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Each SHA area contained various NHS trusts which took responsibility for running or commissioning local NHS services, and the SHA was responsible for strategic supervision of these services. The types of trust included: Hospital trust; Ambulance services trust; Care trust; Mental health trust; Primary care trust (PCT)
Airedale NHS Foundation Trust, established 1 November 1991 as Airedale NHS Trust, [2] authorised as a foundation trust on 1 June 2010. [3]Alder Hey Children's NHS Foundation Trust, established 21 December 1990 as Royal Liverpool Children's Hospital and Community Services NHS Trust, [4] changed its name to The Royal Liverpool Children's National Health Service Trust on 15 March 1996, [5 ...
The introduction of further private sector involvement in the Health and Social Care Act 2012 provoked mass demonstrations led by health workers, and some NHS workers also participated in a national strike over pay restraint in 2014. 2016 also saw major industrial action by junior doctors, protesting at the imposition of a new contract aiming ...
An NHS trust is an organisational unit within the National Health Services of England and Wales, generally serving either a geographical area or a specialised function (such as an ambulance service). In any particular location there may be several trusts involved in the different aspects of providing healthcare to the local population.
Before the National Health Service was created in 1948, patients were generally required to pay for their health care. Free treatment was sometimes available from charitable voluntary hospitals. Some local authorities operated hospitals for local ratepayers (under a system originating with the Poor Laws).
In October 2006, all primary care trusts (PCTs) outside the London area were restructured. This reduced the number of PCTs from 303 to 152. [1] At the same time, the number of strategic health authorities (SHAs) (which have responsibility for the PCTs) were also decreased (from 28 to 10).
The Health and Care Act 2022 put these systems on a statutory basis, each with an approved constitution. On 1 July 2022, a total of 42 ICSs became statutory. There are more than 70 performance metrics by which they are judged, grouped into six "oversight themes": quality, access and outcomes, preventing ill health and reducing inequalities, leadership, people, and finances.
In February 2019, NHS England called for the repeal of the regulations made under section 75 of the Health and Social Care Act 2012 which require competitive tendering. [14] From March 2019, with the effective merger of NHS Improvement and NHS England, there was no longer any real purchaser/provider split at a national level. [15]