This study explores the purpose and role of public board meetings in the British National Health Service as an aftermath of public sector reforms. It deviates from the mainstream methodologies to study boards in action as it employs an ethnographic approach. Data has been collected through participant observation, in-depth semi-structured interviews from eighteen board members and members of the public, and documents in the form of board agenda and meeting minutes. Findings reveal that the purpose of the public board meetings is to manage their public image and to protect their reputation as rational actors and serve as a reporting function that excludes the public from active participation. Hence, this study asserts that public board meetings serve as a formal ritualized practice that performs board meetings. This study has practical implications as similar reforms have been introduced in other public organizations.