NHS

I have been watching the change over from the primary  care trust to clinical commissioning groups, I  have had to read much of the blurb regarding this change, it is very difficult to understand for a non health person, but much is made of the fact that it is important that the community are involved, but how can that happen?, I have spent the past eight years being involved in health but I have difficulty in accepting that the patient view will be heard, the reason for this is that I believe that the people who will run the service will have what is a tick on paper  , I mean that what they want is to be able to say we have our nominal community member, the idea is that they are happy to have one but they hope that they will keep quite in the least but ignored at worst, it will be very difficult for the NHS to accept that the voice of patients will be heard it has to be for the best interests of the service, the PCT will finish on the 1st April but in fact will actually restart as the CCG, so many of the people who did provide services will in fact still do virtually the same job, so  why the change??.