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Great article for policy makers - why just one practical tip - lean? You recognise that it's people and what they think, care about and do that matters - so bring on the basics of Human Factors training and implementation into all NHS sites at last. Francis report says HF training must be included in medical schools. WHO checklists were a very small start. Care for staff and they care for patients and finances. KPMG is key - You need to fund for an Open Safety Culture, decent staffing ratios and proper breaks, plus Human Factors training and implementation at all levels.