Sonia Kumar MP: speeches

Speeches

• 14 Sept 2026 · Pupils with SEND: Mainstream Schools · Hansard source

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  Dudley cannot afford to lose another generation of young people to unemployment, exclusion or missed opportunity. The rate of our young people not in education, employment or training was recognised in Alan Milburn’s review. Local leaders at my February NEETs roundtable were clear: alternative provision for children with SEND is desperately needed. Dudley college has brought forward a credible plan. Will the Minister recognise the urgency and back children in Dudley by approving the plan?

• 8 Sept 2026 · Israel and Palestine · Hansard source

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  I welcome the statement condemning the E1 settlement project in the west bank and the sanctions. With that in mind, we must think of the Palestinians who are directly impacted and prevented from accessing basic health care; ambulances are being stopped from taking acutely unwell patients to hospital and 20,000 children have died. What steps is my right hon. Friend taking with international partners to ensure that the aggressive Israeli settlements do not prevent Palestinians from accessing healthcare?

• 7 Sept 2026 · Topical Questions · Hansard source

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  T5. The inspection by the BBA—the British Board of Agrément—at Goodrich Mews in Dudley confirmed that the retaining wall installed by the Keller Phi Group will not have met the criteria that must be met if it is to have the stated service life, and it needs emergency repair. The Keller Phi Group has absolved itself of any responsibility, leaving residents with a dangerously collapsing wall. Will the Minister meet me to discuss how we can hold such companies to account?

• 3 Sept 2026 · Community Cohesion · Hansard source

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  One of the Church’s greatest strengths is its ability to bring communities together. At a time of heightened community tensions, opportunities to bring all faith leaders together are ever more important. Over the summer, I worked closely with local faith leaders in my constituency to build resilience and manage the situation—an attack on one is an attack on all. Will my hon. Friend set out how the Church can strengthen dialogue, support cohesion and help communities resist division?

• 3 Sept 2026 · Community Cohesion · Hansard source

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  9. What steps the Church of England is taking to work with other faith groups to promote community cohesion.

• 16 Jul 2026 · Business of the House · Hansard source

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  GMB union members at Glen Dimplex in my constituency have been on strike for five weeks over proposed workload changes. This week, after showing remarkable grit, they secured a return to the status quo while negotiations continue. Will the Leader of the House provide Government time for a debate on what more can be done to protect workers’ rights from unfair changes to their terms and conditions and ensure that employers negotiate in good faith?

• 16 Jul 2026 · Topical Questions · Hansard source

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  I am delighted that the midlands metro tram line will connect Dudley with the rest of the west midlands. However, the construction has caused disruption to local businesses such as the Dubliner’s, and repeated delays have exacerbated that. What support can the Minister provide to businesses that are being impacted by the repeated delays to the tram?

• 9 Jul 2026 · Iran Conflict: Ceasefire · Hansard source

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  Does my hon. Friend agree that among the geopolitical military strategy and the diplomatic negotiations surrounding the conflict, we must not lose sight of the millions of innocent civilians across the region who are trapped in the middle of violence, displaced from their homes, hungry and without access to healthcare, while grieving loved ones and living without safety and security? Will he set out what steps the Government are taking to press all parties to uphold international humanitarian law, to protect civilians from acute hunger and allow them access to basic healthcare?

• 9 Jul 2026 · Business of the House · Hansard source

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  Black Country Day is on 14 July, and we have a lot to celebrate. The Black Country was the heart of the industrial revolution, we have Dudley castle and the Wren’s Nest nature reserve, where people can pick up a fossil—and, of course, we can celebrate the people of the Black Country. Will my right hon. Friend join me in wishing all those celebrating Black Country Day a great day? Will he grant a debate on the Black Country?

• 7 Jul 2026 · Topical Questions · Hansard source

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  The UK’s green economy is worth more than £100 billion a year, and nearly half a trillion pounds in investment is in the pipeline. What steps is the Minister taking to ensure that the contracts that his Department provides prioritise British firms and British jobs, so that we can prove our national capabilities and secure our energy?

• 30 Jun 2026 · Defence Investment Plan · Hansard source

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  Modern warfare has evolved from traditional mass troops to online cyber-attacks and drone-enabled conflict. We have seen that with the attacks on M&S and Jaguar Land Rover, and last September I saw it at first hand when I visited a drone factory in Ukraine. How is our Government using the defence investment plan to develop our own sovereign digital and technological capabilities, learning from Ukraine’s war?

