This development tool is designed to support all those with responsibility for shaping the development of Clinical Commissioning Groups. The document aims to inform the debate about how to ensure the effective governance of Clinical Commissioning Groups and is part of a series. The research, consultation and development of the document took place over the Autumn of 2010 and into the Spring of 2011. Developed for the National Leadership Council by Foresight Partnership Ltd, in partnership with NIHR King's Patient Safety and Service Quality Centre.