A Three Horizons Conversation with Andy Wilkins

Futurist Andy Wilkins discusses rethinking health as a complex, nested system — from cells to cities — and why current siloed, “repair-shop” healthcare models won’t scale for ageing, multi‑morbidity populations. He explains the Three Horizons framework for shifting from incremental fixes (Horizon 1) to system-wide transformation (Horizon 3), shares practical examples, and offers concrete steps innovation and improvement leaders can take now to start building a more integrated, person-centered future — especially as AI and digital tech become powerful enablers or risks.Guest Bio:Andy Wilkins is a UK futurist, speaker, podcaster and founder of Future of Health – a new think tank and systems convener exploring the long term vision for holistic health in a technology enabled 21st century.Through the lens of human-centred value creation Andy has undertaken many research, innovation and strategy projects across Health and Care. This includes authoring high profile reports for the UK’s NHS and policy makers on whole systems approaches to the future of Health. Most recently he has been working closely with Suffolk and NE Essex ICS to bring a new futures based approach to whole systems working.Andy has designed and pioneered Imperial College’s Executive Education flagship course on Leading Systemic Innovation in Healthcare and is a visiting lecturer on Public Health at University College London.Resources Mentioned:Beyond the Fog: 10-15 Year Vision for the Future of Public Healthcare in a technology enabled 21st CenturyThree Horizons FrameworkFuture Shift: Suffolk and North East Essex Integrated Care System