A new approach to health system planning has been developed for the Australian Health System and piloted for Queensland Health. The pilot project has demonstrated exciting results achieving a sustainable, adaptable and integrated health system. It now forms part of a new strategic plan for health services across the State. Sustainability of the health system has been a topic of increasing awareness and focus for many years. Where previous studies have fallen short of quantifying actual outcomes, this planning study has articulated the new health system. A more sustainable system due to reduced capital and recurrent cost, more integrated with the community and more accessible for patients. Enabled by an advanced digital health network which supports virtual care and navigation, this jurisdiction can realise a reduction of 30% demand on their acute hospitals over the next decade. New, more appropriate care typologies were developed to suit the defined health need. These were positioned in the right location to improve access and experience. Adaptability was a key focus for facility design to respond to a community health profile changing over time. Keeping the patient need at the centre of the planning and design process is at the heart of creating a truly integrated, sustainable health system.