This document presents the final report of a review into the need for a duty of candour in healthcare organisations and to be honest with patients when they have been harmed during their care.

The review specifically examines the threshold for the duty of candour and the various incentives that might be used to ensure that care organisations are candid after harmful adverse events. The report makes three recommendations regarding the need for a duty of candour in all cases of ‘significant harm’ to patients, and emphasises the broader need for organisations to develop a culture of candour.