Strategic Design for Health Impact

Supporting health and social innovation & impact

We help health systems leadership teams navigate complexity to design high-impact strategies and programs that work in the real world, not just on a project plan.

Strategy, evaluation, systems thinking, and service design tied together with leading-edge behavioural science and 25 years of experience working in the health sector.

We grow our clients’ capacities to learn, innovate, and deliver health and social impact.


We bring over 25 years of experience as consultants, designers, academics, and leaders in the health and social impact sector. At Cense, under the leadership of Dr. Cameron Norman, we offer:

Strategic Planning For Complexity

Our strategic planning approach is design-driven—meaning it’s intended to focus on the use and users of the plan. We help you make sense of complexity, design for impact, and create sustainable strategies that are aspirational, achievable, and impactful, by design.

Evidence and Evaluations You Can Act On

We provide professional, internationally recognized, Credentialed Evaluation services to support innovation, learning, and transformation by design. We create learning systems using the best evidence, guided by leading behavioural science to inform evaluation use.

Health By Design

Improved health, wellbeing, and related outcomes are at the very core of what we do, helping our clients generate healthy outcomes for their patients, communities, partners, and teams. We combine systems thinking with leading behavioural science, service design, evidence generation, and learning to connect what you do to the health impact you aim to achieve. Whether it’s improving patient outcomes, activating leadership teams, or ecosystem wellbeing, we will connect what you do to greater health impact.


How We Help Our Clients


Explore Our Services

Learn and Listen

Explore our services to learn how we can support your work, and subscribe to our learning resources to stay inspired. Visit our blog and Censemaking for insights on strategic design for innovation and impact.

Our office is located on the ancestral and traditional territory of the Haudenosaunee Confederacy, the Wendat, and the Mississaugas of the New Credit First Nation. We pay our respects to the Elders, past and present, and to future generations who continue to care for this land. We’re committed to supporting Truth and Reconciliation through our actions, advocacy, listening, and understanding.

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