The National Health Service faces a future of “enormous challenges”, its chief executive has warned on its 75th birthday.
In a speech to mark the anniversary of its creation, Amanda Pritchard, the head of the NHS in England, described the publicly-funded service as a “cornerstone of national life” in Britain.
But she said its staff were battling a combination of COVID backlogs and record demand for services – challenges that workers were ready to meet “head on”.
The health chief also said the service would “continue to embrace” technology – something that could help tackle some of the challenges the NHS faced.
It comes as experts warned that the NHS – created in July 1948 – may not reach its 100th birthday without more resources and fundamental reforms.
Image: Amanda Pritchard, chief executive of NHS England speaking at the NHS anniversary ceremony at Westminster Abbey
The warning, by three leading think-tanks – the King’s Fund, the Health Foundation and the Nuffield Trust – blamed short-term policymaking and a decade of underinvestment, which they said had left the NHS in a “critical condition”.
Separately, NHS Providers – which represents hospital trusts – warned of “enormous pressures” amid a record rise in demand for care and “the biggest financial squeeze in its history”.
Please use Chrome browser for a more accessible video player
48:35
NHS Special: In Full
Speaking during a special anniversary ceremony at Westminster Abbey – attended by dignitaries including Prime Minister Rishi Sunak, Labour leader Sir Keir Starmer, and the Duke and Duchess of Edinburgh – Ms Pritchard said: “Since the day it was founded, the NHS has continually innovated and adapted to meet the changing needs of our patients and communities.
Advertisement
“Recent years have brought a once-in-a-century global health emergency and unprecedented challenges. But throughout, our staff, volunteers and partners up and down the country have continued to do what they do best – looking after patients and their loved ones.
Image: The Duke of Edinburgh speaks to Nurse May Parsons
Image: Nurse May Parsons in the procession at the start of the service
“In doing so they provided a beacon of hope for a nation during dark and uncertain times. It is therefore little wonder that the NHS remains the institution that makes our nation most proud to be British – a cornerstone of national life and our shared identity.”
Speaking to journalists at the event, she also addressed the “enormous challenges” faced by staff, including “recovering services, addressing COVID backlogs that inevitably built up over the pandemic and dealing with record demand for services”.
“This milestone 75th anniversary is an opportunity for us to reflect on their hard work and our achievements but to look to the future of the health service too,” she added.
Professor Sir Stephen Powis, national medical director for the health service in England, also said that staff were meeting these new challenges “head on”.
Waiting lists a ‘major issue’
In an interview with Sky News, Health Secretary Steve Barclay refused to accept that Conservative spending cuts have played a role in problems faced by the health service – blaming an ageing population, rising costs and the pandemic instead.
Please use Chrome browser for a more accessible video player
0:29
Health secretary: ‘The NHS needs to evolve’
But Sir Julian Hartley, chief executive of NHS Providers, told Sky News: “It is important to remember that it wasn’t just the pandemic.
“From 2010 to 2019, the NHS spent 18% less than 14 other European countries, so in terms of investment in the NHS, and indeed social care – those are critical issues to resolve.”
He said the NHS is the “most pressurised” it has been in his 30-year career, with its challenges including a rise in demand for emergency care, a lack of reform in social care and a staffing crisis.
The size of the waiting list – currently a record 7.4 million people in England – is also a “major issue”, he said.
Please use Chrome browser for a more accessible video player
2:02
How does the NHS compare globally?
While measures have been announced to address some of the problems, such as the recently unveiled long-term workforce plan, Sir Julian said “that is against the backdrop of enormous pressures of industrial action, of the biggest financial squeeze the NHS has seen for some time”.
Please use Chrome browser for a more accessible video player
2:55
‘How high will NHS waiting list go?’
The warning came after health minister Maria Caulfield told Sky News that the record-high waiting list “will go up before it comes down”, because the NHS is “offering more procedures”.
She could not detail how much she expects the list to rise by, but insisted that the time between referral and treatment is falling.
Please use Chrome browser for a more accessible video player
7:38
Labour: ‘The NHS is in jeopardy’
Ms Caulfield said that the NHS will be “thriving” in 25 years’ time, despite assessments from think-tanks that its future hangs in the balance.
The White House has hit out at an “appalling” attempt by a Democratic senator to return a father wrongly deported to El Salvador.
Chris Van Hollen arrived in El Salvador on Wednesday to speak to the country’s leaders about Kilmar Abrego Garcia, who was removed from the US by the Trump administration in March despite an immigration court order preventing his deportation.
Washington acknowledged Mr Garcia was deported due to an “administrative error”.
