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. (AFP)
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Updated 12 September 2024
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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

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.


Zelensky says Ukraine would do ‘everything’ but cannot budge on Crimea

Updated 4 sec ago
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Zelensky says Ukraine would do ‘everything’ but cannot budge on Crimea

Kyiv could not recognize Russia’s annexation of Crimea

PRETORIA: Ukrainian President Volodymyr Zelensky said Thursday that Kyiv would do “everything” its allies wanted but could not recognize Russia’s annexation of Crimea, considered illegal under Ukraine’s constitution.
“We do everything that our partners have proposed, only what contradicts our legislation and the constitution we cannot do,” Zelensky told reporters during a visit to South Africa in response to a question about Ukraine’s position on ceasefire talks.

Spain scraps purchase of Israeli bullets after internal pressure

Updated 4 min 2 sec ago
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Spain scraps purchase of Israeli bullets after internal pressure

  • Spain, a long-time critic of Israel’s policies in the occupied Palestinian territories, pledged in October 2023 to stop selling weapons to Israel over its war with Hamas in Gaza
  • The purchase, worth $7.53m, includes the acquisition of more than 15 million 9-mm rounds from Israel’s IMI Systems

MADRID: The Spanish government has unilaterally canceled a contract to purchase ammunition rounds for its police force from an Israeli firm, a government source said on Thursday, ceding to pressure from its hard-left junior coalition partner Sumar.
Spain, a long-time critic of Israel’s policies in the occupied Palestinian territories, pledged in October 2023 to stop selling weapons to Israel over its war with Hamas in Gaza and last year widened that commitment to include weapons purchases from Israel.
However, on April 17 as Spaniards geared up for the Easter holiday weekend, the government filed paperwork confirming the deal on the government tenders website.
The purchase, worth 6.6 million euros ($7.53 million), includes the acquisition of more than 15 million 9-mm rounds from Israel’s IMI Systems, owned by Elbit Systems and represented in Spain by Guardian LTD Israel.
The decision drew a sharp rebuke on Wednesday from coalition partner Sumar, with one of the groups within Sumar, Izquierda Unida, threatening to withdraw from the minority coalition government.
The Interior Ministry responded that it had been advised by the state attorney that breaking the contract would mean paying the full amount without receiving the shipment.
On Thursday, a government source said it had decided to stick to its October 2023 commitment not to provide Israeli companies with arms or revenue flows “and nor will it do so in future.”
The source said the Israeli company would be denied permission to import the defense material by the Spanish authorities on “public interest” grounds, the Interior Ministry would rescind the contract and government lawyers would respond to any subsequent legal claims.
Internal divisions over defense spending have already rattled the ruling coalition, threatening to deprive Prime Minister Pedro Sanchez of precious votes in parliament to pass legislation.
On Tuesday, Sanchez further angered Sumar, a platform of left-wing parties that controls five ministries led by deputy premier Yolanda Diaz, by announcing a wider plan to boost defense spending by 10.47 billion euros to meet NATO targets.
The minority government has struggled to pass legislation since securing a new term by cobbling together an alliance of left-wing and regional separatist parties in 2023.


US deports Iraqi man at center of debate on refugee policy

Updated 24 April 2025
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US deports Iraqi man at center of debate on refugee policy

  • Omar Abdulsattar Ameen, who was granted refugee status in the US in 2014, denied Iraqi charges that he murdered a police officer as a Daesh operative
  • Ameen was sent to Rwanda earlier this month according to the US official who spoke on condition of anonymity

