Progress depends on fully engaging people and communities in improving health and care With a general election in prospect, and opinion polls showing the Labour Party well ahead of the Conservatives, attention is turning to Labour’s plans for health and social care. In his speech last week, Labour’s shadow health secretary, Wes Streeting, reiterated his party’s mission as “to get the NHS back on its feet and fit for the future.”1 He acknowledged that achieving this mission would take time, investment, and reform, adding that reform is more important than investment. He might have added, but didn’t, that time is even more important. More specifically, Streeting identified three shifts that are needed: from hospital to community, from analogue to digital, and from sickness to prevention. He also emphasised that there is no solution to the crisis in the NHS that doesn’t include a plan for social care, promising to deliver a 10 year plan for health and social care. Notably absent from the