Sir Keir Starmer’s Labour government has made a lot of noise about the perilous state of the NHS, insisting the institution must ‘reform or die’. But while the rhetoric is right, what does Labour actually plan to do about it? There are ‘three shifts’, health minister Stephen Kinnock told Isabel Hardman at The Spectator’s ‘How to fix a broken NHS’ audience today: a change of focus from hospital care to a more community-centred approach, a move from a paper-based, analogue-style practice to better use of AI and digital technology, and a transition from dealing with sickness to emphasising prevention.