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In my experience I have learned a lot more from my mistakes than from my successes. When you are successful you keep on doing the same thing to achieve more success but when you fail you have to really think about what went wrong and take steps to do things differently next time. I don't know David Nicholson personally but I have seen him speak at conferences and he has struck me as having deep knowledge of the system and wanting to improve it for patients. It is easy to just hang the blame on one high profile individual but in doing that we support the 'string 'em up and shoot 'em down' brigade and we do nothing to really learn from the failure or change the culture.