Have you ever had that gnawing feeling, just as you’re sitting down to your computer at work, that you’ve left the central heating on at home? You’re not alone. Rising concern about wasted energy and the financial cost of unregulated thermostats, as well as the convenience of a connected and cozy home, all point to the rise of the smart thermostat. Berg Insights projects it’ll grow 64.7 percent over the next five years.

Founded in Munich in 2011, tado° is Europe’s biggest maker of smart thermostats and air-conditioning controls. Looking to grow, tado° approached IDEO, a longtime collaborator, with a late-stage prototype for a new, wall-mounted gadget to connect any air-conditioning unit to the web so it could be controlled remotely through a smartphone app.

Dubbed tado° Cooling, the device recognizes when people leave their house and heats or cools the house upon their return. The brand tasked IDEO with a three-fold goal: gauge interest in the device, raise brand awareness, and work out product/market fit.

After stakeholder interviews, research, and prototyping, IDEO supported tado°’s team in refreshing the industrial design of the hardware and creating a distinctive yet unified user-interface language for the brand’s existing and future products.

To work out what potential customers thought of tado° Cooling, tado° turned to a novel research medium: Kickstarter. Its ultimate goal? Knowing whether people would part with their money for one. The IDEO team provided an overarching crowdfunding strategy, including funding goals, giving tiers, and marketing, and shot the brand’s Kickstarter campaign video.

As a result, the campaign burst through its $150,000 funding goal to $200,000, and scored coverage in a raft of tech media outlets including TechCrunch, GigaOm, TheNextWeb, Engadget, and PC Magazine. After hitting its “stretch goal,” tado° is adding non-A/C device controls, a Windows Phone app, and IFTTT and Jawbone Up integration.

In addition to media coverage, and showing the public’s appetite for the device, the Kickstarter community’s conversation unearthed further user insights that fed into product development, according to tado° head of design, Jens Pohl.

Buoyed by that success, tado° enlisted IDEO to translate user insights and a big-picture overview of the connected home sector into new services to enhance the device’s UX, and introduced new business models to strengthen its European brand strategy. Early visual concepts, learnings, and evidence from this exploration supported the brand’s investor pitch, securing a further round of $15 million venture capital.

Dr. Reddy’s, a 36-year-old global pharmaceutical company headquartered in India, was growing at a rapid pace. Over the years, the company’s main focus had been on producing affordable generic medication. But with more than 24,000 employees and seven distinct business units operating in 100 countries, there was an urgent need to identify a core, unifying purpose—one that would articulate a set of shared values and align leaders on key business decisions and goals.

G.V. Prasad, the company’s Co-Chairman and Managing Director, knew that the vision had to be simple and elegant–an emotional drive that every employee across the company could relate to and act upon.

Prasad partnered with IDEO to distill the focus that would align the company. Over the course of several months, Dr. Reddy’s team worked with IDEO to learn about the needs of everyone, from shop floor workers to scientists, external partners and investors. Together, they defined and distilled the essence of the company, paring it down to four simple words that center on the patient: Good health can’t wait.

The simplicity of these words belie their power. According to Prasad, the newly articulated purpose has resonated across the company, changing the whole culture of the organization. The idea of infusing a sense of urgency and nimbleness to their systems as a means of serving their customers has had a direct application in almost every corner of the business. Employees connect the message to their own experience, and each of the different business units are now moving towards a common goal.

A Shift Inside

“Good health can’t wait” has become a powerful recruitment tool and employee rallying cry. It makes clear that the company is in the business of serving patients, not just creating products, no matter how innovative or affordable. This has given a new sense of meaning to all personnel, from frontline sales representatives to senior leaders to scientists. Many key decision-makers, including new CEO Erez Israeli, share that the purpose statement inspired them to join the company.

Articulating Dr. Reddy’s purpose has empowered these employees to take risks, experiment, and work together. For example, the marketing department has refocused its efforts on finding solutions that improve patients’ consistent use of their medications. And motivated by the idea that patients can no longer wait for a cure, employees from different disciplines are coming together to find inventive ways of bringing new products to market in record time.

“The website medznat.ru required immense collaboration between various teams—medical, information technology, marketing, and analytics,” says Mvsma Raja, Head of Strategy and Marketing for Emerging Markets. “This served as a platform to bring the latest happenings in the area of pain management to doctors in Russia, who we learned are looking for the latest medical updates on the go.” Building on this cross-functional collaboration and momentum, Dr. Reddy’s established an internal design studio dedicated to using consumer insights and rapid prototyping to drive innovation.

