Powerful voices for change at the recent Consumer Health Forum Shifting Gears Summit called for full partnership with clinicians in designing health care into the future – laying the ground for a more patient reflexive system. In CroakeyVoices’ second dive into the recent summit, we hear about the importance of consumers questioning treatment options and asking for alternatives, examine a UK model of patient/clinician partnership and catch up with how health consumer advocacy is driving change in New Zealand. The Consumer Health Forum’s first Australasian Summit, with contributions from around Australia, New Zealand, the UK and Canada, focused on how health consumers, with their deeper knowledge of their own conditions, should play a vital role in improving the healthcare system. CroakeyVoices’ Cate Carrigan explored the themes of health quality and care with a number of keynote speakers and delegates: Professor Anne Duggan: Clinical Director at the Australian Commission on Safety and Quality in Health Care and Conjoint Professor, School of Medicine and Public Health, University of Newcastle. David Gilbert: Director of In Health Associates, the first Patient Director in the NHS at the Sussex MSK Partnership (Central), and author of “The Patient Revolution – how we can heal the healthcare system”. https://www.inhealthassociates.co.uk/publication/the-patient-revolution/ Rosalie Glynn: Chair of the Counties Manukau DHB Consumer Council and consumer representative on the Quality Safety Marker group and the Patient and Whaanau Centred Care Board (PWCC). Louisa Wright: Louisa Walsh is a PHD candidate at the centre for Health Communication and Participation at La Trobe University.