This chapter considers some of the major questions around access and accessibility, beginning with the most basic: just what is meant by access and how this relates to the notion of accessibility since the assumption is so frequently made that we all know so much what access and accessibility are that few writers ever bother to define them or even to set under which terms of reference they understand the words. In this respect, as we shall show, there are parallels between the e-learning access debates and issues and those surrounding access to other forms of education, in particular, higher education.