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John Bessant, Allen Alexander, Danielle Wynne and Anna Trifilova

Innovation very often involves different stakeholder positions, regarding its design and ultimate downstream implementation. A challenge in responsible innovation is ensuring that sufficient ‘design space’ (the arena within which such differing stakeholder views can be articulated, explored and negotiated) is made available at an early enough stage to influence the outcome. Using the particular example of a detailed longitudinal case of the development and diffusion (with subsequent modification and ‘re-innovation’) of a digital health information platform we identify a number of key points at which the innovation concept ‘pivoted’ to reflect new information, some of which resulted from a wider level of inclusion (one of the core RI principles). The chapter explores the role played by structured frameworks (such as the ‘Business Model Canvas’) with which to work with the development of other digital healthcare innovations at an early stage.