Reflecting rather than being shackled by the past is important to prepare us to look ahead. Sometimes events in the pass year locally and internationally can be disheartening and it is easy to numb by it all. The challenges before us are human made and we can make decisions to make positive change

Better health outcomes, reducing inequities and balancing the books are three parts of a high performing and sustainable health system. Current pressures has lead to a prevailing mind-set that it is no longer possible to achieve all three and trade offs have to be made.

This article looks at statistics of the silver tsunami , the increasing disquiet amongst seniors and their families with the current health and social care services, how the silver tsunami is both a big part of the current mounting unsustainable pressure

Here are two examples in education and healthcare where decision makers have decided that they will shape the future rather than be observers. We need more of this and the lessons learnt will help bring the future one step closer to all of us.