The US Supreme Court has called on the administration to facilitate his return, upholding a court order by Judge Paula Xinis, but Trump officials have claimed Mr Garcia has ties to the MS-13 gang.
Mr Garcia’s lawyers have argued there is no evidence of this.
Speaking about Mr Van Hollen’s trip to El Salvador, White House spokesperson Karoline Leavitt said the Democrats “still refuse to accept the will of the American people”.
She alleged Mr Garcia was an “illegal alien MS-13 terrorist” and claimed his wife petitioned for court protection against him after alleged incidents of domestic violence.
Image: White House press secretary Karoline Leavitt.
Pic: AP/Jose Luis Magana
After outlining the allegations against Mr Garcia, she went on: “All of that is not enough to stop the Democrat Party from their lies.
“The number one issue they are focused on right now is bringing back this illegal alien terrorist to America.
“It’s appalling and sad that Senator Van Hollen and the Democrats are plotting his trip to El Salvador today, are incapable of having any shred of common sense or empathy for their own constituents and our citizens.”
After making a statement, Ms Leavitt introduced Patty Morin, who described graphic details of her daughter’s murder by an immigrant from El Salvador.
Rachel Morin was raped and murdered by Victor Martinez-Hernandez along a popular hiking trail northeast of Baltimore.
Afterwards, Ms Leavitt left without taking any questions from reporters.
Image: Kilmar Abrego Garcia. Pic: CASA/AP
Senator travels to El Salvador
Mr Van Hollen met with the El Salvador vice president during his trip to the Central American country.
But he did not meet with President Nayib Bukele, who publicly met with Donald Trump in the Oval Office this week, nor did he meet Mr Garcia himself.
Image: US senator Chris Van Hollen has been in El Salvador.
Pic: Reuters/Jose Cabezas
In a post on X, he said he would continue to fight for Mr Garcia’s return.
During Mr Bukele’s trip to the White House earlier this week, he said he would not return Mr Garcia, likening it to smuggling “a terrorist into the United States”.
Along with Mr Garcia, the Trump administration has deported hundreds of people, mostly Venezuelans, who it claims are gang members without presenting evidence and without a trial.
Please use Chrome browser for a more accessible video player
2:53
‘I’m talking about violent people’
Judge’s contempt warning
It comes hours after a US federal judge warned that he could hold the Trump administration in criminal contempt for violating his orders to turn around planes carrying deportees to El Salvador.
The comments are an escalation in a row which began last month when US district judge James E Boasberg issued an order temporarily blocking the deportations.
However, lawyers told him there were already two planes with immigrants in the air – one headed for El Salvador, the other for Honduras.
Mr Boasberg verbally ordered the planes to be turned around, but the directive was not included in his written order. The Trump administration then denied refusing to comply.
Charges could be brought forward by the Justice Department, NBC News, Sky’s US partner network, reported.
However, that could create an uncomfortable situation for the department, which is headed by the attorney general – a position appointed by the president.
If the executive-led Justice Department refused to prosecute the matter, Judge Boasberg said he would appoint another attorney to prosecute the contempt.
The judge wrote: “The Constitution does not tolerate wilful disobedience of judicial orders – especially by officials of a coordinate branch who have sworn an oath to uphold it.”
He gave the government a 23 April deadline.
White House director of communications Steven Cheung said the administration would seek “immediate appellate relief” – a review of a decision within a lower court before the case has been resolved.
Israel’s troops will remain in “security zones” in Gaza, Lebanon and Syria indefinitely, according to the country’s defence minister.
Israeli forces have taken over more than half of the Gaza Strip in recent weeks in a renewed campaign to pressure the territory’s rulers Hamas to free hostages after a ceasefire ended last month.
Israel has also refused to withdraw from some areas in Lebanon following a truce with Hezbollah last year, and it seized a buffer zone in southern Syria after President Assad’s regime was overthrown last December.
Israeli defence minister Israel Katz said his forces “will remain in the security zones as a buffer between the enemy and [Israeli] communities in any temporary or permanent situation in Gaza – as in Lebanon and Syria”.
He said that “unlike in the past” the military was “not evacuating areas that have been cleared and seized”.
His comments could further complicate talks with Hamas over a ceasefire and the release of hostages.
Please use Chrome browser for a more accessible video player
3:36
Gazans struggle to find bodies under rubble
On Wednesday, health officials said Israeli strikes in Gaza killed 22 people, including a girl who was less than a year old.
Fifty-nine hostages are still inside Gaza, 24 of whom are believed to be alive, after dozens of others were previously released in ceasefire agreements or other deals.
Image: Israeli defence minister Israel Katz. Pic: AP
Meanwhile, Lebanese President Joseph Aoun said Israel’s continued presence in some areas in Lebanon was “hindering” the Lebanese army’s full deployment as required by the ceasefire negotiated with Israel.
