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Has quality reached a tipping point?

Mayur Lakhani

In his famous book, The Tipping Point: how little things can make a big di¡erence, Malcolm Gladwell describes the phenomenon of the ‘tipping point’.1 This well-known American phrase outlines the moment when an idea, trend or argument crosses a threshold (‘tips’) to become accepted and spreads. Many small things often combine and conspire to produce a big change. In this editorial I want to use this marketing and change management theory to explore where quality is going in the NHS