As Rapporteur for the conference,‘The Future of SPHE: Problems and Possibilities’, my task was to listen to as many presentations as possible and contribute a reflection by way of a summing up. In this paper, I recall my thoughts at that time and share my ideas on reading the papers in this volume, one year on. In doing so I am aware that my listening and reading are shaped by my own experiences, values, knowledge and biases and that anyone else charged with this task might well have identified different themes. It is not my aim to offer a comprehensive summary but rather a situated reflection, which I hope might raise some questions about the way forward for SPHE. I must begin, however, by recalling that there was a powerful energy present on that day in Limerick in September 2012; a spirit of sharing, of curiosity and of hope. While critique was present, it was there in the spirit of collaboration. It was the first Irish SPHE Network conference and the seventy-five people who attended were clearly very committed. This in itself offered a sense of possibility. In this reflection I offer some of the thoughts and questions which emerged for me during the day and on reading the papers. In this way, I hope to support continuing reflection, conversation and energy in the future development of SPHE.