The main political parties have published their manifestos, and leaders have taken to the airwaves to define their ideas and criticise those of their opponents. There is a degree of common ground between Labour, Conservative and Liberal Democrat proposals on health. With the population living longer and more people living with long-term conditions, more seamless care will become a central challenge in the next parliament. Funding for social care for the elderly and vulnerable has been cut by 16 % recently. Although the Care Act brings clarity and consistency to social care entitlements, it will not end social care rationing. All three manifestos promote the importance of joined-up care, particularly for the elderly and chronically ill. We can praise God that this need is recognised, and pray that positive pledges will be implemented now that all parties have got the message that the NHS needs additional funding to survive.