The Methodology of the Review

1
The national review was established by Lord Ara Darzi on 4 July 2007.

2
Its terms of reference were to:

  • "Build on the progress made in delivering the vision set out in the NHS Plan (published 1999) and the Government's reform agenda, to identify the way forward for a 21st Century NHS which is clinically driven, patient-centred and responsive to local communities.
  • Engage with patients, NHS staff and the public on four critical 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 care 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.
  • Consider the case for a constitution of the NHS as the basis of a sustainable and lasting settlement that meets these challenges, enhances local accountability, secures value for money and protects the fundamental values that the NHS has always embodied.
  • Help support local patients, staff and the public in making the changes they need and want in their local NHS and make recommendations to the Prime Minister, Secretary of State for Health and Chancellor on how the NHS can best meet these challenges whilst delivering a publicly funded, comprehensive, affordable, highquality service on the basis of need and not ability to pay.
  • It will report by July 2008 with an interim report in October 2007."

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