8. Dec 2010 Apr 2013 Apr 2012 Apr 2011 Jan 2011 Jun 2011 Autumn 2011 Second wave of pathfinders announced First pathfinder GP consortia Emerging consortia begin to take on delegated authority Early implementer Health and Wellbeing Boards announced Pathfinder HealthWatch NHS Commissioning Board in shadow form – special health authority Accountability still with PCT but starting to back off Clustering of PCTs complete HealthWatch England established in shadow form GP consortia begin to be authorised to take on delegated authority HealthWatch in operation Health and Wellbeing Boards in shadow form Overall accountability still with PCT SHA abolished NHS Commissioning Board formally established Accountability moves to GP consortia but still learning process for next year HealthWatch advocacy role starts PCT abolished Health and Wellbeing Boards fully operational