Hamas released a statement after the blast calling it a “crime of genocide” as it blamed it on Israel.
The militant group said: “The horrific massacre carried out by the Zionist occupation in the Gaza City’s al Ahli hospital which left hundreds of casualties, most of them displaced families, patients, children and women, is a crime of genocide that once again reveals the ugly face of this criminal enemy and its fascist and terrorist government.”
What has Israel said?
Israel has denied it was responsible for the blast, claiming the Palestinian Islamic Jihad (PIJ) militant group hit it with a misfired rocket launched from Gaza at 6.59pm local time.
Overnight, the IDF posted a video allegedly showing a rocket failing and falling on to Gaza at the same time the al Ahli hospital was hit.
In a news conference on Wednesday morning, IDF spokesperson Rear Admiral Daniel Hagari said the army determined there were no air force, ground or naval attacks in the area at the time of the blast.
He also said there was no direct hit on the hospital. Instead, he said, a PIJ rocket hit the car park and ignited vehicles.
Israel claimed the craters caused by Israeli munitions were not present at the hospital and released images it said backs this up.
Videos and stills of the damage geolocated by Sky News match the location shared by the IDF.
Sky News has been unable to verify the claims the damage does not match the craters an Israeli missile would have caused.
Audio released by Israel purportedly shows two Hamas militants discussing the incident and saying the missile belongs to the PIJ and was fired from a cemetery behind the hospital.
Sky News cannot independently verify this audio from Israel.
Image: Radar image Israel claims shows the paths of PIJ rockets passing over the hospital at the time of the explosion. Pic: Israel Defence Forces
The PIJ, a smaller militant group in the Gaza Strip, said it had no involvement in the blast and that Israel was responsible.
Strike ‘probably’ an accident from within Gaza – analyst
Defence analyst Michael Clarke told Sky News the balance of probability points to Israeli claims being true – that the PIJ misfired a rocket.
When pressed, he put the probability at 60-70%.
The Iron Dome system allows Israel to track rockets headed toward Israel, which makes IDF’s assertion that it knows missiles were fired from behind the hospital “plausible”.
The keys to certainty are whatever missile fragments remain on hospital grounds, he said. These can provide 95% certainty as to where the missile came from – but they are under Hamas’s control, he said.
“I would expect Hamas to produce some sort of Israeli missile at some point derived from somewhere and say ‘this is the missile that hit the hospital’, and that may or may not be true.”
US independent assessment finds PIJ likely caused blast
The US has an independent assessment that it was a PIJ rocket that misfired and hit the hospital, two senior officials have told our US partner network NBC News.
This would match what Israel has said caused the blast.
The assessment was based on “analysis of overhead imagery, intercepts and open source information”, White House National Security Council spokesperson Adrienne Watson told NBC News.
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0:26
Moment Gaza hospital explodes
Can rockets misfire?
Middle East correspondent Alistair Bunkallsaid, without making a judgement on the hospital strike, that rockets launched by Hamas and the Palestinian Islamic Jihad have been known to “misfire and they do land short”.
Do militant groups have rockets that can cause this damage?
Bunkall went on: “People are pointing out that when Hamas or Islamic Jihad rockets hit parts of southern Israel, they never really make the sort of damage that we saw at the hospital last night.”
The IDF spokesman, Rear Admiral Daniel Hagari, was asked about this during Wednesday morning’s news conference – and said the scale of the destruction was caused by a misfired rocket from PIJ landing in a car park, and cars subsequently exploding.
Ibrahim al Naqa, a doctor at the hospital, told Reuters: “This place created a safe haven for women and children, those who escaped the Israeli bombing.”
Donald Trump has criticised Vladimir Putin and suggested a shift in his stance towards the Russian president after a meeting with Volodymyr Zelenskyy before the Pope’s funeral.
The Ukrainian president said the one-on-one talks could prove to be “historic” after pictures showed him sitting opposite Mr Trump, around two feet apart, in the large marble hall inside St Peter’s Basilica.
The US president said he doubted his Russian counterpart’s willingness to end the war after leaving Rome after the funeral of Pope Francis at the Vatican.
In a post on his Truth Social platform, he said “there was no reason” for the Russian president “to be shooting missiles into civilian areas, cities and towns, over the last few days”.
Image: The two leaders held talks before attending the Pope’s funeral
He added: “It makes me think that maybe he doesn’t want to stop the war, he’s just tapping me along, and has to be dealt with differently, through ‘Banking’ or ‘Secondary Sanctions?’ Too many people are dying!!!”
The meeting between the US and Ukrainian leaders was their first face-to-face encounter since a very public row in the Oval Office in February.
Mr Zelenskyy said he had a good meeting with Mr Trump in which they talked about the defence of the Ukrainian people, a full and unconditional ceasefire, and a durable and lasting peace that would prevent the war restarting.
Other images released by the Ukrainian president’s office show Sir Keir Starmer and French President Emmanuel Macron were present for part of the talks, which were described as “positive” by the French presidency.
Mr Zelenskyy‘s spokesman said the meeting lasted for around 15 minutes and he and Mr Trump had agreed to hold further discussions later on Saturday.
Image: The world leaders shared a moment before the service
Image: Donald Trump and Volodymyr Zelenskyy meet in the Basilica
But the US president left Rome for Washington on Air Force One soon after the funeral without any other talks having taken place.
The Ukrainian president’s office said there was no second meeting in Rome because of the tight schedule of both leaders, although he had separate discussions with Mr Starmer and Mr Macron.
The French president said in a post on X “Ukraine is ready for an unconditional ceasefire” and that a so-called coalition of the willing, led by the UK and France, would continue working to achieve a lasting peace.
There was applause from some of the other world leaders in attendance at the Vatican when Mr Zelenskyy walked out of St Peter’s Basilica after stopping in front of the pontiff’s coffin to pay his respects.