New Offerings

“Our brand belief has inspired how we’ve thought about our future growth,” says CEO Erez Israeli. The new purpose unlocked a series of initiatives, including the aforementioned website for Russian physicians and innovative pill packaging that helps patients better understand their instructions.

Purple Pack is a new type of pill package that ensures that vital information like the expiration date is not torn off and thrown away. Born out of Dr. Reddy’s in-house design studio, Purple Pack allows the pharmacist or patient to mark their daily dosage and reminders on the packaging itself, as paper prescriptions are often misplaced.

A Business Boost

“Good health can’t wait” has not only attracted and unified talent and inspired new offerings, it’s boosted both sales and profit. For example, Dr. Reddy’s generic oral diabetes medication, Metsmall, has become the fourth largest brand in India based on the number of pills sold. The medication is distinct from competitors’ versions in that the pill is smaller and easier to swallow—a clear embodiment of product development oriented around the patient. With its signature Purple Pack convenience packaging, the medication has been one of the fast-growing Indian pharmaceutical brands over the last two years.

Looking ahead, both Prasad and Israeli hope to continue building a purpose-led culture that influences the business from the inside out, inspiring employees to be empathetic and responsive and realizing its mission to deliver good health to all.

In 2006, the MacArthur Foundation made what became a big bet about the future of education, shifting its attention away from the traditional school-based model of reform toward a more youth-centered approach.

By 2014, the bet was starting to pay off, but for it to really succeed, it needed an innovative path to scale and an entrepreneurial approach to sustainability. That’s when MacArthur came to IDEO for help in designing a new organization.

Together, IDEO and MacArthur set out to transform the foundation’s efforts into a self-sustaining enterprise that could balance the social responsibilities of a nonprofit with the lasting viability of a business—an opportunity that was as much about designing a new infrastructure as it was about creating a new culture.

Using a novel prototyping process, IDEO created three illustrated scenarios to tell different versions of LRNG’s possible future, each with an alternative portraiture of its purpose, vision, operating structure, product portfolio, and business model. Through a playful, modular storytelling structure, the stakeholders considered the potential trade-offs of the different approaches and how to prioritize their organizational goals with clear definitions of success.

These different future-forward scenarios helped funders and partners grasp a radical organizational vision, as well as a clear operational model that was go-to-market-ready.

In October 2015, the MacArthur Foundation launched Collective Shift, the organization behind LRNG, with $25 million in seed funding and 30 partners, including Arizona State University, Gap Foundation, the Boys & Girls Clubs, Electronic Arts, and musical artist John Legend.

Based on the scenarios created by IDEO, LRNG is dedicated to creating a “learning as a lifestyle” movement that will transform the learning landscape and close the equity and opportunity gap for young people.

Hundreds of millions of people, from excitable teens driving their first hatchback, to new parents going in for a minivan, have driven Fords off lots around the world since the first Ford Model A was produced in 1903. And cars have changed how we shop, travel, and work; they’ve reshaped our homes, towns, and the world’s infrastructure.

Today, Ford, along with the entire industry, is at an inflection point. As millions around the world move into gridlocked, polluted cities, the allure of owning a shiny new car has dulled. In some places, young people are driving less, and getting their licenses later or not at all. Lightening their load, city dwellers are relying on ride-sharing services and other alternatives to individual ownership.

Technology underpins that shift from ownership to usership. Smartphones, sensors, and open data have enabled new ways of getting from point A to B: from car-sharing services like Zipcar to taxi services like Uber or clever transport apps like Citymapper that help people skip effortlessly between the bus, a shared bike scheme, and renting a car.

While the owner of the very first commercially available Model A—Chicagoan dentist, Ernest Pfennig—couldn’t see more than a century ago how cars would change the world, Ford is squinting into its future by prototyping it now. Building on a longstanding relationship with IDEO, the carmaker approached us, along with a number of other partners, to undertake two of 25 experiments exploring a car company’s place in the changing world of mobility.

The first, Data-Driven Insurance, investigates a new pay-as-you-go insurance offer based on people’s driving behavior, as measured by a small adapter plugged into the car. The second, Infocycle, plots a snapshot of how bikes traverse the city and interact with cars and public transport by using Ford’s open source API, Open XC, to track cyclists around San Francisco.

