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Sir Keir Starmer has hailed a “milestone” in his plan to fix the NHS as figures show an extra two million appointments were delivered during Labour’s first five months in office.

New figures published by NHS England reveal that between July and November 2024, the health service delivered almost 2.2 million more elective care appointments compared with the same period the previous year.

This includes for chemotherapy, radiotherapy, endoscopy, and diagnostic tests, which were possible in part because of staff working extra weekend and evening shifts, the government said.

The Department of Health and Social Care (DHSC) also pointed to the end of NHS strikes, extra flu vaccinations and £1.8bn of funding into elective appointments since Labour took office.

The extra appointments come on top of figures last week showing total NHS waiting lists fell in December for the fourth month in a row – though challenges remain in other areas.

The prime minister said: “Two million extra NHS appointments and a waiting list on its way down – we’re delivering on our promise to fix the NHS and make sure people get the care they need, when they need it.

“We said we’d turn this around and that’s exactly what we’re doing – this milestone is a shot in the arm for our plan to get the NHS back on its feet and cut waiting times.”

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During the general election campaign, polls suggested the NHS was the second most important issue to voters after the economy.

The extra appointments mean Labour’s manifesto commitment for two million a year was met seven months early.

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Labour have also pledged to end hospital backlogs to meet the NHS standard of 92% of patients in England waiting no longer than 18 weeks for elective treatment.

The figures last week showed the number of people waiting 18 weeks or more for elective care has started to fall.

The number who have been on the list for more than a year is also down.

Overall, an estimated 7.46 million treatments were waiting to be carried out at the end of December in England, down from 7.48 million treatments at the end of November.

However, pressure remains in other areas. Sky News found the number of patients waiting for 12 hours in A&E after a decision has been made to admit them – known as a “trolley-wait” – rose above 60,000 for the first time in January.

Waits of this length, usually indicative of a lack of available beds in the hospital, were almost non-existent before the pandemic.

The January total – equivalent to more than 15% of all patients admitted via A&E – is more than the total recorded in over 11 years from August 2010 to October 2021.

As Sky News’ health correspondent Ashish Joshi reports that health anxiety – not emergencies – is clogging up A&E.

There are also problems facing social care, with a lack of availability often preventing medically fit people from being discharged.

Sir Keir acknowledged there was more to do, saying “we’re not complacent and we know the job isn’t done”.

Keir Starmer and Wes Streeting  visits a healthcare provider in Surrey.
Pic: Reuters
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The PM and Wes Streeting visit a hospital in Surrey. Pic: Reuters

Health Secretary Wes Streeting said the next steps on the Plan for Change include “opening new surgical hubs, community diagnostics centres at evenings and weekends, and using private sector capacity to cut waiting times from 18 months to 18 weeks”.

He added: “We have wasted no time in getting to work to cut NHS waiting times and end the agony of millions of patients suffering uncertainty and pain.

“Because we ended the strikes, invested in the NHS, and rolled out reformed ways of working, we are finally putting the NHS on the road to recovery.”

The government has also announced a £40m funding pot for trusts that make the most improvements, which will be available for hospitals from next year to spend on capital projects such repairs to their estates or new tech such as AI scanners.

Sir Keir has previously promised more funding for trusts who make the fastest improvements in cutting waiting times but it was not clear how much.

More detail on how the funds will be allocated will be set out “in due course”, the government said.

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UK officially recognises Palestine as a state

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UK officially recognises Palestine as a state

Sir Keir Starmer has announced the UK has officially recognised Palestine as a state.

“Today, to revive the hope of peace for the Palestinians and Israelis, and a two state solution, the United Kingdom formally recognises the State of Palestine,” the prime minister said on X, alongside a longer video statement.

“In the face of the growing horror in the Middle East, we are acting to keep alive the possibility of peace and a two-state solution.

“That means a safe and secure Israel alongside a viable Palestinian state. At the moment, we have neither.”

Follow latest: Palestine recognised as a state by three countries

Canada and Australia also officially recognised Palestinian statehood on Sunday, ahead of a conference of the UN General Assembly in New York this week.

It is a significant moment in the history of Britain’s involvement in the region, and comes as the death toll from the Israeli war on Gaza continues to rise and conditions for the people trapped become even more desperate.

An updated map of the region the Foreign, Commonwealth & Development Office website
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An updated map of the region the Foreign, Commonwealth & Development Office website

Sir Keir said in July that the government would recognise Palestine unless Israel met certain conditions, including agreeing to a ceasefire and allowing the UN to restart the supply of aid.

