The White Paper outlines plans to reform the National Health Service (NHS) in England by empowering patients, healthcare professionals, and local communities. Key aspects of the reforms include giving patients more choice and control over their care, shifting decision making power to locally-led clinical commissions, and introducing competition among healthcare providers and payment based on outcomes. The reforms also aim to reduce NHS management costs by 45% by the end of 2014 through abolishing some NHS bodies and putting more power in the hands of autonomous foundation trusts and general practitioner groups.