
Ara Darzi
Honorary consultant surgeon at Imperial College Hospital NHS Trust, Ara Darzi, was commissioned by the British government to review the state of the National Health Service. What he found was damning: crumbling facilities, equipment shortages, chronically long waits for treatment and outdated technology.
His final report, released in September 2024, exposed one of the country's most respected institutions as a failing system stretched beyond its limits by a huge surge in demand from Britain's aging population. The capacity of the health service was 'degraded by disastrous management reforms,' Darzi wrote, while the trust and good will of many frontline staff has been lost.
The report sparked a public outcry and a renewed commitment by the government to modernize and improve the vital health service. Darzi's review pointed to a number of factors to explain the decline in the health service: too much austerity in the 2010s, weak capital investment, and mismanagement. His insights are now being used to push for reform, with Prime Minister Keir Starmer promising a 10 year plan to reimagine the NHS, focusing on digitizing the organization and committing more investment to preventative care and community health services. Darzi has also called for setting government health targets, like increasing healthy life expectancy by 10 years by 2055, incentivizing businesses to prioritize healthier products, and greater investments in children's health. 'There is no path to either wellbeing or growth without prioritising health,' he says. 'That is a powerful platform for sustained, ambitious action by the new government.'

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If your state has work rules, try to learn them — though there are still challenges to ensuring regulations are actually enforced, said Bharat Venkat, director of the University of California, Los Angeles Heat Lab. He notes that sometimes shaded areas are too far for workers to take breaks without losing wages, or that management can make it impossible for workers to advocate for themselves. 'Most workers don't actually have control over their time or control over where they work,' he said. Within those constraints, finding ways to stay hydrated and lower your body temperature are paramount. You can do this by drinking lots of fluids, wetting clothing or putting cold water or a cold rag on your hands, feet, armpits and neck. A portable handheld fan or a cooling vest can also help. If you're exercising, avoid the hottest times of day and bring more water than you think you need. Knowing heat illness symptoms Heat illness symptoms can vary by person, Venkat said. Medications or underlying conditions can also make it harder to regulate body temperature or notice you're getting too hot. Early trouble signs include heavy sweating, muscle cramps and headache. That's when you stop what you're doing and cool yourself off — for example, by splashing yourself with cold water or finding an air conditioned space. As heat exhaustion sets in, new symptoms arrive, including faster heart rate and dizziness. Next comes heat stroke, which can include confusion, slurred words and fainting. Ward said that's when to call 911. 'Don't be embarrassed to call 911 or go to urgent care when you think you might have overdone it in the heat,' he said. ___ Walling reported from Chicago. Wells reported from Cleveland. ___ The Associated Press' climate and environmental coverage receives financial support from multiple private foundations. AP is solely responsible for all content. Find AP's standards for working with philanthropies, a list of supporters and funded coverage areas at .