The key requirement in the Act on local authorities to promote an individual’s wellbeing also represented overdue recognition of the value of a ‘social care’ approach, exemplified brilliantly by Clenton Farquharson when he says, ‘The NHS saved my life; social care made my life.’  We also forget now that adult safeguarding, direct payments and personal control of your budget were all put on a legal footing by the Act that ‘levelled up’ practice nationwide. The Act was less groundbreaking when it came to providers. Its focus was to limit the risk of another major provider crash like that of Southern Cross in 2011. From today’s perspective, the Act tries to ‘manage’ rather than create the dynamic capability needed to shape and influence rapidly changing markets. While it created a regime for provider failure, we still haven’t defined the relationship between public money and prices, profits and company structures.