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you forward slash sale 24. Hello welcome to coffee house shots. I'm James Seal and I'm joined today by Kate Andrews and

Isabel Hardman. Now this morning it's been a big speech by the Prime Minister on fixing the NHS.

It's just finished about 10 minutes ago.

Isabelle, what were the top lines?

Yeah, so this was responding to Lord Darcy's quick fire

review of the NHS, in which he basically says the NHS is seriously broken

but still has its vital signs so it can still survive but it needs major reform and Darcy doesn't set out particular prescriptions for reform he says that wasn't within his terms of reference

but what he does do is set out the areas that need reform and there's quite a clear sort of direction that he would like the government to go in.

And so Kistarma then gave a sort of broad brush response to what that direction would be.

And none of it's a massive surprise.

So firstly he used the report really is the sort of NHS equivalent of the shock Tory 22 billion pound black hole, you know, saying things were much worse than we expected and that's something that Darcy says in the report that, you know, despite having worked in the health service for decades and being a health minister in the last labor government,

even he was shocked by what he found and how the report came together.

So Starmer used that really to sort of, you know, beat the Tories over the head and say,

look, things were worse than were expected in the economy and in the health

service. But he then went on to talking about the key areas of reform from his perspective and they were better

digital services, their prevention and I think there was a really interesting line in the speech that I think was designed to get a lot of attention,

which was no new money without reform and trying to sort of break with the idea, even I think under the last Labour government,

which was a very reformed minded government, that you can just pour more money into the

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