This paper presents proposals for the organisational design of the NHS Commissioning Board (CB). The paper is due to be discussed at the NHS CB Board meeting on 2nd February 2012.

The document sets out:

• The context for the design process;

• The recommended disposition of the Board’s running costs budget;

• Details of how the Board will operate through a matrix working approach

• Detailed recommendations on the design of each of the Board’s directorates, including the Sectors and Local Offices;

• The key issues and risks associated with the design process; and

• The next steps