In recognising Palestine as a state, the UK does so based on 1967 borders to be finalised as part of future negotiations. It would be led by a “reformed Palestinian Authority”.

The UK also acknowledges “all legal rights and obligations of statehood” for Palestine.

An updated map on the UK’s Foreign, Commonwealth & Development Office website now has the West Bank and Gaza labelled as ‘Palestine’ rather than the ‘Occupied Palestinian Territories’. This change has been rolled out across the website.

Protesters in Tel Aviv calling for the release of hostages. Pic: AP
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Protesters in Tel Aviv calling for the release of hostages. Pic: AP

Sir Keir calls on Hamas to release the hostages

The prime minister repeated his calls for the the Israeli hostages – held in captivity since the brutal attacks on Israel on 7 October, 2023 – to be released by Hamas.

“I have met British families of the hostages. I see the torture that they endure each and every day. Pain that strikes deep in people’s hearts across Israel and here in the United Kingdom.

“The hostages must be released immediately and we will keep fighting to bring them home.”

Sir Keir was also clear to emphasise that recognition of Palestine was “not a reward for Hamas”, saying that the terror group “can have no future, no role in government, no role in security” in a future state.

“I have directed work to sanction other Hamas figures in the coming weeks,” he added.

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Why Starmer’s move to recognise Palestine is a major shift

Huge amounts of Gaza have been razed to the ground. Pic: Reuters
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Huge amounts of Gaza have been razed to the ground. Pic: Reuters


Starmer calls on Israel to end Gaza offensives

Sir Keir also repeated his criticism of Israel, which for nearly two years has waged a brutal war on the densely-populated Gaza Strip.

“The Israeli government’s relentless and increasing bombardment of Gaza, the offensive of recent weeks, the starvation and devastation are utterly intolerable.”

The death toll in Gaza since the IDF launched its offensive following the 7 October attacks has now risen above 65,000 people, according to Hamas-run health authorities.

“This death and destruction horrifies all of us. It must end,” he said.

A pro-Palestinian march in London earlier this year. Pic: PA
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A pro-Palestinian march in London earlier this year. Pic: PA

British people ‘desperately want to see’ peace

Sir Keir also said: “Ordinary people, Israeli and Palestinian, deserve to live in peace. To try to rebuild their lives free from violence and suffering.

“That’s what the British people desperately want to see.”

But he warned that the possibility of a Palestinian state was in danger of vanishing forever.

“With the actions of Hamas, the Israeli government escalating the conflict, and settlement building being accelerated in the West Bank, the hope of a two-state solution is fading, but we cannot let that light go out.

“That is why we are building consensus with leaders in the region and beyond, around our framework for peace.”

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What changed in UK’s Gaza policy?

Sir Keir said this is a “practical plan” to bring people together behind a “common vision” that moves from a ceasefire in Gaza to negotiations on a two-state solution.

“We will keep driving this forward,” he pledged.

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What will the UK’s recognition of Palestine achieve?

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What will the UK's recognition of Palestine achieve?

Today, Sir Keir Starmer will deliver on his pledge to recognise a Palestinian state – after setting out a series of conditions in July which there was little prospect Israel could meet, including agreeing a ceasefire with Hamas. 

The prime minister will say it recognises the “inalienable right” of the Palestinian people and what he feels is a moral responsibility to keep a two-state solution alive, amid the devastation of the war and concern about settlement expansion in the West Bank.

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This will be formally put forward by the British government at a conference of the UN General Assembly in New York this week, after a diplomatic push led by Emmanuel Macron. Canada and Australia are also expected to recognise it, although may call for Hamas to disarm.

But Labour has always said it’s a move they would make as part of a peace process, which looks further away than ever.

What does it mean?

The move has been heavily criticised and leaves a number of questions not only about what it will achieve – but about whether it will have the opposite effect on the conflict.

David Lammy as foreign secretary conceded when the pledge was announced that “it will not change the position on the ground” which can only come through negotiations.

After all, 147 of the 193 member states of the United Nations recognise it already. Palestine has permanent observer status at the UN – speaking rights, but not voting rights – where it’s represented by the Palestinian Authority. Any move to full status would have to be agreed by the Security Council where the US has a veto.

Sir Keir has made clear he doesn’t accept Hamas – which he calls a “brutal terrorist organisation” – as a government in Gaza. The borders of such a state, wrangled over for decades during multiple rounds of negotiations between Israel and the Palestinians, are also not agreed.

Read more about what the decision means

Criticism

Recognition is opposed by the Trump administration, as the US president made clear in London last week. US secretary of state Marco Rubio has said it would “embolden Hamas” and be symbolic only.

