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The number of people waiting for routine hospital treatment in England has risen for the first time in seven months, new figures show.

An estimated 6.33 million patients were waiting for 7.57 million treatments to be carried out at the end of April, NHS England data shows.

This is up from 6.29 million patients and 7.54 million treatments at the end of March.

NHS waiting lists have become a key focus of the general election campaign.

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Rishi Sunak vowed to tackle the high numbers in January 2023, when it stood at 7.21 million treatments.

On Wednesday night, Rishi Sunak claimed during Sky News’ Battle For Number 10 programme that NHS waiting lists are “coming down”.

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But he admitted: “We’ve not made as much progress on cutting waiting lists as I would have liked.”

He was booed by the audience, which represented a mix of voters, after he said junior doctors strikes have had an impact on waiting lists.

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The waiting list hit a record high in September 2023, with 6.5 million patients waiting for 7.77 million treatments.

Sir Keir Starmer vowed to bring down waiting lists by creating 40,000 new appointments per week, as one of the first things a Labour government would do.

Tim Gardner, assistant director of policy at thinktank The Health Foundation, said: “With both Labour and the Conservatives promising big improvements in NHS waiting times, today’s figures are a stark reminder of the scale of the challenge facing the next government.”

He added that while there has been “some progress” in recent months “there is still a huge mountain to climb”.

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Lib Dem health spokeswoman Daisy Cooper called on Mr Sunak “to apologise to the public for his failure to get NHS waiting lists down instead of ducking responsibility”.

“The prime minister getting booed by the public over soaring waiting lists last night shows just how angry people are with his record of failure,” she added.

Shadow health secretary Wes Streeting said: “This has blown a hole in Rishi Sunak’s claim that the NHS has turned a corner.”

He said the PM “can’t blame NHS staff… the blame lies solely with the Conservatives”.

Junior doctors strike outside the University Hospital of Wales
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Mr Sunak blamed junior doctor strikes for long waiting lists

The newest data on England also found:

  • 5,013 patients in England had been waiting more than 18 months to start routine treatment at the end of April, up from 4,770 in March
  • This is despite the government and NHS England pledging to end all waits of more than 18 months by April last year, excluding exceptionally complex cases or patients who choose to wait longer
  • A total of 50,397 patients had been waiting more than 65 weeks to begin treatment at the end of April, compared with 48,968 in March
  • The target to eliminate all waits over 65 weeks was previously March 2024 but has been moved to September this year
  • 302,589 people had been waiting more than 52 weeks to start routine hospital treatment at the end of April, down from 309,300 at the end of March
  • The target is to eliminate all waits of more than a year by March 2025
  • Those waiting more than 12 hours in A&E from a decision to admit to being admitted was 42,555 in May, up slightly from 42,078 in April
  • The number waiting at least four hours from the decision to admit to admission also increased, from 134,344 in April to 138,770 in May
  • 74% of patients were seen within four hours in A&Es last month, down from 74.4% in April
  • A target of March this year was made for 76% of patients to attend A&E to be admitted, transferred or discharged within four hours
  • 73.5% of patients urgently referred for suspected cancer in April were diagnosed or had cancer ruled out within 28 days, down from 77.3% in March – below the 75% target
  • GPs made 260,108 urgent cancer referalls in April, up from 254,594 in March, and up year on year from 218,324 in April 2023
  • Patients waiting no longer than 62 days in April from an urgent suspected cancer referral or consultant upgrade to their first definitive treatment for cancer was 66.6%, down from 68.7% in March – the target is 85%

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Vietnam legalizes crypto under new digital technology law

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Vietnam legalizes crypto under new digital technology law

Vietnam legalizes crypto under new digital technology law

Vietnam has passed a sweeping digital technology law that legalizes crypto assets and outlines incentives for AI, semiconductors, and infrastructure.

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Brazil ends crypto tax exemption, imposes 17.5% flat rate on gains

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Brazil ends crypto tax exemption, imposes 17.5% flat rate on gains

Brazil ends crypto tax exemption, imposes 17.5% flat rate on gains

Brazil scraps crypto tax exemption for small traders, enforces flat 17.5% rate across all gains, including self-custody and offshore holdings.

