LONDON: Prime Minister Keir Starmer will warn Thursday that Britain’s state-run National Health Service must “reform or die” after an independent report said the venerated institution was in a “critical condition.”
Starmer, whose Labour party was elected by a landslide in July, will promise “the biggest reimagining” of the NHS since it was founded 76 years ago.
His speech in central London follows the publication of a 142-page investigation which found that the health of Britons had deteriorated over the past 15 years.
The report’s author, Ara Darzi, an unaffiliated Lord in parliament’s upper chamber, said the NHS had fallen into “disrepair” due to a lack of investment, top-down reorganization and the coronavirus pandemic.
“What we need is the courage to deliver long-term reform — major surgery not sticking plaster solutions,” Starmer was due to say, according to excerpts of his speech released to reporters.
“The NHS is at a fork in the road, and we have a choice about how it should meet these rising demands.
“Raise taxes on working people to meet the ever-higher costs of aging population — or reform to secure its future.
“We know working people can’t afford to pay more, so it’s reform or die,” Starmer was expected to say.
Health minister Wes Streeting told Sky News there would be “three big shifts” — moving certain services from hospitals to the community, fully switching from analog to digital and “giving staff the tools to do the job, so that we tackle that productivity challenge.”
He said the government would not “do as the Conservatives did, which is just pour more money into a broken model, and fail to reform.”
Labour dumped the Conservatives out of power on July 4 in part on a pledge to “fix” the NHS, accusing the Tories of having “broken” it during their 14 years in power.
Darzi’s report notes that the NHS is seeing a surge in patients suffering multiple long-term illnesses such as diabetes and high blood pressure.
It says the UK has higher cancer rates than other countries and is lagging behind in its treatment of major conditions.
It also notes that waiting lists have swelled to 7.6 million and that a tenth of patients at accident and emergency wards now wait 12 hours or more before being seen.
Darzi said that he was “shocked” by what he discovered but added that the NHS’s vital signs “remain strong.”
Starmer was expected to outline the three areas of reform for a 10-year plan to “turn around the NHS,” whose universal model is a source of British pride, despite its shortcomings in meeting demand.
Just over a year ago, his Tory predecessor Rishi Sunak announced a 15-year drive to recruit more than 300,000 staff to deal with a chronic shortage of doctors and nurses.
At the time, it was estimated that the NHS would have a staff shortfall of 360,000 by 2037 because of an aging population, a lack of domestically trained health workers and difficulties recruiting and retaining staff, in part because of new visa rules.
“The challenge is clear before us; the change could amount to the biggest reimagining of our NHS since its birth,” the prime minister was set to say.
Starmer, whose mother was an NHS nurse, has spent much of his first two months in power blaming the Tories for leaving Labour a dire inheritance in sectors ranging from health to the economy and prisons.
The Conservatives, whose leader Sunak is the son of an NHS doctor and a pharmacist, accuse him of exaggerating the country’s problems as a way of laying the groundwork for future tax increases.

WASHINGTON: The first private spacewalk is set for Thursday by a group of astronauts who will leave a SpaceX capsule after a delay of a few hours, testing a new line of spacesuits in the company’s riskiest mission yet.
A billionaire entrepreneur, a retired military fighter pilot and two SpaceX employees have been orbiting Earth aboard Crew Dragon since Tuesday’s pre-dawn launch from Florida of the Polaris Dawn mission.
It is the Elon Musk-led company’s latest and riskiest bid to push the boundaries of commercial spaceflight.
Live streaming of the event is set to begin at 4:55 a.m. ET (0855 GMT), SpaceX said on Thursday, with two astronauts venturing outside Crew Dragon while two stay inside.
The capsule, at an altitude of 700km (435 miles), will be completely depressurized, and the whole crew will rely on their slim, SpaceX-developed spacesuits for oxygen.
Jared Isaacman, 41, a pilot and the billionaire founder of electronic payments company Shift4, is bankrolling the Polaris mission, as he did his Inspiration4 flight with SpaceX in 2021.
He has declined to say how much he is paying for the missions, but they are likely to cost hundreds of millions of dollars, based on Crew Dragon’s price of roughly $55 million a seat for other flights.
The others in Polaris include mission pilot Scott Poteet, 50, a retired US Air Force lieutenant colonel, and SpaceX employees Sarah Gillis, 30, and Anna Menon, 38, both senior engineers.
FARTHEST SINCE APOLLO
Throughout Wednesday the spacecraft circled Earth at least six times in an oval-shaped orbit as shallow as 190km and stretching out as far as 1,400km, the farthest in space humans have traveled since the last US Apollo mission in 1972.
The gumdrop-shaped spacecraft then began to lower its orbit into a peak 700-km position and adjust cabin pressure to ready for the spacewalk, formally called Extravehicular Activity (EVA), the Polaris program said on social media on Wednesday.
“The crew also spent a few hours demonstrating the suit’s pressurized mobility, verifying positions and accessibility in microgravity along with preparing the cabin for the EVA,” it said.
During the spacewalk, Isaacman and Gillis will exit the Crew Dragon tethered by an oxygen line while Poteet and Menon stay within.
Only government astronauts with several years of training have done spacewalks in the past.
There have been roughly 270 on the International Space Station (ISS) since it was set up in 2000, and 16 by Chinese astronauts on Beijing’s Tiangong space station.
The Polaris crew has spent 2-1/2 years of training with SpaceX mission simulations and “experiential learning” in challenging, uncomfortable environments, said Poteet.
Last month the fighter pilot told reporters in Florida that spaceflight preparation was more intense than he had experienced in his military career.
“I can tell you without a doubt this has been some of the most challenging training that I’ve ever experienced,” Poteet said in Cape Canaveral before the launch.
The spacewalk will happen as a record 19 astronauts orbit Earth, after Russia’s Soyuz MS-26 mission ferried two cosmonauts and a US astronaut to the International Space Station on Wednesday, taking its headcount to a rare high of 12.
Three Chinese astronauts are aboard the Tiangong space station.
The first US spacewalk in 1965, aboard a Gemini capsule, used a similar procedure to the one planned for Polaris Dawn: the capsule was depressurized, the hatch opened, and a spacesuited astronaut ventured outside on a tether.
During the mission, the private Polaris astronauts will be subjects for a range of scientific studies on how the human body reacts to deep space, adding to decades of health studies on government astronauts on the ISS.
Since 2001, Crew Dragon, the only US vehicle capable of reliably putting humans in orbit and returning them to Earth, has flown more than a dozen astronaut missions, mainly for NASA.
The agency seeded development of the capsule under a program meant to establish commercial, privately-built US vehicles capable of ferrying astronauts with the ISS.
Also developed under that program was Boeing’s Starliner capsule, but it is farther behind.
Starliner launched its first astronauts to the ISS in June in a troubled test mission that ended this month with the capsule returning empty, leaving its crew on the space station for a Crew Dragon capsule to fetch next year.