Starmer to set out 10-year vision for NHS
Sir Keir Starmer will set out his 10-year vision for the NHS in what the government says is “one of the most seismic shifts” in the health service’s history.
He will pledge three main facets of the plan: moving care into the community, digitising the NHS, and a focus on sickness prevention.
The prime minister will announce neighbourhood health services will be rolled out across England to improve access to the NHS and to shift care out of overstrained hospitals.
PM ‘might have to go in months’ – politics latest
Please use Chrome browser for a more accessible video player
What will the NHS 10-year health plan focus on?
Sir Keir has already promised thousands more GPs will be trained, and to end the 8am “scramble” for an appointment.
He also previously said his government will bring the NHS into the digital age, with “groundbreaking” new tools to support GPs rolled out over the next two years – including AI to take notes, draft letters and enter data.
And he will promise new contracts that will encourage and allow GP practices to cover a wider geographical area, so small practices will get more support.
Unite, one of the UK’s largest healthcare unions, welcomed the plan cautiously but said staff need to be the focus to ensure people are better looked after.
Read more:
Hundreds of NHS quangos to be axed
How pilot scheme from Brazil is helping NHS
Please use Chrome browser for a more accessible video player
Do you want AI listening in on chats with your doctor?
‘Reform or die’
Sir Keir said: “The NHS should be there for everyone, whenever they need it.
“But we inherited a health system in crisis, addicted to a sticking plaster approach, and unable to face up to the challenges we face now, let alone in the future.
“That ends now. Because it’s reform or die.”
He said the government’s plan “will fundamentally rewire and futureproof our NHS, so that it puts care on people’s doorsteps, harnesses game-changing tech and prevents illness in the first place”.
The PM said it would not be an “overnight fix”, but claimed Labour are “already turning the tide on years of decline”, pointing towards more than four million extra appointments, 1,900 more GPs, and waiting lists at a two-year low.
“But there’s more to come,” he promised. “This government is giving patients easier, quicker and more convenient care, wherever they live.”
Please use Chrome browser for a more accessible video player
Why has Starmer axed NHS England?
Neighbourhood health services
The newly announced neighbourhood health services will provide “pioneering teams” in local communities, so patients can more conveniently access a full range of healthcare services close to home.
Local areas will be encouraged to trial innovative schemes like community outreach door-to-door to detect early signs of illness and reduce pressure on GPs and A&E.
The aim is to eventually have new health centres open 12 hours a day, six days a week to offer GP services as well as diagnostics, post-operative care and rehab.
They will also offer services like debt advice, employment support, stop smoking help or weight management.
More NHS dentists
Dentists will also be part of the plan, with dental care professionals part of the neighbourhood teams.
Dental “therapists” will carry out check-ups, treatments and referrals, while dental nurses could give education and advice to parents or work with schools and community groups.
Newly qualified dentists will be required to practice in the NHS for a minimum period, which they have said will be three years.
The US government is moving closer to reopening after more than 40 days of being shut down, following several Democratic lawmakers in the Senate siding with Republicans to pass a funding bill.
On Monday, the US Senate held a late-night vote for a bill “continuing appropriations and extensions for fiscal year 2026,” which passed 60 to 40 in the chamber. The bill is expected to fund the government through Jan. 31, 2026, provided it passes in the House of Representatives and is signed into law by President Donald Trump.
As Tuesday is a US federal holiday, the House is not expected to reconvene to vote on the bill until Wednesday at the earliest. Prediction platform Polymarket has already adjusted its expectation that the US government will return to normal operations on Friday, likely following the passage of the House bill.
Amid the government shutdown — the longest in the country’s history — many federal agencies have furloughed staff and reduced operations to align with the lack of funding.
Even if the bill were to immediately pass and be signed into law, it will likely take some time before staff can return to work. The operations plan at the US Securities and Exchange Commission (SEC), for example, will allow employees to come back on the “next regularly scheduled workday following enactment of appropriations legislation.”
Related: China raises alarm over alleged US role in one of the largest Bitcoin hacks
Digital asset market structure negotiations proceeding
On Monday, the leadership of the Senate Agriculture Committee released a discussion draft of a comprehensive bill on crypto market structure. The draft followed weeks of reported negotiations between Democratic and Republican lawmakers, about four months after the House passed its version of the legislation.
