A promise to learn – a commitment to act: improving the safety of patients in England
Recommendations to improve patient safety in the NHS in England. PDF, 359KB, 46 pages
Don Berwick’s letter to the clinicians, managers, and all staff of the NHS PDF, 38.6KB, 2 pages

- Place the quality and safety of patient care above all other aims for the NHS. (This, by the way, is your safest and best route to lower cost.)
- Engage, empower, and hear patients and carers throughout the entire system, and at all times
- Foster wholeheartedly the growth and development of all staff, especially with regard to their ability and opportunity to improve the processes within which they work.
- Insist upon, and model in your own work, thorough and unequivocal transparency, in the service of accountability, trust, and the growth of knowledge.
Don Berwick’s letter to the people of England PDF, 40.2KB, 2 pages