LONDON: Prime Minister Keir Starmer will warn Thursday that Britain’s state-run National Health Service must “reform or die” after an independent report said the venerated institution was in a “critical condition.”
Starmer, whose Labour party was elected by a landslide in July, will promise “the biggest reimagining” of the NHS since it was founded 76 years ago.
His speech in central London follows the publication of a 142-page investigation which found that the health of Britons had deteriorated over the past 15 years.
The report’s author, Ara Darzi, an unaffiliated Lord in parliament’s upper chamber, said the NHS had fallen into “disrepair” due to a lack of investment, top-down reorganization and the coronavirus pandemic.
“What we need is the courage to deliver long-term reform — major surgery not sticking plaster solutions,” Starmer was due to say, according to excerpts of his speech released to reporters.
“The NHS is at a fork in the road, and we have a choice about how it should meet these rising demands.
“Raise taxes on working people to meet the ever-higher costs of aging population — or reform to secure its future.
“We know working people can’t afford to pay more, so it’s reform or die,” Starmer was expected to say.
Health minister Wes Streeting told Sky News there would be “three big shifts” — moving certain services from hospitals to the community, fully switching from analog to digital and “giving staff the tools to do the job, so that we tackle that productivity challenge.”
He said the government would not “do as the Conservatives did, which is just pour more money into a broken model, and fail to reform.”
Labour dumped the Conservatives out of power on July 4 in part on a pledge to “fix” the NHS, accusing the Tories of having “broken” it during their 14 years in power.
Darzi’s report notes that the NHS is seeing a surge in patients suffering multiple long-term illnesses such as diabetes and high blood pressure.
It says the UK has higher cancer rates than other countries and is lagging behind in its treatment of major conditions.
It also notes that waiting lists have swelled to 7.6 million and that a tenth of patients at accident and emergency wards now wait 12 hours or more before being seen.
Darzi said that he was “shocked” by what he discovered but added that the NHS’s vital signs “remain strong.”
Starmer was expected to outline the three areas of reform for a 10-year plan to “turn around the NHS,” whose universal model is a source of British pride, despite its shortcomings in meeting demand.
Just over a year ago, his Tory predecessor Rishi Sunak announced a 15-year drive to recruit more than 300,000 staff to deal with a chronic shortage of doctors and nurses.
At the time, it was estimated that the NHS would have a staff shortfall of 360,000 by 2037 because of an aging population, a lack of domestically trained health workers and difficulties recruiting and retaining staff, in part because of new visa rules.
“The challenge is clear before us; the change could amount to the biggest reimagining of our NHS since its birth,” the prime minister was set to say.
Starmer, whose mother was an NHS nurse, has spent much of his first two months in power blaming the Tories for leaving Labour a dire inheritance in sectors ranging from health to the economy and prisons.
The Conservatives, whose leader Sunak is the son of an NHS doctor and a pharmacist, accuse him of exaggerating the country’s problems as a way of laying the groundwork for future tax increases.
Starmer to say UK’s national health service needs ‘major surgery’
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Starmer to say UK’s national health service needs ‘major surgery’
- His speech in central London follows the publication of a 142-page investigation which found that the health of Britons had deteriorated over the past 15 years
Bangladeshi doctors on alert as dengue death rate highest in decades
- Bangladesh is witnessing the highest death rate from dengue since 2003
- Disease outbreak forecast to continue for the next two months
DHAKA: Bangladeshi doctors are on alert as this year’s mortality rate from dengue fever is the highest in over two decades.
Each year, dengue fever becomes a major health concern during the monsoon season between July and October, with thousands of Bangladeshis contracting the viral and potentially deadly disease transmitted by the Aedes mosquitoes breeding in freshwater pools.
The disease used to be rare in the 1960s, but since the early 2000s, its incidence has increased dramatically.
While the worst outbreak was recorded last year, with over 211,000 people hospitalized across the country, this year the country is witnessing the highest death rate from the disease since 2003.
Out of 34,121 dengue patients admitted to hospitals, 177 have died, according to Directorate General of Health Services data.
“This year, the fatality rate from dengue is higher than in the previous years, although the number of patients is less,” Dr. Mohammed Mushtuq Husain, adviser at the Institute of Epidemiology Disease Control and Research in Dhaka, told Arab News.
“The fatality is worrying as it is the highest in the world at the moment.”
The death rate has reached 0.52 percent, surpassing last year’s 0.49 percent.
“This dengue trend is feared to continue. When this monsoon rain spell is over, it will continue for the next two months — it’s the life cycle of the dengue virus and Aedes mosquitoes,” Husain said.
