Ageing is one of the major societal challenges identified both by the cooperation programme & Europe 2020. According to Francesca Colombo, OECD “Health systems across the OECD are still too hospital focused & struggle to innovate approaches to care for an ageing population. There is certainly still a gap between the needs of the elderly & the way care services are organised & produced. Making the needs of old people central to the development of services & products will help. There is a need to encourage innovation as a way to improve productivity in caring”. CASCADE is an original approach that seeks to meet 3 of the OECD’s long term care priorities ensuring fiscal & financial sustainability, enhancing standards of quality of long term care services & care coordination between health & long term care.