The shutdown likely helped slow progress on the bill, which Republican leaders initially expected to be out of the Agriculture Committee and Banking Committee by the end of October and signed into law by 2026.
Though Republicans still have a path forward to enact the legislation, North Carolina Senator Thom Tillis warned that pushing the passage beyond January or February could make the bill vulnerable amid the 2026 midterm campaigns.
Magazine: If the crypto bull run is ending… it’s time to buy a Ferrari: Crypto Kid
Key takeaways:
-
Bitcoin gifts aren’t immediately taxable. The IRS treats cryptocurrency as property, so recipients generally don’t owe income tax on the gift.
-
Stay within the 2025 exclusion limit. You can gift up to $19,000 per person, or $38,000 for spouses splitting gifts, without triggering Form 709.
-
Recipients inherit the donor’s cost basis. Future taxes depend on the donor’s original purchase price, not the cryptocurrency’s value at the time of the gift.
-
Keep detailed records to avoid IRS issues. Document the fair market value, transaction date and wallet details to make your gift audit-proof.
Bitcoin has become a popular gift for birthdays, holidays or simply to share enthusiasm for cryptocurrency. Under US tax law, gifting Bitcoin (BTC) is not an immediate taxable event. The recipient owes no income tax, and the donor typically owes no gift tax if the gift’s value is within the annual exclusion limit.
The Internal Revenue Service (IRS) treats digital assets as property, not currency. This means Bitcoin gifts fall under the same framework as stocks or real estate. They follow property rules, require valuation at the time of transfer, and may need to be reported on Form 709 if the annual exclusion limit is exceeded.
In short, you can gift Bitcoin without creating an immediate tax obligation. However, poor documentation or misunderstanding basic rules can still cause problems later.
What counts as a gift?
A cryptocurrency gift must be a true transfer of ownership. You give up control and receive nothing in return. The 2025 annual exclusion allows up to $19,000 per recipient, or $38,000 for spouses using gift splitting, without filing Form 709. Exceeding that threshold does not automatically create a tax liability, but the form must still be filed.
Gifts between US citizen spouses are unlimited. For non-citizen spouses, the 2025 limit is about $190,000. Transfers to non-residents or certain trusts may have additional requirements.
Not every transfer qualifies as a gift under IRS rules: Only those made out of genuine generosity without expectation of repayment or services.
-
Paying someone’s tuition or medical bills directly is exempt from gift tax.
-
Moving cryptocurrency between your own wallets does not count as a gift.
-
Transfers labeled as “gifts” that are actually payments for services are treated as income, not generosity.
When Form 709 kicks in
Form 709, the United States Gift (and Generation-Skipping Transfer) Tax Return, is how the IRS tracks gifts that exceed the annual exclusion limit. Most people never owe gift tax, but some transfers still require filing.
You must file Form 709 if:
-
Your gifts to any one person exceed $19,000 in 2025, the annual exclusion amount.
-
You make a future-interest gift in which the recipient cannot immediately use or benefit from the asset.
-
You and your spouse elect to split gifts to double the exclusion, which requires both spouses to file Form 709.
You do not need to file if:
-
All gifts stay within the annual exclusion and qualify as present-interest transfers.
-
Gifts to a US citizen spouse or a qualified charity are fully excluded from filing as long as you transfer complete ownership and control.
-
All gifts go to qualified charities where you transfer full ownership.
Did you know? Form 709 is due by April 15 of the year after the gift. A separate form must be filed for each year, and filing doesn’t necessarily mean tax is owed. The 2025 lifetime exemption of $13.99 million typically covers most reportable gifts.
In practice, if you keep cryptocurrency gifts under the annual limit and document the fair market value on the date of transfer, you will likely avoid filing altogether.
Basis and the “dual-basis” trap for recipients
Receiving Bitcoin as a gift is not immediately taxable, but your future capital gains tax depends on the basis and holding period you inherit from the donor.
Carryover basis
You generally inherit the donor’s original cost basis and their holding period. If they bought Bitcoin for $5,000 and gifted it when it was worth $20,000, your basis would be $5,000. When you later sell, you will owe capital gains tax on the difference between your sale price and that basis.