Tackling the tangled ecosystems of bike sharing, private cars, and open city data proved an international effort. The two projects brought together a multidisciplinary team of researchers, hardware and software developers, data scientists, and interaction, industrial, and business designers from IDEO’s San Francisco, Palo Alto, Chicago, and London studios.

Have we cracked the future of mobility? Probably not. And that’s okay, says Fields. Smart mobility is simply part of Ford’s journey of evolution. Along with global competitions, collaborations with universities, and opening up their hardware and software platform Open XC, these experiments help Ford meet the needs of a fast-changing mobile world. “As we drive innovation in every part of our business,” Fields said, “we are determined to learn, to take risks, to challenge custom and question tradition, and to change our business going forward.”

More information on Ford’s Smart Mobility projects can be found here.

Growing up with a Jetsonian vision of push-button dinners and automated cleaning, I imagined coming home to a house managed by a trusty humanoid helper. In hindsight, that glimpse of the future wasn’t a bold vision of what could be in 2040; it was a 1960s dream.

In our pursuit of future-forward thinking, we often find ourselves recycling outdated paradigms. This phenomenon, known as the “used future,” refers to the adoption of established ideas and models without critical examination of their current relevance or efficacy. First introduced by Sohail Inayatullah, a pioneer and leading voice in the field of futures studies, “used futures” are ideas about the future that we inherit without criticism, ideas that resonated in the past but are no longer fit for our emerging realities. The image of a humanoid robot tidying the home is just that—a nostalgic picture of tomorrow that distracts us from the more systemic innovations we need today. Which, given our current context, should look more like redesigning entire systems for living, rather than just one gadget for individual efficiency.

As a futurist, I am fascinated with the concept of the used future. Many leaders and organizations I work with unintentionally operate on autopilot, constantly recycling old beliefs and assumptions about what people want, what good or better looks like, or what technology should enable. Even futurists unthinkingly adopt concepts developed in different contexts and timelines, leading to solutions that are inappropriate or even detrimental to current needs. ​Designers who go after used futures are at risk of building yesterday’s dreams without realizing they're already stale. This is evident in many of the “redesigned” systems we see in today’s world:

• Urban planning that continues to favor car-centric infrastructure despite growing awareness of the benefits of pedestrian-friendly and sustainable transportation.
  
  
• Educational systems that still mirror the industrial revolution's factory model, emphasizing standardization and conformity over creativity and critical thinking.
  
  
• Healthcare that focuses on acute, episodic care, neglecting holistic, preventative, and community-based wellness and public health approaches.
  
  
• Office designs that prioritize “modernized” cubicles and centralized workplaces, overlooking the potential of hybrid models and third spaces, and ignoring costly commutes and work-life balance issues.

Each of these systems carries the DNA of an older future that doesn’t fit the reality we’re living in or the expectations we have for the future. Most attempts to redesign or evolve these systems and so many others are myopic and incremental at best—more akin to remixing previous fixes than driving paradigmatic change.

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It’s an easy mindset to slip into. Over many years of doing futuring work with clients and graduate students, I’ve returned to the same exercise. I ask them to close their eyes and  “imagine the year 2040.” Almost invariably, their minds leap to the familiar—flying cars, corporate dystopias, and neon-lit cityscapes of sometimes decades-old popular culture. The futures they could imagine are limited by inherited visions of what could be.

To break that loop, I’ve started changing the prompt. Instead of “What does 2040 look like?” I ask, “What does your birthday in 2040 feel like?” Suddenly, the answers are different. They talk about who they hope would be there, where they would be, and what they would be doing. The future becomes grounded in something personal, emotional, and ultimately, human.

And that’s where real futures thinking begins. The key is to notice when you are repeating someone else’s vision of tomorrow and get curious enough to imagine your own. But how, exactly, can you sidestep the used future?

Here are five techniques I use regularly that can help transcend the limitations of the used future:

1. Identify emerging signals

‍Looking past today’s dominant narratives means tuning into faint signals of the future, early indicators of change that hint at what might be plausible tomorrow. These signals are not trends yet; they’re provocations, cultural artifacts, early-stage experiments, or subcultures operating at the edge.

