We agree with Kelly et al's characterisation of the prominent role and well-known limitations of incident reporting in supporting improvement in healthcare delivery.1 ,2 The positive principles espoused by the Learning from Excellence team, particularly the emphasis on moving away from a blame culture, which can hold back effective learning from ‘adverse incident reporting’, are to be encouraged. However, to completely ‘eliminate …To read the full article, log in using your NHS OpenAthens details.