The bear is paper-tole (called decoupage in the UK) and is from the Docrafts Wellington Bear range. This particular image was diecut so it was very easy to pop out the pieces and layer them together with dimensionals. The sentiment is also from the same range and was popped up on dimensionals.
I added a blue heart button (from the Dress It Up Icecream Soda #2779 pack) to balance the sentiment and ribbon. I sewed some blue sewing thread through the button then glued the button on using Crafter's Pick Incredibly tacky glue.
I used my Perfect Layers Tools to trim the blue cardstock layers to 1/16" and the kraft cardstock layers to 1/8". The ribbon has had Fray Stop added to the cut ends to stop them from fraying.
The dotted designer paper is from the Lili of the Valley UK Crab Apple Lane Country Gent 8" x 8" pad and the striped paper is from the Docrafts Wellington Bear 6" x 6" pad.
I think you could use this card for other occasions such as a Get Well card or Father's Day simply by changing the sentiment.