This document has been produced jointly by the Department of Health, NHS Employers and the NHS trade unions to support SHAs and PCTs through the workforce changes that may arise from implementation of Commissioning a Patient-led NHS. It aims to ensure that changes are managed consistently and equitably across the country, and that the NHS is equipped with the right leadership skills and diversity to strengthen commissioning in the NHS, in order to deliver improvements in health and health services. It provides for national consistency in handling the proposed changes if they are approved, and for NHS organisations to plan for the potential impact on staff.
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