The Lord Darzi Review of Health and Care: Interim report

April 26, 2018

The interim report of The Lord Darzi Review of Health and Care has been published by IPPR, the Institute for Public Policy Research.

The independent Lord Darzi Review is examining the state of quality in health and care services on the NHS’s 70th birthday. It was launched in December 2017 and will make recommendations for future funding and reform of the system.

Specifically, The Lord Darzi Review of Health and Care aims to:

  1. Examine the quality, safety, effectiveness, timeliness, efficiency and equitability of care in the NHS and social care.
  2. Establish the funding settlement and reforms needed to drive improvements in the quality of care in the coming decade.

The interim report of the The Lord Darzi Review of Health and Care says that 2018 is a year of anniversaries: 70 years since the NHS was created as part of the post-second world war social settlement; 50 years since the Seebohm Report which laid the foundations for modern social care; and 10 years since High Quality Care for All was published with its sharper focus on quality of health and care.

It calls this, 'the perfect moment to stand back and reflect on the progress that has been made, as well as the challenges that we have faced'. Adding that, 'we must also look to the future: high quality care is a constantly moving target so to stand still is to fall back.'

This interim report presents this evidence in preparation for the final report which will be published in the lead up to 70th anniversary of the NHS and will set out a long-term funding and reform plan for health and care.

The interim report is clear that the pressures that the systems have faced over the last decade, will continue for the next 10 years. It says that, 'We are entering a period of profound disruption – both exciting and challenging – for the NHS and social care system. Some have argued that our "free at the point of need" system is unsustainable in this context: but it is a fundamental error of logic to say that something is unaffordable, so we should move to something more expensive (e.g social or private insurance).'

It goes on to say, 'That’s why we must reaffirm the founding principles of the NHS, committing to a long term funding settlement and a reform plan, and take time to consider what this means for the future of social care, which for too long has been sidelined in the funding and reform debate.'

The Lord Darzi Review was commissioned by, and is housed within IPPR, with analytics provided by the consultancy firm, Carnall Farrar.

The Review's advisory panel comprises:

  • Lord David Prior (Deputy Chair of the Lord Darzi Review) – Chair, UCLH and former Parliamentary Under Secretary of State, Department for Business, Energy and Industrial Strategy.
  • Dame Ruth Carnall – Managing Partner, Carnall Farrar and former Director, NHS London.
  • Norman Lamb – MP for North Norfolk & Chair, Science and Technology Select Committee.
  • Joanne Roney – Chief Executive, Manchester City Council.
  • Dr Paul Williams - MP for Stockton South and practising GP.
  • Neil Mulcock – Vice President Government Affairs and Policy, Gilead Sciences.
  • Sir John Bell – Regius Professor of Medicine, University of Oxford and former President, Academy of Medical Sciences.
  • Dr Clare Gerada – Managing Partner, the Hurley Group and former President, Royal College of GPs.
  • Mark Lloyd – Chief Executive, Local Government Association.
  • Professor Geraldine Strathdee – Consultant Psychiatrist, Oxleas NHS Trust and former National Clinical Director for Mental Health.
  • Cllr Izzi Seccombe – Leader of Warwickshire County Council and Chairman of LGA Community Wellbeing Board.
  • Peter Harrison – Managing Director at Siemens Healthineers, GB and Ireland.

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