Updated NHS Constitution published

The Department of Health has published an updated NHS Constitution following a consultation that sought views on a number of proposed changes.

Important areas we have improved in the NHS Constitution include:

  • patient involvement
  • feedback
  • duty of candour
  • end of life care
  • integrated care
  • complaints
  • patient information
  • staff rights, responsibilities and commitments
  • dignity, respect and compassion

In addition to strengthening areas of the NHS Constitution, various technical amendments have been made to ensure that it is up-to-date for the introduction of the new health and care system on 1 April 2013.

Furthermore, as part of the government’s initial response to the report into the failings at Mid Staffordshire NHS Foundation Trust by Robert Francis QC, the DH have changed the Constitution to reflect that the NHS’s most important value is for patients to be at the heart of everything the NHS does. The Francis report emphasises the role of the NHS Constitution in helping to create a positive and caring culture within the NHS.

To accompany the updated NHS Constitution, we have also published:

DH have stated that the Public Health Supplement to the NHS Constitution (a joint document from the Department of Health, Public Health England and the Local Government Association), will be available shortly. This document will explain how the NHS Constitution applies to local authorities in the exercise of their public health functions from 1 April 2013.

In addition, the DH intend to publish a guide to the healthcare system in England, including a statement of NHS accountability, which summarises who is accountable for planning, delivering and assuring NHS services.


  1. John Ferguson says:

    Can you please explain why maternity is a choice exclusion in the NHS constitution? I cannot find any reference as to why choice is denied in the document?

  2. Patti Fender says:

    Residents in England registered with a GP in Wales, last September lost their rights under English law and choice to use English hospitals. We were not consulted, involved in nor informed of this decision. To challenge this issue I had to withdraw my registration from the Welsh GP in order to regain my rights within the NHS Constitution. There is no GP practice which covers this area of South Herefordshire, so I am without healthcare. Meantime I have been offered a rotation of 3 months at 3 GP practices, 16,34 and 52 mile round trips. So much for the NHS Constitution!

  3. Michelle Slinn says:

    Whilst the NHS England and NHS constitution develope to provide quality services for all. I can tell you as a Health practitioner and Psychotherapist of 25 yrs, until, Care provision has Dignity, respect and compassion as its Number 1 statement, we are still not getting it right.