Licensing: a citizen/consumer representative is one of members of the licensing committee of the Spanish Medicines Agency (CODEM). She/He is designed by the General Council of Consumers (CGCU). HTA: A project to involve patients and citizens in HTA is being developed. Other: There is a National Network of Schools of Health for Citizens in order to facilitate health literacy and patient empowerment. The Advisory Committee answers to the Interterritorial Council and renders social participation in the National Health System effective on an ongoing basis, as the Committee is the vehicle enabling the institutional participation of trade unions and employers’ 2 organizations in the National Health System. The specific duties of the Committee are to inform, give advice and make proposals on matters of particular interest for the operation of the National Health System.