Archive: Apr 2014

  1. Maximising the marginal gain

    The clamour for transformational changes in the NHS and social care continues to grow. There is also a call for evaluation and research to ‘prove’ what changes are successful and which are not. This all seems to point to big changes that can be shown to have significant impact. Does this risk missing an alternative approach to improvement?

    In 2010 the cycling coach David Brailsford (Performance Director of British Cycling and General Manager of Team Sky) developed a concept known as the aggregation […]