Since 2019, the UK’s strong reputation in global health has been undermined by a series of cuts and a distracting departmental reorganisation. November 2023 may represent a turning point—with a new Foreign Minister who has historically championed aid as Prime Minister, and the publication of a new international development white paper. Depending on the results of an election, most likely in 2024, the future of UK global health will either be shaped by implementing this white paper, or by fresh ideas from a new government. In this blog we highlight the key findings and recommendations from our new policy paper published today, which summarises the challenges and opportunities in global health that the UK has to navigate.