title: Gagging clauses are being used to hide failings and bad practice.
abstract: Patient safety ombudsman Delilah Hesling is fortunate that her trust is introducing a range of reforms, removing fear from the care culture and focusing on accountability in clinical practice (reflections October 17).
authors.affiliation: Patients First.
authors.forename: Elsie
authors.initials: E
authors.lastname: Gayle