This manual contains organisational standards for primary health care commissioning. It forms one part of the King's Fund Organisational Audit project for health authorities and primary health care commissioners. The standards apply to all primary care commissioning organisations, whether these are GP fundholding practices, multi funds or non-fundholding practices that form part of a commissioning group. They have been introduced as health authorities and FHSAs are merging and as the primary health care led NHS is adapting to new ways of working and thinking. Through these standards it is possible for organisations to prepare for the future.