Consider IDEO’s Future of Automobility project from 2015. Introduced long before autonomous vehicles hit city streets, this work mapped a world where vehicles were shared, adaptive, and integrated into a broader urban ecosystem. It didn’t ask, “How do we make cars better?” It asked, “What happens when we stop designing around car ownership?” By interpreting early shifts in technology, social behavior, and city planning, the team envisioned new mobility platforms that anticipated today’s transformations in transportation infrastructure. Witnessing the most recent “carriage-style” entries into the autonomous market in the Bay Area, it’s impossible to miss the similarities between what IDEO imagined mobility could be and where it is today.

To avoid the trap of the used future, we need to be less obsessed with forecasting with certainty of what will happen and far more courageous in noticing signals for what is possible, no matter how speculative it feels.

2. Question the framing

Used futures often sneak in through the front door, via projects that frame the problem to be solved using assumptions, categories, or language that come from the past. That’s why it’s critical to ask: Is this work going after incremental improvement or transformational reimagining? “Better-than-today” efforts may optimize the status quo, but “future of” briefs open the door to strategic reinvention.

IDEO’s collaboration with Conservation International initially focused on protecting biodiversity hotspots. Through reframing, the team moved from traditional conservation messaging toward building a new cultural paradigm: helping people recognize nature as a source of emotional, physical, and spiritual well-being. This new context led them to think of nature as their client, shifting the way conservation is valued and communicated in human-centered terms. It was a significant reorientation of purpose rather than just a new message.

3. Prototype tangible futures

It’s hard to unlearn the futures we’ve inherited unless we see, touch, or experience alternatives. Prototyping tangible futures helps us push beyond habitual thinking and brings speculative ideas into experiential form. This might mean creating speculative artifacts like newspapers from the future, designing future rituals like a daily huddle with your AI agent, or simulating entirely new systems.

At IDEO, teams often use tangible futures techniques to prototype new products, new services, and new ways of behaving. When teams work on “future of health” projects, prototypes might include a mock clinic that embodies an alternative care model, a future policy pamphlet, or the interior of an autonomous ambulance. These prototypes for interactions are tools for stress-testing assumptions and unlocking insights  creating momentum that stakeholders can react, iterate, and imagine together. You don’t need a time machine to imagine what could be; you simply need a prototype.

4. Create human narratives

Too many future visions center on technology, markets, or efficiency and miss the beating heart of change: human lives. Human-centered narratives illuminate the values, desires, tensions, and trade-offs that define meaningful futures. They help us imagine what the future brings as well as what it will feel like to live in it.

In several IDEO projects that reimagined the future of aging, teams resisted the common narrative of decline and dependency. Instead, they co-created stories with older adults that ranged from reimagining retirement as an opportunity to engage in lifelong purpose to redesigning death to helping the elderly live with intention, right up to the end. These future narratives inspired new product and service ideas and reshaped social attitudes and policy conversations.

Narrative is a strategic tool. By telling stories of a preferred future where people thrive in just, inclusive, and life-affirming ways, we can build the collective resolve to make them real.

5. Design nascent paradigms

Sometimes it’s not enough to design for a new future; we also have to design the conditions and new thinking that make shaping nascent paradigms possible, reorienting how we define progress, value, and success

In the Beyond the Bag Challenge, IDEO worked with startups and major retailers to help define what it means to design solutions that restore and renew natural systems rather than deplete them. The collaboration led to a range of alternatives to single-use plastic bags, including biodegradable options and systems for recirculating bags. Within months, several prototypes were launched in major retailers and key markets.

Avoiding the used future in design means embracing techniques that encourage not just imagining transformative futures, but also those that help us surface and question possible outdated visions as well. If we don't notice the used future, we risk creating innovation theater, polishing legacy ideas instead of surfacing the truly new needs, emotions, and possibilities. By consciously moving beyond these old visions of what’s possible, we open ourselves to a broader spectrum of possibilities, enabling designs that are not only innovative but also deeply attuned to the evolving context of our world.

‍Looking to bring futuring into your own work? Get in touch.

I’ve been waiting for a housekeeper robot since I was a kid.

The question tossed out at checkout has become such a common refrain that it can feel like background noise. Perhaps you say no—worn down by membership fatigue, especially for stores you rarely visit. Or perhaps you say yes, lured by a one-time signup perk, only to join the 35 percent of shoppers who say they belong to a loyalty program they’ve never used.

