So the controversial Health and Social Care Bill – which aims to give doctors, nurses, patients and local councillors more power in shaping local NHS services – finally gained Royal Assent, despite high profile opposition from unions, clinicians and politicians.
But we haven't seen anything yet – for the real debate has still to hit the headlines – how health services need to be overhauled to make the NHS effective and affordable for the longer term.
Many of the solutions will be unpalatable – even closing much-loved local hospitals – but the Government is clear - decisions should involve local people.
We know you can win people onside – gaining support for unpopular planning applications, closing community hospitals or merging universities – but only through carefully planned and managed engagement.
Consider my top 10 tips for effective consultation: