In our accompanying roundtable discussion,we hear views from a group of patients and clinicians based largely in the UK on the actions required to advance progress towards providing patient centred care. To extend the conversation we talked to members of the BMJ's international patient advisory panel and other patient advocates - and what follows are short clips of hour long conversations with people in the US, Europe, India, Equador and Uganda. While the quality of the recordings vary there is no mistaking the passion of these advocates to improve care for fellow patients and the barriers which need to be overcome to make it happen. Taking part in this discussion in order are: Dominck Frosch,associate professor, University of California Maggie Breslin US designer, researcher and writer Matthew Maleska, designer, Patient Revolution Project Cristin Lind, patient advocate, Rare Diseases Sweden Corine Jansen, cheif listening officer, JoConnect Jonas Gonseth, chief executive, Gaerente en Hospital de Especialidades Guayaquil, Equador Rakhal Gaitonde chair, community advisory board of the National Institute for Research on Tuberculosis Robinah Alambuya, president of the Pan African Network of People with Psychosocial Disabilities, Uganda Daniel Iga Mwesigwa, executive medical director, Mwesigwa Medical Centre, Uganda

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“What did the council decide on item 42?” — answered with the speaker and the moment.

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