DUBLIN — The Irish capital, which doubles as Europe’s de facto tech capital, hosted two very different AI summits in the past week. Most eyes were on the International AI Summit, the signature tech event of Ireland’s six-month presidency of the Council of the EU, where top brass from the world’s biggest tech firms discussed ways to harness artificial intelligence and minimize safety risks. But the weekend before, a very different conversation was taking place at the Workers’ AI Counter Summit, as Ireland’s tech workers demanded a say in how the burgeoning technology reshapes the workplace and society. Ireland’s lucrative tech sector has been rattled by waves of AI-driven layoffs — and the country’s fledgling tech union has seen an exponential spike in sign-ups from workers who are worried about their future.   There’s an “awakening” happening right now among workers in Ireland’s tech sector, and a growing “awareness that they’re not bulletproof,” said Sinéad Gibney, a social democrat lawmaker who previously worked for Google.   “I do think what we will see is that parts of roles will be automated, which means that people will be competing more heavily for the same roles,” she said. “They won’t have the same labor power and therefore we’re going to see a drop in quality of work, we’re going to see more zero-hour contracts, in more places than we already see it.” The labor movement brewing in Ireland, where many of the world’s tech giants have their EU bases, is part of a wider trend among tech workers globally, who have seen their work disrupted by rapidly evolving AI. RISE IN LAYOFFS Ireland’s dedicated union for tech workers, the Digital and Techworker Alliance (DATA), has seen a five-fold increase in membership since it was first founded in 2023.   In its first year and a half of existence, membership hovered around 270 people. In the past year-and-a-half, it’s jumped to more than 1,350 members, DATA organizer John Bohan told POLITICO.  He added that this number tends to spike around layoffs and other actions. “The tech industry was founded on the idea that it would never have a union, because they’re making people rich, and treat them really well,” Bohan said.  “But post-Covid, workforce adjustments happened again and again, with layoffs and declining conditions in the sector. We started to see more people wanting to get organized around redundancies.”   The spike in sign-ups coincides with a wave of layoffs in Ireland’s tech bubble (and the tech sector globally), as companies corrected pandemic-era overhiring, and diverted investment to AI.   Ireland hosts the EU headquarters of most of the world’s largest tech companies, and more than 170,000 people are employed in the tech sector, according to the country’s statistics institute. Social media giant Meta has roughly halved its workforce in Ireland since the pandemic, axing well over 1,000 roles to offset AI investment and boost efficiency. Separately, Meta subcontractor Covalen also announced massive layoffs earlier this year, cutting more than 700 people.   Video-sharing platform TikTok announced this year it would shed around 300 Irish jobs, mostly from its trust and safety team, shifting the work to other countries, outsourced vendors or automated AI solutions.   A report by the IMF earlier this year warned that Ireland’s labor market is “relatively more exposed” to AI than many advanced economies, partly due to its concentration of tech workers.   The AI race is also creating new jobs on the Irish market – as AI firms like Anthropic and OpenAI are setting up Irish bases and trying to lure Big Tech workers with even bigger salaries.   Amid the uncertainty and volatility of the AI boom, tech workers are turning to unions for the first time as a safety net. One tech worker who used to work in trust and safety at a big tech firm told POLITICO that there used to be a feeling that as a “pampered” tech worker you “can’t ask for your rights, because you already have it so much better.”  But as layoffs continue and teams get leaner, workers in fields like trust and safety “now have to deal with these issues with fewer and fewer resources”, and face a “constant threat of being chopped,” the worker said.   That’s causing an “undoing of a certain perspective that we have of ourselves as tech sector workers,” they said, “because of undeniable experiences that now put us in situations where we clearly see our rights being violated, even if we may have it so much or somewhat better than most people.”  A different tech worker who currently works for Covalen told POLITICO that there is a sense that “if they believe they can replace you with AI, they will do that.”   “All these Big Tech firms only care about profit, and what I have realized is the Irish government protects that Big Tech capital [rather than workers],” the Covalen worker said. “But the question is, what’s the government going to do when the tech bros change their mind and move elsewhere?”   