Starmer to say UK’s national health service needs ‘major surgery’

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’

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.


US climate action won’t end with Trump, envoy tells COP29

US climate action won’t end with Trump, envoy tells COP29
Updated 12 November 2024
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US climate action won’t end with Trump, envoy tells COP29

US climate action won’t end with Trump, envoy tells COP29

BAKU: Washington’s top climate envoy sought to reassure countries at the COP29 talks Monday that Donald Trump’s re-election would not end US efforts to tackle global warming.
Trump’s sweep of the presidential vote has cast a long shadow over the crunch talks in Baku, with the incoming US leader pledging to withdraw Washington from the landmark Paris climate agreement.
The vote has left the US delegation somewhat hamstrung and stoked fears other countries could be less ambitious in a fractious debate on increasing climate funding for developing nations.
US envoy John Podesta acknowledged the next US administration would “try and take a U-turn” on climate action, but said that US cities, states and individual citizens would pick up the slack.
“While the United States federal government under Donald Trump may put climate change action on the back burner, the work to contain climate change is going to continue in the United States with commitment and passion and belief,” he said.
“The fight is bigger than one election, one political cycle in one country.”
The Baku talks opened earlier Monday with UN climate chief Simon Stiell urging countries to “show that global cooperation is not down for the count.”
Things got off to a rocky start, with feuds over the official agenda delaying by hours the start of formal proceedings in the stadium venue near the Caspian Sea.
But in the evening, governments approved new UN standards for a global carbon market in a key step toward allowing countries to trade credits to meet their climate targets.
COP29 president Mukhtar Babayev hailed a “breakthrough” after years of complex discussions but more work is needed before a long-sought UN-backed market can be fully realized.
The main agenda item at COP29 is increasing a $100 billion-a-year target to help developing nations prepare for worsening climate impacts and wean their economies off fossil fuels.
How much will be on offer, who will pay, and who can access the funds are some of the major points of contention.
Babayev acknowledged the need was “in the trillions” but said a more “realistic goal” was somewhere in the hundreds of billions.
“These negotiations are complex and difficult,” the former executive of Azerbaijan’s national oil company said at the opening of the summit.
Developing countries warn that without adequate finance, they will struggle to offer ambitious updates to their climate goals, which countries are required to submit by early next year.
“The global North owes the global South a climate debt,” said Tasneem Essop, executive director of Climate Action Network.
“We will not leave this COP if the ambition level on the finance... doesn’t match the scale at which finance must be delivered.”
Stiell warned rich countries to “dispense with any idea that climate finance is charity.”
“An ambitious new climate finance goal is entirely in the self-interest of every nation, including the largest and wealthiest,” he said.
The small group of developed countries that currently contributes the money wants the donor pool expanded to include other rich nations and top emitters.
Just a handful of leaders from the Group of 20, whose countries account for nearly 80 percent of global emissions, are attending. US President Joe Biden is staying away.
Afghanistan is however present for the first time since the Taliban took power, as guests of the host Azerbaijan but not party to the talks.
The meeting comes after fresh warnings that the world is far off track to meet the goals of the Paris agreement.
The UN said Monday that 2024 is likely to break new temperature records, and the Paris climate agreement’s goals were now “in great peril.”
The period from 2015 to 2024 will also be the warmest decade ever recorded, the UN’s World Meteorological Organization said in a new report.
The climate deal commits to keep warming below 2 degrees Celsius compared to pre-industrial levels, preferably below 1.5C.
If the world tops that level this year, it would not be an immediate breach of the Paris deal, which measures temperatures over decades.
But it suggests much greater climate action is needed.
Last month, the UN warned the world is on a path toward a catastrophic 3.1C of warming this century based on current actions.
More than 51,000 people are expected at COP29 talks, which run from November 11 to 22.


New Haiti PM sworn in, promising to ‘restore security’

New Haiti PM sworn in, promising to ‘restore security’
Updated 12 November 2024
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New Haiti PM sworn in, promising to ‘restore security’

New Haiti PM sworn in, promising to ‘restore security’

