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An open letter asking NHS England to keep its code open

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Why This Matters

This open letter highlights the importance of open source code in healthcare technology, emphasizing that transparency and rigorous security practices are essential for safeguarding patient data and system integrity. Keeping NHS England’s code open can foster better collaboration, security, and innovation within the industry. It underscores the broader need for public health systems to adopt open standards to enhance trust and resilience.

Key Takeaways

Statement

We disagree with the NHS technical leadership’s decision to hide the source code of all of their repositories.

Making code open source requires more work than keeping it closed. That hard work is the point.

It requires a higher bar of quality. It requires processes to proactively find, fix, and monitor for vulnerabilities. It requires identifying risk, and putting barriers in place to contain any damage when things go wrong.

But it works like the human immune system: being exposed to threats hardens the attack surface.

Closed source allows that work to be skipped. It substitutes obscurity for depth, and obscurity buys you precious little when a sufficiently motivated attacker is involved.

! Warning We call on NHS England to withdraw the SDLC-8 red line and reaffirm its commitment to the NHS Service Standard Principle 12: “Make new source code open.”

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