The war left over 4,000 people dead, many of them civilians.
Two Israeli drone strikes in southern Lebanon on Wednesday killed two people, the health ministry said. The United Nations said Israeli strikes in Lebanon have killed more than 70 civilians since the ceasefire took effect in November.
Israel has said it must keep control of some areas to prevent a repeat of the Hamas attack that triggered the latest conflict in Gaza.
The war began when militants attacked southern Israel on 7 October 2023, killing 1,200 people, mostly civilians, and kidnapping about 250.
Israel’s retaliatory offensive has killed more than 51,000 people, according to Gaza’s health ministry.
The figure includes more than 1,600 people killed since a ceasefire ended and Israel resumed its offensive last month to pressure Hamas to accept changes to the agreement.
The health ministry does not distinguish between civilians and combatants in its total count but said that more than half of the fatalities are women and children.
It was in the evening that the bombing started to intensify.
Salah Jundia, his father and brothers huddled together in their home in Shujaiyya, just east of Gaza City, trying to work out what to do.
It was too risky for them to leave at night. There were a lot of them too. Extended family living across four storeys. They decided they would wait until after dawn prayers.
The explosion tore through the building just before 5am, collapsing one storey on to the next.
Image: The aftermath of Israel’s bombing campaign in Shujaiyya, just east of Gaza City
Image: Salah Jundia
Jundia says he survived because pieces of bedroom furniture fell on top of him.
Then he looked for his father and brothers.
“I found one of them calling for help. I removed the rubble covering him with my hands. Then I saw another brother covered in rubble but he was dead,” he told Sky News.
Jundia added: “My father was also dead. My other brother was also dead. We got them out and that is when I saw that the whole building had collapsed.”
Over the next few hours, they scrambled to rescue who they could.
An aunt and uncle and one of their children, Shaimaa. Uncle Imad and his son Mohammad. The bodies of Montasir and Mustaf.
Image: One of the child victims of the attack on the home near the Gaza City
Image: Another one of child victims of the attack
Jundia says he could hear cries for help, but they were coming from deep in the rubble and were impossible to reach.
The rescue teams on site – civil defence they are called – did not have the kit to clear through three floors of 500 square metres, 30cm slabs of concrete.
Image: Rescuers drilling to try and reach the people trapped below the rubble
Image: Efforts to free those trapped beneath the rubble near the Gaza City
In the afternoon, Jundia says Israel’s Defence Forces (IDF) told rescue teams to leave as they would be resuming their bombardment.
Jundia buried the bodies he had managed to pull out but he knew 15 of his family members, 12 of them children, were still somewhere inside the rubble, still crying for help.
He made a desperate video appeal, begging the Red Cross and Arab countries to pressure Israel to grant access to the site. It was picked up on a few social media accounts.
Israel won’t allow heavy equipment into Gaza. No diggers or bulldozers, nor the fuel or generators to run them.
They say it will fall into Hamas’s hands.
It was a major sticking point during the ceasefire and it is a major issue now as the bombardment continues, given the fact that hundreds if not thousands of civilians might survive if there were the equipment to extract them.
Image: Members of Salah Jundia’s family left alive after the attack
Image: Salah Jundia and his surviving family
Civil defence trying to get to the Jundia family home over the next few days were halted because the IDF were in the vicinity. A family friend tried himself and was killed.
The footage that our camera teams have shot in Shujaiyya over the past two weeks shows how civil defence teams struggle to save those who are trapped and injured with the most rudimentary of equipment – plastering trowels, sledgehammers, ropes and small drills.
“The tight siege stops civil defence equipment from getting in,” says one.
They added: “So we are taking much longer to respond to these events. Time is a factor in getting these people out. So we call immediately for the necessary equipment to be allowed in for the civil defence to use.”
The IDF say they are investigating the circumstances around the Jundia family as a result of our enquiries.
In relation to the access of heavy equipment into Gaza, they say they work closely with international aid organisations to enable the delivery of humanitarian activities in accordance with international law.
The last contact Jundia had from beneath the rubble was a phone call from his uncle Ziad, three days after the strike.
“The line was open for 25 seconds then it went dead. We don’t know what happened. We tried to call, but there was no answer,” he says.
He and his family were displaced several times before they returned home to Shujaiyya – to Rafah in the south, then Khan Younis and Deir al-Balah.
Along the way, Jundia lost one brother and a nephew to Israeli bombs.
“We were happy and all the family came back. We went back to our house. It was damaged, but we improvised and we lived in it. We have nothing to do with the resistance. We are not interested in wars. But we have been gravely harmed,” he says.