As part of the work within the Digital Health and Care Institute Innovation Centre, which the Glasgow School of Art is a founding partner, our research has involved a number of collaborative sessions engaging with decision-makers, strategy teams and stakeholders in government, NHS, social care and third sector. The focus of this work has explored a participatory design approach to strategy and policy design, in line with the strategic health and social care agenda in Scotland, developing person-centred health and social care. A key outcome for the various strategies is to build resilience to be able to respond and adapt to the needs and pressures facing the modern health and social care system. The findings from our engagements indicate that resilience in health and social care is not about the development of resilient systems, tools or digital technology; it means creating a culture of resilience. A culture of resilience will include: an empowered and permissive culture in the workforce at all levels by moving from a ‘control’ to ‘empower’ model; and a culture of innovation that involves the workforce, citizens and other stakeholders in the co-design of services. The poster provides an overview of the methodology and findings, value of a participatory design approach in policy making, and emerging directions towards designing a culture of resilience to enable a vision for integrated health and social care in Scotland.