8.1 In the past PPP schemes have often been perceived as secretive and exclusive by the communities they serve. The degree of public involvement and openness has varied between schemes.
8.2 Openness and public involvement are key features of the NHS. PPP schemes usually involve major changes to the provision and location of NHS services. Local people and their representatives must be able to comment on and respond to options and proposals. Active communication and a continuing dialogue, including early discussion of any changes, should be a standard feature of all PPP schemes. The guidance in this chapter is intended to establish a more consistent approach to consultation, dialogue and the release of information. NHS bodies should agree a communications strategy early on and develop and implement an appropriate action plan that takes the following guidance into account.