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The challenges facing health and social care are unprecedented; health and social care is currently grappling with severe challenges following the catastrophic impact of COVID-19. These include the challenges of urgent and elective recovery, health inequalities, access to services, disparities in care quality and patient safety and a growing older population with greater health and social care demands.  demands and expectations; a need to deliver improvements in the quality, organisation and outcomes of care; an imperative to increase productivity and value whilst ensuring patient safety.

The post-pandemic climate of COVID-19 together with prolonged financial restraint has resulted in intense financial and service pressures with a need to deliver improvements in the quality, organisaton and outcomes of care; and an imperative to increase productivity and value whilst ensuring patient safety.

Business as usual is not sustainable. Addressing these challenges requires a new approach to developing sustainable models of integrated care that will secure high quality, more efficient, equitable and effective care that meets the needs of our population.

Whilst the challenges facing our NHS and social care system are urgent, the need for transformatonal change must be based on honest discussions about the necessary improvements required, delivered within a realistic timeframe.  They must not be seen as a one-off project, but integral to our way of operating - part of the DNA of our health and care service, key to accelerating this comes down to its people, both now and in the future.

The independent investigation, being led by Lord Darzi is a significant step forward in understanding and addressing the challenges faced.  This indepedent review will inform a new ten-year plan 'On a Journey to Better' to radically reform the NHS and build a better health service that is fit for the future.