This will be my last editorial as editor-in-chief of the Future Healthcare Journal, a privileged and absorbing role that I have undertaken for the last 4 years. I am delighted to be handing over to Dr Andrew Duncombe. He is positively fizzing with ideas and will be communicating these to the membership and readership in the coming months.But I start this final editorial by looking back. It is 10 years since the publication of Robert Francis' report on the failings of Mid Staffordshire NHS Foundation Trust. 1 It was sobering reading then and it's sobering reading now. In this issue we have brought together organisations and individuals with specific expertise to reflect on progress towards implementing the 290 recommendations from the inquiry: the Health Safety Investigation Branch (currently undergoing transformation into the Health Services Safety Investigations Body), 2 the Patient Safety Association, 3 and Anne Marie Rafferty, previous president of the Royal College of Nursing, writing with Anne Leary. 4 Openness, transparency and candour were the dominant themes identified as lacking. Do consider re-reading the executive summary to get the most out of our contributors' reflections, 5 although Box 1 gives Robert Francis's own distillation of the aims of his recommendations.By way of contrast, the many other articles in this issue take forward key FHJ themes.Education and training: Tamara Ritsema and Lillian Navarro-Reynolds report on the importance or skills training, champions and clearly defined roles to integrate physician associates into secondary care. 6 Workforce and working better: Clive Lewis reviews 13 studies which clearly show that incivility between professionals is detrimental to team performance. 7Technology and artificial intelligence: Scott Hemphill and coauthors look at implementing artificial intelligence in radiology and more specifically on the patient involvement and perspectives. 8Patients at the centre of care: Polly Mitchell and colleagues takes us on a tour of the language we use around patient-centred care and its impact. 9Sustainability: Jordi Rovira-Simon and colleagues demonstrate the use of a patient flow model to optimise climate control in an operating theatre block, leading to significantly reduced energy usage. 10Infrastructure: Nigel Edwards and colleagues summarise the submissions for the Wolfson prize for future hospital design and highlight the important themes of providing a calming environment, optimal distribution of services, use of technology and going green, and the trade-offs that this necessitates. 11 The many other papers address these themes as well quality improvement and professional reflection. A balanced and varied selection which I hope you will enjoy. This is a moment to say some important thank yous. First, to the editorial board of the FHJ. In their advisory role we have had vibrant and valuable debates about the direction of the journal. In their work as associate editors guiding submissions through the
