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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”.

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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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White House rages at ‘appalling’ attempt to return wrongly deported man from El Salvador

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White House rages at 'appalling' attempt to return wrongly deported man from El Salvador

The White House has hit out at an “appalling” attempt by a Democratic senator to return a father wrongly deported to El Salvador.

Chris Van Hollen arrived in El Salvador on Wednesday to speak to the country’s leaders about Kilmar Abrego Garcia, who was removed from the US by the Trump administration in March despite an immigration court order preventing his deportation.

Washington acknowledged Mr Garcia was deported due to an “administrative error”.

The US Supreme Court has called on the administration to facilitate his return, upholding a court order by Judge Paula Xinis, but Trump officials have claimed Mr Garcia has ties to the MS-13 gang.

Mr Garcia’s lawyers have argued there is no evidence of this.

Speaking about Mr Van Hollen’s trip to El Salvador, White House spokesperson Karoline Leavitt said the Democrats “still refuse to accept the will of the American people”.

She alleged Mr Garcia was an “illegal alien MS-13 terrorist” and claimed his wife petitioned for court protection against him after alleged incidents of domestic violence.

White House press secretary Karoline Leavitt.
Pic: AP/Jose Luis Magana
Image:
White House press secretary Karoline Leavitt.
Pic: AP/Jose Luis Magana

After outlining the allegations against Mr Garcia, she went on: “All of that is not enough to stop the Democrat Party from their lies.

“The number one issue they are focused on right now is bringing back this illegal alien terrorist to America.

“It’s appalling and sad that Senator Van Hollen and the Democrats are plotting his trip to El Salvador today, are incapable of having any shred of common sense or empathy for their own constituents and our citizens.”

After making a statement, Ms Leavitt introduced Patty Morin, who described graphic details of her daughter’s murder by an immigrant from El Salvador.

Rachel Morin was raped and murdered by Victor Martinez-Hernandez along a popular hiking trail northeast of Baltimore.

Afterwards, Ms Leavitt left without taking any questions from reporters.

Kilmar Abrego Garcia. Pic: CASA / AP
Image:
Kilmar Abrego Garcia. Pic: CASA/AP

Senator travels to El Salvador

Mr Van Hollen met with the El Salvador vice president during his trip to the Central American country.

But he did not meet with President Nayib Bukele, who publicly met with Donald Trump in the Oval Office this week, nor did he meet Mr Garcia himself.

US senator Chris Van Hollen speaking to the media in El Salvador. 
Pic: Reuters/Jose Cabezas
Image:
US senator Chris Van Hollen has been in El Salvador.
Pic: Reuters/Jose Cabezas

In a post on X, he said he would continue to fight for Mr Garcia’s return.

During Mr Bukele’s trip to the White House earlier this week, he said he would not return Mr Garcia, likening it to smuggling “a terrorist into the United States”.

Along with Mr Garcia, the Trump administration has deported hundreds of people, mostly Venezuelans, who it claims are gang members without presenting evidence and without a trial.

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‘I’m talking about violent people’

Judge’s contempt warning

It comes hours after a US federal judge warned that he could hold the Trump administration in criminal contempt for violating his orders to turn around planes carrying deportees to El Salvador.

The comments are an escalation in a row which began last month when US district judge James E Boasberg issued an order temporarily blocking the deportations.

However, lawyers told him there were already two planes with immigrants in the air – one headed for El Salvador, the other for Honduras.

Mr Boasberg verbally ordered the planes to be turned around, but the directive was not included in his written order. The Trump administration then denied refusing to comply.

Charges could be brought forward by the Justice Department, NBC News, Sky’s US partner network, reported.

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However, that could create an uncomfortable situation for the department, which is headed by the attorney general – a position appointed by the president.

If the executive-led Justice Department refused to prosecute the matter, Judge Boasberg said he would appoint another attorney to prosecute the contempt.

The judge wrote: “The Constitution does not tolerate wilful disobedience of judicial orders – especially by officials of a coordinate branch who have sworn an oath to uphold it.”

He gave the government a 23 April deadline.

White House director of communications Steven Cheung said the administration would seek “immediate appellate relief” – a review of a decision within a lower court before the case has been resolved.

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Israeli troops will remain in ‘security zones’ in Gaza, Lebanon and Syria indefinitely, minister says

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Israeli troops will remain in 'security zones' in Gaza, Lebanon and Syria indefinitely, minister says

Israel’s troops will remain in “security zones” in Gaza, Lebanon and Syria indefinitely, according to the country’s defence minister.

Israeli forces have taken over more than half of the Gaza Strip in recent weeks in a renewed campaign to pressure the territory’s rulers Hamas to free hostages after a ceasefire ended last month.

Israel has also refused to withdraw from some areas in Lebanon following a truce with Hezbollah last year, and it seized a buffer zone in southern Syria after President Assad’s regime was overthrown last December.

Israeli defence minister Israel Katz said his forces “will remain in the security zones as a buffer between the enemy and [Israeli] communities in any temporary or permanent situation in Gaza – as in Lebanon and Syria”.

He said that “unlike in the past” the military was “not evacuating areas that have been cleared and seized”.

His comments could further complicate talks with Hamas over a ceasefire and the release of hostages.

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Gazans struggle to find bodies under rubble

On Wednesday, health officials said Israeli strikes in Gaza killed 22 people, including a girl who was less than a year old.

Fifty-nine hostages are still inside Gaza, 24 of whom are believed to be alive, after dozens of others were previously released in ceasefire agreements or other deals.