• 29 Jun 2026 · Asylum Accommodation · Hansard source

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  I welcome the Government’s closure of the asylum seeker hotel in Dudley. It was a Conservative party policy that was a complete waste of taxpayers’ money. What steps is the Minister taking to reduce the asylum backlog and the dangerous, illegal boat crossings?

• 15 Jun 2026 · Topical Questions · Hansard source

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  Sadly, the recent closures of family-run businesses, such as Scent from Dudley, Black Star Ghanaian product and Family Bargains hardware in Dudley, are symptomatic of a wider trend of high street shopfronts closing. What steps is the Minister taking to speed up high street regeneration by bringing empty shops back into use, and will he visit Dudley town high street to see what else we can do?

• 11 Jun 2026 · Business of the House · Hansard source

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  One in four women and one in six men experience domestic abuse in their lifetime. Members of Parliament employ more than 4,000 staff in this place, yet there remain minimal protections for staff who are victims of domestic abuse. I thank Mr Speaker for our meeting yesterday to discuss strengthening this policy in the House. Will the Leader of the House join my campaign to encourage every MP’s office to adopt a robust domestic abuse policy and offer training so that we can safeguard our staff from domestic abuse?

• 9 Jun 2026 · Topical Questions · Hansard source

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  Dudley has high levels of deprivation and health inequality. That is why I am campaigning to bring healthcare to Dudley town high street. Will the Minister meet me to discuss how we can leverage the 10-year plan to reduce health inequalities in Dudley, and does he agree that we need a healthcare hub?

• 8 Jun 2026 · Topical Questions · Hansard source

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  Sadly, last week Dudley town centre fell victim to vandalism again. The new central seating area was damaged, impacting local businesses and footfall. I welcome the Government’s efforts to restore neighbourhood policing and our new police station, but what further steps will the Minister take to tackle antisocial behaviour and to take criminals off our streets and allow businesses to operate safely?

• 8 Jun 2026 · Digital Safety: Children · Hansard source

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  Health misinformation and disinformation on social media is not harmless; it is a growing and serious threat to public health. We have already seen cases in which harmful online trends have led to severe injury and, tragically, even to the deaths of children. What steps are the Government taking to hold technology companies to account, and to prevent online influencers from being able to spread harmful and misleading health content on their platforms, given the clear risks that they pose to young people?

• 2 Jun 2026 · Milburn Review: Interim Report · Hansard source

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  Dudley has one of the highest levels of NEETs in the country, and the highest levels of deprivation. After my NEETs roundtable in February, stakeholders wanted better data, joined-up services with the Departments for Work and Pensions, of Health and Social Care, and for Education, and better SEND provision locally. What guarantees will my hon. Friend provide to ensure that places such as Dudley are prioritised, and the root causes of inequality are tackled holistically?

• 2 Jun 2026 · Murder of Henry Nowak · Hansard source

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  The death of Henry Nowak is a horrifying tragedy, and my thoughts are with his family, friends and community. We must honour the words of his father by not using this tragedy to create further hatred, division or tension, and the House should not go against those wishes. Henry’s family want action so that no other family goes through what they are going through right now. Will my right hon. Friend guarantee that she will go further and faster to tackle knife crime, so that no one fears walking the streets of the UK?

