The document summarizes the new legal landscape for clinical commissioning groups (CCGs) in England following health reforms. CCGs will be established to commission most hospital and community NHS services. They must apply to the NHS Commissioning Board and have a constitution and governance structure approved. If authorized, CCGs will receive funding to commission services while following legal duties around conflicts of interest, public law, and workforce issues from transferring NHS bodies and contracts. The system aims to give providers more autonomy but risks increased bureaucracy limiting innovation.