There are some odd design ‘rules’ in healthcare. They include: organising around medical disciplines rather than patient problems; the disconnection between primary and home care; the sickest patients being seen by the most junior doctor; and a system of outpatient care that is akin to patient storage. Nigel's keynote outlines a set of new design principles for service delivery, which, he says, are beginning to challenge the old concepts.

In January 2015, the NHS invited individual organisations and partnerships to apply to become ‘vanguard’ sites for the new care models programme, one of the first steps towards delivering the ‘Five Year Forward View’ and supporting improvement and integration of services. Sam's keynote provides an update on the programme and highlights some of the key lessons to date.

Ian's opening keynote address provides an update on the Future Hospital programme and gives insight on the lessons for evolving and refining the concept of 'the hospital without walls' to deliver holistic and coordinated care for patients, whether they are in hospital or in the community.

This talk explores a new and refreshing approach to how we understand and improve healthcare systems. Hamish Dibley outlines this alternative approach to realising better healthcare services at less cost. It begins with looking at healthcare not from a conventional activity perspective but from a person-centred one.

As we get older, no matter what our physical and cognitive abilities, each of us deserves a life worth living – a life that reflects who we are and engages us in ways we find meaningful. This keynote presents examples of how the I’m Still Here approach to implementing the arts, culture and design in the lives of those facing cognitive challenges enables them to have a life worth living.

The delivery of care in healthcare facilities results in an ever-increasing environmental footprint, which contributes to damaging the health of the community it seeks to serve. This keynote address examines this contradictory connection between healthcare and environmental health, and explores what can be done to realign the relationship in a positive direction.