Image: Donald Trump and the Ukrainian president met for the first time since their Oval Office row. Pic: Reuters
Sir Tony Brenton, the former British ambassador to Russia, said the event presents diplomatic opportunities, including the “biggest possible meeting” between Mr Trump and the Ukrainian leader.
He told Sky News it could mark “an important step” in starting the peace process between Russia and Ukraine.
Professor Father Francesco Giordano told Sky News the meeting is being called “Pope Francis’s miracle” by members of the clergy, adding: “There’s so many things that happened today – it was just overwhelming.”
The bilateral meeting comes after Mr Trump’s peace negotiator Steve Witkoff held talks with Mr Putin at the Kremlin.
They discussed “the possibility of resuming direct negotiations between Russia and Ukraine”, Kremlin aide Yuri Ushakov said.
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On an extraordinary day, remarkable pictures on the margins that capture what may be a turning point for the world.
In a corner of St Peter’s Basilica before the funeral of Pope Francis, the leaders of America and Ukraine sit facing each other in two solitary chairs.
They look like confessor and sinner except we cannot tell which one is which.
In another, the Ukrainian president seems to be remonstrating with the US president. This is their first encounter since their infamous bust-up in the Oval Office.
Image: The two leaders held talks before attending the Pope’s funeral
Other pictures show the moment their French and British counterparts introduced the two men. There is a palpable sense of nervousness in the way the leaders engage.
We do not know what the two presidents said in their brief meeting.
But in the mind of the Ukrainian leader will be the knowledge President Trump has this week said America will reward Russia for its unprovoked brutal invasion of his country, under any peace deal.
Mr Trump has presented Ukraine and Russia with a proposal and ultimatum so one-sided it could have been written in the Kremlin.
Kyiv must surrender the land Russia has taken by force, Crimea forever, the rest at least for now. And it must submit to an act of extortion, a proposed deal that would hand over half its mineral wealth effectively to America.
Image: The world leaders shared a moment before the service
Afterwards, Zelenskyy said it had been a good meeting that could turn out to be historic “if we reach results together”.
They had talked, he said, about the defence of Ukraine, a full and unconditional ceasefire and a durable and lasting peace that will prevent a war restarting.
The Trump peace proposal includes only unspecified security guarantees for Ukraine from countries that do not include the US. It rules out any membership of Ukraine.
Ukraine’s allies are watching closely to see if Mr Trump will apply any pressure on Vladimir Putin, let alone punish him for recent bloody attacks on Ukraine.
Or will he simply walk away if the proposal fails, blaming Ukrainian intransigence, however outrageously, before moving onto a rapprochement with Moscow.
If he does, America’s role as guarantor of international security will be seen effectively as over.
This could be the week we see the world order as we have known it since the end of the Second World War buried, as well as a pope.
Tens of thousands of people have packed St Peter’s Square as the funeral of Pope Francis begins.
Royals, world leaders and cardinals joined scores of worshippers at the Vatican, as mourning of the 266th pontiff transcended wealth and social class.
In keeping with Francis’s life as a breaker of tradition, many of the more elaborate and expensive rituals customary for the burial of popes have been foregone in favour of simpler options.
Around 200,000 people are attending the funeral, with around 50,000 packing out St Peter’s Square.
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His body had been lying in state since his death aged 88 on Easter Monday, spending the last few days in St Peter’s Basilica to allow mourners to pay their respects.
The Vatican – where the funeral service is taking place – and Rome – where Francis will be laid to rest – are under heavy security, with a no-fly zone in place overhead.
Image: The coffin of Pope Francis is borne aloft by pallbearers. Pic: Reuters
Image: Members of the clergy gathered to say farewell to their pontiff. Pic: Reuters
Francis’s coffin has been taken out into St Peter’s Square where 220 cardinals and 750 bishops and priests are sitting in rows, waiting to say goodbye to the Bishop of Rome.
A series of readings and prayers are being read before the 50,000 faithful gathered before the basilica, and the coffin will be sprinkled with holy water and incense.
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2:27
Singing rings out at the Vatican
Image: Members of the clergy stand in St Peter’s Square. Pic: Reuters
It began with Cardinal Giovanni Battista Re reading the Penitential Act – a way for the faithful to confess their sinfulness.
This was followed by the Liturgy of the Word, a part in Catholic mass where faithful gather to hear and reflect on the word of God.
Cardinal Re then delivered the homily, speaking about Pope Francis’ life and service to God.
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0:52
Applause breaks out as Zelenskyy arrives
Image: Cardinal Giovanni Battista Re read the homily
The cardinal praised the pontiff as someone who “touched the minds and hearts of people” who was “attentive to the signs of the times”.
He added: “Despite his frailty and suffering towards the end, Pope Francis chose to follow this path of self-giving until the last day of his earthly life.”
He said Francis “was a pope among the people, with an open heart towards everyone”.
Image: Tens of thousands pack St Peter’s Square for the funeral. Pic: AP
Image: Clergy seated during the funeral. Pic: AP
At the end of the mass, the choir will sing in Latin: “May the angels lead you into paradise; may the martyrs come and welcome you and take you into the holy city, the new and eternal Jerusalem.”
After the service, Pope Francis’s body will be taken in procession through the streets of Rome to his final resting place at his favourite church, the Basilica of Santa Maria Maggiore.
Image: Worshippers outside the Papal Basilica of Santa Maria Maggiore. Pic: Reuters
He will be ushered into the basilica – dedicated to the Virgin Mary – by prisoners and migrants, a last reflection of his priorities as pope.
In a break with tradition, the Popeoutlined in his will his request to be buried “in the ground, without particular ornamentation” but simply with the inscription “Franciscus”.