STRUCTURE: Sutton and Merton primary care trust is planning to delegate most commissioning to two consortia - The Sutton Consortium and The Federation - from April.

Practice based commissioning groups currently have responsibility for £309m annual spending covering some acute care, prescribing, community services and some mental health.

From April the PCT plans to add to this with more acute spending, further mental health, ambulance services, continuing care, end of life care, long term conditions, urgent care, intermediate care and children and young people.

The PCT’s annual allocation is just over £600m.