Final Report > Chapter 21: Introduction > Guiding principles underlying our approach and recommendations > Developing an open and transparent NHS

Developing an open and transparent NHS

23 A further principle which has guided us is the need for an ethos of openness and transparency in the NHS of the future. The NHS must let in and work with the public: it must celebrate its successes and make known its shortcomings. Of all our guiding principles, this is perhaps the most significant and the most difficult to put into action. But, if it is not translated into practice, little progress can be made. Celebrating success appears unproblematic, even if there will always be sceptics (and rivals) who challenge the criteria. Admitting shortcomings, however, is a wholly different matter. It constitutes an immense challenge. Most important, it calls for maturity, and since we emphasise partnership between patient and healthcare professional, we point out that the maturity must come from both. Patients and the public must understand that not everyone can be the best and that data need careful understanding. Healthcare professionals must face up to possible underperformance and be prepared to demonstrate how they aim to improve it.