One of the main objectives for the government's reforms to the NHS is to give doctors and other professionals more responsibility for improving services in their local area.
This is seen most directly in the creation of clinical commissioning groups (CCGs), which now control around two thirds of the NHS budget in England.
There is a pressing need for clinical expertise to be harnessed more effectively in the commissioning of health services, and CCGs potentially provide a way through which this can happen. As GP-led organisations, they could also play an important role in helping to support improvement in general practice. This is one of the least explored but most promising parts of their remit.