The report is set out as follows. First, some background to the Foresight exercises is provided, followed by a summary outline of the process used. Next, some of the highlights of a synthesis of the process outputs are presented. To our knowledge, Foresight techniques have not been used at a provincial level in South Africa before, so it is doubly important to record the lessons learned from this ground-breaking initiative. These are set out in the succeeding section, followed by conclusions.