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Lord Darzi proposes NHS overhaul

Summary

2008 marks the 60th anniversary of the creation of the National Health Service (NHS). In July 2007, Secretary of State for Health Alan Johnson announced that Professor Ara Darzi (now Lord Darzi of Denham) had been asked to carry out a wide-ranging review of the NHS.

'High Quality Care for All: NHS Next Stage Review Final Report by Lord Darzi' (Cm. 7432) sets out the Government's 10-year plan for the future of the NHS. It incorporates the views and visions of 2,000 clinicians and other health and social care professionals from every NHS region in England and has been developed in discussion with patients, carers, and the general public.

The changes proposed are locally-led, patient-centred and clinically driven.

Lord Darzi's Report is divided into eight chapters, which cover the following topics:

  • A nationwide process - the core of the NHS Next Stage Review.
  • The challenges facing the NHS in the 21st century.
  • An NHS that works in partnership to prevent ill health, providing care that is personal, effective and safe.
  • High quality care throughout the NHS.
  • Putting frontline staff in control.
  • Supporting NHS staff to deliver high quality care.
  • The first NHS Constitution - secured today for future generations.
  • Implementation - maintaining the momentum.

The importance of quality in all aspects of the NHS is reinforced throughout and must be understood from the perspective of the patient's safety, experience in care received, and the effectiveness of that care. Best practice will be widely promoted, with a central role for the National Institute for Health and Clinical Excellence (NICE) in expanding national standards. This will bring clarity to the high standards expected and quality performance will be measured and published.

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Law-Making Explained

This is a Command Paper (Cm. 7432, 2007-08). It is a Report by Lord Darzi, presented to Parliament by the Secretary of State for Health.

Find out more about Command Papers.


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