This brochure contains transcripts from Reform's seminars on clinical commissioning and integrated care. Reform’s aim was to bring together key individuals and organisations that can make the Government’s vision a reality, including GPs, NHS leaders, patient representatives, policy makers and journalists. The discussions highlighted the challenges and the opportunities facing the NHS, and the barriers to reform. To meet the challenge of rising expectations, new technology, changing lifestyles and an ageing population the delivery of healthcare has to be reformed. Making health services better suited to meet the costs of long term conditions is a major opportunity to make healthcare affordable. While much of the political debate has focused on integration between primary and secondary care, many of the attendees urged that attention should also be given to “horizontal integration” within primary care and within hospitals, as well as integration with social care. Some delegates were in favour of closing failing hospitals and departments and moving care into more appropriate settings.