The aim of this chapter is to explore how application of reflective practice can be used to identify future change to assist a paradigm shift to a holistic ecosystem for health and healthcare. It explains how reflection-on-practice can be used to identify lessons learnt from projects that were designed as collaborative partnerships to provide integrated health and healthcare to people living with disadvantage. Four reflective techniques are described: Narrative, Concept Mapping, Critical Incident Analysis, and Appreciative Inquiry. The techniques are tailored to the purpose of this book, first, to analyze the project experience for each of the 3P agencies of health and healthcare: Principles and Purpose (P1); People in Place (P2); and Practices and Processes (P3). Second, to undertake critical reflection of the projects to identify the challenges for collaboration in seeking to replace the habitual practice in health and healthcare of hierarchies of decision making.