Health Innovation Communities (HICs) would essentially constitute an Australian ‘Silicon Valley’ for health – hubs for research and development within which the proverbial 1000 flowers will bloom as a plurality of different providers create novel health products and solutions. The good examples and real world (as opposed to trial quality) evidence of better practice and outcomes that will be rapidly generated – by weeding out unsuccessful from successful ICPs – will seed structural reform and establish functioning models and workable blue prints for systemic change.