No one is empowered if the truth is not shared

The new statutory duty of candour was introduced for NHS bodies in England (trusts, foundation trusts and special health authorities) from 27 November 2014, and will apply to all other care providers registered with CQC from 1 April 2015. Today the guidance is being introduced for individual professionals.

2020health’s Top Messages:

  • Honesty and integrity are essential to trust
  • Candour is crucial for both public and professionals – building trust and learning from mistakes only happens with honesty and integrity
  • No one is empowered if the truth is not shared

Our concerns – clinical and political:

Whilst the first two principles of candour could be applied proactively, it is clear from principle three onwards that this right to candour only exists retrospectively for patients. But what about our right to all the information and options up front?

2020health wants to see the right for the public to be more fully informed of their options for treatment as well as potential risks shared AHEAD of making choices, including treatment options not available on the NHS.

2020Health fringe meeting at the Conservative Party Conference 2014 entitled "Can we trust in Health Technology". Photography by

Julia Manning, CEO of 2020health said: “Candour is crucial for both public and professionals, and the sooner mistakes are recognised and addressed, the better for all. Building trust and learning from mistakes only happens with honesty and integrity. However we want to see this duty go further, and for informed consent ahead of treatment to be more comprehensive in terms the sharing of choices of treatment, including treatment not available on the NHS. The we will have honesty on all sides.”

You can hear Julia’s comments on Candour on BBC Radio London94.9 this morning (You can hear the clip on 2020health’s webpage)



About Julia Manning

Julia Manning is a social entrepreneur, writer, campaigner and commentator. She is based in London and is the founder and Chief Executive of 2020health, an independent, social enterprise Think Tank whose aim is to Make Health Personal. Through networking, technology, research, relationships and campaigning 2020health has influenced opinion and action in fields as diverse as bioethics, alcohol, emerging technologies, fraud, education, consumer technology and vaccination. Julia studied visual science at City University and became a member of the College of Optometrists in 1991. Her career has included being a visiting lecturer at City University, a visiting clinician at the Royal Free Hospital, working with south London Primary Care Trusts and as a Director of the UK Institute of Optometry. She specialised in diabetes (University of Warwick Certificate in Diabetic Care) and founded Julia Manning Eyecare in 2004, a home and prison visiting practice for people with mental and physical disabilities using the latest digital technology, which she sold to Healthcall (now part of Specsavers) in 2009. Experiences of working in the NHS, contributing to policy development, raising two children in the inner-city and standing in the General Election in Bristol in 2005 led to Julia forming 2020health at the end of 2006. Julia is a regular guest on TV and radio shows such as BBC News, ITV’s Daybreak/ GMB, Channel 5 News, BBC 1′s The Big Questions, BBC Radio, LBC and has taken part in debates and contributed to BBC’s Newsnight, Panorama, You and Yours and ITV’s The Week. She is mum to a rugby-mad son, a daughter passionate about Shakespeare, and wife of a comprehensive school assistant head-teacher. She loves gardening, ballet, Zimbabwe, her Westies Skye and Angus, is an honorary research associate at UCL and a Fellow of the RSA.
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