Hi Claire - I think the issue of coping with the demand of increased reporting is an 'elephant in the room' issue. Otherwise we end up with yo-yo'ing between a huge surge in reports, which leads to overwhelm for those receiving them and therefore a lack of feedback to those at the front line. Which then in turn leads to a gradual decrease in reporting, and thus making it very hard for the organisation to draw any meaningful conclusions from the data - ie. Are we seeing increase/decrease in certain trends because they are happening more/less or simply because people are reporting more/less. Yet again this does come back to some extent to staffing issues, but not entirely as even in places with few/no vacancies in clinical management posts, people rarely get much/any protected time for analysing report data. I think this really comes back to the overarching PSL theme of professionalising patient safety, and part of that is seeing the analysis of report data as a vital role that needs sufficient skills, training and protected time - not just an add on to an already overloaded clinician's role.