best ways to ensure medical staff can provide the very best health care.  There is ample statistical evidence to support that simulation clinical scenarios not only improve clinical skills and competence of the learner but to also aid in the development of non-technical abilities including the recognition of the value of human factors in the healthcare. Studies have been conducted in comparing the link between safety management in aviation and healthcare.   There is no doubt that healthcare has been following the path of aviation safety models from risk management to simulation training and there are published similarities in the concept of what both industries deem to be safe. The major influencers are aviation manuals, checklists, promoting a blame-free reporting culture, the drive to improve team briefs before and after an event and the ‘sterile cockpit’ scenario, this is ensuring that there are no distractions prior to an intervention or physical activity.