As organisations get bigger, change becomes harder.

There are more people to involve in every decision, customers who don’t want change, and managers who like things as they are.

This is a reality.

But the need for change is also a reality.

Right now we’re seeing hospitals at breaking point, but we aren’t seeing change.

‘Boring’ is a strategy. It’s the strategy of not changing.

Spinning off an independent organisation tasked with innovation, without the confines of the mothership, is also a strategy.

But it takes more courage.