Doctors at Nasser medical complex say it won’t be able to cope with large numbers of people fleeing Gaza City

Doctors and medical staff at the largest big hospital still functioning in Gaza say they will be overwhelmed by a wave of new wounded and sick patients if hundreds of thousands of Palestinians flee the north of the devastated territory in the face of an intensifying Israeli offensive.

Dr Mohammed Saqr, director of nursing at the Nasser medical complex near Khan Younis, in the south of Gaza, said there were not enough staff to cope with even existing demand and that supplies of medicine and fuel were running low.

“We have been working for more than 23 months in an emergency situation so we are all exhausted,” Saqr said in a voice note sent from the complex on Friday. “Some of us are still in Israeli jails and others were killed inside the hospital and outside and others had to leave [the] Gaza Strip to escape death, so our numbers are not like before the war.”

There appears little chance of any new ceasefire after Israel’s strike on Qatar last week. The attack targeted the leadership of Hamas, who were meeting in the Gulf state to consider new terms for a deal set out by Donald Trump.