A little while back it was the end of the English football season. Funny how most of the world views football as a game where everyone in the team can use their feet and only one can use their hands. Whereas in the USA football is a game where everyone in the team can use their hands, while only one uses their feet.

Anyway, what I was really thinking about was how the teams who perform worst over the season are relegated to a lower league.

Which reinforced for me the idea that all the different methods of patient recruitment should be reviewed regularly, with the worst-performers jettisoned in favor of those that work best. Obviously there are different approaches that work better for different trials, but it’s well worth bearing this in mind and reviewing your tactics ongoing for optimal performance.