The document discusses signs that a software delivery system needs improvements and provides tips to diagnose and address issues slowing development. It notes common symptoms of stalled delivery include numerous bugs, overworked teams unable to keep pace with constant change, and unused products due to a lack of results. The document recommends diagnosing the root causes of stagnation, such as a broken delivery system, immature IT processes, or poor quality control, and performing "tune-ups" like training, adding specialized staff, better organizational alignment, and managed services to fix issues and accelerate software delivery.