• 1 Jun 2026 · Health Bill · Hansard source

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  Today, we stand at a defining moment for our healthcare system. We face a ballooning NHS budget and a social care system in crisis. We ask ourselves what must change to reduce deep-rooted health inequalities, improve patient-centred care and remain financially sustainable. The NHS was designed to treat acute illness and provide healthcare free at the point of use, regardless of income, background or status. Medical and scientific progress has transformed healthcare—people are living longer than ever before, often managing multiple, long-term conditions that once would have been fatal. The NHS was founded on the simple but powerful principle of equity, yet health outcomes remain profoundly unequal. Research consistently shows that where someone is born and the socioeconomic conditions they grow up in can determine how long they live, sometimes by more than a decade. The wider determinants of health—income, housing, education and employment—shape outcomes long before illness appears. Now we must embrace the global technological revolution; from artificial intelligence to robotics, we must harness it to improve patient-centred care. Used well, technology does not replace humanity in medicine, but restores it, giving clinicians more time to care. Indeed, we should go further. AI and data analytics should be used not only to treat individuals, but to understand communities, designing healthcare around the real conditions in which people live. A true systemic approach means not just knowing that a patient has a condition such as high blood pressure, but understanding why: the environment that shapes us, rates of poverty or unemployment, housing conditions, education levels, access to green spaces, the density of fast food outlets or accessibility of affordable healthcare services per capita. The reality is that health inequalities are complex, interconnected and predictable. We require a whole-system approach, bringing together the NHS, local councils, hospitals, charities and grassroots organisations. Having a way to fully map communities and what they look like would allow for tailor-made healthcare services to be delivered to the population. Healthcare and the NHS do not need reform; they need an ecosystem map. I want to call it the health biosystem. It would be a system where health is shaped not in hospitals, but in homes, schools, streets and workplaces. As Attlee once said, we have “not been elected to try to patch up an old system but to make something new”.

