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  Some comments on the Darzi eport here:-
  
  https://www.neilobrien.co.uk/p/two-kinds-of-nhs-reform
  
  It concludes:-
  
  As well as investing the money in productivity-enhancing technologies, its arrival should be the opportunity to set up some self-improving dynamics.
  
  The big thing the NHS needs to do, is to get better at caring for older people with multiple health issues in the community, rather than sucking them into expensive hospital care. It is frightening how quickly older people can deteriorate if they get stuck in a hospital bed, even for a day or two.
  
  Getting there is partly about building up primary care capacity, but also about giving GPs the power within the system to move services out of hospital and into the community. Then joining up frail elderly care in general practice with social care.
  
  Darzi is right that the last couple of years have been about getting the system back on its feet post pandemic. The next couple of years need to be about getting self-improvement and productivity moving, and reconfiguring the NHS for an ageing society.
  
  
  Personally I found it interesting. Others may not.

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