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"Public involvement not only helps to demonstrate trustworthiness by opening up the system to scrutiny by the people whose data it will use. It also improves the integrity and strength of the system itself," said Dr Nicola Byrne, National Data Guardian, at the launch of the report. "It reminds system designers that it’s important not just to believe in their project but also, as with any scientific endeavour, to keep doubting, to ensure that the evidence is constantly and openly tested. A two-way process also improves understanding about what conditions need to be met in order to win the public’s support for data use. The public trust that the health and care system needs to create is not a blind trust, but a trust that is informed, strong and sustained."