The National Health Service (NHS) in England is facing a 'critical' situation due to a significant funding gap, according to a recently published government-commissioned report.
The review, which was led by Professor Lord Darzi, a surgeon and independent peer, was commissioned in July this year by Health Secretary Wes Streeting, following Keir Starmer's election as Prime Minister.
Published on 12 September, the report highlights long waits for treatment and deteriorating hospital infrastructure as evidence of the health service's decline.
It shows a poor picture of the NHS after more than a decade of underfunding and administrative changes, compounded by the effects of the pandemic.
The report identifies a £37bn ($48.3bn) shortfall in capital investment during the 2010s, compared to other European countries, which meant that the UK was slow to embrace digital technologies and resources, such as CT and MRI scanners.
This amount could have funded the construction of 40 new hospitals or the refurbishment of every general practitioner’s practice.
Darzi criticised the constant reorganisation of NHS management, which he says has been a distraction from its core functions.
The report also notes an increase in illnesses, mental health issues, and higher cancer mortality rates, compared to peer nations.
In a speech, Starmer said: “As you have heard today, Lord Darzi has published his independent report on the state of our NHS. It is an incredibly comprehensive analysis.
“A raw and honest assessment. That is what we asked for. And that is why I wanted to come here to the King’s Fund. Home to many of our country’s leading healthcare experts. Because your contributions are going to be vital. As we get this precious institution back on its feet and build an NHS that is truly fit for the future.”
Darzi described the findings as shocking, even with his experience of over three decades in the NHS. The results raise concerns about the future of healthcare in England.
With more than 40% of NHS Trusts operating at a deficit as of March 2023, the quality of care is potentially at risk.
In response, Streeting has proposed reforms focusing on a shift from hospital to community care, emphasising local pharmacies, GP practices, sickness prevention, and a faster launch of digital services.
With Chancellor of the Exchequer Rachel Reeves highlighting a £22bn gap in public finances, the source of funding for these changes remains uncertain.
As the government works on a ten-year plan to modernise the NHS's digital technology and move care into the community, the report serves as a reminder of the challenges ahead.
