Bill refers to the concept of “Vuja De”. Credited by Bill to George Carlin, it seeks to explain the need for a different approach. Déjà vu is something we all encounter and are fascinated by; even in film The Matrix attempted to explain it. But in a business context, déjà vu is the dragging sense that we’ve been here before. How often do briefs ask the same thing over and over again? How often do we look to point out small differences that for prescribers, or more importantly patients, make little or no difference.

The art of competing in this increasingly complex, increasingly pressured healthcare environment requires us to be braver about how and what we are asking. More importantly, we need to refresh the ways in which we answer key questions. To stand apart we must be brave enough to be apart. We must approach the same problems with completely different ideas, taking inspiration not from what has gone before, but from what has not. As Proust says “the real act of discovery consists not in finding new lands, but in seeing with new eyes”. Looking at the same thing from a completely different point of view – hence “vuja de”.

We need to look outside our restrictions and ask what we should do, rather than what we can do. To our minds this means it’s about “who should we talk to?” rather than “who are we allowed to talk to?” As Kieran says, this sort of thing brings risk, but aren’t the risks higher if you keep running with the pack?