This chapter concludes by bringing together the previous chapters to consider the significance of the findings. In particular, it reflects on: what has changed, why it is has changed, and why it matters for social policy. It provides some further thoughts about the significance of the book for the concept of care culture and for regime typologies. It summarises how the patterns, policies and cultures of in-home childcare in Australia, the UK and Canada differ in multiple ways, in relation to funding, regulation and immigration. Some policy lessons and best practices are outlined in order to improve inequities among families, quality for children, and working conditions for care workers. It is argued that by using in-home childcare as a lens to analyse and compare ECEC policy, and by incorporating migration policy into the analysis, the differences among this liberal welfare regime type are magnified.