’s security, with settlers acting as the first line of defence “against an invasion”.

The Israeli public appears divided on the effectiveness of the settlements, however.

A Palestinian man walks next to a wall covered with sprayed Hebrew slogans. Pic: Reuters
Image:
A Palestinian man walks next to a wall covered with sprayed Hebrew slogans. Pic: Reuters

A 2024 Pew Research Centre poll found that 40% of Israelis believe settlements help Israeli security, 35% say they hurt it, and 21% think they make no difference.

Why are they controversial?

Israeli settlements are built on land that is internationally recognised as Palestinian territory.

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The activists trying to stop Israeli settlers

Sky News has spoken to multiple Palestinians who say they were forced out of their homes by Israeli settlers, despite having lived there for generations.

“They gradually invade the community and expand. The goal is to terrorise people, to make them flee,” Rachel Abramovitz, a member of the group Looking The Occupation In The Eye, told Sky News in May.

Settlers who have spoken to Sky News say they have a holy right to occupy the land.

American-born Israeli settler Daniel Winston told Sky’s chief correspondent Stuart Ramsay: “God’s real, and he wrote the Bible, and the Bible says, ‘I made this land, and I want you to be here’.”

Settlers make up around 5% of Israel’s population and 15% of the West Bank’s population, according to data from Peace Now.

How have things escalated since 7 October 2023?

Since the Hamas-led attacks on 7 October 2023 and Israel’s subsequent military bombardment of Gaza, more than 100 Israeli outposts have been established, according to Peace Now.

In May, Prime Minister Benjamin Netanyahu’s government approved 22 new settlements, including the legalisation of outposts that had previously been built without authorisation.

Settler violence against Palestinians has also increased, according to the UN, with an average of 118 incidents each month – up from 108 in 2023, which was already a record year.

The UK government has sanctioned two members of Mr Netanyahu’s cabinet, Itamar Ben-Gvir and Bezalel Smotrich, for “repeated incitements of violence against Palestinian civilians” – notably in the West Bank.

The UN’s latest report on Israeli settlements notes that in October 2024, there were 162 settler attacks on Palestinian olive harvesters, many of them in the presence of IDF soldiers.

Of the 174 settler violence incidents studied by the UN, 109 were not reported to Israeli authorities.

Most Palestinian victims said they didn’t report the attacks due to a lack of trust in the Israeli system; some said they feared retaliation by settlers or the authorities if they did.

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‘There is no more time’: Madonna urges the Pope to go to Gaza

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'There is no more time': Madonna urges the Pope to go to Gaza

Madonna has urged the Pope to go to Gaza and “bring your light” to the children there.

In a plea shared across her social media channels, the pop star told the pontiff he is “the only one of us who cannot be denied entry” and that “there is no more time”.

“Politics cannot affect change,” wrote the queen of pop, who was raised Catholic.

“Only consciousness can. Therefore I am reaching out to a Man of God.”

The Like A Prayer singer told her social media followers her son Rocco’s birthday prompted her post.

“I feel the best gift I can give to him as a mother – is to ask everyone to do what they can to help save the innocent children caught in the crossfire in Gaza.

“I am not pointing fingers, placing blame or taking sides. Everyone is suffering. Including the mothers of the hostages. I pray that they are released as well.”

Pope Leo XIV leads a Mass for young people in Rome. File pic: AP
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Pope Leo XIV leads a Mass for young people in Rome. File pic: AP

Pope Leo has been outspoken about the crisis in Gaza since his inauguration, calling for an end to the “barbarity of war”.

“I appeal to the international community to observe humanitarian law and respect the obligation to protect civilians as well as the prohibition of collective punishment, of indiscriminate use of force and forced displacement of the population,” he said in July.

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Gaza: ‘This is a man-made crisis’

WHO chief thanks Madonna

Every child under the age of five in Gaza is now at risk of acute malnutrition, according to UNICEF – “a condition that didn’t exist in Gaza just 20 months ago”.

At the end of May, the NGO reported that more than 50,000 children had been killed or injured since October 2023.

