officials spent an hour at the hospital, and reported evidence of shelling and gunfire and the site of a mass grave. the israeli military has surrounded and occupied the hospitalfor days, claiming a hamas command centre lies beneath it. that's been denied by hamas, which is designated a terrorist organisation by many western governments. on saturday, hundreds of people — including some patients — left the hospital on foot, making their way through israeli armoured vehicles. around 300 critically—ill patients remain at al—shifa. the who says it's now drawing up plans for their evacuation. meanwhile, the hamas—run health authority says at least 80 people have been killed in two israeli strikes on the jabalia refugee camp. they say one hit a un—run school, that was being used as a shelter. the white house has said israel and hamas have not yet reached a deal on a temporary ceasefire. it follows a us media report that the two sides were close to an agreement to free dozens of women and children held hostage in gaza in exchange for a five—day pause in fighting. this report from our correspondent mark lowen contains images which some may find distressing. the echoes of history are beating loud here for the palestinians last fled in such numbers 75 years ago when israel was created. and now, once again, hundreds of thousands are on the move. these crowds fleeing al—shifa hospital saying israeli troops ordered them out. israel insists the hospital asked for their evacuation. they take what they can, not knowing if they'll be back. dr ramez radwan from al—shifa says the israelis warned them to leave with horrors left behind. "the wounded are in very bad conditions there", he says. "with a lack of staff and medicine, bacteria are growing in the wounds. it's a miserable situation." for some, fleeing takes time, even if the bombing was all around them. majed was a patient at al—shifa, no longer a place of healing, but the world health organization says a death zone. translation: i was next to my house door and they bombed _ the place next to us. so i got injured. me and my cousins. and my other cousin died. at al—shifa hospital there is no food and no drink. we get shot at. they enter whenever they want and leave whenever they want. gunfire. and in gaza city, the battles still flare. this footage released by the israelis show them in active firefight, one of the middle east's most powerful armies held back by a force far inferior in numbers, but still capable of resistance. israelis too have been on the move but in protest, calling for their government to prioritise the release of the hostages. almost 240 still in hamas captivity. they walked from tel aviv to jerusalem. her and her nation's trauma deepening with every step. today is my husband's birthday. he's 63. and his mother is kidnapped. she is 85—years—old we are not with her. and we are marching. we are marching tojerusalem to... to bring people back, to shout, to shout and to say that she must be here back with all the kidnapped. we don't have time. we don't have one hour more. we don't know if she is alive. benjamin netanyahu is under immense pressure at home and from abroad, but he's still standing firm on calls for a pause in the fighting. and amidst reports that a hostage release deal is being drawn up, he's dampening expectations. they pressured us to agree to a full cease fire. we refused, and i conveyed we will only agree to a temporary cease fire and only in exchange for the return of our hostages. but for how long can this continue? twin israeli strikes around the jabalia refugee camp in northern gaza on saturday are reported to have killed at least 80, including 32 members of the same family. a nightmare scene on constant loop — for gazans, it's their every day. i caught up with mark lowen earlier — who gave me the latest on the israeli military offensive. the military operation we have been seeing in northern gaza is spreading to the south, there were airstrikes in central and southern gaza which killed 15. you see this tide of humanity in recent days that have gone from northern gaza into the south around a city which used to have 300,000 people before the conflict, now grown to more than a million as people seek shelter in the south away from the northern israeli offensive and at this offensive moves into the south you will see people trying to flee even more into certain areas and not knowing where to flee to. the israeli government says there is an opt out of 14 square kilometres and that has been designated a safe sun but aid agencies say it is completely unrealistic to expect such vast numbers to crowd into a 14 square kilometre area where disease will be right, severe shortage of aid will not manage to serve people massively overcrowded. that is the real fear amongst palestinians, you told us to go south so we would be safe and now where on earth can we flee to? ii safe and now where on earth can we flee to? ., ., ~' safe and now where on earth can we flee to? ., ., ~ ., , ., ., flee to? if we look at the situation in northern _ flee to? if we look at the situation in northern gaza, _ flee to? if we look at the situation in northern gaza, we _ flee to? if we look at the situation in northern gaza, we have - flee to? if we look at the situation in northern gaza, we have had - in northern gaza, we have had reports that a un school being used as a shelter was hit, the israeli defence forces say they are investigating but do you know anything more about the situation there? , ., , ., ., , there? the israelis have not yet commented _ there? the israelis have not yet commented on _ there? the israelis have not yet commented on whether - there? the israelis have not yet commented on whether or- there? the israelis have not yet commented on whether or not l there? the israelis have not yet . commented on whether or not they launched the strikes that killed dozens in northern gaza but you know, it looks like it was an airstrike of some sort that hit various schools, two different schools in the north and also as you saw in my report in and around the jabal year refugee camp. the israelis have always said they are precision guided missiles that are hitting hamas targets in their words but the americans have been trying to put pressure on israel in recent days do you strikes to avoid mass casualties and in order to use weapons with more precision targets and not go down the rate of airstrikes. israel, notjust in recent days but the beginning of the conflict, there is growing international pressure not least to let fuel in which they have