Assessment and Treatment Wards (ATW) support individuals with learning disabilities where the required clinical response goes beyond that possible in the community. Individuals can find the transition into an ATW challenging, partly due to their complex and rapidly changing dynamics. Staff’s focus on person-centred practice, and health care environments as places of growth and healing, can also be undermined by circumstances out-with their control, such as delayed discharge. Gaining fresh perspective on these issues can be difficult for staff. For these reasons, a collaboration with the Glasgow School of Art (GSA) Innovation School was developed, to explore new approaches to the relational transitions which characterise admissions. Two GSA Innovation School interns from the Product Design Undergraduate course were recruited to work with staff and patients of the Ayrshire ATW over 5 weeks. Using co-design approaches they captured participants’ insights, and used them to shape practical responses to the issues, opportunities and restrictions of care within a clinical environment. The interns delivered 2 key resources: a booklet celebrating existing and potential activity within Ward 7A; and a Journey Journal. The first was intended as a vehicle for communicating and recognising existing good practice within the ward, while the second was provided as a practical resource for patients to record their experiences throughout their admission, and provide them with something to reflect back on following discharge. Both are finding practical use within the ward, and are attracting interest from other professionals and services. This is the second internship the North Ayrshire Learning Disability Service has developed with GSA. As with the previous one, it demonstrates the value in novel perspectives on complex issues; the relevance of design-thinking and practice in clinical settings, particularly as a means of enabling innovation; and the importance of spaces for creation and celebration within high pressure environments.