The government’s 2020 Vision states that by 2020, everyone will live longer, healthier lives at home, or in a homely setting. It sets out as significant challenges Scotland’s public health record, changing demography and the economic environment. The document cites as a key challenge an anticipated 25% rise in the proportion of people aged 75 and over in Scotland in the next ten years. This rise is likely to be accompanied by more chronic disease, and growing numbers of older people with complex needs such as dementia. It estimates over the next 20 years, demography alone could increase expenditure on health and social care by over 70%. The 2020 Vision reiterates die ambition of integrated health and social care, and a focus on prevention and self-management.