Primary care trust directors and junior staff are leading the development of commissioning support services in many areas.

Twenty-two individuals across the country were named as responsible for developing and leading CSSs. This information was collated from the 95 of the 151 PCTs that responded to HSJ’s query.

Many CSSs have no clear leadership in place. They are expected to carry out much of the administration of commissioning from April next year and about 20 CSSs are expected to cover the whole of England.

Three of the leaders named are PCT cluster chief executives and two are PCT chief executives. A dozen are PCT directors or more junior staff.

Two have a mixed commercial and NHS background and three have come directly from commercial management and consultancy firms.

Dame Barbara Hakin indicated support services would get more clear and senior leaders in the next two months.

She added: “These will be very, very senior jobs. We shouldn’t underestimate how senior these leaders need to be.”