PORT-AU-PRINCE: Businessman Alix Didier Fils-Aime was sworn in as Haiti’s new prime minister on Monday, promising to restore security in the crisis-wracked country after his predecessor was ousted after just five months in office.
Fils-Aime replaces Garry Conille, who was appointed in late May, but has spent recent weeks locked in a power struggle with the country’s transitional council over ministerial appointments.
“We have a transition with lots of work to do: the first essential job, which is a condition for success, is restoring security,” he said in French.
He said he was aware of Haiti’s “difficult circumstances” but promised to put “all of my energy, my skills and my patriotism at the service of the national cause.”
The unelected prime minister and the nine-member transitional council are faced with rampant gang violence and tasked with preparing the path for presidential elections next year.
Outgoing premier Conille has questioned the authority of the council to sack him, and the row looks set to deepen a political crisis in Haiti, whose presidency has remained vacant since the assassination of Jovenel Moise in 2021.
There is no sitting parliament, either, and the last elections were held in 2016.
The Caribbean nation has long been saddled with political instability, grinding poverty, natural disasters and gang violence. But conditions sharply worsened at the end of February when armed groups launched coordinated attacks in the capital Port-au-Prince, saying they wanted to overthrow then-prime minister Ariel Henry.
Unelected and unpopular, Henry stepped down amid the turmoil, handing power to the transitional council, which has US and regional backing.
Despite the arrival of a Kenyan-led police support mission, violence has continued to soar.
A recent United Nations report said more than 1,200 people were killed from July through September, with persistent kidnappings and sexual violence against women and girls.
Low-cost American carrier Spirit Airlines said one of its flights was hit by gunfire while trying to land at Port-au-Prince on Monday and had to be diverted to the Dominican Republic.
One flight attendant suffered minor injuries and was being evaluated by medical staff, the airline said in a statement. No passengers were injured.
Responding to the latest political instability, UN Secretary General Antonio Guterres urged all sides in Haiti to “work constructively” together to ensure the integrity of the transition process, his spokesman said Monday.
“It’s not for the Secretary General to choose who will be the prime minister of Haiti,” said spokesman Stephane Dujarric. “What is important is that Haitian political leaders put the interests of Haiti first and foremost.”
Gangs in recent years have taken over about 80 percent of the capital Port-au-Prince as any semblance of governance evaporated.
The UN report said the gangs were digging trenches, using drones and stockpiling weapons as they change tactics to confront the Kenyan-led police force.
Gang leaders have strengthened defenses for the zones they control and placed gas cylinders and Molotov cocktail bombs ready to use against police operations.
More than 700,000 people — half of them children — have fled their homes because of the gang violence, according to the International Organization for Migration.


Flood fears as Ukraine says Russian strike damages dam

Flood fears as Ukraine says Russian strike damages dam
Updated 12 November 2024
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Flood fears as Ukraine says Russian strike damages dam

Flood fears as Ukraine says Russian strike damages dam
  • Moscow’s army is now rapidly advancing in the Donetsk region and closing in on the town of Kurakhove, which lies next to the reservoir

KYIV, Ukraine: Russian strikes on Monday damaged a dam near the front line in Ukraine’s eastern Donetsk region, Ukrainian authorities said, warning nearby villages could be threatened by rising water levels.
Ukraine also said Russian attacks killed at least three people in the center of the country, with rescue operations ongoing in the city of Kryvyi Rig.
They came after the warring countries hit each other with massive drone strikes at the weekend and as the long-term future of US support for Ukraine hangs in the air after the election of Donald Trump.
Russia’s invasion of Ukraine has dragged on for nearly three years.
Moscow’s army is now rapidly advancing in the Donetsk region and closing in on the town of Kurakhove, which lies next to the reservoir and had a pre-war population of around 10,000 people.
“The Russians damaged the dam of the reservoir of Kurakhove. This strike potentially threatens residents of settlements on the Vovcha River, both in Donetsk and Dnipro regions,” the region’s Governor Vadym Filashkin said.
“As of 16:00, the water level in the river within the Velykonovosilkivska community has risen by 1.2 meters (four feet). No flooding has been reported so far!” he posted on social media.
The dam lies in the village of Stari Terny, west of Kurakhove.
International environmental groups have warned of the devastating effects of Russia’s invasion on Ukraine’s nature.
In June last year, a massive Soviet-era dam in Ukraine’s southern Kherson region was blown up, pouring billions of liters of water downstream and flooding dozens of villages on the banks of the Dnipro River.
Kyiv said Russia, whose troops controlled the dam at the time, blew it up to thwart a Ukrainian counter-offensive. Moscow blamed Ukraine.
Dozens were killed in the floods that followed the blast, which has also caused vast environmental damage to southern Ukraine.
Russia also targeted the central Ukrainian cities of Nikopol and Kryvyi Rig on Monday.
Moscow’s shelling killed two people in Nikopol, Dnipropetrovsk region governor Sergiy Lysak said.
In Kryvyi Rig, the home city of President Volodymyr Zelensky, a search and rescue operation was underway, with at least one dead and 14 people wounded after Russian strikes on the city.
The head of the city, Oleksandr Vilkul, said the body of a woman was pulled out of the rubble.
Kryvyi Rig has been regularly hit by Russian strikes.
The attacks came a day after Moscow and Kyiv launched record drone attacks on each other on Sunday.
Trump’s election has raised questions about the future of the conflict, with the Republican being vocally critical of United States aid to Ukraine.
Throughout his presidential campaign, Trump vowed that he would end the war swiftly, without giving details as to how.
Visiting Ukraine on Monday, European Union foreign policy chief Josep Borrell warned that letting Russia win in Ukraine would represent a loss for the United States.
“Certainly it would not be a victory for the American leadership if Ukraine crumbles down and Putin wins the war,” Borrell told AFP on the first trip to Kyiv by a senior EU official since Trump’s election triumph.


