The five sub-regional clusters are led by a Chief Executive, appointed by the Strategic Health Authority. Individual PCTs will remain responsible and accountable for their own performance and commissioning of services for their populations. The clusters are responsible for identifying and implementing management cost reductions, improving the quality and productivity of services through innovation and partnerships (commonly known as the QIPP agenda), achieving management costs savings and considering the future shape of health services.
The Chief Executives for the five PCT clusters, together with the SHA management team, will form the West Midlands Management Board.

The list of organisations in each cluster is as follows:
ARDEN
- Coventry Teaching PCT
- Coventry and Warwickshire NHS Partnership Trust
- George Eliot Hospital NHS Trust
- South Warwickshire NHS Foundation Trust
- University Hospitals Coventry and Warwickshire NHS Trust
- Warwickshire PCT
BIRMINGHAM AND SOLIHULL
- Birmingham East & North PCT
- Birmingham Children’s Hospital NHS Foundation Trust
- Birmingham Community Healthcare NHS Trust
- Birmingham and Solihull Mental Health Foundation Trust
- Birmingham Women’s NHS Foundation Trust
- Heart of Birmingham Teaching PCT
- Heart of England NHS Foundation Trust
- The Royal Orthopaedic Hospital NHS Foundation Trust
- Solihull Care Trust
- South Birmingham PCT
- University Hospital Birmingham NHS Foundation Trust
BLACK COUNTRY
- Black Country Partnership NHS Trust
- Dudley PCT
- Dudley Group NHS Foundation Trust
- Dudley and Walsall Mental Health NHS Partnership Trust
- The Royal Wolverhampton Hospitals NHS Trust
- Sandwell PCT
- Sandwell and West Birmingham Hospitals NHS Trust
- Walsall Healthcare NHS Trust
- Walsall PCT
- Wolverhampton City PCT
STAFFORDSHIRE
- Burton Hospitals NHS Foundation Trust
- Mid Staffordshire NHS Foundation Trust
- North Staffordshire PCT
- North Staffordshire Combined Healthcare NHS Trust
- Stoke-on-Trent PCT
- South Staffordshire PCT
- South Staffordshire and Shropshire Healthcare NHS Foundation Trust
- Staffordshire and Stoke-on-Trent Partnership NHS Trust
- University Hospital of North Staffordshire NHS Trust
WEST MERCIA
- Herefordshire PCT
- The Robert Jones and Agnes Hunt Orthopaedic Hospital NHS Foundation Trust
- The Shrewsbury and Telford Hospital NHS Trust
- Shropshire County PCT
- Shropshire Community Health NHS Trust
- Telford & Wrekin PCT
- Worcestershire Acute Hospitals NHS Trust
- Worcestershire Health & Care NHS Trust
- Worcestershire PCT
- Wye Valley NHS Trust (formerly Hereford Hospitals NHS Trust)
Details of the Chief Executives appointed to lead the five clusters are available at this link.