In December 2006
NHS London asked Darzi to "develop a strategy to meet Londoners' health needs over the next five to ten years" and so his report
Healthcare for London: A Framework for Action was published on 11 July 2007. Largely implemented, it recommended the development of academic health science centres and the introduction of more primary services in one place:
polyclinics. The plan for moving care from hospitals to GP-led polyclinics was not successful.
Nick Clegg called it "the central imposition of a polyclinic on every primary care trust, regardless of the geography, demographics and clinical needs of the area". However, his call for trauma, acute stroke and heart attack services to be centralised in specialist units succeeded and has been widely copied. He was also the National Advisor in Surgery to the
Department of Health. Darzi's report in this role, 'Saws and Scalpels to Lasers and Robots: Clinical case for change' (April 2007), argued for a change to the way surgery is organised to maximise patient benefits. Darzi was granted a
life peerage on 12 July 2007, taking the title
Baron Darzi of Denham, of Gerrards Cross in the County of
Buckinghamshire and joining the
House of Lords. On 29 June 2007 Prime Minister
Gordon Brown appointed him as Parliamentary Under-Secretary of State in the
Department of Health. His appointment was a small part of a political shift by government to incorporate more talents, with historical predecessors such as the
Ministry of All the Talents. Darzi was tasked with leading a national review to plan the course of the
NHS over a decade, reporting to the Prime Minister, Chancellor, and Secretary of State for Health in June 2008. He cooperated with the Department of Health to undertake the "NHS Next Stage Review".
The Lancet said that: Through
High Quality Care for All, academics suggested that Darzi has updated traditional notions of professionalism and described a new accountability in clinical practice. Following publication, Darzi remained in his ministerial post. He was associated with the plan to develop
Polyclinics in England. The plan for moving care from hospitals to GP-led polyclinics was quietly reversed when the costs became apparent, but his call for trauma, acute stroke and heart attack services to be centralised in specialist units was seen as successful and was widely copied. In July 2009, Darzi relinquished his post as Parliamentary Under-Secretary of State. The Prime Minister praised his "outstanding contribution" while
The Guardian said that: Since 2018, Darzi has been leading the
National Health Service's Accelerated Access Collaborative. Darzi resigned as a Labour peer on 9 July 2019 to sit as an
independent, citing alleged tolerance of
antisemitism by the party leadership. In July 2024 Lord Darzi was appointed to lead an independent investigation into the performance of the NHS. His report was published on 11 September 2024 and warned that despite "more resources than ever before", with funding at £165 billion a year, the NHS was in a "critical condition", with waiting lists increasing, cancer performance poor, and an increased number of staff wasting much of their time because of severe shortages of beds and diagnostics. He found an urgent need to improve productivity and move more care out of hospitals.
Parliamentary voting record According to parliamentary monitoring website,
TheyWorkForYou, as of May 2021 Darzi's voting record shows the following trends: • consistently against measures to prevent climate change • generally for more EU integration
Armenian issues In October 2016 Darzi joined other prominent Armenians in calling for the government of Armenia to adopt "new development strategies based on inclusiveness and collective action" and to create "an opportunity for the Armenian world to pivot toward a future of prosperity, to transform the post-Soviet Armenian Republic into a vibrant, modern, secure, peaceful and progressive homeland for a global nation." In November 2019, after the US House of Representatives recognized the
Armenian genocide, Darzi wrote in
The Guardian that he "remain[s] dismayed by the British government's refusal to acknowledge the slaughter of an estimated 1.5 million Armenians in a wave of violence that followed the fall of the
Ottoman empire." He added that it is "a source of intense pain and regret to me and my compatriots that our own government persists in denying the genocide out of fear of offending Turkey." ==Global health and innovation==