So how does this simplification look in respect of commissioning?

If you are a Tory MP you will look back to July 2010 and remember a White Paper which rang out loudly with some important truths about getting rid of bureaucracy in the NHS. At the time the Government was announcing its revolutionary plans to reform the NHS. Whilst no-one, including Tory MPs was too clear about what health care problem the reforms were meant to solve, they were at least clear that they wanted to remove layers of bureaucracy form the NHS.