Darzi Report 2024

Question 1

What, aside from what is going on within the NHS, is affecting the NHS’ performance?

Answer 1

• The overall health of the poulation has decreased.
• Life expectancy plateaued in the 2010s and decreased during COVID. It has begun to rise again, however the absolute and relative proportion of our lives spent in ill-health has increased.
• Poor quality housing, low income, insecure employment etc increasing.
• Surge in mental health services demand and chronic illness.
  -Fewer immunisations for children.
• Decreased participation in key screening programmes e.g breast scans.
• The public health grant has been slashed by more than 25% in real terms since 2015.
• Public Health England dissolved in 2021, split into two.

Question 2

As of April 2024, how many people were waiting for NHS mental health services?

Answer 2

By April 2024, about 1 million people were waiting for mental health services.

Question 3

As of June 2024, how many people were waiting for community services?

Answer 3

As of June 2024, more than 1 million people were waiting for community services, including more than 50,000 people who had been waiting for over a year, 80% of whom are children and young people.

Question 4

How many referrals to mental health services resulted in a wait of over a eyar before first contact?

Answer 4

345,000

Question 5

How many preventable deaths are A&E waiting times causing per year?

Answer 5

~14,000 according to the royal college of emergency medicine.

Question 6

How much did the Diabetes Prevention Programme decrease type 2 diabetes risk by?

Answer 6

40 %, it identifies people at risk of developing type 2 diabetes and refers them onto a nine-month, evidence-based lifestyle change programme.

Question 7

How has the percentage of the budget spent on hospitals changed?

Answer 7

Between 2006 and 2022, the share of the NHS budget spent on hospitals increased from 47% to 58%.

Question 8

How did austerity affect increases in NHS spending?

Answer 8

NHS spending grew by only 1% annualy in real terms during the 2010s.

Question 9

How has a lack of capital inhibited growth?

Answer 9

• The lack of capital has meant a lack of automisation and digitisation.
• This in turn has cost the NHS huge amounts in administrative costs and wages for unnecessary admin staff.

Question 10

What are the biggest causes of medical absences from work?

Answer 10

• Mental health and musculoskeltal conditions.

Question 11

What did Lord Darzi isolate as the 4 main causes of the NHS’ ‘dire’ situation?

Answer 11

• Austerity.
• COVID-19
• Lack of patient voice and staff engagement
• Management structures and systems.

Question 12

What is the problem with lack of patient voice?

Answer 12

• A familiar theme in inquiries into care failings has been patients’ concerns not being heard or acted upon.