The document discusses a model concordat structure for world class commissioning. It begins by explaining that recent legislation since 1998 has aimed to give permission to make changes to people's lives. It then lists some relevant primary legislation derived from competition law and acts relating to local government, health, crime, and drugs/alcohol. Finally, it presents a model structure using words and pictures to convey the importance and scope of world class commissioning, and the next steps of aligning existing structures and appointing clinical commissioners to the new structure.