A regional audit in the north west showed that some foundation doctors received little, or no simulation training. A robust needs analysis, literature review and incident data from NHS Improvement were mapped to the curriculum, after which two half day simulation sessions were provided for FY1 and 2. Evaluation of the programme, which has been rolled out across two other organisations and was piloted in several Trusts, has shown a marked increase in knowledge and a positive change in attitudes. In addition, these simulation sessions have helped in developing policy changes regarding support for clinical staff in emergency situations. For more information, contact: firstname.lastname@example.org.