After the team's convincing victory over Ireland in the lone Test at Lord's, the left-arm spinner complained of back pain. Scans later revealed a serious injury. Rehan Ahmed, Liam Livingstone, and Will Jacks are just a few of England's alternatives for the position of the spinner in the starting XI, although Moeen has apparently been questioned about his availability. Further evidence that he will make his ultimate choice within the next 48 hours comes from a Telegraph Sport story.
This might affect the game for England tactically. The senior all-rounder is perhaps most suited for an aggressive attitude, and given the English conditions, many teams choose to make do with an all-rounder instead of a frontline spinner. Moeen's argument is strengthened by the fact that he has a superior track record with the bat and the ball in 35 Tests played at home compared to his away outings in whites.