Before the US-Israel war with Iran, Naomi did not think twice about filling up the family van for her young daughter's regular hospital trips. But not any more.
Fuel prices have surged since the war began, driving up the cost of taking 10-year-old Riziah - who was born with complex medical conditions - to hospital for vital care more than 30 miles away in Liverpool.
What was once a routine expense, is now forcing the family to cut back elsewhere just to cope.
"I don't want the children to see how worried we are," she says.
BBC Panorama has spoken to families feeling the sudden financial hit of a war 3,000 miles away, as the cost of daily life rises.
