PASCAL has much to offer citizens, communities, supportive professionals and policy makers in order to transform city-regions into places where ALL people flourish. PAC could help drive sustainable, constructive and involving change if it learns how to develop compelling meaning for those who must take real action – many have begun to realise this will be, in future, by citizens and communities, not just professionals. However, to enable this to be allowed to happen, a developed approach by PAC must also be compellingly meaningful to those who make and influence policy.