A damning new report, commissioned by Prime Minister Keir Starmer and his health secretary Wes Streeting, has laid bare the shocking state of the NHS - crumbling buildings, outdated machines and thousands of patients unnecessarily dying because of long waits in A&E. In response to Lord Darzi’s report, the PM says the NHS “must reform or die” - but what will that reform actually look like?  This is not the first critical report into the NHS - and Starmer’s is far from the first government to promise reform. So why would it be any different this time? On this week’s Political Fourcast, Krishnan Guru-Murthy discusses how to fix the National Health Service with Labour MP Allison Gardner, who worked with the NHS as a scientific advisor on AI, Conservative MP Dr Neil Shastri-Hurst, who worked as a Medical officer in the British army and later as a surgeon in the NHS, and Channel 4 News’ Health and Social Care editor Victoria Macdonald. Produced by Silvia Maresca, Shaheen Sattar, Calum Fraser, Helene Cacace.