Abstract New approaches to deliver primary health care in Europe faces several future confrontations, including an elderly and palliative care population, increasing numbers of patients with various chronic conditions and a restricted workforce for people because of digitalization. The term future transitions of health care refer to the movement of patients—between health care locations, providers, or levels of care as their conditions and care needs change—and the set of actions designed to ensure coordination and continuity. The aim of this article is to think of how palliative and geriatric care might demonstrate in the next future. Successful transitional health care management via digitalization and health commissioning groups can prevent medical errors, identify issues for early involvement prevent unnecessary hospital care readmissions and unnecessary health expenses. We can maintain consumers' options and selection and avoid unneeded expensive health care services, by improving the quality of care via commissioning. Key Words: Primary Care, Commissioning, Inequity, Outcomes, East London, Palliative care