Nottinghamshire Healthcare Tissue Viability Team

"Large-scale problems do not require large scale solutions; they require small-scale solutions within a large scale framework" (David Fleming). This relationship between small & large-scale change is a fundamental issue for leaders of change. The @Centre4SysInnov describes a maturing approach to address this: 1. Confetti: multiple, single, focussed projects which slice up the complex reality of people’s lives & are unlikely to create large-scale impact across a system. 2. Spaghetti: a coherence between projects all working towards the same goal that generates potential for multiplication & amplifications of impact. 3: Meatballs & sauce: clusters of ingredients that together create something that is bigger (more tasty!) than these individual parts. The "sauce" keeps projects together so they can amplify, multiply & reinforce each other in practice. See their brilliant (free) guide to enabling large-scale system change: griffith.edu.au/__data/asset…. TY @LauraJYearsley.