Policy report that looks at health and care services holistically, with the person, not the institution, at the centre. It proposes a set of recommendations that will focus on helping people stay well, manage their conditions and promote their independence; it suggests how incentives can be aligned across health and care organisations to encourage them to put people's interests first; and it encourages health and social care to work in partnership for their communities, without proposing expensive and distracting structural reorganisations.