Dual-basis rule
If the gift’s market value is lower than the donor’s basis at the time of transfer, two different bases apply:
-
For gains, use the donor’s original basis.
-
For losses, use the fair market value (FMV) at the time of the gift.
-
If you sell between those two values, no gain or loss is recognized.
Early Bitcoin adopters often have very low cost bases, so recipients of appreciated coins can face significant future tax liabilities. Conversely, gifts of Bitcoin worth less than the donor’s basis limit potential loss deductions. If the donor pays gift tax, part of that payment may increase the recipient’s basis.
Obtain the donor’s purchase date, cost basis, the fair market value on the gift date and whether any gift tax was paid before selling. These details determine whether your next Bitcoin sale results in a taxable gain, a deductible loss or no gain or loss.
Crypto-specific pitfalls to avoid
Most cryptocurrency gifts follow standard property rules, but digital assets introduce additional risks that can trigger audits or disqualify deductions.
1. Turning a gift into a sale
If you sell or swap cryptocurrency before transferring it, the transaction counts as a taxable disposition, not a gift. To qualify as a true gift, you must transfer the asset directly, receive nothing in return and permanently give up control.
2. Poor valuation or missing records
Always document the fair market value (FMV) on the date of transfer, along with your original cost basis, purchase date and transaction IDs. Without proper records, the IRS may challenge the reported value or the recipient’s later gain or loss calculation.
3. Gifts that are really income
If cryptocurrency is given in exchange for services to an employee, contractor or influencer, it counts as compensation, not a gift. This makes it taxable income for the recipient and may subject the sender to payroll or self-employment taxes.
4. Cross-border and non-citizen issues
International gifts or transfers involving foreign wallets may require filing Form 3520 and other disclosures. Gifts to non-US-citizen spouses are capped at about $190,000 in 2025 unlike the unlimited exclusion for US-citizen spouses.
Miss one of these rules, and a generous gesture could quickly become a taxable event.
Simple steps to prevent tax trouble
Gifting or donating cryptocurrency in 2025 can be simple if you follow a few key steps:
-
Stay within limits: Keep each recipient’s total gifts at or below $19,000 ($38,000 if splitting with a spouse). If you exceed that amount, file Form 709. You will likely still owe no tax unless you surpass the lifetime exemption.
-
Know what you’re passing on: The recipient inherits your cost basis and holding period. Their future tax bill depends on your original purchase price, not the value on the date of the gift.
-
Record everything: Keep records of the transfer date, fair market value, your original cost basis and acquisition date, and the wallet or transaction ID. Proper documentation protects both parties if the IRS requests verification.
-
Gift, don’t sell: Selling or swapping cryptocurrency before gifting makes the transfer a taxable disposition. Transfer the asset directly instead.
-
For charity: Donations exceeding $5,000 require a qualified appraisal, not just an exchange screenshot. Confirm that the charity can accept cryptocurrency before sending.
-
Watch cross-border gifts: Foreign recipients and non-citizen spouses face lower exclusions and additional reporting requirements.
-
Seek professional advice for large or complex transfers: High-value gifts, multi-signature wallets and trusts can create unique compliance challenges.
Before you gift Bitcoin
Most Bitcoin gifts fall safely within IRS limits, and no immediate tax is due. The risk usually arises later when the recipient sells. Because the donor’s basis carries over, gains or losses depend on that original value, not the market price at the time of gifting.
Handled properly, gifting Bitcoin is a straightforward way to share cryptocurrency wealth without tax complications. Keep detailed records, respect the thresholds and confirm that the transfer qualifies as a true gift. Generosity should not come with a surprise tax bill, and with the right steps, it will not.
-
Sports2 years agoStory injured on diving stop, exits Red Sox game
-
Sports3 years ago‘Storybook stuff’: Inside the night Bryce Harper sent the Phillies to the World Series
-
Sports2 years agoGame 1 of WS least-watched in recorded history
-
Sports3 years agoButton battles heat exhaustion in NASCAR debut
-
Sports3 years agoMLB Rank 2023: Ranking baseball’s top 100 players
-
Sports4 years ago
Team Europe easily wins 4th straight Laver Cup
-
Environment2 years agoJapan and South Korea have a lot at stake in a free and open South China Sea
-
Environment1 year agoHere are the best electric bikes you can buy at every price level in October 2024