World Health Organisation director general Tedros Adhanom Ghebreyesus thanked Madonna for her post, saying: “humanity and peace must prevail”.

“Thank you, Madonna, for your compassion, solidarity and commitment to care for everyone caught in the Gaza crisis, especially the children. This is greatly needed,” he wrote on X.

Sky News has approached the Vatican for comment.

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CCTV shows men in combat clothing shooting hospital volunteer at point-blank range in Syria

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CCTV shows men in combat clothing shooting hospital volunteer at point-blank range in Syria

Sky News has obtained shocking CCTV from inside the main hospital in the city of Sweida in southern Syria – where our team found more than 90 corpses laid out in the grounds following a week of intense fighting.

Warning this article shows images of a shooting

The CCTV images show men in army fatigues shooting dead a volunteer dressed in medical scrubs at point-blank range while a crowd of other terrified health workers are held at gunpoint with their hands in the air.

The mainly Druze city of Sweida was the scene of nearly a week of violent clashes, looting and executions last month which plunged the new authorities into their worst crisis since the toppling of the country’s former dictator Bashar al Assad.

The new Syrian government troops were accused of partaking in the atrocities they were sent in to quell between the Druze minority and the Arab Bedouin minority groups.

The government troops were forced to withdraw when Israeli jets entered the fray, saying they were protecting the Druze minority and bombed army targets in Sweida and the capital Damascus.

Men in military fatigues enter the hospital.
Image:
Men in military fatigues enter the hospital.

The hospital volunteer is seen on the floor moments before he was shot
Image:
The hospital volunteer is seen on the floor moments before he was shot

A second man fires with a handgun
Image:
A second man fires with a handgun

Days of bloodletting ensued, with multiple Arab tribes, Druze militia and armed gangs engaging in pitched battles and looting before a ceasefire was agreed.

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The government troops then set up checkpoints and barricades encircling Sweida to prevent the Arab tribes re-entering.

The extrajudicial killing captured on CCTV inside the Sweida hospital is corroborated by eyewitnesses we spoke to who were among the group, as well as other medics in the hospital and a number of survivors and patients.

Body bags in the grounds of hospital
Image:
Body bags in the grounds of hospital

The CCTV is date- and time-stamped as mid-afternoon on 16 July and the different camera angles show the men (who tell the hospital workers they are government troops) marauding through the hospital; and in at least one case, smashing the CCTV cameras with the butt of a rifle.

One of the nurses present, who requested anonymity, told us: “They told us if we talked about the shooting or showed any film, we’d be killed too. I thought I was going to die.”

Dr Obeida Abu Fakher, a doctor who was in the operating section at the time, told us: “They told us they were the new Syrian army and interior police. We cannot have peace with these people. They are terrorists.”

Read more:
Inside Sweida: The Syrian city ravaged by sectarian violence
Who are the Druze and who are they fighting in Syria?
Why Israel is getting involved in Syria’s internal fighting

A destroyed ambulance in Sweida
Image:
A destroyed ambulance in Sweida

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Multiple patients and survivors told us when we visited the hospital last month that government troops had participated in the horror which swept through Sweida for days but this is the first visual evidence that some took part in atrocities inside the main hospital.

In other images, one of the men can be seen smashing the CCTV camera with the butt of his rifle – and another is wearing a black sweater which appears to be the uniform associated with the country’s interior security.

One survivor calling himself Mustafa Sehnawi, an American citizen from New Jersey, told us: “It’s the government who sent those troops, it’s the government of Syria who killed those people… we need help.”

Mustafa Sehnawi speaks to Sky's Alex Crawford
Image:
Mustafa Sehnawi speaks to Sky’s Alex Crawford

A destroyed tank in Sweida
Image:
A destroyed tank in Sweida

The government responded with a statement from the interior ministry saying they would be investigating the incident which they “denounced and condemned” in the strongest terms.

The statement went on to promise all those involved would be “held accountable” and punished.

The new Syrian president Ahmed al Sharaa is due to attend the United Nations General Assembly next month in New York – the first time a Syrian leader has attended since 1967 – and what happened in Sweida is certain to be among the urgent topics of discussion.

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