Episode 1 opens with an in depth conversation with Phil Hope, former Minister of State for Care Services, drawing on his long career shaping social care and health policy. Phil reflects on the origins of the National Care Service, the creation of the first national dementia strategy, and why closer integration between health and social care is essential. He explores what a truly national care service could look like, from clear standards to a sustainable workforce strategy, while candidly addressing the political and funding challenges that continue to shape social care reform today.