This presentation discusses innovation in healthcare and challenges with adopting and spreading innovations. It provides examples of major medical innovations over time like vaccines and DNA discovery. Barriers to adopting innovations in the large NHS system are outlined. Tips are provided for creating a culture where spread and adoption of proven innovations is a priority, such as providing opportunities for sharing ideas, rewarding innovative thinking, and having executive leadership champion innovation. The importance of understanding user needs, building demand, and telling stories of impact are emphasized for effective spread.