This will include learning, change and improvements that have occurred. In addition, Healthcare Improvement Scotland undertook an extensive consultation exercise with NHS Boards, clinicians, patients and other stakeholders in 2013, to understand how these systems could be improved. This feedback, along with existing evidence and good practice from Scotland and internationally, was used to develop Learning from adverse events through reporting and review: A national framework for NHS Scotland. The adverse events framework allows local boards to identify areas for change and improvement.