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The Tories “squandered a golden inheritance” on the NHS, the health secretary has said – as he laid out three “fundamental shifts” to fix it.

Wes Streeting told Sky News Tony Blair’s Labour government left the health service with the lowest waiting times and highest patient satisfaction “in the history of the NHS”.

“What’s criminal is that in the last 14 years, the Conservatives took that golden inheritance and squandered it. And they don’t bear any responsibility,” he said.

Politics live: PM to pledge ‘biggest reimagining of NHS’ in major speech

Mr Streeting was speaking after an independent report he commissioned found the NHS is in a “critical condition”, with record waiting lists and too much of its budget spent in hospitals.

Off the back of the investigation, Prime Minister Sir Keir Starmer will give a speech today in which he will warn the health service must “reform or die” and set out a 10-year plan to fix it.

Giving a flavour of what that could look like, Mr Streeting said the NHS needed three “fundamental” changes.

That includes a “shift from hospital to community”, so people are diagnosed earlier and faster; greater investment in technology to create a “digital NHS”; and dealing with sickness in society.

He said: “That’s why today’s report was so important, because, ironically, although it’s looking back on how we got here and diagnosing the illness, it’s actually helping us to look forward and be honest about how we got here.”

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The PM will give a speech on NHS reform later today. Pic: PA

The study, carried out by 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”.

This meant the COVID pandemic came “when resilience was at an all time low”, he said.

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Mr Streeting likened the findings to the Conservatives “not just failing to fix the roof while the sun was shining, but effectively pouring petrol on the house, turning the gas on”.

“And then the pandemic lit the match,” he added.

Asked how a report of such magnitude can be compiled in nine weeks, Mr Streeting said Lord Darzi spoke to frontline staff, leaders and thinktanks and was also given “unfettered access” to NHS and Department of Health data.

In other morning interviews, he warned the NHS would “go bust” if it was not reformed, but ruled out raising money through a salt or sugar tax.

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Shadow health secretary Victoria Atkins told Sky News she had “never shied away” from the NHS’s problems during her time in office, when asked if she was embarrassed about the state her party left it in.

She accused Labour of “trying to get headlines” by trailing out the report, calling instead for a “proper conversation about what we do with the NHS”.

Victoria Atkins
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Shadow health secretary Victoria Atkins hit back over Labour’s report

Lord Darzi, a former Labour health minister turned independent peer, ultimately argued the NHS can be fixed, saying his findings do not question “the principles of a health service that is taxpayer-funded, free at the point of use”.

Later this morning, the prime minster will set out his plans for the “the biggest reimagining of our NHS since its birth”.

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He will say this won’t be “easy or quick” but “sticking plaster solutions” won’t do.

He will say: “Working people can’t afford to pay more, so it’s reform or die.”

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League table of foreign criminals awaiting deportation and their offences set to be published

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League table of foreign criminals awaiting deportation and their offences set to be published

A league table of foreign criminals and their offences is set to be published for the first time.

The plans, due to be announced on Tuesday, will reportedly focus on those offenders awaiting deportation from the UK.

The latest data shows there were 19,244 foreign offenders awaiting deportation at the end of 2024, a rise from 17,907 when the Conservatives left office in July and 14,640 at the end of 2022.

Despite more offenders being deported since Labour came to power, the number waiting to be removed from the UK has been growing.

Factors are understood to include the early release of inmates due to prison overcrowding, instability and diplomatic problems in some countries and a backlog of legal cases appealing deportation.

Shadow home secretary Chris Philp said the decision to publish the nationalities of foreign criminals showed Labour had “buckled” under pressure from the Conservatives to disclose the data.

The latest government statistics show there were 10,355 foreign nationals held in custody in England and Wales at the end of 2024, representing 12% of the prison population.

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The most common nationalities after British nationals were Albanian (11%), Polish (8%), Romanian (7%), which also represented the top three nationalities who were deported from the UK in 2024, according to Home Office figures.

Home Secretary Yvette Cooper is understood to have ordered officials to release the details by the end of the year, according to The Daily Telegraph.

The newspaper reported Ms Cooper overruled Home Office officials, who previously claimed it was too difficult to provide quality data on foreign criminals.

A Home Office source said: “Not only are we deporting foreign criminals at a rate never seen when Chris Philp and Robert Jenrick were in charge at the Home Office, but we will also be publishing far more information about that cohort of offenders than the Tories ever did.”