WORKERS AT THE CENTER The speaker list at this week’s AI summit was a flex of the country’s strength as a tech hub, as top names from the world’s biggest companies like Google and Microsoft took to the stage. Fionnuala Ní Bhrógáin, head of organizing and campaigning at Ireland’s Communications Workers’ Union (DATA’s parent union), was the only union voice on the line-up. “The fact that 36 executives and industry bosses featured on the program, compared with just one trade union speaker — invited at the last minute after attention was drawn to the absence of workers’ voices — says a lot about the value the Irish government places on AI’s impact on workers,” she told POLITICO. “The reality is that a meaningful conversation about AI’s future can only happen through genuine engagement with workers and collective bargaining,” Ní Bhrógáin added. “Without that voice, we risk deepening mistrust and resistance rather than creating the conditions for workers to shape these changes collectively.” DATA organized its counter-AI summit the previous weekend, to put “workers at the center of the debate about power, AI, technology and the future of work.”  The event cut through the “hype and futurism of politicians and industry figures to focus on the real present harms faced by ordinary workers and communities,” DATA’s Bohan said.   The union is pushing for stronger legal protections for tech workers caught up in AI-driven layoffs in Ireland, including making it mandatory for employers to recognize unions during collective bargaining. It is also calling for a ban on cooling-off clauses that prevent laid-off workers from moving between Big Tech subcontractors.   A spokesperson for Ireland’s department for enterprise told POLITICO in a written statement that the government is “committed to strengthening collective bargaining and industrial relations” and has published an action plan to do so between now and 2030.   They said that employers already have to comply with obligations under Irish employment law, including consultation and notification procedures for collective redundancies, and workers who feel those rules have been broken can complain to the Workplace Relations Commission.  Firefighting to future-proofing  Naoise Ó Cearúil, a center-right Fianna Fáil lawmaker who chairs the AI committee, pointed out that while there have been high-profile job cuts in Ireland’s tech sector, “the actual net is that there has been an increase [in jobs], particularly over the past year and even five years.”  According to Ireland’s central statistics office, total employment in tech and related sectors surpassed 177,000 in the second quarter of this year, up from around 144,000 at the same time in 2021.   Ó Cearúil pointed out that many job losses were in trust and safety jobs like content moderation that are “very difficult mentally,” and now tech firms are able to “utilize AI and software to be able to do a lot of detection, rather than using humans.”   He has called for a national program to be established, to support workers whose jobs are at risk due to AI and automation.   A spokesperson for Ireland’s department of enterprise acknowledged that the country’s tech sector has “experienced significant adjustment in recent years,” but said the changes were generally part of wider global restructuring “rather than reflecting any Ireland-specific weakness.”  They said the Irish government is currently focused on “ensuring workers and businesses are equipped to adapt to technological change through investment in education, training, lifelong learning and digital skills.”  

Spain’s youth minister has intensified Madrid’s clash with Big Tech after suggesting the country may need to curb — or even ban — access to Elon Musk’s social media platform X due to the “flagrant violations of fundamental rights” taking place there. Speaking Wednesday at a digital activism event in Barcelona, Sira Rego, a United Left politician in Prime Minister Pedro Sánchez’s governing coalition, said “the next battle would have to be oriented to limit and probably ban Twitter [X]” because the platform has become “a space in which we are seeing flagrant violations of fundamental rights.” Rego flagged controversies including sexual deepfake images generated by X’s AI chatbot Grok. Rego called the current digital space “undemocratic” and controlled by “a few digital strongmen,” framing possible limits on X as part of a broader push to reclaim sovereignty from powerful tech giants. Her push underscores how Europe’s struggle to police the digital public square is accelerating, with Spain increasingly at the center. The comments come as Sánchez advances plans to bar under-16s from social media, a proposal expected to reach the Council of Ministers next week. Big Tech isn’t happy. X boss Elon Musk has branded Sánchez a “tyrant,” while Telegram founder Pavel Durov warned that “Pedro Sánchez’s government is pushing dangerous new regulations that threaten your internet freedoms … [and] could turn Spain into a surveillance state under the guise of ‘protection’.” He added that the measures risk mass data collection and censorship. The clash lands amid a broader transatlantic fight over tech rules. U.S. lawmakers on the House Judiciary Committee on Tuesday blasted Europe’s Digital Services Act as “draconian,” while several EU countries, including France, Greece, Denmark and Italy, are pursuing their own youth access restrictions. Australia has already enacted a ban.