NAIROBI/WASHINGTON: The United States has deported to Rwanda a resettled Iraqi refugee who it long tried to extradite in response to Iraqi government claims that he worked for Daesh, according to a US official and an internal email.
Omar Abdulsattar Ameen, who was granted refugee status in the US in 2014, denied Iraqi charges that he murdered a police officer as a Daesh operative, and a judge found in 2021 that the version of events in the case against him was “not plausible.”
But the administrations of Joe Biden and Donald Trump both pursued his removal from the country, accusing him of lying on his refugee application by saying he had not interacted with terrorist groups.
After the start of his second term in January, Trump launched a sweeping crackdown on immigration and attempted to freeze the US refugee resettlement program.
Ameen was sent to Rwanda earlier this month, according to the US official, who spoke on condition of anonymity, and the internal email seen by Reuters.
A US State Department spokesperson declined to comment on Ameen’s case, and the Department of Homeland Security did not immediately respond to a request for comment.
Rwanda’s government spokesperson did not respond to a request for comment.
Online news outlet The Handbasket, which broke the news of Ameen’s deportation, cited a leaked cable from the US embassy in Kigali as saying that Rwanda had agreed to receive additional third-country nationals under a “new removal program.”
Reuters was not able to confirm the contents of the cable or any deal between the United States and Rwanda.
The central African country has positioned itself as a destination country for migrants that Western countries would like to remove.
It signed an agreement with Britain in 2022 to take in thousands of asylum seekers from the UK before the deal was scrapped last year by then newly-elected Prime Minister Keir Starmer.
After his arrest in 2018 following murder charges in Iraq, Ameen’s case was cited by the first Trump administration and some Republicans in Congress as an example of security risks posed by refugees and an argument against resettling them in the US
A US magistrate judge refused to allow his extradition to Iraq in 2021, saying there was overwhelming evidence Ameen was living as a refugee in Turkiye at the time of the alleged murder, but the US government continued to push for his deportation to a third country.
Human Rights Watch said in 2021 that his treatment showed “a system of arbitrary detention and cruel enforcement.” 


India PM vows to pursue Kashmir attackers to ‘ends of the Earth’

Updated 24 April 2025
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India PM vows to pursue Kashmir attackers to ‘ends of the Earth’

  • Modi’s statement comes after 26 people were shot dead at the tourist hotpot of Pahalgam
  • He promised to make the perpetrators ‘pay beyond their imagination’ in a speech to a crowd

NEW DELHI: Indian Prime Minister Narendra Modi vowed on Thursday to punish all those responsible for a gruesome attack in Kashmir that killed 26 men.
“I say to the whole world: India will identify, track and punish every terrorist and their backer,” he said in his first speech since Tuesday’s attack in the Himalayan region. “We will pursue them to the ends of the Earth.”
The shooting in the tourist hotpot of Pahalgam was the deadliest attack on civilians in the contested Muslim-majority territory since 2000.
Of the men killed, 26 were Indian and one was Nepali.
India accused Islamabad on Wednesday of supporting “cross-border terrorism” and downgraded ties with its neighbor with a raft of diplomatic measures.
Pakistan has denied any role in the Pahalgam attack.
Modi, who was speaking in Bihar state to launch development projects, first led two minutes of silence in memory of those killed.
“I say this unequivocally: whoever has carried out this attack, and the ones who devised it, will be made to pay beyond their imagination,” he said, speaking in Hindi in front of a large crowd.
“They will certainly pay. Whatever little land these terrorists have, it’s time to reduce it to dust. The willpower of 1.4 billion Indians will break the backbone of these terrorists.”
He finished his speech with rare comments in English, directing them to an audience abroad.
“Terrorism will not go unpunished,” Modi said. “Every effort will be made to ensure that justice is done.”
Kashmir has been divided between India and Pakistan since their independence in 1947, with both claiming the high-altitude territory in full but governing separate portions of it.
Rebel groups have waged an insurgency in Indian-controlled Kashmir since 1989, demanding independence or a merger with Pakistan.
Indian security forces have launched a vast manhunt in Kashmir for the attackers, with large numbers of people detained in the operation.


Zelensky cancels part of South Africa trip, returns to Kyiv after Russian attack

Updated 24 April 2025
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Zelensky cancels part of South Africa trip, returns to Kyiv after Russian attack

KYIV: President Volodymyr Zelensky said on Thursday he was canceling a part of his program in South Africa and returning to Ukraine after intense Russian missile and drone attacks on Kyiv.

Zelensky said on the Telegram app that Ukrainian Foreign Minister Andrii Sybiha would conduct all necessary meetings in South Africa to inform leaders about the situation in Ukraine.