The source added that ministers wanted “to ensure the public is kept better informed about the number of foreign criminals awaiting deportation, where they are from and the crimes they have committed”.

In March, the government announced £5m in funding to deploy staff to 80 jails in England and Wales to speed up the deportation of foreign offenders.

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Foreign nationals sentenced to 12 months or more in prison are subject to automatic deportation, but the home secretary can also remove criminals if their presence in the UK is not considered desirable.

Shadow justice secretary Robert Jenrick welcomed the news, saying: “We will finally see the hard reality that mass migration is fuelling crime across our country… Frankly, the public deserved to know this [detail on foreign criminals] long ago.”

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Starmer and Zelenskyy discuss ending Russia’s ‘brutal war’ – as Putin says says he is open to bilateral talks on longer ceasefire

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Starmer and Zelenskyy discuss ending Russia's 'brutal war' - as Putin says says he is open to bilateral talks on longer ceasefire

Sir Keir Starmer and Volodymyr Zelenskyy spoke about ending Russia’s “brutal war” on Ukraine in their latest phone call on Easter Monday, as Vladimir Putin said he was open to bilateral talks.

The prime minister and Ukrainian president spoke on Monday afternoon, when Sir Keir “reiterated his iron-clad support for Ukraine“.

A Downing Street spokesperson added that the prime minister “said that the UK supports Ukraine’s calls for Russia to commit to a full ceasefire and that now is the time for Putin to show he is serious about ending his brutal war”.

“They discussed the latest developments on the Coalition of the Willing, and looked forward to further progress towards a just and lasting peace,” the spokesperson added.

Mr Zelenskyy later said on social media that he had a “good and detailed conversation” with the prime minister, and added Ukrainian officials will be in London for talks on ending the war with Russia on Wednesday.

“We are ready to move forward as constructively as possible, just as we have done before, to achieve an unconditional ceasefire, followed by the establishment of a real and lasting peace,” he added.

The Ukrainian president added that the 30-hour Easter truce, which both Kyiv and Moscow accuse the other of violating, showed that Russia “are prolonging the war”.

It comes as Mr Putin proposed bilateral talks with Ukraine on a longer ceasefire, which would mark the first time Russia held such talks since a failed peace deal soon after the invasion in 2022.

Speaking to a state TV reporter, the Russian president said: “We always have a positive attitude towards a truce, which is why we came up with such an initiative (the Easter truce), especially since we are talking about the bright Easter days.”

When asked about Mr Zelenskyy’s calls to extend the 30-hour ceasefire into a 30-day pause on civilian targets, he added: “This is all a subject for careful study, perhaps even bilaterally. We do not rule this out.”

The Ukrainian president said on Sunday evening that the Russian army had “violated Putin’s ceasefire more than 2,000 times” during the day, and accused Russia of “failing” to “uphold its own promise of a ceasefire”.

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From Saturday: Why Putin offered an Easter truce?

It also comes after Donald Trump has said he hopes Russia and Ukraine “will make a deal this week,” after he and his secretary of state Marco Rubio warned that the US will walk away from efforts to broker a peace deal unless there are clear signs of progress soon.

The US president said on his Truth Social platform that both countries would “start to do big business” with the US after ending the war.

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Last month, Ukraine accepted Mr Trump’s proposal for a 30-day truce, but Mr Putin refused to back a full 30-day ceasefire, saying crucial issues of verification had not been sorted out.

He then said he would agree not to target Ukraine’s energy infrastructure. However, both sides have accused each other of breaking the moratorium on attacks on energy targets and at sea.

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Can Rachel Reeves come up trumps in Washington?

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Can Rachel Reeves come up trumps in Washington?

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Sky News’ deputy political editor Sam Coates and Politico’s Anne McElvoy look at the day ahead in British politics.

Returning from an Easter break for a new season, Sam and Anne begin by discussing how British and global politics will react to the death of Pope Francis.

They discuss the Pope’s own role in politics around the world and the legacy he leaves behind.

Meanwhile, Rachel Reeves is heading to Washington ahead of her first IMF spring meetings, amid pessimistic predictions for the UK’s own economy.

Sam and Anne discuss whether the chancellor can bring Trump’s tariffs on UK imports down and keep hopes high for a US-UK trade deal.

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