The German competition authority hit Amazon with a €59 million fine on Thursday after finding the e-commerce giant’s pricing rules for third-party vendors to be in breach of national and EU competition rules. The authority determined that Amazon’s practices, and in particular its use of algorithms to influence pricing by sellers and the enforcement of its Fair Pricing Policy, are in breach of Germany’s digital dominance rules as well as EU competition law. “Amazon competes directly with marketplace sellers on its platform and influences the prices of its competitors, including through price caps, which is problematic from a competition standpoint,” Andreas Mundt, president of the Federal Cartel Office, or Bundeskartellamt, said in a statement. The agency takes issue with Amazon’s pricing restrictions, and in particular its pricing cap, on what third-party sellers can charge without being penalized under the platform’s rules. “We will vigorously challenge the FCO’s conclusion, which is based on unique German regulation and directly conflicts with EU competition law consumer standards,” said Rocco Bräuniger, Amazon’s country manager for Germany, in a statement. Per Bräuniger, the agency is forcing Amazon to promote uncompetitive prices to customers. The decision follows a preliminary assessment sent to Amazon in June 2025, after which the company submitted comments. The Bundeskartellamt had designated Amazon as a company of paramount significance for competition across markets in July 2022, a finding upheld by the Federal Court of Justice in April 2024. 

Donald Trump has aborted his threat to take Greenland by force but online the war is just getting started. The United States president in January shocked Europe with threats of tariffs to support his right to own Greenland, an autonomous territory of the Danish kingdom. While the intensity of those threats has subsided for now, Danish and European officials say the small island remains vulnerable to the power wielded by the U.S. administration online. With a population of under 60,000, the tiniest drop of misinformation can spread quickly and significantly affect public opinion — especially when the false narrative is coming not from anonymous Russian troll farms but from the most powerful politician in the Western world. “Greenland is a target of influence campaigns of various kinds,” Denmark’s Justice Minister Peter Hummelgaard told POLITICO, with one goal of such campaigns “to create division in the relationship between Denmark and Greenland.” In the last year disinformation has increased in Greenland, said Thomas Hedin, editor-in-chief of Danish fact-checker TjekDet. While the influx has lacked any “structured campaign,” including from Russia, Hedin cited as an example of disinformation the idea that the U.S. could buy Greenland — a message repeated by Trump but that is impossible under the Danish constitution, Hedin said. The fact that Greenland is not part of the EU means that the bloc’s social media law — which obliges platforms to consider and mitigate threats of misinformation to civic discourse — does not apply to Greenland, Denmark’s digital ministry told POLITICO.  While polls show that Greenlandic people still favor integration with Europe, German Greens lawmaker Sergey Lagodinsky said the EU needs to prepare for a “new type of hybrid confrontation” over the island. “It’s no more combatting Russian trolls trying to hack the system. If pointed at the EU and Greenland, the disinformation campaigns on U.S. platforms become the system,” he said. RIPE FOR EXPLOITATION The relationship between Denmark and Greenland is particularly ripe for exploitation, said Signe Ravn-Højgaard, co-founder and CEO of Denmark-based Digital Infrastructure Think Tank, who conducted an analysis on the misinformation landscape in Greenland.   With a population the size of a Brussels municipality, news travels fast in Greenland and there are few media outlets that can debunk information. Most people rely on Facebook, said Ravn-Højgaard. With only a few shares, a fake news story can reach the entire population.   “It’s completely different from how it is in Denmark,” she said. If in a city of 20,000 people, 5,000 people believe something false, “it’s not a danger to the democracy of Denmark.” But in Greenland, “that would firstly, quickly spread to everyone, and secondly, it’s a large percentage of the population,” she said.   Organized foreign interference campaigns haven’t appeared in Greenland yet, according to two researchers that POLITICO spoke to, but misinformation has been spreading. Two members of the Greenlandic government, Fisheries Minister Peter Borg and Labour Minister Aqqaluaq Egede, pleaded with the public to “stand in unity” on social media in the face of threats from the U.S.   EU lawmakers have also sounded the alarm. Greens lawmaker Alexandra Geese said to “expect influence operations using state-of-the-art propaganda campaigns as well as hate and harassment campaigns against political figures in Greenland and Denmark.” TRANSPARENCY While Denmark said it has no legal obligation to enforce the bloc’s platform law, the Digital Services Act, on Greenland territory, several lawmakers say that should change. Geese said that the EU should enforce the law, “making sure algorithms respect users’ choices rather than acting in the interest of the same tech oligarchs who are investing in Greenland’s minerals.” That’s despite the fact that the EU has struggled to show tangible results elsewhere so far. The European Commission hasn’t concluded any of its investigations on risks to elections and civic discourse despite having probes open on four platforms including Meta’s Facebook and Instagram, TikTok and X. As well as getting platforms to make changes to their systems, the DSA could also help bring transparency to the online ecosystem. The law requires platforms to be transparent about paid ads and data — something Greenland is lacking, said Ravn-Højgaard. Ravn-Højgaard cited paid ads that ran on Facebook ahead of the territory’s election in March 2025, which were not available on the platform’s transparency database. Lagodinsky said the EU should set up an “ad hoc expert group explicitly focused on Greenland.” Brussels should also increase support to fact-checking networks and civil society organizations, he said, similar to the support offered in countries like Moldova and Ukraine.