• 23 Apr 2026 · Allied Health Professionals · Hansard source

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  Happy St George’s day to everyone in the Chamber. As a physiotherapist, I am immensely grateful to have the opportunity to co-lead this debate on the contribution of allied health professionals. This is an historic moment, as it is the first ever debate in this House on AHPs. I thank the Backbench Business Committee for granting the debate, and I am particularly grateful to my hon. Friend the Member for Thurrock (Jen Craft) for her leadership and partnership. She set out powerfully why AHPs must be central to SEND and paediatric reform, and I want to broaden that by arguing that AHPs are the NHS’s best-kept secret. They are the most powerful levers we have to keep our health and social care systems sustainable, patient-centred and effective. If we are serious about delivering the Government’s ambition in the 10-year health plan and the 10-year workforce plan—the shifts from hospital to community, from sickness to prevention and from analogue to digital—then allied health professionals must be put at the heart of policy, planning and delivery. I want to do three things today. First, I want to set out who AHPs are and the scale of their contribution across our lives; secondly, I want to demonstrate with evidence the impact they have on outcomes and on public finances, and why they are worth investing in; and thirdly, I want to set out five concrete demands, recommendations or wishes to the Government, rooted in evidence from AHP bodies and aligned with the three major shifts in the Government’s agenda. Who are allied health professionals? There are 14 allied health professions covering 15 roles, and together, AHPs form the third largest clinical workforce in the NHS, with over 300,000 on the Health and Care Professions Council register today. They include art therapists, drama therapists, music therapists, dietitians, occupational therapists, operating department practitioners, orthoptists, osteopaths, paramedics, physiotherapists, podiatrists, prosthetists and orthotists, radiographers and, finally, speech and language therapists—which I may need after this speech! AHPs are present from the start of our lives. Neonatal therapists, including physiotherapists, OTs and speech and language therapists, support premature and sick babies to feed, move and develop, with long-term gains for their health, learning and independence. In adulthood, AHPs are central to keeping us in work and out of hospital. The Government rightly want to get more people back into work, which is exactly what OTs do. OTs run vocational rehab services that enabled 94% of people on long-term sick in one primary care network in Wakefield to return to work, leading to a 40% reduction in fit notes and preventing over 1,700 people from leaving the workforce. If we want a healthier workforce, dietitians help diabetics to reduce the risk of complications by up to 50%, and people who see a dietitian are two and a half times more likely to achieve their blood sugar targets, which means fewer long-term complications, fewer heart attacks and fewer strokes. For older people, physiotherapists and OTs lead fall-prevention services and frailty programmes that reduce falls at home by around a third, preventing injuries and avoidable hospital admissions, reducing fractures and maintaining patients’ dignity. I have treated patients who have fallen in their home, who have lain on the floor for hours waiting for an ambulance to arrive. One patient said she lost her dignity and her self-worth as she sat in her own urine, dehydrated, hungry and helpless on the floor, waiting for help. We can reduce such cases. Nobody wants their grandmother, relative or friend to be left on the floor, helpless, for hours. Earlier access to community podiatry, meanwhile, could reduce amputations by 80%. My podiatry friends prevent the need for life-changing surgery every single day. I have worked on surgical wards where patients said time and time again that they wished they had had intervention earlier. Prosthetists and orthotists ensure that people who have survived major trauma can regain their independence. A seven-day prosthetic service in south-east London reduced the time for lower-limb amputees to become independent with a prosthesis from three months to just seven weeks—so they gained their independence more quickly. Radiographers underpin around 80% of hospital pathways through imaging, and community diagnostic centres staffed by radiographers reduce pressure on urgent and emergency care; I may say that I recently gained one such centre, through this Labour Government, at the Guest hospital. We have a mental health crisis, and both children and adults are not getting care quickly enough. Art therapists and music and drama therapists provide early intervention in schools and communities, reducing referrals into overwhelmed child and adolescent mental health services and supporting the wellbeing and resilience of NHS staff themselves. My argument is not just about the care case, however; the economic case is just as compelling. We have clear return on investment data across multiple professions. Self-referral to AHP services has shown a return of around £98 for every £1 invested, by reducing unnecessary GP appointments and enabling early management. Exercise-based self-management programmes, often led by physiotherapists, have demonstrated returns of around £8.80 per £1 invested. Nutritional interventions led by dietitians to prevent and treat malnutrition deliver returns of about £10 for every £1 invested. Osteopathic care can generate a return of up to £2 per £1 invested in primary care. Physiotherapists across a range of conditions deliver an overall economic return on investment of £4 for every £1 invested, which, modelling suggests, potentially saves the NHS a staggering £700 million over five years and an additional £639 million overall of economic benefit to the UK. The Government have set out three core shifts, and AHPs are already delivering on all three. First, on digital and data, paramedics are leading “hear and treat” models, using teleconsultations and shared electronic records to assess, advise and refer 999 and 111 callers without always needing to dispatch an ambulance. In London, that approach is saving around 9,200 double-crewed ambulance hours each week, allowing crews to reach the sickest patients faster. Secondly, on the shift from hospital to neighbourhood care, advanced paramedics working in primary care and urgent community response teams carry out same-day home visits, treat people where they are and prevent unnecessary trips to A&E. A Welsh model reduced avoidable hospital visits by up to 70%. Operating department practitioners are the only profession trained at graduation to work across anaesthetics, surgery and recovery. They can tackle the elective backlog and maintain safety, especially as robotic-assisted surgery and smart operating theatres expand. Thirdly, on the shift to prevention over sickness, orthoptists are essential to diagnosing early eye conditions and they should be rolled out to screen our children in every school so they can get the best start to life. If we do not fully integrate AHPs into those three shifts, we will simply not achieve the ambitions of the 10-year health plan or the 10-year workforce plan. Let me turn to my five recommendations, drawing on the evidence from the HCPC, from the expert AHP professional bodies, from patients and from the APPG on AHPs, which I chair. First, we must have AHP leadership at the table at every level. That means retaining and strengthening the chief allied health professions officer role and the director of rehabilitation role in the Department of Health and Social Care. If they are not at the heart of Government, they will simply be forgotten. At system level, every integrated care board and major provider should have a senior AHP director who has parity with medical and nursing directors and is responsible for prevention, rehabilitation and neighbourhood care. That should be mirrored in primary care and neighbourhood boards, where clinical leadership roles should be defined by function and capability, not by base profession. Secondly, we should expand and evaluate advanced and extended-scope AHP roles in the areas where there is most need and they have most value, such as first-contact physiotherapists in primary care, who reduce secondary care referrals, speed up diagnosis and recovery, and reduce opioid prescribing compared with GP-led care. Thirdly, we must invest in AHP careers from start to retirement. That means increasing training places in line with population need for each of the 14 professions, while also protecting small and vulnerable professions such as prosthetics and orthotics with minimum training place guarantees. We should fully fund AHP apprenticeships, including for operating department practitioners and dietitians, with backfill. We should guarantee high-quality placements and structured preceptorships—something often forgotten by departments. We should also embed continuing professional development funding that is embedded into workforce planning, recognising that CPD is a regulatory requirement and a patient safety issue, not a luxury. That includes bringing forward independent prescribing rights across AHP professions, where appropriate, to reduce delays and free up medical time, building on recent legislation for paramedics. Fourthly, we must fix the digital plumbing to enable multidisciplinary care. AHPs need full, appropriate access to shared care records, ordering and results systems, and remote care tools. Where they have prescribing responsibilities, their digital profiles must reflect that in order for prescribing to be safe, visible and integrated with the whole system. Data must also capture what AHPs do and the outcomes they achieve in function, independence, return to work, quality of life and participation; it is not just contacts and processes. Fifthly, we should make AHP outcomes visible and use them to drive improvements across the system. At national level, the NHS and DHSC should publish regular data on AHP workforce numbers, vacancies and outcomes across each of the 14 professions, using HCPC and other data to inform the workforce plan and the neighbourhood health framework. At local level, integrated care systems should be required to report on access to AHP services and on key indicators such as falls, amputations, delayed discharge, return to work rates and SEND outcomes, linking those to AHP provision. Where investment in, for example, community podiatry or OT rehabilitation leads to reductions in admissions or benefits, those should be visible and reinvested. Five demands—five things that would show real progress, backed by experts, backed by patients. I hope the Minister will meet me to discuss them further. If we give AHPs the leadership roles, tools and recognition they deserve, if we embed them in the 10-year workforce plan, in neighbourhood health plans, in SEND reforms and in the women’s health strategy, they will repay us over and over again in reduced hospital admissions, shorter stays, fewer amputations, more people in work, and children and adults able to communicate, learn and live independently. Allied health professionals are ready to deliver, if we choose to let them.

