The NHS Constitution established the principles and values that are fundamental to service users on how appropriate clinical decisions are made for the delivery of quality care (Department of Health 2010). It provides explicit information for patients to understand their care, what to expect, and feel more empowered involving in their own care (DH 2010). The NHS constitution explains the behaviour expected from stakeholders such as staff, patients and the public (DH 2010). This prevent the government from making alteration and give the NHS complete autonomy and protection against political change without the full involvement of stakeholders to achieve transparency in the delivery of care (DH 2010). Similarly, the NHS values set out the right