Commissioning and GPs: to commit[tee] or not?

Clinical commissioning groups (CCGs), part of the National Health Service since April 2013, are complex organisations requiring buy-in by GPs for strategic success. CCG budgetary deficits and lack of sustained engagement by GPs have been reported. This article utilises evidence of GP experience in commissioning models to determine the factors that may influence engagement in the governance of CCGs by GPs, which is crucial if clinically led commissioning is to be part of a financially sustainable NHS.