The elephant in the room is the coalition government's radical agenda to privatise as much of the NHS as it can. By driving through the radical changes enshrined in the Health and Social Care Bill against sustained and comprehensive opposition from right across the political and disciplinary spectrum, the coalition government is in large part responsible for making it harder - much harder - to achieve safe, high quality patient care in an integrated, collaborative and cost-effective national health service. As an NHS patient and as a health services researcher, I can't take anything the coalition government says on the NHS at face value. For me, those are the "hard truths".
we need to understand why there is resistance to being open and honest in the NHS when errore and mistakes are hidden or concealed . Performance data only as good as the person inputing the data.