What can we build on and what should be developed so that the midwifery profession can fulfil its mission to meet women and families’ needs in 2020? In this section we examine how midwives can continue to meet women’s changing needs; how to make sure we are developing a midwifery workforce for the future; the public health role of the midwife; the importance of measuring the contribution of midwifery care; the support that midwives need to deliver quality care; and conclude with an examination of the image of midwifery, and the education and career pathways that are necessary for midwives to achieve this vision for the future. .