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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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Labour dealt historic loss in Caerphilly by-election – as Plaid Cymru win seat

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Labour dealt historic loss in Caerphilly by-election - as Plaid Cymru win seat

Plaid Cymru have won the by-election in the Senedd seat of Caerphilly for the first time.

The Welsh nationalist party secured 15,960 votes – and candidate Lindsay Whittle cried as the result was announced.

Mr Whittle is 72 years old and had stood as a Plaid candidate 13 times since 1983. He will now hold the seat until the Senedd elections next year.

This by-election was widely regarded as a two-horse race between Plaid Cymru and Reform UK, and the result marks a considerable blow for Nigel Farage.

Analysis: Reform candidate looked neglected and dejected


John Craig

Jon Craig

Chief political correspondent

@joncraig

In a by-election in the birthplace of the comedian Tommy Cooper, it was Plaid Cymru that had the last laugh.

During the campaign, Nigel Farage and Reform UK’s candidate Llyr Powell had posed for photos in front of the statue of the legendary comic in Caerphilly.

But when the result was declared at 2.10am at the count in the town’s leisure centre, Mr Farage – who’d been campaigning for Mr Powell on polling day – was nowhere to be seen.

In fact, the joke among Plaid supporters at the count was that long before the declaration Mr Farage was halfway down the M4 on his way back to London.

Read Jon’s full analysis here.

His candidate Llyr Powell received 12,113 votes – denying a victory that would have strengthened claims that Reform can convert a large lead in opinion polls into election wins.

Nonetheless, the party’s performance is a marked improvement on 2021, when it received just 495 votes.

More than anything, the result is a humiliating and historic defeat for Labour, who had held Caerphilly at every Senedd election since it was created in 1999 – as well as the Westminster seat for over a century.

Its candidate Richard Tunnicliffe secured 3,713 votes and finished in third place, with Welsh Labour describing it as a “by-election in the toughest of circumstances, and in the midst of difficult headwinds nationally”.

Turnout overall stood at 50.43% – considerably higher than during the last ballot back in 2021.

Giving his acceptance speech after the result was confirmed, Mr Whittle described how he had been “absolutely heartened” by how many young people were involved in the by-election – and said the result sends a clear message.

He said: “Listen now Cardiff and listen Westminster – this is Caerphilly and Wales telling you we want a better deal for every corner of Wales. The big parties need to sit up and take notice.

“Wales, we are at the dawn of new leadership, we are at the dawn of a new beginning – and I look forward to playing my part for a new Wales, and in particular, for the people of the Caerphilly constituency. I thank you with all my heart.”

Mr Whittle quipped Plaid’s victory “was better than scoring the winning try for Wales in the Rugby World Cup”.

And looking ahead to the next year’s elections, he added: “[This] result shows what’s possible when people come together to back practical solutions and protect what matters most.

“We’ve beaten billionaire-backed Reform and, with the same determination, we can do it again in May 2026. Caerphilly has shown the way – now Wales must follow.”

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Plaid Cymru leader Rhun ap Iorwerth has everything to celebrate after winning the Caerphilly by-election.

Plaid Cymru leader Rhun ap Iorwerth told Sky News his party’s victory is the “start of a reset of politics in Wales”.

He said Plaid’s goal is to take over the Senedd for the first time in May next year.

“I want to see that through now. I’ve made it clear, said it in my conference speech a couple of weeks ago, we have to replace Labour,” he said.

“And it’s not just for its own sake, it’s so we get better outcomes for Wales. That’s what Plaid Cymru’s always about.”

Labour minister labels result ‘disappointing’

Cabinet Office minister Nick Thomas-Symonds told Sky News that “frustrations” with the “pace of change” led to Labour’s loss.

“I’m not shying away from, how disappointing the result is,” he said.

“What I found on the doorsteps was a real desire for more change, a frustration about the pace of change. That was coming through to me very strongly when I was speaking to people, I think that’s been reflected in the result.”

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Labour ‘not shying away’ from loss

Labour’s deputy first minister in the Senedd, Huw Irranca-Davies, said the prime minister must “get back to bread and butter things” such as the cost of living, instead of focussing on immigration.

“We’ve got to get better,” he said.

“If it turns out as we think, as the polls have shown tonight, after a really good campaign with a really good Labour candidate in Richard, then we’ve got to talk about how do we get back to bread and butter things: cost of living, the state of the local community, the high street, the green spaces, the money in people’s pockets.

“And that’s a task for both Welsh Labour and UK Labour as well.”

First Minister Eluned Morgan congratulated Mr Whittle on his return to the Senedd and said: “We take our share of the responsibility for this result. We are listening, we are learning the lessons, and we will be come back stronger.”

Reform’s chair David Bull suggested the party’s strong performance in the polls cost them the by-election to Plaid Cymru.

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‘Extraordinary’ result for Reform

“I actually think the problem for us was the MRP poll, which was released two or three days ago,” he told Sky News.

“It showed us on 42%, Plaid on 38%, and it changed some people’s minds. I’ve heard tales from Lib Dem supporters, even Tories, actually voting tactically for Plaid to keep us out.”

Nigel Farage added that Reform’s candidate lost to “a party that people know well and to a popular local politician”.

“The Senedd elections next year are a two-horse race between Reform UK and Plaid Cymru,” he said.

The Conservatives and the Liberal Democrats were among the parties that lost their deposits.

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Bitcoin-only app Relai gets EU green light under MiCA

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Bitcoin-only app Relai gets EU green light under MiCA

Bitcoin-only app Relai gets EU green light under MiCA

Switzerland’s BTC-only investment app, Relai, obtained a MiCA license in France, aiming to bring Bitcoin to as many people as possible.

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JPMorgan reportedly plans to let clients borrow against their Bitcoin and Ether

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JPMorgan reportedly plans to let clients borrow against their Bitcoin and Ether

JPMorgan reportedly plans to let clients borrow against their Bitcoin and Ether

This could make Bitcoin and Ether more attractive to institutional investors seeking to maximize the utility of their assets.

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