The document 'Commissioning a Patient led NHS' published on 28 July 2005 sets out a timetable to develop commissioning and ensure that organisations are properly configured for their role. This letter sets out guidance on plans to deliver the associated requirement for £250 million management cost savings, which must be delivered recurrently for re-investment in services in 2008-09 in accordance with those priorities set out in the Manifesto commitment. SHAs must be in a position to evidence savings made from SHAs, PCTs and Ambulance Trusts.
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