In Britain there is cynicism too. Kemi Badenoch, the Conservative leader, has accused the prime minister of a “desperate and insincere attempt to placate his backbenchers”. He heads to the party’s conference in Liverpool next week with a further slump in his approval ratings to -42%, around where Rishi Sunak’s was after his D-Day blunder.

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Could recognition of Palestine change the West Bank?

Over a third of Labour MPs wrote to Sir Keir before his pledge in July, calling for recognition of a Palestinian state. It is not clear this symbolic move will placate them, with some already calling for tougher measures including on arms sales to Israel – especially after a UN Commission of Inquiry claimed Israel had committed genocide.

Other Labour MPs oppose the recognition move. The Labour Friends of Israel group has said: “It is important to recognise that Israel is not the only party to this conflict… Hamas could end this conflict tomorrow by releasing the hostages and laying down its arms.”

The move is also opposed by the families of the hostages in Gaza, of which 20 are believed to be alive – for not imposing their release as a condition on Hamas.

Ilay David, the brother of Evyatar David, who recently appeared emaciated in a Hamas video, said: “We want to meet with Starmer but he refuses to meet with us… Giving this recognition is like saying to Hamas: ‘It is OK you can keep starving the hostages, you can keep using them as human shields’. This kind of recognition gives Hamas power to be stubborn in negotiations. That is the last thing we need right now.”

Sir Ephraim Mirvis, the UK’s Chief Rabbi has said the “unconditional” recognition of the state “is not contingent upon a functioning or democratic Palestinian government, nor even upon the most basic commitment to a peaceful future”.

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Sir Keir Starmer welcomed Mahmoud Abbas, president of the Palestinian Authority, to 10 Downing Street earlier this month
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Sir Keir Starmer welcomed Mahmoud Abbas, president of the Palestinian Authority, to 10 Downing Street earlier this month

What happens next?

Sir Keir met 89-year-old Mahmoud Abbas, the president of the Palestinian Authority, in London this month and they agreed Hamas should not be involved in the governance of Gaza.

Efforts to set up a transitional government have been discussed between the US and Gulf states. But Mike Huckabee, the US ambassador to Israel, said last week there was nothing “ready for signature”.

The UK government is expected to announce further sanctions on Hamas figures this week. But the Israeli government has already responded with fury to the prospect of recognition and it’s reported that retaliation could include further annexations in the West Bank.

The UK government sees this as an important diplomatic move with allies, when nothing else is moving the dial. But it can only be made once, and even supporters in government acknowledge that on the ground in Gaza it won’t immediately change very much.

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British fighter jets defend Polish skies after Russian drone incursion

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British fighter jets defend Polish skies after Russian drone incursion

Two British fighter jets have flown their first defence mission over Poland after a Russian drone incursion into the country’s skies.

The flight was part of NATO‘s operation “Eastern Sentry”, launched to bolster Europe’s eastern flank after Poland shot down Russian drones earlier this month.

A Russian drone was intercepted flying over Romania days later, while three Russian jets entered Estonian airspace without permission for 12 minutes on Friday.

One of three Russian MiG-31 fighter jets in images shared by Sweden's armed forces. Pic: Swedish Armed Forces
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One of three Russian MiG-31 fighter jets in images shared by Sweden’s armed forces. Pic: Swedish Armed Forces

The three incursions into NATO airspace fuelled concerns about the potential expansion of Russia‘s three-year war in Ukraine and have been seen as an attempt by Moscow to test the military alliance’s response.

The incident over Poland prompted its prime minister, Donald Tusk, to warn that his country was the closest to “open conflict” it had been since the Second World War, while the UK announced it would provide Warsaw with extra air cover.

Two RAF Typhoons, supported by an RAF Voyager air-to-air refuelling plane, took off from RAF Coningsby, in Lincolnshire, on Friday night to defend Poland’s skies before returning safely early on Saturday morning.

A Gerbera drone landed in a field in the Olesno region of Poland
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A Gerbera drone landed in a field in the Olesno region of Poland

Defence Secretary John Healey said the mission sends a clear signal that “NATO airspace will be defended”.

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“I’m proud of the outstanding British pilots and air crew who took part in this successful operation to defend our allies from reckless Russian aggression.”

He said the mission was “especially poignant” coming as the UK marks the 85th anniversary of the Battle of Britain – when Polish pilots came to the aid of the UK – this weekend.

The head of the RAF, Air Chief Marshal Harv Smyth, said: “This sortie marks the RAF’s first operational mission on Eastern Sentry, reinforcing the UK’s steadfast commitment to NATO and its allies.

“We remain agile, integrated, and ready to project airpower at range.”

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