The Facts

• UK Prime Minister Keir Starmer has claimed the NHS must undertake "major surgery" and "reform or die" following the results of a review into England's health service.UK Prime Minister Keir Starmer has claimed the NHS must undertake "major surgery" and "reform or die" following the results of a review into England's health services.

• A report into England's NHS was commissioned by the new Labour government following this year's general election, and is the result of a nine-week process led by independent peer Lord Darzi.Speaking at the King's Fund, Starmer pledged three "big shifts" as part of a 10-year NHS plan: moving from analogue to digital, transitioning from hospital care to community care, and focusing on prevention instead of sickness.

• Lord Darzi's summary letter acknowledges record low public satisfaction in the health service, noting that the NHS "has not been able to meet the most important promises made" concerning waiting times and quality of treatment since 2015.Whilst committing to "the biggest reimagining of the NHS" since its creation, Starmer also noted that there would be "no more money" without reform" and that the system could not "duck long-term change."