The document discusses patient feedback and engagement for healthcare in the 21st century. It notes that while the web allows everyone to have a voice, having a voice does not mean being heard or having a conversation. Approximately half of the feedback on Patient Opinion is positive, but some patients have negative experiences. Some feedback on the site has led to changes in local healthcare services. The document also provides statistics on activity and usage of the Patient Opinion website, which allows patients to provide feedback on healthcare services. It aims to make services better through incentives for responsiveness and tools to support change based on patient feedback.