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In the second part of an NHS local discussion held at the new Queen Elizabeth Hospital in Birmingham, a panel and invited audience discussed the impact that changes to the NHS will have on patients' ability to choose and control their healthcare. The Government's changes to the NHS are designed to give people using the NHS more control and choice about what care or treatment they receive and where or when they want it. But how will the NHS involve patients as well as clinicians in decisions about the care provided? In a debate called 'Liberating the NHS?', recorded shortly before the establishment of the NHS Future Forum, a panel of four featuring Ian Cumming, OBE, chief executive of NHS West Midlands, Dr Andrew Coward, chair of the South Birmingham Integrated Care Commissioning consortium, Sue Davis, CBE, chair of Sandwell and West Birmingham Hospitals NHS Trust, and Jenny McCrorie, chair of Cleobury Patients' Voice, were asked questions on the impact of change on health services by NHS local presenter Charlotte Hume. They were joined in the discussion by an invited audience featuring representatives of senior hospital clinicians, patient groups, healthcare workers' unions and doctors and nurses in training.