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Close to two weeks in and, despite many policy announcements and countless photo ops, the Conservatives have failed to change the story of this election. If anything – and Nigel Farage’s decision to stand as a candidate for Reform in Clacton adds to this – things have got worse.

The leaders’ debates provide an opportunity for Rishi Sunak to finally find a turning point. He badly needs to emerge from tonight as a clear winner, giving journalists something else to write about and the public a fresh perspective on his leadership. Having called for six debates, he has set expectations about his performance high. And he now needs to exceed them. Only a clear win will do, and even that may not be enough.

For Keir Starmer, the challenge is somewhat different. Despite a massive lead in the polls, many voters still feel that they do not know much about him. This is an opportunity to introduce himself to the country, showing that he represents not only a change from the Conservatives but that he is leadership material in his own right. Above all else, he needs to avoid any big errors in a high stress moment. The Ming vase will doubtless feel slippery in his hands as 9pm approaches.
 
What can we expect on health? In short, a microcosm of the wider debate. Starmer will try to focus on what he sees as 14 years of chaos, during which health service performance has fallen through the floor, placing the Prime Minister at the heart of the problem. At a time when nothing is working, he will argue, change is desperately needed. Sunak will counter that he took tough decisions when required and is a man with a plan, pointing to announcements on building more diagnostic centres, GP surgeries and making better use of pharmacists. As the UK begins to turn a corner, why put it all at risk, he will plead.

Both candidates will need to remember that they are appealing to three distinct audiences: those in the room, those watching at home and the media who are reporting it. The reactions of each will shape the others, but they will ignore any of them at their peril.
 
By soon after 10pm tonight, we’ll have a sense of whether one of the potential turning points in the election has passed without incident or whether we are facing a different kind of race.


The impact debates can have: looking back to the CDF in 2010
by Mike Birtwistle, Senior Counsel

For an opposition leader bidding to become Prime Minister, debates are as much about reassuring voters that you can be trusted on your perceived weaknesses as they are about scoring ‘wins’ on your strengths. For David Cameron in 2010, this meant he needed a strong performance on the NHS. NHS patients were enjoying record-low waits, quality had improved and satisfaction was high. Set against this, the Conservatives had not been trusted on the NHS for many years.

Armed with a freshly-announced policy to create a Cancer Drugs Fund, Cameron chose to pivot to the issue every opportunity he had. The policy had the benefit of being simple, salient (the issue of patients being denied drugs that their doctors wanted to prescribe had been covered extensively in the media) and a dividing line (Labour had declined to match it). The dominance of the issue can be seen in the word cloud analysis of the relevant section of the debate.

The policy proved to be a useful debating tool and its prominence ensured that David Cameron’s commitment to the Fund never wavered, despite it being attacked by critics who argued that it skewed NHS priorities and delivered poor value for money. The policy has gone through several evolutions, but still exists today.


Soundbite Bingo

For those wanting to play along at home, we've created Bingo Cards for Starmer and Sunak, including the attack lines that we can expect to hear again and again on the key issues in the debate, from health and beyond. Will you be able to get a full house of lines to take?