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A scrambled G7 agenda as world leaders scramble to de-escalate the Israel-Iran conflict

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A scrambled G7 agenda as world leaders scramble to de-escalate the Israel-Iran conflict

The return on Donald Trump to the G7 was always going to be unpredictable. That it is happening against the backdrop of an escalating conflict in the Middle East makes it even more so.

Expectations had already been low, with the Canadian hosts cautioning against the normal joint communique at the end of the summit, mindful that this group of leaders would struggle to find consensus.

Canadian Prime Minister Mark Carney carefully laid down an agenda that was uncontroversial in a bid to avoid any blow-ups between President Trump and allies, who of late have been divided like never before – be it over tariffs and trade, Russia and Ukraine, or, more recently Israel’s conduct in Gaza.

But discussions around critical minerals and global supply chains will undoubtedly drop down the agenda as leaders convene at a precarious moment. Keir Starmer, on his way over to Canada for a bi-lateral meeting in Ottawa with PM Carney before travelling onto the G7 summit in Kananaskis, underscored the gravity of the situation as he again spoke of de-escalation, while also confirmed that the UK was deploying more British fighter jets to the region amid threats from Tehran that it will attack UK bases if London helps defend Israel against airstrikes.

Canadian Prime Minister Mark Carney is greeted by President Donald Trump as he arrives at the West Wing of the White House, Tuesday, May 6, 2025, in Washington. (AP Photo/Mark Schiefelbein)
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Canadian PM Mark Carney is greeted by President Donald Trump at the White House in May. Pic: AP

Really this is a G7 agenda scrambled as world leaders scramble to de-escalate the worst fighting between Tel Aviv and Tehran in decades. President Trump has for months been urging Israel not to strike Iran as he worked towards a diplomatic deal to halt uranium enrichment. Further talks had been due on Sunday – but are now not expected to go ahead.

All eyes will be on Trump in the coming days, to see if the US – Israel’s closest ally – will call on Israel to rein in its assault. The US has so far not participated in any joint attacks with Tel Aviv, but is moving warships and other military assets to the Middle East.

Sir Keir, who has managed to strike the first trade deal with Trump, will want to leverage his “good relationship” with the US leader at the G7 to press for de-escalation in the Middle East, while he also hopes to use the summit to further discuss the further the interests of Ukraine with Trump and raise again the prospects of Russian sanctions.

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“We’ve got President Zelenskyy coming so that provides a good opportunity for us to discuss again as a group,” the PM told me on the flight over to Canada. “My long-standing view is, we need to get Russia to the table for an unconditional ceasefire. That’s not been really straightforward. But we do need to be clear about what we need to get to the table and that if that doesn’t happen, sanctions will undoubtedly be part of the discussion at the G7.”

Prime Minister Sir Keir Starmer (right) is greeted by Prime Minister of Canada Mark Carney as he arrives at Rideau Cottage in Ottawa
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Prime Minister Sir Keir Starmer (R) is greeted by Mark Carney as he arrives in Ottawa ahead of the G7

But that the leaders are not planning for a joint communique – a document outlining what the leaders have agreed – tells you a lot. When they last gathered with Trump in Canada for the G7 back in 2018, the US president rather spectacularly fell out with Justin Trudeau when the former Canadian president threatened to retaliate against US tariffs and refused to sign the G7 agreement.

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Since then, Trump has spoken of his desire to turn Canada into the 51st state of the US, a suggestion that helped catapult the Liberal Party beyond their Conservative rivals and back into power in the recent Canadian elections, as Mark Carney stood on a ticket of confronting Trump’s aggression.

With so much disagreement between the US and allies, it is hard to see where progress might be made over the next couple of days. But what these leaders will agree on is the need to take down the temperature in the Middle East and for all the unpredictability around these relationships, what is certain is a sense of urgency around Iran and Israel that could find these increasingly disparate allies on common ground.

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