The reformed health service, and commissioning arrangements in England

This note provides an overview of the major reforms to the health service in England under the Health and Social Care Act 2012, and introduced on 1 April 2013. It shows the key funding, commissioning and accountability structures under the old and new systems, and focuses on new health service commissioning arrangements and the formal powers and duties of NHS England and Clinical Commissioning Groups (CCGs) under the 2012 Act.