ABSTRACT
Institutions and those who inhabit them are under almost unbearable pressure, and inertia in systems is a challenge in shifting to more sustainable policies and practices. The three horizons provide a framework not only for understanding but also for action and cooperation between perspectives that is relevant for action today and keeps options open for the future, which otherwise might be missing as new challenges emerge. These are: First Horizon Second Horizon and Third Horizon. General practices at the Deep End express their desired future – their third horizon – very clearly: a community-led general practice making a significant contribution to healthier, longer and fulfilling lives for those living at the Deep End.
