Abstract
Opportunities for digital innovation in public health surveillance have never been greater. Social media data streams, Open Data initiatives, mHealth geotagged data, and the 'internet of things' are ripe for development. To embrace these opportunities we need to provide public health professionals with environments that support experimentation with new technology. Innovative practitioners will lead discovery, adaption, trialling and deployment of new technological solutions mostly developed outside their organisation. To enhance innovation agencies will need to learn from 'startup culture' and the practices of large organisations that ring fence innovative teams to protect them and allow them to 'break rules', 'fail fast', and innovate.