October 7th: A catalyst for unrelenting crisis and the fight to save lives
October 7th is a day that remains seared into our collective memory—a day marked by unimaginable loss, fear, and suffering. The death toll continues to rise, and for every life lost, there are countless more left injured and grieving. The ripple effects of this violence are spreading far beyond that single day, reaching into every corner of the region. As the violence escalates across Gaza, the West Bank, Lebanon, Yemen, and Israel, the humanitarian needs grow more urgent with each passing hour.
We have not forgotten the victims—the hostages, the dead, the wounded, and the families in mourning. Like many in the humanitarian and development community, we’ve been overwhelmed by the surge in requests for assistance. Over the past year, we have adapted to meet this growing need. We know the skills, knowledge, and expertise we provide will save lives. This year alone, we’ve trained 55 surgeons and 18 anaesthetists in the UK and Kuwait to prepare them for operating in Gaza. Our founder, David Nott, and Head Surgeon, Ammar Darwish, have both traveled to Gaza on missions with MAP and MSF, bearing witness to the daily horrors Palestinians face. In addition to direct medical support, we’ve created teaching videos in English and Arabic to assist doctors in real-time on the ground.
“Seeing Gaza reminds me of the vital importance of our foundation’s work. Training doctors, operating on patients in war zones, bearing witness to doctors’ needs on the ground, I’m more driven than ever to help the charity grow so we can reach even more people in need.”
We hear a lot about the death tolls of Oct 7th and the violence since. But for every death there are countless injuries. Many of these will be life-changing and require highly specialist input that is simply not available. This is the case across the region, as the violence begins to spread beyond Gaza and Israel, into the West Bank, Lebanon and Yemen.
"The number of injured in Gaza has now surpassed 70,000. The complexity of these injuries means that these patients will require extensive medical care—surgeries, physiotherapy, and immense resources to reconstruct their lives. This is a humanitarian crisis of unimaginable proportions."
As the violence spreads like a global contagion, the need for medical aid is growing by the day, and we remain committed to doing everything we can to provide support.
James Gough,
CEO
Our most recent work for Palestine
World Humanitarian Day
On World Humanitarian Day, we perhaps allow ourselves a few more minutes to think about others. Perhaps those we often find it hard to think about or to imagine. To remind ourselves that humans, wherever they are, deserve the basic access to freedom, to peace, to equity and to love that many of us enjoy. To have to make a special day each year is both a tribute, and a damning indictment of humankind. On most measures, it has been a relentless and notably horrific few years for humanity.
Moving from the private sector as I have and beginning my first few weeks as CEO of the David Nott Foundation, I have been struck by the unfortunate parallels in the language used. I did not expect to be talking about a “growth market”, but that is indeed what humanitarianism is experiencing.
For the past 12 years, the number of displaced people has increased every year. The number of refugees has tripled in a decade. In 2023, 1 in 69 of us on the planet were forced to leave our homes – 117.3 million people. More specifically to our line of work, conflict related fatalities are also on the rise. The annual number of deaths in conflict since we began our work almost a decade ago has risen by 92% to almost 250,000 this year.
Many of those deaths will be what we call ‘Survivable Deaths’. It is these deaths our teams work tirelessly to prevent by training doctors with the skills they need in conflict and catastrophe.
You can imagine that if we saw these kinds of numbers on a business forecast in a different context, it would be a reason to celebrate. But we are in the business of alleviating suffering. The more suffering there is, the more of a strain and demand it puts on the sector as a whole to meet the vital needs of those we must continuously work to serve.
In a conversation with a Ukrainian diplomat some months ago, I heard her talk of war as “a branding exercise”. She explained to me that Ukraine was not just competing with other wars for international attention and resources, but also with Donald Trump, Taylor Swift and the Climate Crisis. Her point was clear. To win the war, you need to win the media and the requisite public support. It is for this reason that today I believe we should think deeply, not just about the horrors we are seeing on our newsfeed, but to the horrors we are not. With conflicts and catastrophe raging all over the world in Haiti, DRC, the West African Sahel, Afghanistan and Myanmar, to name just a few, we can perhaps be forgiven for feeling overwhelmed and somewhat fatigued. One of our explicit responsibilities at the David Nott Foundation is to think every day about these ‘forgotten conflicts’ and lesser-known catastrophes. Thanks to the incredible generosity of our donors, we are able to consider them in our planning and delivery of vital surgical and medical training. However, the increasing need is so vast, that we and other non-profit organisations worldwide need to think very seriously about how we scale – another regrettable business term that is a sign of our times. Scaling requires funding, partners, innovation, knowledge and an appetite for risk. Many of us do not consider ourselves as direct contributors to humanitarian work, but with the skills and requirements I describe, perhaps today is the day to re-consider. To be more explicit, we certainly wish to hear from you at the David Nott Foundation.
With gratitude, James Gough
CEO