Disclaimer POLITICAL ADVERTISEMENT * The sponsor is SAP SE * The advertisement is linked to advocacy on strengthening Europe’s digital sovereignty by promoting trusted cloud and AI adoption under EU law, harmonized regulation, accountable governance and openness to global innovation to enhance security, competitiveness and strategic autonomy. More information here.

Donald Trump’s political war chest grew dramatically in the second half of 2025, according to new campaign finance disclosures submitted late Saturday, giving him an unprecedented amount of money for a term-limited president to influence the midterms and beyond. Trump raised $26 million through his joint fundraising committee in the back half of last year, and another $8 million directly into his leadership PAC. And a super PAC linked to him has more than $300 million in the bank. All together, a web of campaign accounts, some of which he controls directly and others under the care of close allies, within the president’s orbit have $375 million in their coffers. The funds far outstrip those of any other political figure — Republican or Democrat — entering 2026, and have no real historical precedent. And Trump could put them to use this year for the midterms, or to shape future elections, even as he cannot run for president again. Trump continues to outpace any other Republican in raising money, both from large and small-dollar donors. His joint fundraising committee — Trump National Committee, which pools fundraising for a variety of Trump-aligned groups — accounted for 1 in 8 dollars raised on WinRed, the primary Republican online fundraising platform, during the second half of 2025, according to a POLITICO analysis. And no super PAC raised even half as much in 2025 as the $289 million from MAGA Inc., the Trump-aligned super PAC that both the president and Vice President J.D. Vance appeared at fundraisers for last year. Trump has given few clues as to how he might put the funds to use. Trump National Committee primarily sends funds to the president’s leadership PAC, Never Surrender, with a bit of money also going to the Republican National Committee and Vance’s leadership PAC, Working For Ohio. Candidates cannot use leadership PAC money for their own election efforts. But the accounts — which are common across Washington and have long been derided by anti-money in politics groups as “slush funds” — allow politicians to dole out money to allies or fund political travel. Never Surrender spent $6.7 million from July through December, with more than half of that total going toward advertising, digital consulting and direct mail — expenses typically linked to fundraising. So far, Trump’s groups have held their powder in Republican primaries. While Trump has endorsed against a handful of Republican incumbents now locked in competitive primaries — including Sen. Bill Cassidy of Louisiana and Rep. Thomas Massie of Kentucky — and threatened others, he hasn’t used money. A super PAC targeting Massie, MAGA KY, is run by Trump allies but has largely been funded by GOP megadonor Paul Singer. MAGA Inc.’s only election-related spending last year was to boost now-Rep. Matt Van Epps in the special election in Tennessee’s 7th District. Trump’s massive war chest makes him a political force, independent of the traditional party infrastructure. The RNC — which derives a significant portion of its fundraising from Trump — had $95 million in the bank at the end of the year, roughly a quarter of what the Trump-linked groups have. And their rivals at the Democratic National Committee are far worse off — at just over $14 million, while owing more than $17 million in debt.

