title: Changes in the NHS.
abstract: The NHS is no stranger to restructure and change. Further restructure is currently taking place with the introduction of clinical commissioning. Moving to clinical commissioning will transfer responsibility for commissioning maternity services from primary care trusts (PCTs) working in collaboration with local maternity service providers and acute trusts to clinical commissioning groups (CCGs) working in partnership with health and wellbeing boards and the NHS commissioning board (NHSCB). This restructure aims to increase consultation with clinical service providers and to move service planning nearer to the service user. Maternity care provision is complex and challenging. Despite these challenges, restructures must enable services to reduce morbidity, increase efficiency and improve safety and women's experiences of maternity services.
authors.affiliation: University of Huddersfield.
authors.forename: Charlotte
authors.initials: C
authors.lastname: Kenyon
authors.forename: Antony
authors.initials: A
authors.lastname: Nelson
mesh_terms: D016550:Birthing Centers / Q000458:organization & administration; D005260:Female; D018166:Health Care Reform; D006297:Health Services Accessibility / Q000458:organization & administration*; D006801:Humans; D008427:Maternal Health Services / Q000458:organization & administration*; D008880:Midwifery / Q000458:organization & administration*; D061214:Patient Safety / Q000592:standards*; D011247:Pregnancy; D011320:Primary Health Care / Q000458:organization & administration; D011785:Quality Assurance, Health Care; D013222:State Medicine / Q000458:organization & administration*; D006113:United Kingdom