Commissioning within the public sector is changing, especially in the context of Integrated Health and Care. Place-based commissioning is effective for ensuring more effective outcomes for people on a more localised basis, but it should be recognised that commissioning approaches vary across the country. The role of the VCSE within communities is widely recognised as a key element to ensuring effective service delivery that is community focussed and ensures value for money. This short paper outlines a number of issues to be considered by commissioners and providers to support long term effectiveness of the sector within the health and care system.