• 22 Apr 2026 · Osteoporosis and Bone Health · Hansard source

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  The hon. Member comes to this with a lot of experience. I agree that people do not know what osteoporosis is, which is why we are having this debate. It is important to discuss what it actually is. For those less familiar with it, osteoporosis is a disease characterised by low bone mass and a structural deterioration of bone tissue, resulting in an increase in bone fragility and a susceptibility to fractures. Osteoporosis is asymptomatic and often remains undiagnosed until a fragility fracture occurs. It develops silently, without symptoms, until the moment that it declares itself—a fall from a standing height causes a fracture, or a twist or even a cough causes a low-grade insufficiency fracture. Normal stress has an abnormal effect on the bone. The bone is able to withstand the stress, but because it is of such poor quality, it then crumbles.

• 22 Apr 2026 · Osteoporosis and Bone Health · Hansard source

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  indicated dissent.

• 22 Apr 2026 · Osteoporosis and Bone Health · Hansard source

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  I beg to move, That this House has considered osteoporosis and bone health. It is a pleasure to serve under your chairmanship, Ms Lewell. As a practising physiotherapist, I have seen at first hand the profound and often devastating impact that osteoporosis can have on not only the health, but the independence and livelihood of an individual and the lives of those who care for them. For too long, osteoporosis has been dismissed as an unavoidable consequence of ageing, and we have normalised the gradual stoop, the loss of height, and the curvature of the spine. We all recognise the familiar road sign depicting an elderly couple bent double, yet we rarely stop to question what it truly represents. In reality, it is not a benign or natural process. It is often the visible consequence of repeated, preventable spinal fractures, where the bone of the spine collapses under pressure. This is not an unavoidable decline; it is, in many cases, a preventable harm.

