Scotland’s desire to strengthen the patient voice is grounded in a recently developed framework that empowers patients as equal partners in their care. Patient and public involvement is promoted through a commitment to transparency about the direction and performance of the NHS, and through a commitment to using feedback as a tool for improvement. For example, the results of a national survey on maternity care were used to identify areas where there was a need for improvement, and to inform future maternity policy. The Patients’ Rights (Scotland) Act 2011 sets out patient rights and principles for the delivery of health care.