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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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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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Inter-Arab security force should be set up ‘within weeks’ to stop Hamas retaking Gaza, ex-Israeli PM says

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Inter-Arab security force should be set up 'within weeks' to stop Hamas retaking Gaza, ex-Israeli PM says

An inter-Arab security force should be set up in Gaza within weeks to prevent Hamas from retaking control, Israel’s former prime minister Ehud Barak has said.

Asked by Sky News chief presenter Mark Austin if intervention was necessary to prevent Hamas from filling the current power vacuum inside the Strip, Mr Barak said he believed a force was needed, but it should not be international.

“An inter-Arab force should be there in a few weeks, not several months,” he said, warning that the group’s readiness to give up its arms will decrease over time.

Mr Barak also said the “only condition for success” in the ceasefire plan for Gaza was the “determination” of Donald Trump.

He said there were concerns that the US president “might lose his attention to the issue” and that his plan to bring the war to a conclusion “will take time”.

“It cannot happen overnight. But the zeitgeist, the atmosphere in the world and the pressure on both sides to find a solution is created in front of our eyes. So it’s very promising.”

Follow the latest updates from Gaza

A Hamas militant stands guard as a Red Cross vehicle arrives to receive the bodies of deceased hostages. Pic: Reuters
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A Hamas militant stands guard as a Red Cross vehicle arrives to receive the bodies of deceased hostages. Pic: Reuters

However, he said the war with Hamas over the last few months has harmed Israel’s international reputation, and it would take time to fix that damage.

“It’s killed our positioning in the world,” he said. “It’s huge damage. It will take probably a generation to correct it.

“It created a feeling in the world that Israel probably executed war crimes.”

From our experts:
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Palestinians walk past the rubble of destroyed buildings in Gaza City. Pic: Reuters
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Palestinians walk past the rubble of destroyed buildings in Gaza City. Pic: Reuters

According to Gaza’s Hamas-run health ministry, nearly 68,000 Palestinians have been killed since the war began in 2023 – when more than 1,200 people were killed and more than 250 people were taken hostage during Hamas’ October 7 attack on Israel.

The Hamas-run ministry does not differentiate between civilians and combatants in its count, but says half of that number were women and children.

The war has also flattened huge swathes of Gaza and left nearly 170,000 people wounded, according to the ministry.

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‘If Hamas doesn’t disarm, we will disarm them’

Palestinian state ‘only sustainable’ solution

Israeli Prime Minister Benjamin Netanyahu “turned Hamas’ military defeat a year ago into an unprecedented diplomatic and political success and brought back the Palestinian issue,” Mr Barak said.

His comments refer to the creation of a Palestinian state, which he said was “the only sustainable” solution.

“Any other solution will break,” Mr Barak said. “And it’s not because we have special sentiments to the lives of the Palestinians, it’s because of our own interests.”

“Israel has a compelling imperative to separate from the Palestinians. If there is only one entity reigning over this whole area, namely Israel, it will become inevitably either non-Jewish or non-democratic.”

Calls for Hamas to disarm

It comes after aid trucks rolled into Gaza following a dispute over the return of the bodies of dead hostages that threatened Israel’s nascent ceasefire deal with Hamas.

Israel has threatened to reduce aid supplies because Hamas was returning bodies too slowly.

The militant group returned four bodies confirmed as dead hostages on Monday, as well as another four late on Tuesday, but Israeli authorities have said one of those bodies was not that of a hostage.

Several other issues are yet to be resolved, with later phases of the truce plan calling for Hamas to disarm and give up power, which it has so far refused to do.

On Tuesday, US President Donald Trump appeared to threaten Hamas over the issue, telling a press conference: “If Hamas doesn’t disarm, we will disarm them – perhaps violently.”

Meanwhile, Hamas has launched a security crackdown in Gaza, carrying out public executions and clashing with local clans.

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Trump achieves something remarkable, but will his ‘goldfish’ attention span stay the course?

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Trump achieves something remarkable, but will his 'goldfish' attention span stay the course?

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.

Gaza deal signed – as it happened

But the day was also an unquestionable and game-changing geopolitical achievement.

World leaders, including Trump and Egypt's President Abdel Fattah al-Sisi, pose for a family photo. Pic: Reuters
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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”.

Benjamin Netanyahu applauds while Trump addresses the Knesset, Israel's parliament. Pic: Reuters
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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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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.

Read more:
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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.

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French PM Sebastien Lecornu shelves Emmanuel Macron’s pension reform in bid for political survival

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French PM Sebastien Lecornu shelves Emmanuel Macron's pension reform in bid for political survival

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.

Mr Lecornu in parliament on Tuesday. Pic: Reuters
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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.

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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”.

Mr Lecornu, 39, was reappointed as prime minister by Mr Macron on Friday, four days after he resigned from the role just hours after naming his cabinet – and after political rivals threatened to topple his government.

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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.

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