The Health and Social Care Bill sets out a number of significant reserve powers for the NHSCB. It is therefore possible that the Board will take a more national approach on some issues and specify what is and is not to be commissioned by clinical commissioning groups (CCGs). On the other hand, if it does fall to CCGs to make the majority of priority-setting decisions, then robust governance, management and analytical support, and strong clinical leadership will be critical. sets out a number of significant reserve powers for the NHSCB. It is therefore possible that the Board will take a more national approach on some issues and specify what is and is not to be commissioned by clinical commissioning groups (CCGs). On the other hand, if it does fall to CCGs to make the majority of priority-setting decisions, then robust governance, management and analytical support, and strong clinical leadership will be critical.