STRUCTURE: The Arden cluster of primary care trusts is planning a commissioning support service with around 200 staff.

Board papers from the cluster’s September board meeting show the service, being set up by Coventry and Warwickshire primary care trusts, will operate with a revenue of approximately £12m - £18m, based on an assumption of £10 - £11 per head of population.

The PCTs are aiming to “develop a collaborative business model” with Warwickshire County Council and Coventry City Council. The papers say: “The commissioning support service will be the front door through which clinical commissioning groups can access a range of support from health and social care.”

The cluster says: “The service will need to secure income through provision of a menu [of] both transactional and retained services and operate a commercial model of business.”

The service will have “nearly 200 staff”, providing a “market-facing” service, and will require human resources support to staff, who will remain in the NHS, but “will be subject to significant changes in the way that they work and are appraised”.