High performance has become a buzz word that appears constantly in relation to sporting bodies and organisations associated with sports worldwide. The reason for the inverted commas 'High Performance' in the title is that this term has become so over-used and misused that it has arguably been rendered meaningless. Using the label does not make it so. In this post we discuss the elements that must be present in order for an environment and the practitioners who work in it to merit the title 'high performance'.