In an age of instant communication, strong economic growth in the south, and new geopolitical realities, why are we still using a 1960s model for aid? The global community is discussing next generation MDGs and measures for aid effectiveness. Now is the time for making practical suggestions to ensure we are not ‘rearranging deck chairs’, but engineering an aid model that both produces a high social return and is appropriate for the 21st century. What have we learned from radical innovations previously employed? What would a new model look like? How could it be implemented? Engage in a lively discussion of new approaches and potential models for success.