Israeli defence minister Israel Katz. Pic: AP
Image:
Israeli defence minister Israel Katz. Pic: AP

Meanwhile, Lebanese President Joseph Aoun said Israel’s continued presence in some areas in Lebanon was “hindering” the Lebanese army’s full deployment as required by the ceasefire negotiated with Israel.

The war left over 4,000 people dead, many of them civilians.

Two Israeli drone strikes in southern Lebanon on Wednesday killed two people, the health ministry said. The United Nations said Israeli strikes in Lebanon have killed more than 70 civilians since the ceasefire took effect in November.

Read more:
Lack of rescue equipment leaves Gazans dying under rubble
A timeline of events since the 7 October attacks

Israel has said it must keep control of some areas to prevent a repeat of the Hamas attack that triggered the latest conflict in Gaza.

The war began when militants attacked southern Israel on 7 October 2023, killing 1,200 people, mostly civilians, and kidnapping about 250.

Israel’s retaliatory offensive has killed more than 51,000 people, according to Gaza’s health ministry.

The figure includes more than 1,600 people killed since a ceasefire ended and Israel resumed its offensive last month to pressure Hamas to accept changes to the agreement.

The health ministry does not distinguish between civilians and combatants in its total count but said that more than half of the fatalities are women and children.

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Lack of heavy rescue equipment into Gaza leaves hundreds to die slow deaths under rubble

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Lack of heavy rescue equipment into Gaza leaves hundreds to die slow deaths under rubble

It was in the evening that the bombing started to intensify.

Salah Jundia, his father and brothers huddled together in their home in Shujaiyya, just east of Gaza City, trying to work out what to do.

It was too risky for them to leave at night. There were a lot of them too. Extended family living across four storeys. They decided they would wait until after dawn prayers.

The explosion tore through the building just before 5am, collapsing one storey on to the next.

The remains of where the family lived - where loved ones were trapped beneath the rubble
Image:
The aftermath of Israel’s bombing campaign in Shujaiyya, just east of Gaza City

Salah Jundia
Image:
Salah Jundia

Jundia says he survived because pieces of bedroom furniture fell on top of him.

Then he looked for his father and brothers.

“I found one of them calling for help. I removed the rubble covering him with my hands. Then I saw another brother covered in rubble but he was dead,” he told Sky News.

Jundia added: “My father was also dead. My other brother was also dead. We got them out and that is when I saw that the whole building had collapsed.”

Over the next few hours, they scrambled to rescue who they could.

An aunt and uncle and one of their children, Shaimaa. Uncle Imad and his son Mohammad. The bodies of Montasir and Mustaf.

One of the child victims of the attack on the home in Gaza City
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One of the child victims of the attack on the home near the Gaza City

One of the child victims of the attack
Image:
Another one of child victims of the attack

Jundia says he could hear cries for help, but they were coming from deep in the rubble and were impossible to reach.

The rescue teams on site – civil defence they are called – did not have the kit to clear through three floors of 500 square metres, 30cm slabs of concrete.

Palestinians drilling to try and reach the people trapped below the rubble
Image:
Rescuers drilling to try and reach the people trapped below the rubble

Efforts to free those trapped beneath the rubble in Gaza City
Image:
Efforts to free those trapped beneath the rubble near the Gaza City

In the afternoon, Jundia says Israel’s Defence Forces (IDF) told rescue teams to leave as they would be resuming their bombardment.

Jundia buried the bodies he had managed to pull out but he knew 15 of his family members, 12 of them children, were still somewhere inside the rubble, still crying for help.

He made a desperate video appeal, begging the Red Cross and Arab countries to pressure Israel to grant access to the site. It was picked up on a few social media accounts.

Israel won’t allow heavy equipment into Gaza. No diggers or bulldozers, nor the fuel or generators to run them.

They say it will fall into Hamas’s hands.

It was a major sticking point during the ceasefire and it is a major issue now as the bombardment continues, given the fact that hundreds if not thousands of civilians might survive if there were the equipment to extract them.

Members of Salah Jundia's family left alive after the attack
Image:
Members of Salah Jundia’s family left alive after the attack

Salah Jundia and his family
Image:
Salah Jundia and his surviving family

Civil defence trying to get to the Jundia family home over the next few days were halted because the IDF were in the vicinity. A family friend tried himself and was killed.

The footage that our camera teams have shot in Shujaiyya over the past two weeks shows how civil defence teams struggle to save those who are trapped and injured with the most rudimentary of equipment – plastering trowels, sledgehammers, ropes and small drills.

“The tight siege stops civil defence equipment from getting in,” says one.

They added: “So we are taking much longer to respond to these events. Time is a factor in getting these people out. So we call immediately for the necessary equipment to be allowed in for the civil defence to use.”

The IDF say they are investigating the circumstances around the Jundia family as a result of our enquiries.

In relation to the access of heavy equipment into Gaza, they say they work closely with international aid organisations to enable the delivery of humanitarian activities in accordance with international law.

The last contact Jundia had from beneath the rubble was a phone call from his uncle Ziad, three days after the strike.

“The line was open for 25 seconds then it went dead. We don’t know what happened. We tried to call, but there was no answer,” he says.

He and his family were displaced several times before they returned home to Shujaiyya – to Rafah in the south, then Khan Younis and Deir al-Balah.

Along the way, Jundia lost one brother and a nephew to Israeli bombs.

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“We were happy and all the family came back. We went back to our house. It was damaged, but we improvised and we lived in it. We have nothing to do with the resistance. We are not interested in wars. But we have been gravely harmed,” he says.

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