Nearly 80 percent of Gen Z and millennial consumers believe a high-quality digital experience is essential for loyalty programs. But these reward systems, typically built around points, discounts, or tiers, rarely reflect what the brand actually stands for. And when the behavior being rewarded feels disconnected from the brand’s promise, it creates a subtle but powerful disconnect. We think of this as brand dissonance: a type of cognitive friction between what a company claims it values and how it invites people to engage.

When we design loyalty programs at IDEO’s Play Lab, we begin by recognizing that a brand exists at the intersection of what it says about itself and how people experience it, across hundreds of small, accumulated interactions. Done well, loyalty programs don’t just reflect a brand’s values—they embody them, shaping how people experience the brand in the countless moments that add up to brand loyalty.

On a project with JetBlue, for instance, we were tasked with introducing a new premium service that could compete with first-class perks—but without undermining their mission to “bring humanity back to air travel.” Rather than replicate a tiered status model, we grounded the work in a different philosophy: speak to modes of travel, not travel classes.

We designed for different player types—offering “power-up” benefits like faster security, better access to overhead bins, and higher quality food and beverage options. These upgrades honored JetBlue’s inclusive ethos and resonated more with the airline’s loyal passengers.

The result? The new offerings, introduced in 2011, drove its EvenMore line of perks, generating $230 million per year, with a 30 percent annual growth rate, and increasing revenue per customer by 20 percent. That success didn’t come from gamification for its own sake—it came from building a loyalty experience that reflected JetBlue’s values and aligned with travelers’ intrinsic motivations.

Designing for the next generation of consumers brings added complexity, as brands must account for shifting behaviors, rising expectations, and evolving definitions of loyalty. Programs that feel overly transactional or inaccessible often fall flat. Younger, digitally native audiences are highly discerning and research nearly every product online before buying—not just to find the best deal, but also to assess whether a brand aligns with their values and feels worth supporting. They gravitate toward brands that feel authentic, expressive, and purpose-driven. Think REI Co-op or Trader Joe’s. Earning their loyalty means creating experiences that reflect who they are and who they aspire to be—rather than how much they spend.

That’s where game design offers a powerful blueprint. The best programs go beyond transactions, building ecosystems of engagement that give people agency, align with their intrinsic motivations, and evolve over time. Not to be confused with basic gamification, which adds a superficial layer of points, badges, and leaderboards as a way to incentivize customers, game-inspired programs can go deeper and reward engagement in ways that are rooted in brand values and reflective of real-life consumer behavior and identity. Here are three ways we could design a more sophisticated game approach to loyalty programs across three industries: retail, restaurants, and hospitality.

Pokémon Go for retail

Imagine the goal for your brand is to tap into self-expression, identity, culture, and community through your loyalty program. Your app could include an AR feature that lets users scan physical environments—like storefronts, catalogs, or product tags—to reveal hidden offers, collect digital rewards, or unlock exclusive quests. Shoppers could level up based on their interests or shopping style (e.g., “Sustainable Shopper" or "Sneakerhead"), earning rewards that reflect their values and deepen their connection to the brand. Think Pokémon Go meets personalized product discovery.

Gamify the wait at restaurants

Every parent dreads the restless stretch between sitting down at a restaurant and the food arriving. It’s often when screen time rules go out the window—and then backfire when the meal arrives and a tantrum ensues as you try to pry the screens away. Now imagine you operate a chain of family-friendly restaurants. When families are seated, they can scan the table to unlock secret menu items or interactive mini-games that reward adventurous eaters (“no repeat dishes for two weeks”). Better yet, what if your kids could feel like they’re helping prepare the meal through a restaurant simulator game, synced to the real-time cooking process—turning wait time into a playful, immersive experience that reinforces family connection and the fun of dining out together?

Turn hotel stays into an open-ended travel adventure

Let’s say you run a hospitality brand that caters to travelers who care about connection, creativity, and belonging—not only price or convenience. Imagine if guests could earn recognition beyond the number of nights they stay, reflecting how they make travel a part of their lives. Like the cozy game of Animal Crossing, rewards are given to players for consistently returning and doing small, meaningful things over time—earning recognition for sending postcards, documenting hidden gems to help fellow travelers, or simply enjoying breakfast in bed. Each stay becomes a chapter in their story, where they can log snippets of music, photos, journal entries, and even scents as mementos to savor and relive later. Over time, their loyalty profile becomes a rich, emotional artifact of their journey and identity as a traveler—not just a status tier.

