Our philosophy


Please feel free to use this secure, open access LfE reporting page to submit reports to colleagues:

Open access LfE reporting

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Safety in healthcare has traditionally focused on avoiding harm by learning from error.  This approach may miss opportunities to learn from excellent practice.  Excellence in healthcare is highly prevalent, but there is no formal system to capture it.  We tend to regard excellence as something to gratefully accept, rather than something to study and understand.  Our preoccupation with avoiding error and harm in healthcare has resulted in the rise of rules and rigidity, which in turn has cultivated a culture of fear and stifled innovation.  It is time to redress the balance.  We believe that studying excellence in healthcare can create new opportunities for learning and improving resilience and staff morale.

We have been capturing and studying peer – reported excellence in healthcare since 2014.  This site is a source of open – access resources and ideas to promote this initiative and share experiences.

Additional information and resources are now available on the resources page.  For our latest messages please visit our blog page.



HSJ Patient Safety awards 2020: Shortlisted for Quality Improvement initiaitive of the year

Ideas UK 2019: Runner up, People and Organisation award

Resilient Health Care Network (RCHN) 2018: Second prize

HSJ Patient Safety awards 2017: Winner – Education and Training category