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In late 2020, the Royal College of Physicians (RCP) established the Inequalities in Health Alliance (IHA) to campaign for a cross-government strategy to reduce health inequalities. In this article, RCP president Prof Andrew Goddard charts the evolution of the IHA and explains what comes next. Mild cognitive impairment (MCI) is a condition that entails a slight yet noticeable decline in cognition that exceeds normal age-related changes. Older adults living with MCI have a higher chance of progressing to dementia, which warrants regular co