In the first part of this text we raise a number of key issues around the future development of accommodation for people in later life. In describing new initiatives in housing design and regulation, the authors consider macro and micro approaches, and the extent to which mainstream housing can encapsulate accommodation-and-support throughout the life span by experiments in Lifetime Homes and through regulatory frameworks for building guidance. The chapters describe the tensions that exist between the values underpinning universal design, the demands of market forces, and the rights of people whose needs present a special challenge to the generally accepted parameters of housing. Considering how these needs might be met, the authors move on to examine what we mean by ‘smart’ homes and how technological advances might strengthen personal autonomy, relieve environmental press and prolong independent living. They also raise important ethical issues about these innovations.