Shaping health care for the next decade

Source: Department of Health
Published Wednesday, 4 July, 2007 - 12:29

Prime Minister Gordon Brown and Health Secretary Alan Johnson today announced a review of the NHS that would advise on how to meet the challenges of delivering health care over the next decade.

The review will be led by one of the world's leading surgeons Professor Ara Darzi, the new health Minister, and will report to the Prime Minister, the Chancellor and the Secretary of State for Health before the 60th anniversary of the NHS in July 2008.

There will be an interim assessment in autumn 2007 to inform the  Comprehensive Spending Review.

This unprecedented review is an opportunity to ensure that the future  of the NHS is clinically led.  The review will involve patients,  doctors, nurses and other practitioners, and consider how best to  continue delivering improvements across the NHS.

Professor Darzi will examine how the NHS can provide better access to  safer, high quality care for all, whilst delivering value for money  for taxpayers.  He will consider the following challenges:

- Working with NHS staff to ensure that clinical decision-making is at  the heart of the future of the NHS and the pattern of service delivery

- Improving patient care, including high-quality, joined-up services  for those suffering long-term or life-threatening conditions, and  ensuring patients are treated with dignity in safe, clean environments

- Delivering more accessible and more convenient care integrated  across primary and secondary providers, reflecting best value for  money and offering services in the most appropriate settings for  patients

- In time for the 60th anniversary of the NHS, establishing a vision  for the next decade of the health service which is based less on  central direction and more on patient control, choice and local  accountability and which ensures services are responsive to patients  and local communities

Prime Minister Gordon Brown said:

"No institution touches the lives of the British people like the NHS.  It is part of what makes Britain the place it is. Yet no modern health  service that aspires to respond to its citizen's needs and  expectations can afford to stand still. I believe we need to listen to  patients experience and expectations to forge a new partnership with  doctors, nurses and other practitioners and together produce a way  forward that will lead to an NHS that is changing to be truly  patient-led and ever more responsive to their needs."

"Lasting change can only come from clinicians and staff. We need to do  much more to empower staff, to give them the time with patients that  they need to improve care, to put them in the lead in developing ideas  on improving patient-care, and to respect their professionalism. The  review will undertake an unprecedented process of engagement and  consultation with NHS staff up and down the country in order to  establish how best to involve them in the change we want to deliver in  the NHS."

"In facing up to the challenges of the future, we must remain true to  the values of the NHS - free at the point of use, open to all, rooted  in the British belief in fairness and compassion. It is on this basis  that I think we can move forward together to create a world-class  health service for Britain."

Alan Johnson, Health Secretary said:

"The last ten years have seen huge improvements in the NHS and thanks  to record investment and measures to raise standards, nine out of ten  patients rate their care as good to excellent. That is a huge  achievement by staff. But the NHS cannot stand still. Rising  expectations and new technology mean that the time is now right to  look ahead to the next decade. What was right for the last decade -  top down targets and important but sometimes difficult reforms - will  not be right for the next where more local decision-making and staff empowerment need to drive the NHS.

"This review will set out the next stage for the NHS and ensure that our spending priorities reflect the needs of patients and enable us to establish a new and lasting settlement for a publicly funded and locally accountable NHS for the decade ahead."

At the end of the Review the Government will consider the case for a new NHS Constitution.