The proposed abolition of Primary Care Trusts and transfer of their commissioning functions to GP consortia have been greeted with intense excitement by some GPs, and with extreme trepidation by others

Commissioning. What is commissioning. The Medical Leadership Competency Framework. The financial environment. The political environment. The government's plans. QIPP. Some ideas to save money. Some of the knowledge needed for effective GP commissioning. Assessing local health needs. Budgets. Business plans. Change implementation. Checklist for a commissioning Case. Decision making. Delegation. Emails. Ethics. Financial accounts. Integration. Jargon buster. Long term conditions management. Management theories. Mentoring. Patient safety. Patient and public involvement. Procurement. Productivity. Project management. Quality improvement. Recruitment. Team work. Wider determinants of health. Some skills needed for effective GP commissioning assertiveness skills. Avoiding burnout. Cognitive behavioural therapy skills. Conflict resolution skills. Communication skills. Consultation skills. Dealing with difficult colleagues. Emotional bank account. Emotional competence. Innovation. Media skills. Meetings. Negotiating skills. People skills. Planning skills. Political skills. Presentational skills. Stress Management. Time Management Some attitudes needed for effective GP commissioning. Adherence to the Nolan Principles - selflessness, integrity, objectivity, accountability, openness, honesty and leadership. Other attitudes needed for effective GP commissioning âEUR" cost effectiveness, long-term thinking, outcomes not activity, patient focus, pragmatism not ideology, tough love and win-win.