All CCGs are considering co-commissioning primary care and some are keen to do it all, budgets and all. We are more cautious.
Despite the tough times in general practice, there seems to be no shortage of innovation taking place in GP surgeries across the UK - providing some interesting new options for CCGs.
Last week a big study in The Lancet made headline news: 'Telephone triage increases workload'.
In a drive to improve England's record on cancer survival, health secretary Jeremy Hunt recently announced that he will 'name and shame' low-referring GPs - but will that make a difference?
As we are now within 10 months of the General Election, I will make sure that there will be an occasional post about the campaign issues and how they might impact on GP commissioners.
CCGs have inherited funding and contracting arrangements with third sector organisations and, while many aim to support these bodies so they continue to benefit the local population, working with them brings challenges.
Our GPs came first in the country this week for overall patient satisfaction - 93% of patients rated the service as good. But does that mean that things are easy here in general practice?
As CCGs enter their second full year of commissioning, there is clearly no shortage of ambition among the 74 boards now pushing to take on full primary care commissioning powers.