• 22 Apr 2026 · Osteoporosis and Bone Health · Hansard source

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  If someone says physio, I am always going to say, “Yes, yes, yes,” behind them. I agree with my hon. Friend that we should roll out physiotherapists and the multidisciplinary teams required to help those with osteoporosis. I also thank her for highlighting the importance of taking bone-sparing medication. Many people in the UK do not take it because they do not understand its importance. More than 3.2 million people in England now live with osteoporosis, including just over 2.5 million women. One in two women over 50 will suffer a fracture caused by osteoporosis, as will one in five men. In terms of years lost to premature mortality and disability, those fractures are the fourth most consequential medical condition in the country. At any given time, around 7% of NHS beds are occupied by patients with fragility fractures, many of them because early warning signs were missed and opportunities to intervene were lost. Behind those figures are lives changed in an instant. It is not just older people. One young woman told me: “I thought my bones were something I wouldn’t have to think about until I was much older”, only to find herself dealing with low bone density in her twenties after medical treatment. Some risk factors for osteoporosis include smoking, alcohol misuse, previous fragility fractures, low body mass index and long-term steroid use. Every single one of those factors needs to be looked after. We cannot look at osteoporosis as a one-condition problem; we must look at the whole lifestyle. Through the work of the all-party parliamentary group on osteoporosis and bone health, which I chair, I heard from patients whose stories are not easily forgotten. A woman in her early sixties fractured her wrist after a minor fall. She was treated and discharged, but no one joined the dots. Within two years, she had suffered multiple further fractures, including to her spine. She now lives with constant pain from repeated spinal fractures, affecting everything from how she breathes to how she moves. I think of those who never recover their independence —of people who go into hospital with a hip fracture and never come home. For many, that fracture marks the beginning of the end, with over a quarter dying within one year. What unites these stories is not bad luck, and they are not isolated tragedies. They are systemic failures: a missed referral, an overlooked warning sign, treatment not initiated, and a second fracture that should not have happened. That is why it is essential that, after a first fracture, every patient is identified, assessed and supported on to an appropriate treatment plan. One fracture must not become many. Too often, the fall that brings someone into hospital is treated as a single event, rather than as an accumulation of undiagnosed and untreated conditions. We therefore miss the opportunity to change the course of someone’s life. Through the work of the APPG on osteoporosis and bone health, I have also seen stark variations in access to treatment across the country. Prescribing rates for critical second-line therapy are three and a half times higher in areas where GPs can prescribe it freely compared with areas where there is a need for specialist referral. A report has also found that GPs in more affluent areas are much more likely to be able to prescribe freely than their counterparts in the most deprived areas. For people in many parts of the country, the barriers do not stop at the prescription pad. When shared care arrangements are not in place and GPs cannot prescribe, patients must attend hospital for routine injections that could be delivered safely in the community. As the Government develop the neighbourhood health service, there is a real opportunity for a multidisciplinary team approach to bone health, one that includes at its heart our allied health professionals, including physiotherapists, dieticians, occupational therapists, falls teams, consultants and advanced practice clinicians. Prevention, prevention, prevention is the key. The importance of a holistic approach is essential to prevention for those who may be susceptible to poor bone health. We should help those people lead healthier lives by stopping smoking, reducing alcohol intake and increasing exercise. Talking of prevention, I need to welcome the Government’s commitment to fracture liaison services, which are the gold standard for fracture care and play an important role in identifying, assessing and treating osteoporosis in people over the age of 50 with a fracture. FLSs reduce fracture rates by up to 40%, and will prevent 74,000 fractures over five years, including 31,000 hip fractures. FLSs are also incredible value for money, breaking even within 18 to 24 months, with a return on investment over five years of £1.88 for every £1. Preventable osteoporotic fractures contribute to 1.5 million days off sick, costing employers £142 million in sick pay. I also welcome the new DEXA—dual energy X-ray absorptiometry—scanners that the Minister’s Department has delivered, and the Government’s commitment to ending the postcode lottery for fracture prevention services. The Minister understands the scale of what is at stake. This must be only the start of managing osteoporosis and bone health. Looking ahead, we know that the challenges will grow. By 2047, an estimated 4 million people in England will be living with osteoporosis, an increase of more than 700,000 on today’s figures. We know the scale of the problem, we know the treatments, and we have the evidence. What we have lacked for too long is urgency. There has been clear progress, and the Minister deserves credit for that. I have three recommendations for the Department. First, we should roll out fracture liaison services to all parts of England. We are a Labour Government, and reducing inequalities is in our blood. We pledged to end this postcode lottery by 2030, and it is crucial that we deliver that. Secondly, we should introduce questions about bone density and osteoporosis in the health check for over-40s. Such pre-emptive measures, including risk stratification, lifestyle advice and early intervention where appropriate, can help people to deal with these issues before they become too serious. Thirdly, we should introduce targeted case finding and proactive bone health management for those aged 70 and above, particularly those at high risk of falls. That should include timely access to DEXA scanning, community-based treatment pathways, and co-ordinated fall prevention to help reduce fractures and associated mortality. Osteoporosis is not an unavoidable consequence of ageing. It is a condition that we can prevent, predict and treat, yet for too many and for too long the first sign —the fracture—is missed. We know what works and we have the tools. Under the 14 years of the previous Conservative Government, we were missing consistency, urgency and the willingness to act. If we get this right, prevent the first fracture and intervene decisively after it, and ensure equal access to care regardless of postcode, we will not only save the NHS significant cost, but preserve something far more valuable: people’s independence, dignity and quality of life. I hope that the Minister will consider my three recommendations and meet me to discuss them further. Osteoporosis is not just a clinical issue; it is a test of whether our health system truly prioritises the long-term health of everyone across the United Kingdom, and not reactive, short-term measures.