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 is a social pioneer, writer and campaigner. She studied visual science at City University and became a member of the College of Optometrists in 1991, later specialising in visual impairment and diabetes. During her career in optometry, she lectured at City University, was a visiting clinician at the Royal Free Hospital and worked with Primary Care Trusts. She ran a domiciliary practice across south London and was a Director of the UK Institute of Optometry. Julia formed 20/20Health in 2006. Becoming an expert in digital health solutions, she led on the NHS–USA Veterans’ Health Digital Health Exchange Programme and was co-founder of the Health Tech and You Awards with Axa PPP and the Design Museum. Her research interests are now in harnessing digital to improve personal health, and she is a PhD candidate in Human Computer Interaction (HCI) at UCL. She is also dedicated to creating a sustainable Whole School Wellbeing Community model for schools that builds relationships, discovers assets and develops life skills. She is a member of the Royal Society of Medicine’s Digital Health Council. Julia has shared 2020health's research widely in the media (BBC News, ITV, Channel 5 News, BBC 1′s The Big Questions & Victoria Derbyshire, BBC Radio 4 Today, PM and Woman's Hour, LBC) and has taken part in debates and contributed to BBC’s Newsnight, Panorama, You and Yours and ITV’s The Week.
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