The patient group at your GP surgery – why have you not joined? – is often unsung and undervalued. Their interests naturally enough start with the concerns at the surgery and as often as the conditions that have taken them to the surgery in the first place but there are other opportunities for these groups. The opinions of one group gain immeasurably when they are aggegrated with those of other practices in their part of the world. A new MAC position paper offers some realistic and actionable advice on how to set up a Network for these groups which can speak truth under power – in this case CCGs and local authorities.