People-centred, or more importantly people-driven care, is a core component of integrated care. Integrated care is care that is coordinated, continuous and centred around needs of the individual in their situation and enables them to live the life that they want as part of their community. There are many overlaps between integrated care and people-centred care but you can have one without the other. Only when our health and care systems use both as fundamental design principles, will we deliver the 21st century care that our populations need. That requires a fundamental shift in how we practice as policy-makers, health and care providers and members of society. I will explore those changes, some of which are already happening in my presentation, challenging all of us to think and act differently to make integrated people-centred care a reality.