Under the recent reforms the majority of commissioning is from public providers, principally NHS Foundation Trusts, but commissioning authorities are allowed to buy services from “Any Qualified Provider”, including private and non-governmental providers. “ Any Qualified Provider”, which w'as introduced starting from April 2012, gives patients the power to choose from a list of approved service providers - NHS, private and voluntary - for care that would then be paid for by their commissioning authority (for further details see Department of Health, 201 If; Department of Health,, 201 lg, NHS, 2013). There are 12 “Special Health Authorities”, which provide a particular health service to the whole of England, for example the NHS Blood and Transport Authority and the National Institute of Clinical Excellence (NICE). These bodies are independent from the NHS governance system.