World class commissioning will have a direct impact on the health and well-being of the population, driving unprecedented improvements in patient outcomes and ensuring the NHS remains one of the most progressive and high-performing health systems in the world. Ultimately, world class commissioning will deliver better well-being for all, better care for all and better value for all. The NAPC ’07 Annual Conference attracted over 300 GPs, PCTs and Practice Managers. The conference this year looked at how to move towards world class commissioning through achieving integrated care.