The center-right European People’s Party is eyeing “better implementation” of the Lisbon Treaty to better prepare the EU for what it sees as historic shifts in the global balance of power involving the U.S., China and Russia, EPP leader Manfred Weber said on Saturday. Speaking at a press conference on the second day of an EPP Leaders Retreat in Zagreb, Weber highlighted the possibility of broadening the use of qualified majority voting in EU decision-making and developing a practical plan for military response if a member state is attacked. Currently EU leaders can use qualified majority voting on most legislative proposals, from energy and climate issues to research and innovation. But common foreign and security policy, EU finances and membership issues, among other areas, need a unified majority. This means that on issues such as sanctions against Russia, one country can block agreement, as happened last summer when Slovakian Prime Minister Robert Fico vetoed a package of EU measures against Moscow — a veto that was eventually lifted. Such power in one country’s hands is something that the EPP would like to change.  As for military solidarity, Article 42.7 of the Lisbon Treaty obliges countries to provide “aid and assistance by all the means in their power” if an EU country is attacked. For Weber, the formulation under European law is stronger than NATO’s Article 5 collective defense commitment. However, he stressed that the EU still lacks a clear operational plan for how the clause would work in practice. Article 42.7 was previously used when France requested that other EU countries make additional contributions to the fight against terrorism, following the Paris terrorist attacks in November 2015.  Such ideas were presented as the party with a biggest grouping in the European Parliament — and therefore the power to shape EU political priorities — presented its strategic focus for 2026, with competitiveness as its main priority.  Keeping the pulse on what matters in 2026  The EPP wants to unleash the bloc’s competitiveness through further cutting red tape, “completing” the EU single market, diversifying supply chains, protecting economic independence and security and promoting innovation including in AI, chips and biotech, among other actions, according to its list 2026 priorities unveiled on Saturday. On defense, the EPP is pushing for a “360-degree” security approach to safeguard Europe against growing geopolitical threats, “addressing state and non-state threats from all directions,” according to the document. The EPP is calling for enhanced European defense capabilities, including a stronger defense market, joint procurement of military equipment, and new strategic initiatives to boost readiness. The party also stressed the need for better protection against cyberattacks and hybrid threats, and robust measures to counter disinformation campaigns targeting EU institutions and societies. On migration and border security, the EPP backs tougher asylum admissibility rules, faster returns, and strengthened external borders, including reinforced Frontex operations and improved digital systems like the Entry/Exit System.  The party also urged a Demographic Strategy for Europe amid the continent’s shrinking and aging population. The text, initiated by Croatian Democratic Union (HDZ), member of the EPP, wants to see demographic considerations integrated into EU economic governance, cohesion funds, and policymaking, while boosting family support, intergenerational solidarity, labor participation, skills development, mobility and managed immigration.  Demographic change is “the most important issue, which is not really intensively discussed in the public discourse,” Weber said. “That’s why we want to highlight this, we want to underline the importance.” 

The Netherlands’ incoming government wants to push Europe toward a tighter intelligence-sharing club — including what it calls a potential “European equivalent” of the Five Eyes alliance — as part of a broader overhaul of its security services. The new coalition argues, in its governing plans published Friday, that rising threats require faster and more proactive intelligence agencies while preserving the country’s tradition of operating under strict rule-of-law safeguards. The proposals include boosting funding and digital infrastructure for the civilian intelligence agency (AIVD) and military intelligence service (MIVD), and strengthening the role of the national counterterrorism coordinator. At the European level, The Hague says it wants to intensify cooperation with a core group of like-minded countries, explicitly floating a continent-wide version of the “Five Eyes” intelligence partnership (which is made up of Australia, Canada, New Zealand, the U.K., and the U.S.). In October, the heads of the two Dutch agencies announced they would stop sharing certain information with their U.S. counterparts, citing political interference and human rights concerns. Instead they would look at increasing cooperation with other European services, like the U.K., Poland, France, Germany and the Nordic countries. Domestically, the government plans to fast-track a revamped Intelligence and Security Services Act, rewriting the law to focus on threats rather than specific investigative tools and making it “technology-neutral” so agencies are not outpaced by innovation. Supervisory bodies would be merged to provide streamlined, but legally robust, oversight. The agenda also calls for expanding the operational research capacity of Dutch intelligence services to help build Europe’s “strategic autonomy,” while deepening ties with tech firms and recruiting top technical talent.

