The papers brought to NHS East Midlands’ September meeting were littered with words like “transition” and “legacy”, reflecting the fact it was the board’s final get-together.

Ahead of being formally clustered with NHS East of England and NHS West Midlands on 3 October, the strategic health authority focused on the inheritance its primary care trusts would eventually be leaving to clinical commissioning groups.

Nottinghamshire PCT cluster’s “legacy document” sets out, over 101 pages, all the joys awaiting CCGs. For example, it explained how the secondary care landscape is “dominated” by two organisations facing “significant challenges”: stand up Nottingham University Hospitals Trust and Sherwood Forest Hospitals Foundation Trust.

Meanwhile, the “take or pay” contract with an independent sector treatment centre “restricts the economic imperative for practice based commissioners to reduce demand for this provider”, the document says, listing the problem as a “key weakness”.

NHS Derby City’s legacy document highlights its dependence on Derby Hospitals Foundation Trust but says the two organisations have a “mature relationship based on respect”. This maturity will be useful in negotiating the area’s unidentified 54 per cent of QIPP savings that, it is hoped, will come from Derby Hospitals’ contract.

Derbyshire County, meanwhile, reminds CCGs the PCT’s budget is £55m under its target allocation – the second biggest under-target value in England.

Lincolnshire flags up the “loss of control” of £9m of social care funding being transferred to the county council, in addition to “potential funding issues” regarding the council’s support of contracts with Lincolnshire Partnership Foundation Trust.