The NHS is currently in the process of implementing a major programme of reform following the passage of the Health and Social Care Act 2012.

In the final report (May 2011) of her review of child protection, Professor Eileen Munro expressed concern about the possible impact of the health reforms on effective partnership arrangements and the ability to provide effective help for children suffering, or likely to suffer, significant harm.

In response, the Government committed to establishing a co-produced work programme “to ensure continued improvement and the development of effective arrangements to safeguard and promote children’s welfare as central considerations of the health reforms”.

This advice focuses primarily on the new NHS commissioning system and provides additional information to emerging clinical commissioning groups linked to authorisation and beyond. It also sets out how the NHS Commissioning Board intends to fulfil its duties and responsibilities, both as the commissioner of some healthcare services and in its oversight role and outlines the on-going work and timetable required to secure successful implementation.

View the Munro Review of Child Protection


  • Background and Context
  • Purpose of this advice
  • The reformed commissioning system
  • NHS Commissioning Board (NHS CB)
  • Clinical Commissioning Groups (CCGs)
  • What do these changes mean for safeguarding?
  • Clinical Commissioning Groups (CCGs)
  • NHS Commissioning Board (NHS CB)
  • Key partners
  • Local Safeguarding Children Boards (LSCBs)
  • Safeguarding Adults Boards (SABs)
  • Local authorities
  • Health and wellbeing boards (HWBs)
  • Safeguarding clinical leadership and support
  • Next steps
  • Conclusion