Last Thursday, we had the pleasure of bringing together our NOCA Patient & Public Involvement (PPI) Representatives for an afternoon of connection, reflection and collaboration. We now have a community of 30 PPI representatives, supporting NOCA’s portfolio of audits and registries and representing 17 advocacy organisations across Ireland. The atmosphere in the room was genuinely uplifting - open, warm, honest and deeply collaborative. The conversations will play a central role in shaping how we enhance involvement, strengthen quality improvement, and refine the development of our next strategy. We celebrated the inclusion of patient stories across seven national reports this year, the growing visibility of patient voice at eight NOCA events, and the incredible contributions our PPI group has made across committees, advisory groups, focus groups and co-design work. The energy and commitment shown reaffirmed something we hold strongly: PPI is not a tokenistic exercise - it is a vital part of how we deliver audits that matter, drive improvement, and keep patients at the centre. A heartfelt thank you to everyone who attended, contributed and created such a positive space. It’s a privilege to work alongside such a dedicated group, and we look forward to all we will achieve together in 2026.