It’s been a hairy couple of months for our diarist as tensions mount between the CCG and hospital consultants. But he’s hanging in there...

A medical school reunion makes our diarist ponder how his ‘NHS story’ will conclude.

Our diarist attends Westminster for a round table discussion on effective commissioning of cancer services

Our diarist ‘keeps it real' this month with a visit to a deprived estate to explain what clinical commissioning groups do

Like many GP commissioners our diarist this month finds himself in a room trying to articulate what they do into one of six headings as the authorisation process begins

Our diarist finds himself in a commissioning classroom with a heron-like academic telling his students that saving £20 billion is like shelling peas

The health bill may have been on hold, but for a GP commissioner on the ground like our diarist, there is no slowing down.

On a home visit, our diarist reflects on how GP commissioners are perfectly positioned to commission care for the individuals they see

Our diarist finds himself having to answer to local consultants on the reforms

A visit to Number 10 finds our diarist realising his own enthusiasm for the reforms – and the scale of the opposition out there

Take two obstetric units, nearly two hours drive apart, neither meeting their tariff costs, and redesign a pathway. Answers on a postcard please

Our diarist anticipates how a COPD scheme will be received by his peers. And finds a response as unpredictable as the British weather.

This month our diarist heard the great and the good talk on the need to get a grip on the whole NHS setup, which restores his faith in the process

Our diarist reluctantly steps up to the children’s services commissioning plate – but finds it hard just to decipher the menu

Pound signs are at the forefront of our diarist’s mind as he does his duty doctor stint

Our diarist had lunch with the health secretary before the white paper came out last week

Our diarist considers what the future holds and wonders whether PBC will stand the test of time in its current form

Our diarist is posed with some very real integrated care organisation scenarios - including how to spend budgets so as to stay out of prison.

Back from a fact-finding trip to the US, our diarist muses on how clinical leadership can really shake everything – and everyone – up

This month, our diarist contemplates what should or shouldn’t go into a devolved budget and finds the answer is anything but simple