Gaming culture has reshaped how people shop, connect, and stay loyal to brands. The most effective loyalty programs operate like games: they offer agency, build a sense of progression, and create emotional resonance. Grounded in a brand’s core promise, they reward behaviors that reflect what the brand truly stands for and show up in the everyday moments that matter. And while they’re inspired by game design, they don’t need to look like games to make people want to keep playing.

So let’s build something better. Let’s co-create the future of loyalty—one that feels like a game your customers actually want to keep playing.

“Are you a member of our rewards program?”

On the one hand, product development processes are built for good reason: They bring structure, reduce risk, and ensure that what goes to market is feasible and viable. I’ve seen this firsthand across various industries, including mobility, real estate, home goods, and consumer products. Rigor is essential when you’re investing in a launch.

But here’s the rub: Those same processes that build confidence often constrain the ambiguity and risk that innovation demands. Design thinking is often touted as the solution, a concise methodology to inject creativity. But how does that square with a stage-gate model built to de-risk and control?

Is it a matter of choosing one or the other? Or is there a way to bridge the gap?

Here’s how one team figured it out.

The familiar question

“How can we integrate design thinking into our product development process?”

It’s a question I’ve heard many times in my career, and this time, it came from an engineer I was coaching on the R&D team at the headquarters of a globally renowned retailer in China.

The team leader had an ambitious vision: leverage their proximity to China’s robust supply chain and dynamic consumer market to build the world’s leading retail R&D center. A critical step was enhancing the engineers’ creativity and critical thinking skills, moving them beyond task execution toward collaborating more closely with their cross-functional partners to design solutions that meet real consumer needs.

That’s where IDEO came in. Building on an earlier innovation project, we embedded designers as advisors and coaches directly into their product development process.

In one of our sessions, the engineers had mapped out their four key development stages on a whiteboard:

• concept discovery
  
  
• product development
  
  
• product qualification
  
  
• launch
  
  

They had also been taught that design thinking contains four key steps.

“Maybe there’s a one-to-one match?” one engineer asked, hoping I could align each development stage with a corresponding design thinking step.

It was a reasonable guess, but not quite how design thinking works.

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Getting past process

That day’s focus was prototyping and testing. At first glance, it seemed to align with the third stage of their product development process: product qualification.

“How does IDEO do prototyping and testing?” they asked. “At what stage should we use it? What role does it play?”

Instead of jumping into an explanation, I suggested an experiment.

“Let’s forget about process labels for a moment,” I said. “Write down all the questions you want to explore through prototyping, regardless of which stage or methodology they supposedly belong to.”

Before long, each engineer had a handful of sticky notes with their questions written on them.

“Now map these to your actual development stages based on when you’d naturally ask them.”

When they placed their questions across all four stages of their product development process, something clicked. They could suddenly see that design thinking wasn’t competing with their process.

“Can this product store spices?” belonged in the early concept discovery phase, where prototyping could help define the product.

“Does the product stay stable during movement?” fit into the product qualification phase, where prototyping could test structural performance.

Prototyping was clearly valuable across all stages. 

The same is true for all the other so-called steps of design thinking: finding inspiration in consumer needs, translating needs into design opportunities, and generating concepts. They’re not fixed stages to complete in order; they’re ways of thinking and working that help teams ask better questions, explore possibilities, and make informed decisions, regardless of where they are within their own internal processes.

A mindset shift, not a process replacement

Back to the original question: “How can we integrate design thinking into our product development process?”

The answer, it turns out, isn’t about fitting one process into another.

Through the sticky note exercise, the engineers understood that design thinking and product development aren’t competing methodologies. Design thinking could add value by bringing curiosity, questioning, testing, and making ideas tangible throughout their existing process.

This insight shaped our collaboration model: embedding consultation sessions into real projects rather than trying to overhaul their established ways of working. We weren’t disrupting cross-department collaboration or the high-stakes requirements of mass production. We were expanding the potential for innovation and experimentation within their existing framework.

The results are still unfolding, but the engineers are already applying design thinking mindsets to ask meaningful questions, explore solutions, and test ideas, helping them think more expansively, make thoughtful trade-offs, and push concepts further.

That’s the bridge between structure and creativity: not new processes, but new ways of thinking within the ones you already have. Practiced over time, those habits make innovation both sustainable and rigorous.

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“The Making of...” is a series of behind-the-scenes articles written by IDEO Shanghai designers about our innovation methods and work with major clients across industries in China.

