Patients are to be invited to help run one of Britain's top hospitals as it applies to become a foundation trust.
The Royal Orthopaedic Hospital is to invite patients who have attended the hospital over the past year to help decide its plans for the future.
Along with Birmingham Children's Hospital and The Dudley Group of Hospitals, which includes Russells Hall Hospital in Dudley, its application for foundation status will be decided by Health Secretary Patricia Hewitt.
Foundation hospitals make more of their own decisions instead of following instructions from government.
They are able to tailor their services to meet the demands of local residents.
The hospitals are run by foundation trusts, which can include members of the public.
Only hospitals which receive excellent ratings from the Healthcare Commission, the official inspectors, were allowed to apply.
Penny Venables, the hospital's chief executive, said: "The Royal Orthopaedic Hospital has always enjoyed tremendous support from the people of Birmingham, and we have had enormous support already for our plans to become an NHS Foundation Trust."
"Public, patients and staff will be able to become members of the foundation trust and have a greater say in how we develop our services."