Dr. Muzaherul Huq, former World Health Organization regional adviser, warned that prevention and early detection need to be strengthened as the outbreak is not over yet.
“The way dengue case fatality is increasing, it may take a worrying (turn) at any moment. So, we need to strengthen the prevention methods against the dengue virus. Otherwise, we won’t be able to fight this,” he said.
Deaths are mostly occurring as patients come to hospitals at the last stage, often after a long time traveling as most specialist and testing facilities are available only at major clinics.
Many also come infected with dengue for the second or third time. A person can be infected several times with different variants of the virus.
“There are four strains of dengue virus. If someone gets infected with dengue in previous years, second or third-time infection causes more risks for him or her,” said Brig. Gen. Mohammed Rezaur Rahman, director of Bangabandhu Sheikh Mujib Medical University in Dhaka.
“Dengue is a viral disease, and it mutates regularly. This is why it’s tough to eradicate.”
There is no treatment for the disease yet, and the focus is on treating its symptoms. In its severe form, it causes internal bleeding and deadly organ impairment.
Indian FM meets Sri Lanka’s new leadership, assures support in economic rebuilding
- S. Jaishankar is the first top foreign official to meet Sri Lanka’s new president
- India was a key partner in extending support to Sri Lanka during its 2022 economic crisis
New Delhi: India’s Foreign Minister S. Jaishankar arrived in Colombo on Friday to meet Sri Lanka’s new president and government and assure New Delhi’s continued support.
Sri Lanka’s new President Anura Kumara Dissanayake took office on Sept. 23, after winning the country’s first presidential vote since its financial collapse in 2022.
A day later, he appointed his three-member government and dissolved the parliament, clearing the way for new parliamentary elections scheduled for Nov. 14.
The Indian foreign minister is the first top foreign official to pay an official visit to Sri Lanka since its regime change.
He took to X after meeting Dissanayake, Prime Minister Harini Amarasuriya and Foreign Minister Vijitha Herath.
“Discussed ways to deepen ongoing cooperation and strengthen India-Sri Lanka ties for the benefit of people of two countries and the region,” Jaishankar said, as he also expressed “India’s continued support to Sri Lanka’s economic rebuilding.”
The Indian Ministry of External Affairs said the visit aimed to “further deepen the longstanding partnership” between the countries under India’s Neighborhood First Policy and Prime Minister Narendra Modi’s geopolitical framework of cooperation in the Indian Ocean region.
Dissanayake, the country’s first Marxist-leaning leader, took over the job on the promise of change, as the island nation of 22 million is still reeling from the crisis and austerity measures imposed by his predecessor as a part of a bailout deal with the International Monetary Fund.
Sri Lanka’s largest trading partner, India in 2022 emerged also as the main source of support to its battered economy.
“India has been consistently engaged with the Sri Lankan leadership since the economic crisis, and Jaishankar’s visit is a signal that despite the change in government, India is likely to continue to work closely with the new dispensation,” Prof. Harsh V. Pant, vice president of the Observer Research Foundation in New Delhi, told Arab News.
“India intends to have as close ties with this government as it had with the previous. I think this is a signal of India’s interest … India is keen to continue the momentum in the relationship that had set in after India became the most active player in helping Sri Lanka get out of the economic crisis.”
The lineup of Sri Lanka’s new government will be finalized after November’s election. Currently, the president, the prime minister and the foreign minister have divided all the portfolios among themselves. A proper cabinet will be appointed after the parliamentary vote, with the composition depending on its results.
“India has registered that it is willing to work with the new government. That is the main message from the visit … Other details about projects, investment and other things will take time,” N. Sathiya Moorthy, a political analyst in Chennai, told Arab News.
“Every Sri Lankan remembers how India rushed to help during their economic crisis. So, the new government will not overlook that sentiment also.”
France, Italy launch project to exchange migrant trafficking information
- The project will be modeled after a similar deal between France and Britain
- France’s new Interior Minister Bruno Retailleau said it was his priority to further toughen immigration laws
PARIS: The interior ministers of France and Italy signed a declaration on their intention to exchange information related to migrant trafficking, the French interior ministry said on Friday.
The project will be modeled after a similar deal between France and Britain, launched in 2020 in the north of France in a bid to stop attempts to reach the United Kingdom.
France’s new Interior Minister Bruno Retailleau, a law-and-order politician from the conservative Republican party (LR), said it was his priority to further toughen immigration laws, echoing remarks from the prime minister who said the country needed to control its border better.
