Only half of the NHS’s new regional health service bodies will be fully ready to start work when the changes come into effect today.
Just 106 of the 211 Clinical Commissioning Groups (CCGs) are "fully authorised", said NHS England.
The new groups are led by GPs and other clinicians who will take on responsibility for commissioning local hospital, community health and mental health services.
More top news
The mother of the accused had a heart attack after hearing graphic details of the bloody Charleston massacre.
Donald Trump has discussed the "long-standing relationship between Scotland and the United States" in a call with Nicola Sturgeon.
Food prices will rise across the UK unless EU workers are allowed to remain as part of the Brexit negotiations, industry bosses have warned.