As companies grow and their internal processes mature, the concept of innovation can start to feel like a contradiction.

Over the past decade, particularly through two pregnancies and deliveries, I have learned to navigate and deeply appreciate the complex network of healthcare providers and services that comprise the NHS.

I am far from alone in that deep appreciation. In England, the NHS is a national obsession. It determines election campaigns, shapes the budget, and perhaps most importantly, colors how we think about and act on our health. But alongside that feeling of national pride is an understanding that the institution is under far too much strain. There are currently 6.34 million people waiting for NHS treatment. Cutting waiting lists by making better use of the private sector is front and center of the Prime Minister’s latest NHS proposals. It is a top priority for the government as it looks to deliver on a promise to ensure that 92 percent of patients in England wait no longer than 18 weeks for treatment.

Over dinner recently, a close friend asked me: “You’re a designer. If you were going to fix the NHS, where would you start?”

My answer: “Anywhere but the NHS.”

The NHS is a world-class problem fixer. An emergency and acute care service that kicks into gear when we need it most. However, the NHS cannot purify the air we breathe, encourage us to move more, improve our relationships with others, help us develop healthy working patterns, or change the food we eat. To preserve our health, we need to address the causes of preventable lifestyle diseases like obesity, diabetes, and heart disease at their source.

That means turning to the spaces where our health must be built, maintained, and nurtured. Our workplaces, our schools, our communities, our supermarkets. That’s why the best way to improve the NHS actually lies outside of it.

Rethinking the way we generate health in the UK might sound ambitious, but for a designer who has focused on health for 20 years, it is very clearly the right brief.

So, where might we start?

1. Paint a new picture of health

My mentor, IDEO founder David Kelley, used to say, “Paint a picture of the future with your idea in it.” This is where design excels. We need to imagine a future where health thrives outside of healthcare settings, a future where preventable illnesses are dramatically reduced, and people live longer, healthier lives.

Imagine a future where waiting lists for heart surgery are a thing of the past, not because the NHS has magically become more efficient, but because fewer people need surgery in the first place. Or where at-home cancer screening frees up time for healthcare workers, and gives patients more control over their own health. One of our clients, Teal Health, partnered with us to create safe and accurate cervical cancer screenings that would allow patients to collect their own samples at home, giving them more agency over their own health.

Or consider mental health. Across the UK and the US, children and young people are in crisis. In California alone, more than 284,000 youth cope with major depression. Sixty-six percent of kids with depression do not receive treatment. Between 2019 and 2020, the suicide rate for kids ages 10-18 increased by 20 percent. These numbers are shocking. Imagine a future where children, their families, and schools had easy access to tools designed to combat those mental health challenges. This was the vision driving IDEO’s collaboration with Kooth, the State of California, and cohorts of young Californians to create Soluna, a digital mental health resource kids could access anywhere, anytime.

To drive a step change in the state of our health in the UK, we must allow ourselves to rethink the ways in which we keep ourselves and our families healthy. The National Health Service cannot be our sole partner in this endeavor.

2. Break taboos and engage in hard conversations

Taking health beyond the hospital will require us to confront awkward topics—conversations which we have become used to leaving at the door of the doctor’s office. We need to learn how to talk about menstruation, aging, mental health, and—dare I say it —poo, out in the open.

By normalizing these discussions and listening with empathy, we can begin to uncover the human challenges that impact our health, opening up opportunities for new products and services that improve health and drive economic growth.

Menopause is a great example. In our work with QVC, we learned that nearly 40 percent of menopausal women are being prescribed antidepressants to help manage their symptoms, despite four out of five describing the treatment as “inappropriate.” We also heard that nine out of 10 British menopausal women feel society and brands overlook them. Recognizing that its customer demographic makes QVC uniquely positioned to surface conversations and provide support to those dealing with menopause, the video commerce retailer partnered with IDEO to determine how it could not only meet customer needs but also flip the conversation about midlife, reframing it as a time of vibrancy and exploration.

3. Fix incentives to combat health pollution

The true financial cost to society of excessive sugar, saturated fats, and pollution is largely hidden. The sticker price is nothing compared to the cost of lost productivity, medicines, procedures, and NHS waiting lists they create.

Policy makers need to inspire innovative new alternatives and reward manufacturers who can create attractive products that do not come at the expense of our health.

