It is a sad indictment of our culture in the NHS that this individual wasn't able to speak with confidence for fear of consequences. It is so important that these lived experiences are shared and more importantly heard. I am proud to be a partner with colleagues at 'patientsafetylearning' and continue to be impressed by their consistent championing of safety as the driving force for improving staff and patient experience. Safety needs to be lifted out of the subsuming nature of 'quality' and be recognised as requiring a specific focus in our development , delivery and outcome of care.