BRUSSELS — France is hurtling toward a ban for children younger than 15 to access social media — a move that would see it become only the second country in the world to take that step. The plan comes amid rising concerns about the impacts of apps including Snapchat, TikTok, Instagram and X on children’s mental health. After Australia in December kicked kids under 16 off a host of platforms, France is leading the charge in Europe with a bill that would prohibit social media for under-15s as soon as this year. Supported by President Emmanuel Macron and his centrist Renaissance party, the proposed law passed the French parliament’s lower chamber in the early hours of Tuesday. Here are 5 things to know. WHEN WILL A BAN KICK IN? While the timing isn’t finalized, the government is targeting September of this year. “As of September 1st, our children and adolescents will finally be protected. I will see to it,” Macron said in an X post. The bill now has to be voted on by the French Senate, and Macron’s governing coalition is aiming for a discussion on Feb. 16. If the Senate votes the bill through, a joint committee with representatives of both upper and lower houses of parliament will be formed to finalize the text. WHICH PLATFORMS WILL BE BANNED? That decision will lie with France’s media authority Arcom, since the legislation itself doesn’t outline which platforms will or won’t be covered. The architect of the bill, Renaissance lawmaker Laure Miller, has said it will be similar to Australia’s and would likely see under-15s banned from using Snapchat, TikTok, Instagram and X. Australia no longer allows children under 16 to create accounts on Facebook, Instagram, Kick, Reddit, Snapchat, Threads, TikTok, Twitch, X and YouTube. Australia’s list doesn’t include Discord, GitHub, Google Classroom, LEGO Play, Messenger, Pinterest, Roblox, Steam and Steam Chat, WhatsApp or YouTube Kids. Miller has also described plans to come up with a definition that could see the ban cover individual features on social media platforms. WhatsApp Stories and Channels — a feature of the popular messaging app — could be included, as well as the online chat within the gaming platform Roblox, the French MP said. WHO WILL ENFORCE IT? With France set to be the first country within the European Union to take this step, a major sticking point as the bill moves through parliament has been who will enforce it. Authorities have finally settled on an answer: Brussels. The EU has comprehensive social media rules, the Digital Services Act, which on paper prohibits countries from giving big platforms additional obligations. After some back and forth between France and the European Commission, they have come to an agreement. France can’t give more obligations to platforms but it can set a minimum age on accessing social media. It will then be up to the Commission to ensure national rules are followed. This is similar to how other parts of the DSA work, such as illegal content. Exactly what is illegal content is determined by national law, and the Commission must then make sure that platforms are properly assessing and mitigating the risks of spreading it. How exactly the EU will make sure no children in France are accessing sites is untested. DSA violations can lead to fines of up to 6 percent of platforms’ annual global revenue. WHAT ARE THE TECHNICAL CHALLENGES? Companies within the industry have been at loggerheads over who should implement age gates that would render the social media ban possible. Platform providers including Meta say that operating system services should implement age checks, whereas OS and app store providers such as Apple say the opposite. The Commission has not clearly prescribed responsibility to either side of the industry, but France has interpreted guidance from Brussels as putting the onus on the service providers. France’s bill therefore puts the responsibility on the likes of TikTok and Instagram. Exactly what the technical solution will be to implement a ban is up to the platforms, as long as it meets requirements for accuracy and privacy. Some public entities have developed solutions, like the French postal service’s “Jeprouvemonage,” which the platforms can use. Privately developed tech is also available. “No solution will be imposed on the platforms by the state,” the office of the minister for digital affairs told journalists.  IS THIS HAPPENING IN OTHER EUROPEAN COUNTRIES? France is not the only European country working on such restrictions. Denmark’s parliament agreed on restrictions for under-15s, although parents can allow them to go on social media if they are older than 13. Denmark hasn’t passed a formal bill. Austria’s digital minister said an Australia-style ban is being developed for under-14s. Bills are going through the Spanish and Italian parliaments, and Greece’s Prime Minister Kyriakos Mitsotakis has also voiced support for similar plans. Germany is considering its options. The Dutch government has issued guidance to say kids younger than 15 should not access social media like TikTok. Many of these countries as well as the European Parliament have said they want something done at the EU level. While the Commission has said it will allow EU countries to set their own minimum ages for accessing social media, it is also trying to come up with measures that would apply across the entire bloc. President Ursula von der Leyen has been personally paying attention to this issue and is setting up a panel of experts to figure out if an EU-wide ban is desirable and tenable.

