Recent research seems to be indicating an emerging new issue in social care. As is often the case, a medical triumph – people with learning disability living longer – is coupled with the challenge of meeting new needs in older age. It is now estimated that up to 50 per cent of people with Downs Syndrome, for instance, may develop dementia as they age. Are we ready for this new challenge? Will people who have grown up in the adult social care “system” be adequately supported into older peoples services? And crucially, will the money be available for their needs to be met properly?