Book excerpt: The growing older people population and their increasing needs for care is now presenting significant difficulties to both national government and local authorities because of constriction of formal caregivers and family units. Inevitably a change of this magnitude within the complex system in which older people services operate everywhere attracts a range of responses from the very enthusiastic to the very dismissive and hostile response. Thus, family directed support care system would provide the possibilities to bridge the gaps within health and social care and the delivery of personalisation for later care for older people in their own home. Older people is no longer interested to be cared in an institutional settings but, wish their care to be provided by those they know well and who are familiar with their needs and standards they are used to.