For the last podcast of 2021, Dr Swapnil Pawar talks with Dr Julie Highfield (Consultant Clinical Psychologist for Adult and Paediatric Critical Care, and the National Project Director for Wellbeing for the Intensive Care Society, UK) about her work involving wellbeing in the intensive care unit. Julie discusses the recognition of early signs of delirium, ways to curb its negative effects, and strategies clinicians can undertake to enhance a sense of safety for their patients. She also explores the subject of staff burnout, unit culture and psychological safety.