Delivering a speech at the King’s Fund in central London, he said: “We have to fix the plumbing before we turn on the taps.
“So, hear me when I say this, no more money without reform.”
The government has promised three “big shifts” in its approach to fix the NHS:
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1:44
‘We’re getting NHS back on its feet’
• Using more technology to create a “digital NHS” • Shifting more care out of hospitals and into communities • Moving from treating sickness to focusing on prevention
Describing problems in the NHS, Sir Keir said he wasn’t prepared to spend money “on agency staff who cost £5,000 a shift, on appointment letters which arrive after the appointment, or on paying for people to be stuck in hospital just because they can’t get the care they need in the community”.
“Tonight, there will be 12,000 patients in that very position – that’s enough to fill 28 hospitals.
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“That isn’t just solved by more money, it’s solved by reform.”
Sir Keir was speaking as NHS performance stats dropped showing the overall waiting list for treatment remained unchanged in July, with an estimated 7.62 million procedures waiting to be carried relating to 6.39 million patients.
The list hit a record high in September 2023 with 7.77 million treatments, after which the figures fell for several months before rising in April, May and June of this year.
Dr Nick Murch, president of the Society for Acute Medicine, said the new NHS figures “demonstrate the scale of the short-term challenge”.
In a Q&A after his speech, the prime minister would not be drawn on how soon patients could expect to see improvements.
Asked by Sky News health correspondentAshish Joshi what he would tell somebody who is ill now, Sir Keir said the success of his plans “is going to be measured in years, not months”.
He said: “I accept the challenge to me, which is that it’s going to take a long time, it’s going to be measured in years, not months, and we need to have something to say for someone who is ill now, which is getting the NHS back on its feet.
The speech comes after a report commissioned by the new government found the NHS is in a “critical condition”, with record waiting lists and too much of its budget spent in hospitals.
The study, carried out by independent peer and surgeon Lord Darzi, argues the NHS is facing rising demand for care as people live longer in ill health, coupled with low productivity in hospitals and poor staff morale.
It criticises political decision-making under the Conservatives and the coalition government, including the impact of austerity, a “starvation of investment” and the reorganisation of the NHS under the 2012 Health and Social Care Act,which Lord Darzi called “a calamity without international precedent”.
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North Yorkshire Police said: “Despite extensive enquiries, including with our colleagues in Humberside and West Yorkshire Police, we have been unable to identify him.
“He was found without any identification or personal belongings.”
The man was also described as white, in his early 50s to 60s, with light brown short hair and stubble.
He was wearing brown walking boots, blue denim jeans, a multicoloured knitted jumper and possibly a dark green waterproof coat, police added.
It comes after Leicestershire and Lincolnshire both declared a major incident in response to the extreme weather hitting the UK and Ireland.
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Leicestershire Fire and Rescue was the first emergency service in England to declare an incident and said it had received more than 200 calls since Monday morning over widespread flooding.
Crews had found cars stuck in floodwater and evacuated residents from flooded homes and rising waters, with some 17 people rescued as of 1.45pm.
The Lincolnshire Resilience Forum declared a major incident shortly after, and noted that emergency services had rescued children who were stranded at a school in Edenham.
Meanwhile, the Met Office has three yellow weather warnings – each for snow and ice – in effect throughout Monday evening and Tuesday morning.
A warning covering the west and north coast of Scotland – reaching into Inverness and Aberdeen – will last until midday, while an alert in effect for all of Northern Ireland will last until 11am.
The Met Office has also issued a warning covering Wales and parts of northwest England on Monday evening, moving into southwest England, the Midlands and parts of southern England in the early hours of Tuesday.
On Wednesday, a yellow weather warning for snow is in effect across the south of England – stretching from just above Truro in Cornwall to Canterbury in Kent – from 9am to midnight.
A man has been charged following reports of threats towards Labour safeguarding minister Jess Phillips, Sky News understands.
Jack Bennett, 39, has been charged with three counts of malicious communications, Devon and Cornwall Police said.
The messages were sent between April 2024 and January 2025 involving three victims, including the Birmingham Yardley MP.
It is understood the accused, from Seaton, east Devon, was charged over the weekend.
He has been bailed to appear before Exeter Magistrates’ Court on 18 February 2025.
Earlier on Monday, Prime Minister Sir Keir Starmer spoke about a “line being crossed” regarding comments towards Ms Phillips and said that she had been receiving threats.
This breaking news story is being updated and more details will be published shortly.
The charge said the 31-year-old “wilfully and without reasonable excuse or justification misconducted yourself in a way which amounted to an abuse of the public’s trust in the office holder by engaging in a sexual act with a prisoner in a prison cell”.
Tetteh Turkson, of the Crown Prosecution Service, added last year that the incident was “a shocking breach of the public’s trust,” and that De Sousa Abreu “was clearly an enthusiastic participant who wrongly thought she would avoid responsibility”.
“The CPS recognises there is no excuse for any prison officer who conducts themselves in such a manner, and we will never hesitate to prosecute those who abuse their position of power,” she added.
“After working closely with the Metropolitan Police to build the strongest possible case, De Sousa had no option but accept she was guilty. She will now rightly face the consequences of her actions.”
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