Access to finance, in the form and quantity needed at each stage of their life cycle, is critical for SME creation and scale-up. Yet, SMEs face difficulties in identifying and attracting appropriate sources of finance. Barriers such as information asymmetries, high transaction costs, and low levels of financial acumen of business owners explain why small businesses and entrepreneurs often face more difficulties in accessing finance than large enterprises. This chapter illustrates recent SME finance developments such as increased self-financing opportunities, an easing in SME credit conditions, more dynamic but concentrated venture capital (VC) markets and a rise in the uptake of asset-based funding solutions. This chapter shows that, while bank finance remains crucial to the financing of SMEs and entrepreneurs, alternative finance instruments have gained ground in recent years. It zooms in particular on how digitalisation is transforming SME finance and how Fintech (e.g. crowdfunding, blockchain) is likely to become a central feature in the SME finance landscape. The chapter concludes with major policy trends to support SME access to finance, e.g. a steady expansion of credit guarantees, new approaches to VC support, combining financial support with training and assistance and initiatives to reap the opportunities of Fintech and platforms.