The document discusses key megatrends and risks that will require strategic responses from organizations, including more sustainable resource use, changing demographics, increased mobility and connectivity. It emphasizes that sustainability thinking can help address complex problems by mainstreaming issues like corporate social responsibility and risk management. The author argues that organizations need to take accountability for the future by controlling outcomes through integrated leadership and governance focused on creating long-term intergenerational value across economic, social and environmental dimensions. Sustainability must inform strategic context and organizations require rigorous top-down approaches to build sustainability into core business.