January 2026 I GB-73006 Disclaimer  POLITICAL ADVERTISEMENT  * This is sponsored content from AstraZeneca.  * The advertisement is linked to public policy debates on the future of cardiovascular care in the UK.  * This content has been paid for and developed by AstraZeneca UK  Cardiovascular disease (CVD) has shaped the nation’s health for generations. It remains a leading cause of death and a major driver of long-term sickness, yet it is also one of the most preventable. Today, 8 million people in the U.K. live with CVD, and early deaths from CVD in England have reached a 14-year high.1,2 The reality is stark: without urgent action, one million more could live with CVD by 2030 — and two million by 2040.1  Tackling CVD is not only a moral imperative, it’s an economic necessity. In the U.K., 2.5 million working-age people are economically inactive due to long-term sickness, and CVD contributes to long-term sickness at unprecedented levels3 Each year, CVD costs the U.K. economy an estimated £24 billion, straining public finances, dampening productivity and widening inequalities.4  In July 2023, AstraZeneca convened the CVD-risk coalition — with charities, clinical organizations and patient groups — to shape a coordinated response to these trends.   Today, the coalition has published Getting to the heart of the matter: A national action plan for tackling cardiovascular disease5 — a blueprint for decisive action and a call for the government and the NHS to confront CVD head on. It has a clear message: the tools exist to tackle this challenge, but we need leadership, investment, and a focus on prevention and early intervention to unlock meaningful change.  > the tools exist to tackle this challenge, but we need leadership, investment, > and a focus on prevention and early intervention to unlock meaningful change. Diagnosis and prevention gaps we cannot afford   CVD often arises from detectable and treatable conditions: hypertension, high cholesterol, diabetes, chronic kidney disease. Yet millions remain undiagnosed. Six million people in the U.K. don’t know they have high blood pressure — a silent driver of heart attacks, strokes and kidney disease.6,7   This systemic diagnosis gap is not the result of a lack of evidence or clinical consensus; rather, the longstanding pressure on primary and community care, fragmentation across services, and declining investment in public health. Between 2015/16 and 2023/24, funding for key preventative services — including smoking cessation and adult obesity support — fell sharply in real terms.8  Additionally, secondary prevention remains patchy across England. Despite clear treatment guidance from NICE, less than half of patients with CVD meet recommended cholesterol levels. Almost 30 percent of hypertension patients are not meeting recommended blood pressure targets or don’t have a recent blood pressure measurement in their records.9   The consequences are clear: progress on CVD outcomes has stalled, premature deaths are rising and those in England’s most deprived areas are four times more likely to die prematurely from CVD than those in the least deprived.10  > progress on CVD outcomes has stalled, premature deaths are rising and those in > England’s most deprived areas are four times more likely to die prematurely > from CVD than those in the least deprived We must place prevention at the heart of our health system.  A vision for proactive, personalized cardiovascular care  Early CVD prevention and treatment save lives and money. It benefits patients, reduces NHS pressure and strengthens the UK’s economic resilience.   A 20 percent reduction in CVD incidence could save the NHS £1.1 billion annually within five years and place 60-70,000 more people into work.11 Recent CVDACTION modeling suggests that even modest near-term improvements in treatment could prevent approximately 61,000 events of heart attack, stroke, heart failure admission and end-stage kidney disease in three years.12   This is not theoretical. We know what integrated, proactive models can do.   Unlocking the power of data and digital tools  Platforms like CVDPREVENT and CVDACTION already demonstrate how data-driven insights from GP records can flag undiagnosed or undertreated patients — enabling clinicians to prioritize, optimize treatment and thus prevent avoidable heart attacks and strokes every year.13,14  Additionally, as the NHS App becomes a digital ‘front door’, there is an opportunity to deliver personalized risk information, lifestyle guidance and seamless access to services.  But digital transformation requires investment in workforce capability, interoperability between systems and national procurement frameworks that can scale at pace.  Tom Keith Roach A neighborhood approach to prevention  Joined-up neighborhood services — across community pharmacies, general practice, specialist teams and local authorities — could identify risk earlier, manage long-term conditions holistically and reduce avoidable admissions.   Community pharmacy hypertension screening has delivered over two million blood pressure checks in a single year, identifying thousands previously unaware of their risk.15    The LUCID program, developed as part of a joint working initiative between AstraZeneca and University Hospitals Leicester, has shown that integrated care across nephrology specialists and primary care can identify high-risk chronic kidney disease patients and optimize their treatment, reducing emergency admissions and long-term NHS costs.16    But to truly deliver change, resources must be rebalanced toward primary and community care. Cardiovascular prevention cannot be driven from hospitals alone. The neighborhood service must be properly resourced, with contracts and incentives aligned to prevention and outcomes, not activity.  