The document summarizes the transition of healthcare commissioning in England from Primary Care Trusts (PCTs) to Clinical Commissioning Groups (CCGs) under the Health and Social Care Act 2012. It introduces Sandwell and West Birmingham CCG, which covers over 525,000 patients across 110 general practices. The CCG is made up of five local commissioning groups and has made progress on health needs assessment, quality improvement, and clinical leadership in preparation for full authorisation in 2013.