I’ve just released an R package for estimating transition probabilities from multi-state models onto Github, found at
https://github.com/stulacy/RDES. It’s not a package with a large potential audience, so I don’t intend to release it onto CRAN, rather it has a highly specific role that I developed for my own use and thought it could prove useful for someone else. Essentially, it extends the simulation functionality offered by the fantastic flexsurv package for obtaining predicted outcomes from multi-state models.