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The DoH has warned all NHS organisations that they must consult the public on all major service changes.
Guidance has been issued on the NHS's legal duty to involve patients and public properly before any changes are made to the provision of health care.
It comes just a month after a GP investigation found less than half of PCTs were conducting a formal consultation on plans to develop GP-led health centres.
Under the NHS Act 2006, all NHS organisations must involve the public in any changes to their service.
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