In the US, an organization called Eat Real is working to scale access to nutritious, sustainable foods through healthier meal programs in public schools. Almost 30 million children in the US rely on public school lunches for more than 50 percent of their daily caloric intake, but these meals are often comprised of ultra-processed, unsustainable foods. IDEO collaborated with Eat Real to develop its branding and messaging in order to reach a new set of food philanthropists and scale their impact.

4. Be radically collaborative

Once we relinquish the notion that the healthcare system is solely responsible for our health, we are free to design a new system of collaborative forces to promote, maintain, and foster good health. What opportunities might we unlock if we brought together food producers, educators, employers, city planners, tech leaders, and content creators to co-design a new approach to health with policymakers? Already, some public/private partnerships have led to change. A few years ago, IDEO partnered with the NHS’s health tech unit and a company called Public Digital to create a suite of digital resources that enabled organizations across the NHS to transform their own services, allowing them to provide mental health support for the most vulnerable children and young people.

The opportunities extend far beyond the NHS

A healthier society is more productive and pays more taxes. It requires less healthcare funding and is less poverty-stricken. It can help us all to live happier, more fulfilling lives.

The tensions getting in our way—the short-term incentives to sell unhealthy products, reduce environmental regulations, and the challenge of breaking unhealthy habits—do not necessarily require a revolution in medical technology or vast sums of money to resolve.

They require a designer’s toolkit. A willingness to imagine a different approach to health in the public and private sectors, the courage to talk about health in the open, a realignment of incentives, and the willingness to experiment.

They also present a huge opportunity for any organization interested in building a business centered on improved health outcomes.

It’s time to take our health out of the hospital.

When I relocated from the US to the UK ten years ago, one of the biggest differences I experienced was my sudden access to the publicly funded National Health Service (NHS).

I help organizations cut through complexity by shaping how they show up, through brand strategy, identity, and storytelling.

Working at the intersection of brand and business, I bring an editorial eye and a bias toward making—turning ideas into tangible experiences that people can understand, trust, and believe in.

My work spans government, healthcare, financial services, media, and consumer goods, from launching Gen Z-focused ventures to building innovation labs and reimagining legacy brands. I relish moments of ambiguity and enjoy translating across teams, perspectives, and priorities to move ideas forward.

I started my career in editorial and digital design, shaping cross-platform experiences and identity systems in publishing and agency environments. That foundation still shapes how I work today: I’m detail-oriented, collaborative, and overreliant on the Oxford comma. I hold a BFA in Visual Communication from the School of the Art Institute of Chicago.

For 25 years, I've asked the same question: Who does this design exclude—and what are we going to do about it?

My work spans human-centered strategy, inclusive design, and qualitative research, with clients ranging from Microsoft, Google, and Verizon to the National Science Foundation, and San Francisco Unified School District.

Before IDEO, I taught elementary school in East Palo Alto and spent a decade doing design work with social service organizations—where I learned firsthand what it costs people when systems are built without them in mind.

I am currently writing User Error, a nonfiction book about digital access and the design decisions behind it. I live in Oakland, California.

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My expertise spans brand, communication, and product design across tech, education, the arts, and social impact.

I believe great work demands both high-level vision and obsessive attention to detail, and only happens through collaboration.

I bring an inclusive, hands-on approach and a deep understanding of business, which enables me to consistently deliver excellence while always asking why.

Before joining IDEO, I worked at the brand firms Pentagram and VSA Partners. I began my career as a designer, leading teams at the School of the Art Institute of Chicago and the Milwaukee Art Museum. I hold an MFA in graphic design from Maryland Institute College of Art and a BFA in communication design from the Milwaukee Institute of Art & Design, and have taught at some of the best design schools in the US.

I am responsible for IDEO’s long-term success in China and working with clients to use design as a tool to enable growth. Specifically, I have helped Chinese companies design holistic brand solutions through the development of their products, communication, services, and innovation teams, and I have helped multinationals expand their presence and influence in China.

I advise global leaders on developing China-led innovation and capabilities.

In over 15 years in IDEO Shanghai, I have worked on projects that use design to elevate the quality of the experience of healthcare products and services, streamline processes that increase productivity, create spaces and programs that promote and enable inclusive communities, and build next generation mobility solutions that are planet-positive.

Before joining IDEO, I worked at Philips Electronics and the Electrolux Group in Italy, the Netherlands, and Singapore on a number of breakthrough commercial products. I am a member of the Young President Organization in Shanghai.