Mozambique opposition calls for crippling protests over poll results

Mozambique opposition calls for crippling protests over poll results
Updated 12 November 2024
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Mozambique opposition calls for crippling protests over poll results

Mozambique opposition calls for crippling protests over poll results

MAPUTO: Mozambique’s opposition leader on Monday called for crippling protests this week over contested elections won by the ruling Frelimo party, in power since the country’s 1975 independence from Portugal.
Venancio Mondlane, who won 20 percent of the October 9 vote according to the election authority, claims the ballot was rigged. Protests over the results have already claimed 30 lives, according to Human Rights Watch.
“We are going to paralyze all activities,” from Wednesday to Friday, Mondlane said on social media.
He asked supporters to demonstrate in the capital Maputo, the provincial capitals, along the country’s borders and at the southern African country’s ports.
He urged truckers to stop bringing in goods from neighboring South Africa to Maputo port.
President Filipe Nyusi is expected to step down at the end of a two-term limit in January and hand over to the Frelimo party’s victorious candidate, Daniel Chapo.
Popular among young voters, Mondlane, a 50-year-old former radio presenter, was until June part of the longstanding opposition party Renamo.
He then joined the Optimistic Party for the Development of Mozambique (Podemos).


ICC’s Khan: Forensic investigator now facing misconduct probe

ICC’s Khan: Forensic investigator now facing misconduct probe
Updated 12 November 2024
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ICC’s Khan: Forensic investigator now facing misconduct probe

ICC’s Khan: Forensic investigator now facing misconduct probe
  • When Khan was sworn in as chief prosecutor of the International Criminal Court, he said the court should be judged by its acts — “the proof of the pudding should be in the eating”

THE HAGUE: Karim Khan’s job as chief prosecutor of the International Criminal Court requires a scrupulous and meticulous examination of evidence to bring cases against alleged perpetrators of the world’s worst crimes.
Now the 54-year-British lawyer faces his own probe, into allegations of misconduct reportedly against a member of his own office, that he firmly denies.
When Khan was sworn in as chief prosecutor of the International Criminal Court, he said the court should be judged by its acts — “the proof of the pudding should be in the eating.”
And by seeking arrest warrants for Israel Prime Minister Benjamin Netanyahu and senior Hamas figures, Khan has shown he is not afraid to take on the world’s most controversial cases.
The application followed an arrest warrant issued last year for President Vladimir Putin of Russia, which promptly slapped arrest warrants on Khan himself.
But Khan has faced down controversy throughout a career that has included stints defending Liberia’s former president Charles Taylor against allegations of war crimes in Sierra Leone.
Other high-profile clients have included Kenya’s President William Ruto in a crimes-against-humanity case at the ICC that was eventually dropped, and the son of late Libyan leader Muammar Qaddafi, Seif Al-Islam.
Asked about “crossing the floor” — working as both prosecutor and defense — Khan told specialist publication OpinioJuris that it helps lawyers stay “grounded.”
It also prevents “corrosive traits such as thinking that defense counsel is the devil incarnate or that as a prosecutor you are doing ‘God’s work’,” he said.
Criticized initially for not acting fast enough to prevent atrocities in Gaza, Khan touched off a firestorm when applying for arrest warrants over the war.
Netanyahu called it a “moral outrage of historic proportions.” For US President Joe Biden, it was “outrageous.”
Even before Khan’s application, senior US Republicans penned a letter threatening to bar him and his family from the United States, ending ominously “you have been warned.”
But Khan told CNN: “This is not a witch hunt. This is not some kind of emotional reaction to noise... It’s a forensic process that is expected of us as international prosecutors.”

Born in Scotland, Khan was educated at the private Silcoates School in northern England, before studying undergraduate law at King’s College, London.
His father was Pakistani, his mother British and he is a member of the minority Ahmadiyya Muslim sect, sometimes sprinkling his speeches with “inshallah” (God Willing).
Called to the bar in 1992, he went on to cut his teeth in international law at the former Yugoslav and Rwandan war crimes courts from 1997 to 2000.
He later represented survivors and relatives of victims of the 1970s Khmer Rouge regime in Cambodia at its UN-backed court in the late 2000s.
His other roles have included a stint at The Hague-based Special Tribunal for Lebanon, set up to bring to justice the killers of Lebanese ex-PM Rafic Hariri in 2005.
More recently, he headed the UN special probe into Daesh group crimes and called for trials like those at Nuremberg of Nazi leaders.
Initially absent from a list of candidates for the top ICC prosecutor job, Khan was added reportedly at the insistence of the Kenyan government.
The ICC selection panel described him as a “charismatic and articulate communicator who is well aware of his achievements.”
“I did apply because I thought I could do the role. If the Search Committee thought this was arrogance, then I’m guilty as charged,” Khan said.
In his speeches, he is forthright with a strong command of oratory, sprinkled with dashes of British humor.
“From what I’ve observed, Karim Khan seems like a no-nonsense lawyer, which I quite respect,” Melanie O’Brien, visiting professor in international law at the University of Minnesota, told AFP.
An ICC prosecutor “has to have a certain fortitude because you know that you are going to be up against people who don’t agree with you and don’t agree with the court generally,” she added.