Sir Keir Starmer will assert that the NHS must 'reform or die' in response to a critical report by Lord Ara Darzi, which reveals the health service is in 'critical condition' with worsening waiting times and declining health outcomes. Starmer's upcoming speech will outline a ten-year plan aimed at addressing these issues by shifting care from hospitals to community settings, leveraging digital technology, and prioritizing preventive care. He emphasized that without significant reforms, raising taxes on working people is not a viable solution. Lord Darzi's report highlights the negative impact of previous reforms and suggests that the NHS has been hindered by bureaucracy and underfunding. The Prime Minister's vision aims to involve NHS staff and patients in the reform process, calling it the most significant overhaul since the NHS's inception. The government is under pressure to translate these plans into actionable steps to alleviate the current crisis.