A whole-system effort to transform lives and the economy  The forthcoming Modern Service Framework for CVD, promised within the Government’s 10 Year Health Plan, presents a critical opportunity. This framework must: * Embed prevention into every level of care  * Enable earlier diagnosis using digital and community-based tools  * Support optimal treatment through data and workforce innovation  * Define clear national priorities backed by accountability  CVD is a health challenge and a national prosperity challenge. We cannot afford rising sickness, worsening inequalities, and an NHS stretched by late-stage, preventable disease. The link between health and wealth has never been clearer: investing in CVD prevention will deliver both immediate and long-term returns.  > The link between health and wealth has never been clearer: investing in CVD > prevention will deliver both immediate and long-term returns. The action plan published today provides a clear, evidence-based roadmap.5 It calls for:  * National clinical and political leadership  * Ambitious targets, including a 20 percent reduction in incidence  * Investment in prevention and the expansion of Health Checks  * Improved uptake of effective treatments, guided by data  * Digital and diagnostic excellence across neighborhoods  * Partnership working at every level  A call to action  CVD has affected too many lives for too long. But progress is within reach. The decisions we make today will determine whether the next decade is defined by a widening crisis or a renewed national effort to prevent avoidable illness.  AstraZeneca stands ready to support the government, the NHS and partners to deliver the change our country needs. The time to act is now.  Find out more at astrazeneca.co.uk   References [1] British Heart Foundation. UK factsheet. January 2026. Available at: https://www.bhf.org.uk/-/media/files/for-professionals/research/heart-statistics/bhf-cvd-statistics-uk-factsheet-jan26.pdf.Last accessed: January 2026. [2] British Medical Journal. Early deaths from cardiovascular disease reach 14 year high in England. British Medical Journal. January 2024. Available at: https://www.bmj.com/content/384/bmj.q176. Last accessed: December 2025.   [3] Rising ill-health and economic inactivity because of long-term sickness, UK: 2019 to 2023. Office for National Statistics. Available at: https://www.ons.gov.uk/employmentandlabourmarket/peoplenotinwork/economicinactivity/articles/risingillhealthandeconomicinactivitybecauseoflongtermsicknessuk/2019to2023. Last accessed: December 2025.   [4] UK Government. UIN HL5942. March 2025. Available at: https://questions-statements.parliament.uk/written-questions/detail/2025-03-18/hl5942. Last accessed: December 2025. [5] Getting to the heart of the matter. A national action plan for tackling cardiovascular disease. AstraZeneca. 2025. Available at: https://qr.short.az/r/Getting-to-the-heart-of-the-matter. Last accessed: January 2026. [6] Blood Pressure UK. Why is know your numbers! needed?. Available at: https://www.bloodpressureuk.org/know-your-numbers/why-is-know-your-numbers-needed/. Last accessed: December 2025.   [7] Department of Health and Social Care. Get your blood pressure checked. March 2024. Available at: https://www.gov.uk/government/news/get-your-blood-pressure-checked. Last accessed: December 2025. [8] The Health Foundation. Investing in the public health grant. February 2025. Available at: https://www.health.org.uk/reports-and-analysis/analysis/investing-in-the-public-health-grant. Last Accessed January 2026.  [9] CVDPREVENT. CVDP Annual Audit Report 2025. March 2025. Available at: https://static1.squarespace.com/static/65eafc36395e4d64e18a3232/t/6937fb8666a6d23761182c05/1765276550824/CVDPREVENT+Fifth+Annual+Report.pdf Last Accessed: January 2026. [10] Public Health England. Health matters: preventing cardiovascular disease. February 2019. Available at: https://www.gov.uk/government/publications/health-matters-preventing-cardiovascular-disease/health-matters-preventing-cardiovascular-disease. Last accessed: December 2025. [11] Tony Blair Institute for Global Change. The economic case for Protect Britain, a preventative health care delivery programme. July 2024. Available at: https://assets.ctfassets.net/75ila1cntaeh/7CcuI38C3mxgps6lC9O2iA/825bf2a41f933cf719459087c1599190/Tony_Blair_Institute_for_Global_Change__The_Economic_Case_for_Protect_Britain__July_2024.pdf Last accessed January 2026 [12] Into-Action.Health. Powering the prevention shift – The CVDACTION impact model.  September 2025. Available at: https://www.into-action.health/_files/ugd/ee4262_81e75612f13e403aab6594727b338771.pdf. Last Accessed January 2026. [13]Data & Improvement Tool. CVDPREVENT. Available at: https://www.cvdprevent.nhs.uk/. Last accessed: December 2025.   [14] Transforming the prevention of CVD. CVDACTION. Health Innovation Network. Available at: https://thehealthinnovationnetwork.co.uk/case_studies/transforming-the-prevention-of-cvd/. Last accessed: December 2025. [15] NHS Business Services Authority. Dispensing contractors’ data. Available at: https://www.nhsbsa.nhs.uk/prescription-data/dispensing-data/dispensing-contractors-data . Last Accessed January 2026 [16] AstraZeneca UK. Executive summary of Joint Working outputs. Pan Leicester Integrated Chronic Kidney Disease (CKD) Transformation Project: a quality improvement project to identify CKD patients in primary care suitable for virtual management to improve patient outcomes. (LUCID). July 2024. Available at: https://www.astrazeneca.co.uk/content/dam/intelligentcontent/unbranded/astrazeneca/uk/en/pdf/work-with-nhs-uk/Executive_Summary_of_Joint_Working_Outputs_Pan_Leicester.pdf. Last Accessed: January 2026