An open letter urges NHS England to maintain public access to its code, emphasizing that software developed with public funds should remain open source. The signatories express disagreement with the decision to conceal the source code of NHS repositories, citing the UK Government Design Principles and the NHS Service Standard.

The NHS plans to close nearly all of its Open Source repositories, reversing previous commitments to the value of open source in the UK's health service. This decision has raised concerns among advocates who have supported open source initiatives within government departments.