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The rise of all forms of information systems has been one of the major factors affecting the nature of work over the last decade. This article reports on research that suggests that whilst females may now gain more experience of computers and information systems at an earlier age, this does not appear to lead to more favourable evaluations of jobs involving computers. If women overcome initial negative perceptions of jobs involving computers then the particular style, manner, skills or approach that are seen as prerequisite for success, can constitute an additional barrier over and above that of the “glass ceiling”. The study looked at factors influencing initial attitudes towards computers, female attitudes to jobs involving computers and factors influencing self‐selection into gender‐typical and atypical jobs, including IT‐based jobs. The article considers the actions required from managers in many roles, including those with responsibility for staff development, marketing and recruitment.

Purpose – To report on how service changes can be accelerated by working with large groups that represent all parts of a complete healthcare service or care pathway, during specific events, and using well‐defined facilitation techniques. Design/methodology/approach – Case examples are cited from the Clinical Governance Support Team's “protected time” programme and subsequent work, and specific quotes and examples from large group events are used to describe the potential impact of the approach. Findings – Established group facilitation techniques can be adapted for use in the context of a large group representative of a whole clinical system or pathway, to accelerate service improvement. Originality/value – The paper reports on the practical findings from Clinical Governance Support Team group facilitators working on large group events from a number of UK NHS Trusts.