The paper begins to set out the characteristics of the emergent discipline of Transformation Design. It identifies a nascent but growing community of practice. It highlights an under-supply of designers equipped to work in this way. And it explores the market for, and the challenges facing, designers who are starting to work in this new discipline.

This paper forms the basis of ongoing work at RED. A small number of examples are highlighted in this text. There must be many more of which the authors are unaware, and many other groups who are beginning to work in this way.

This paper looks at the new challenges facing public services, taking health as a case study. Chronic disease presents a new and growing health challenge.This paper argues that reform to the health services currently on offer cannot address either the management of chronic diseases or the broader lifestyle issues that might promote better health. The authors argue for a new approach which they call co-creation since a set of new relationships between users, workers and professionals lies at its heart. Many of the seeds of this new approach can be found within the current system.