Ensuring equitable access to residential aged care in Australia is a complex policy challenge shaped by demographic ageing, workforce constraints, market dynamics, and evolving community expectations. Traditional policy frameworks—such as the Australian policy cycle and evidence-based approaches—remain valuable but are limited in contexts characterised by uncertainty, interdependence, and rapid change. This presentation draws on doctoral research as a case study to demonstrate the application of a Policy Futures approach to aged care reform. Using quantitative analysis, horizon scanning and megatrend analysis, the research identifies key structural pressures affecting access and equity. These insights are then synthesised into a normative future scenario, describing a system with universal, needs-based entitlement; a continuum of responsive services; person-centred data infrastructure; and a balanced, sustainable funding model. The case study demonstrates how futures methods can strengthen aged care policy by improving resilience, adaptability, and equity over time. For practitioners, researchers, and policymakers, it offers a practical example of how foresight tools can be embedded into real-world reform processes. The findings have direct relevance to ongoing aged care transformation and broader social policy design in Australia.