Independent investigation of the NHS in England - Sept 2024

[Sly Saint]

Lord Darzi's report on the state of the National Health Service in England.

Details
In July 2024, the Secretary of State for Health and Social Care commissioned Lord Darzi to conduct an immediate and independent investigation of the NHS.

Lord Darzi’s report provides an expert understanding of the current performance of the NHS across England and the challenges facing the healthcare system. Lord Darzi has considered the available data and intelligence to assess:

• patient access to healthcare
• the quality of healthcare being provided
• the overall performance of the health system

In line with the terms of reference of the investigation, Lord Darzi has only considered the state of the NHS in England. UK-wide analysis is occasionally used when making international comparisons.

report available here:
Independent investigation of the NHS in England - GOV.UK (www.gov.uk)

 

[Jonathan Edwards]

I read the summary letter. I am afraid that it is mostly blather - a mixture of the obvious and the meaningless. The emphasis on putting money into 'the community' is the worst possible advice. Modern medicine needs high quality care and that requires the resources of hospitals. Community activities like domiciliary visits and OT services worked fine when organised from hospitals in the 1980s. Everything broke down when we were not allowed to do anything except send a recommendation back to a GP.

Todays comments from the government on no more money without reorganisation are frightening - only too reminiscent of all those reorganisations we had in the past that progressively brought a functioning service to its knees.​

 

[Haveyoutriedyoga]

I read the summary letter. I am afraid that it is mostly blather - a mixture of the obvious and the meaningless. The emphasis on putting money into 'the community' is the worst possible advice. Modern medicine needs high quality care and that requires the resources of hospitals. Community activities like domiciliary visits and OT services worked fine when organised from hospitals in the 1980s. Everything broke down when we were not allowed to do anything except send a recommendation back to a GP.

Todays comments from the government on no more money without reorganisation are frightening - only too reminiscent of all those reorganisations we had in the past that progressively brought a functioning service to its knees.​

Wouldn't be surprised if hospital trusts began taking over community care in one or more areas.

 

[hotblack]

Todays comments from the government on no more money without reorganisation are frightening - only too reminiscent of all those reorganisations we had in the past that progressively brought a functioning service to its knees.

Except if money is put in without those within the system giving up what they’ve been protecting and admitting they need to change, then nothing will improve either. And while I have a lot of sympathy for many within the NHS, even those I know and family working there know changes are needed. Institutions and people are resistant to making changes.

Don’t get me wrong, I absolutely agree more money is needed. Particularly for capital investment, staff training and fixing social care. And I hope that will come down the line.

It’s a tricky one. I think we can all recognise that ‘reforms’ have caused countless issues over the years, but changes are needed. And we all know money is needed but the question is from whom?

I have some hope, but I expect some serious bumps along the road. Both politically and within the NHS.