This report is based on insights from an expert roundtable held in June 2021. The roundtable brought together Irish and global experts in health, economics, policy making, and advocacy. Roundtable insights focus on three central themes: equity and the right to statutory home care, home care standards to ensure quality, and person-centred, integrated home care, with participants agreeing to nine key recommendations for the Irish Government across the themes:

1. Implement a common, evidence-based and needs-based assessment tool as part of the statutory home care scheme,
2. Invest in needs-based care built on a standard assessment to help provide care recipients and their families with financial certainty and also reduce health system costs,
3. Implement flexible home support services supported by accessible and transparent to ensure citizens can access the care that best reflects their needs and their wishes,
4. Implement regulation to strengthen home care safety and quality standards,
5. Develop regulatory licensing schemes for all home care providers, including the HSE, to ensure standards of care are set, pursued and achieved,
6. Strengthen governance structures to ensure coordinated care across home care providers, health and social care services and care settings,
7. Revise governance and promote training to provide service users with choice about their home support services and enable flexibility in care decisions,
8. Improve home care supports for family carers by increasing the types and availability of services available, and
9. Strengthen provider governance to ensure service user participation in care planning and outcomes-based, collaborative, personalised care planning across the course of one’s life.