The document discusses changes to the NHS in England, including the replacement of Primary Care Trusts with Clinical Commissioning Groups (CCGs) and the establishment of new strategic bodies like Health and Wellbeing Boards. It explains that CCGs will now be responsible for commissioning healthcare services and managing budgets, while still aiming to improve quality and outcomes. It encourages readers to get involved with their local CCG through patient groups to help shape and influence healthcare planning and decisions.