now relented, and allowing two tankers of fuel per day and actually you are now seeing countries such as france increase pressure for a ceasefire and for a cessation of hostilities. at the moment the position of benjamin netanyahu as there will be no cessation of hostilities without a hostage deal and that hostage deal has not yet reached a point, reached fruition, shall we say and we will wait to see if there are developments in the days ahead but both sides cautious in announcing something before all the ayes are dotted and the teaser crossed. abeer etefa, is a senior spokeswoman with the un world food programme. she gave us this update on the progress of the aid effort in gaza. i think the operation has picked up quite _ i think the operation has picked up quite significantly in the last few weeks — quite significantly in the last few weeks. now things arrive through a point, _ weeks. now things arrive through a point, we _ weeks. now things arrive through a point, we go to the warehouses of the egyptian red crescent and we get most of— the egyptian red crescent and we get most of the third across at the crossing — most of the third across at the crossing point and we travel elsewhere for x—ray and inspection. once _ elsewhere for x—ray and inspection. once they— elsewhere for x—ray and inspection. once they go inside then we have the bil once they go inside then we have the big problem of fuel and there is simply— big problem of fuel and there is simply not enough fuel to keep these trucks _ simply not enough fuel to keep these trucks moving from the border inside and over_ trucks moving from the border inside and over the — trucks moving from the border inside and over the last three days we did not have _ and over the last three days we did not have any convoys crossing the border _ not have any convoys crossing the border except yesterday, there was one that _ border except yesterday, there was one that went in but communication was very— one that went in but communication was very difficult so people were trying _ was very difficult so people were trying to — was very difficult so people were trying to monitor and see if the trucks — trying to monitor and see if the trucks had _ trying to monitor and see if the trucks had already made it to the warehouse or not. so still the amount— warehouse or not. so still the amount of— warehouse or not. so still the amount of trucks that are going in is in no _ amount of trucks that are going in is in no way— amount of trucks that are going in is in no way comparable to the commercial sector before the 7th of october— commercial sector before the 7th of october conflict so we need much more _ october conflict so we need much more in _ october conflict so we need much more in terms of getting trucks assigned, — more in terms of getting trucks assigned, we need if funeral and we need more — assigned, we need if funeral and we need more entry points and notjust through— need more entry points and notjust through the border crossing point at rafah _ through the border crossing point at rafah. we _ through the border crossing point at rafah. ~ ., ., rafah. we have heard the prime minister benjamin _ rafah. we have heard the prime minister benjamin netanyahu i rafah. we have heard the prime i minister benjamin netanyahu ruled out the prospect of a full ceasefire, he says. what impact does that likely to have on the humanitarian situation? it’s that likely to have on the humanitarian situation? it's a difficult situation _ humanitarian situation? it's a difficult situation as - humanitarian situation? it's a difficult situation as we - humanitarian situation? it's a j difficult situation as we speak because we need safe access for humanitarian workers and the ability to put together for distribution humanitarian workers and the ability to put togetherfor distribution in a safe manner to the people who receive this assistance so it's very important that we are able to operate and fight gaza in a relatively safe manner. the situation is quite chaotic, infrastructure has been damaged, getting trucks from one point to another is very difficult and people have lost the ability to cope, people have been living outdoors, the shelters are overcrowded, there is no clean water, limited food availability in the field getting an essay trickle compared to the needs we have on the ground at the moment. people are living, if they are lucky, from canned food or eating raw vegetables or skipping meals and prioritising the children so a desperate situation as we speak. the weather is getting worse, winter is approaching, the ability of people to continue to deal with this situation and that resilience is dropping which means we will see increased hostile interventions. {line increased hostile interventions. one of our increased hostile interventions. one of your world _ increased hostile interventions. one of your world food programme colleagues said programs and feedstocks across the gaza strip are almost depleted so how far away are we from the situation reaching a crisis point, worse than it is now? we are in the middle of the crisis point. shops, most of them have closed and whichever shops are still open have very useless supplies that you cannot do anything with them without using gas or fresh, clean, water to be able to cook and although there is small quantities, the sole revenue, we are already in the sole revenue, we are already in the heart of this crisis. the world food programme was waiting at the beginning of this emergency, 23 big race across gaza to provide fresh bread to around 200 southern people and ten days ago the last bakery had completely gone out of service so we no longer provide it to people and thatis no longer provide it to people and that is really the lifeline of a lot of people, bread has become a luxury and across gaza 158 facilities are no longer operating because of the sustained damage in this last war. here in the uk, rishi sunak and the chancellor, jeremy hunt, are finalising their plans this weekend for the autumn statement on wednesday. there's speculation that they are now considering cuts to income tax or national insurance. with more on this let's talk to our political correspondent hannah miller. we have heard from the chancellor and shadow chancellor on the laura kuenssberg show this morning but what did they have to say? titer? kuenssberg show this morning but what did they have to say? very much in the season — what did they have to say? very much in the season of— what did they have to say? very much in the season of autumn _ what did they have to say? very much in the season of autumn season - in the season of autumn season speculation, just a fee days away and lots of potential policies being floated in the papers. jeremy hunt the chancellor refused to comment specifically on any tax cuts but it comes in the context of inflation falling to 4.6%, prices are still going up but not quite as quickly as they were. in that context, he said he would only bring down taxes in a responsible way, he doesn't want to fuel inflation and he was pushed specifically are not around income tax, let's listen. let specifically are not around income tax, let's listen.