Accountability for delivery of patient safety improvement targets with relation to medication errors. Janine was an enthusiastic and engaging speaker, and her passion for reducing medication error and the involvement of her junior doctors was evident. She spoke about the Juniors’ Educational Drug Initiative (JEDI) and discussed the ‘carrot and stick’ as a simple model to describe motivation. Her hypothesis is that currently in the NHS, there are many more sticks than carrots, leading to cynicism and disengagement with processes of change. She believes lack of junior engagement is a key reason for the failure of safety initiatives. Her project explores whether positive reinforcement and strong junior engagement at the outset could be successful.