Among the key differentiators of 6G compared to 5G will be the increased emphasis on radio based positioning and sensing. These will be utilized not only for conventional location-aware services and for enhancing communication performance, but also to support new use case families with extreme performance requirements. This paper presents a unified vision from stakeholders across the value chain in terms of both opportunities and challenges for 6G positioning and sensing, as well as use cases, performance requirements, and gap analysis. Combined, this motivates the technical advances in 6G and guides system design.