— tax, let's listen. let me say this, brinuain tax, let's listen. let me say this, bringing down — tax, let's listen. let me say this, bringing down taxes. _ tax, let's listen. let me say this, bringing down taxes. i _ tax, let's listen. let me say this, bringing down taxes. i will - tax, let's listen. let me say this, bringing down taxes. i will only l tax, let's listen. let me say this, | bringing down taxes. i will only do so in _ bringing down taxes. i will only do so in a _ bringing down taxes. i will only do so in a responsible way, i'm not going _ so in a responsible way, i'm not going to — so in a responsible way, i'm not going to sacrifice the progress we've — going to sacrifice the progress we've made bringing down inflation because _ we've made bringing down inflation because inflation is also a tax eating — because inflation is also a tax eating away at your learning power and meet — eating away at your learning power and meet your money does not go as far as _ and meet your money does not go as far as it— and meet your money does not go as far as it used — and meet your money does not go as far as it used to go.— far as it used to go. let's translate _ far as it used to go. let's translate that. _ far as it used to go. let's translate that. you - far as it used to go. let's translate that. you say . far as it used to go. let's l translate that. you say you far as it used to go. let's - translate that. you say you don't want to do anything that sees inflation rising again but you translate that it means no income tax cuts next week.— translate that it means no income tax cuts next week. laura, you are very experienced. _ tax cuts next week. laura, you are very experienced. i _ tax cuts next week. laura, you are very experienced. i am _ tax cuts next week. laura, you are very experienced. i am not - tax cuts next week. laura, you are very experienced. i am not going l tax cuts next week. laura, you are | very experienced. i am not going to give you any idea of my measures... but you used to say i am not going to cut in tax measures because it would fuel inflation. does it mean no income tax cut?— would fuel inflation. does it mean no income tax cut? what i can tell ou is no income tax cut? what i can tell you is the — no income tax cut? what i can tell you is the approach _ no income tax cut? what i can tell you is the approach i _ no income tax cut? what i can tell you is the approach i will- no income tax cut? what i can tell you is the approach i will take - no income tax cut? what i can tell you is the approach i will take on | you is the approach i will take on tax is that we will be responsible. the chancellor also refused to say how much benefits will go up by, typically they back cover by the september rate, 6.7%, there is speculation he might put them up by a lower rate to save money and that was put to the shadow chancellor rachel reeves and she was very decisive about what she thinks should happen. in decisive about what she thinks should happen. decisive about what she thinks should ha en. ., should happen. in government will use the september— should happen. in government will use the september inflation - should happen. in government will use the september inflation to - should happen. in government will use the september inflation to up| use the september inflation to up great _ use the september inflation to up great benefits. you use the september inflation to up great benefits.— great benefits. you will always commit to _ great benefits. you will always commit to using _ great benefits. you will always commit to using the _ great benefits. you will always - commit to using the september... it's the right thing to do. if you pick— it's the right thing to do. if you pick and choose year to year which inflation _ pick and choose year to year which inflation number is the cheapest thing _ inflation number is the cheapest thing to— inflation number is the cheapest thing to do what you see is the gradual— thing to do what you see is the gradual erosion of people's incomes and half— gradual erosion of people's incomes and half of— gradual erosion of people's incomes and half of the people who are claiming — and half of the people who are claiming universal credit, around half claiming universal credit, around haif of— claiming universal credit, around half of them or in work and assist to too— half of them or in work and assist to top up— half of them or in work and assist to top up low pay and insecure work. i to top up low pay and insecure work. i don't _ to top up low pay and insecure work. idon't think— to top up low pay and insecure work. i don't think the government should pick and _ i don't think the government should pick and choose for them. they have a responsibility to ensure that everybody can afford, in a civilised country. _ everybody can afford, in a civilised country. to — everybody can afford, in a civilised country, to put food on the table and pay— country, to put food on the table and pay their bills and sadly for too many— and pay their bills and sadly for too many people after 13 years of conservative government, they are worse _ conservative government, they are worse off — conservative government, they are worse off i— conservative government, they are worse off. ~ �* . conservative government, they are worse off. ~ �* , ., conservative government, they are worse off. ~ �*, ., ., worse off. i think it's fair to say listenin: worse off. i think it's fair to say listening to _ worse off. i think it's fair to say listening to those _ worse off. i think it's fair to say listening to those interviews, l worse off. i think it's fair to say l listening to those interviews, the conversation has shifted from there it was a few months ago towards the conversation about tax cuts but exactly what form they will take over when they will come into play, whether this will be something we find the government talking about, and aspirati