The emergence of formal Foresight programmes in science policy across Europe is examined in terms of government’s response to the changes in, and especially the uncertainties of, contemporary innovation. The paper explores this through deploying Beck’s notion of the “risk society”, asking how far Foresight can be construed as the management of new technologies by the transition towards the “negotiation state”. It shows how, through a discussion of the social management of new health technologies, a tension arises between the priorities and regimes of the new “negotiation” and those of the former “provident” (or welfare) state. The emergence of new technologies will be shaped by the institutional assumptions and processes operating within the different policy regimes.