re-ordering information and making some aspects of quality more prominent. This reinforces the need for information providers to pay attention to how information is presented. It also suggests that there is a real opportunity to influence or 'nudge' [3] people to pay more attention to clinical quality when choosing a hospital. However, the report concluded that while the use of nudges has the potential to improve the choices people make, more research is needed to evaluate their effects on decision-making for different groups of people. Other recommendations include the following. Policy-makers must recognise that encouraging patients to select a high-quality provider based on clinical quality measures is a difficult task and requires a high level of numeracy; patients may need support with these complex decisions. Given the complexity of decisions faced by patients, patient choice may not be a strong driver of clinical quality improvement. Published information about the quality of services needs to be clear, easily understood, consistent and comparable if patients are to make more informed choices. Exposing people to differences in quality between hospitals and confronting them with trade-offs made some people feel uneasy. Patients may benefit from information which reassures them that hospitals meet the required standards of care, despite not necessarily ranking highly. ]