NCD Alliance is tracking the course of negotiations on the Political Declaration to be adopted at the fourth UN High-Level Meeting on NCDs and Mental Health on 25 September. Based on what we have seen, the first revision (Rev.1) draft text of the Declaration carries forward many priorities from The Call to Lead on NCDs, but there is still a lot to fight for. As negotiations continue, civil society must stay engaged, championing the advances reflected in Rev.1 and urging governments to strengthen areas where ambition and accountability are still lacking.