This enabling guidance is intended to help primary care trust providers of community services to move their relationship with their commissioners to a purely contractual one and consider what type of organisations would best meet the future needs of patients and local communities, and how change can be managed to support the transformation of services to patients. The strategic context, guiding principles, what PCTs need to do, commissioning and providing high quality community services, organisational forms, implementation, and making decisions for the new arrangements are discussed, and appendices cover capital, estates and infrastructure, staff issues, involving stakeholders, and applying the right to request for a social enterprise and for Community Foundation Trust status.