Immigration is also a tense domestic issue in Italy, where far-right Prime Minister Giorgia Meloni has pledged to drastically curb entries, though has not yet proved successful.
“Its objective is clear: to trigger judicial investigations, often combined, aimed at dismantling the networks underpinning the illegal flow through Italy to the rest of the European Union, in which France remains a sought-after destination,” the French interior ministry said in a statement.
In November 2022, tensions flared between France and Italy after Italy refused to let a charity ship with migrants dock, forcing it to go instead to a port in southern France.
The countries share a 500 km (300 mile) land border, mainly cutting through the Alps. Both countries are in the EU’s Schengen area with no border controls between them, though individual countries are responsible for asylum seekers who arrive in them.
German security chief warns over October 7 ‘trigger point’
- Middle East turmoil tends to spark reactions in Germany, warned Thomas Haldenwang, chief of the Federal Office for the Protection of the Constitution
- Anti-Semitism and hostility toward Israel are a “connecting element” between Islamists, pro-Palestinian extremists and other radical groups on the far right and far left
BERLIN: Germany’s domestic intelligence chief warned Friday that the anniversary of the October 7 attack by Hamas on Israel could be a “trigger event” for unrest.
Next Monday marks one year since the attack by the Palestinian Islamist militant group that sparked Israel’s invasion of Gaza and conflict with Hamas allies in Lebanon, Iran and elsewhere.
Middle East turmoil tends to spark reactions in Germany, warned Thomas Haldenwang, chief of the Federal Office for the Protection of the Constitution (BfV).
Anti-Semitism and hostility toward Israel are a “connecting element” between Islamists, pro-Palestinian extremists and other radical groups on the far right and far left, he said.
“The anniversary could be a trigger event for large parts of the protest spectrum,” he said, warning of a “great potential for emotionalization, polarization and radicalization.”
Aside from official commemorations of the October 7 attack, a number of pro-Palestinian demonstrations are planned in Germany at the weekend and on Monday.
In Berlin, police union spokesman Benjamin Jedro said that “we are looking at the coming days with great concern” after witnessing “hatred, anti-Semitism and violent excesses” by some pro-Palestinian activists.
Haldenwang in his statement pointed out that the number of anti-Semitic crimes had risen to an all-time high since the Gaza war started.
“The potential danger of possible terrorist attacks against Jewish and Israeli individuals and institutions, as well as against ‘the West’ as a whole, has increased significantly in the past six months.”
Haldenwang reiterated his warning against jihadist attacks, pointing to a deadly stabbing spree in the western city of Solingen last month.
“Islamists have understood how to use the current Middle East crisis to revitalize their propaganda and mobilize their followers,” he said.
The Daesh group is “using its propaganda to use the situation in Gaza to create emotions and encourage young Muslims in the West in particular to carry out terrorist attacks.”
The October 7 Hamas attack resulted in the deaths of 1,205 people in Israel, mostly civilians, according to an AFP tally based on Israeli official figures that include hostages killed in captivity.
Israel’s retaliatory offensive in Gaza has killed at least 41,788 people, the majority of them civilians, according to figures provided by the Hamas-run territory’s health ministry. The United Nations has described the figures as reliable.
Nigeria’s Borno state hit by cholera amid flood devastation
- Cholera outbreaks are not uncommon in Borno, the epicenter of a 15-year-old Islamist insurgency
- Flooding in Borno began when a dam overflowed following heavy rains
ABUJA: A cholera outbreak has hit Nigeria’s northeastern Borno state, already reeling from floods that displaced nearly 2 million people, an official said on Friday.
Cholera outbreaks are not uncommon in Borno, the epicenter of a 15-year-old Islamist insurgency that has displaced thousands into camps and strained sanitation facilities and potable water sources.
Borno Health Commissioner Baba Mallam Gana told reporters that 17 cases have been recorded following tests, but no deaths so far.
“However, we are recording an increasing number of Acute Watery Diarrhea (AWD)/suspected Cholera which is not unconnected with the flood devastation,” Gana said.
Almost 500 cases of AWD have been recorded, Gana said, with five local government areas mostly affected.
Flooding in Borno began when a dam overflowed following heavy rains, displacing millions from their homes and damaging health facilities and other infrastructures.
Gana said that to combat the latest outbreak, the state got 300,000 oral cholera vaccine (OCV) doses from the federal health ministry, which have been distributed across displacement camps and flood-hit communities.
The state is waiting for an additional 600,000 doses of the vaccine to ensure adequate coverage, he said.
