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In April 1999 they established 481 primary care groups in England "thereby universalising fundholding while repudiating the concept." [1] Primary and community health services were brought together in a single Primary Care Group controlling a unified budget for delivering health care to and improving the health of communities of about 100,000 ...
The QOF system is supervised and audited by NHS primary care trusts in England and the analogous bodies elsewhere in the UK (Health Boards in Scotland, Regional Boards in Northern Ireland and Local Health Boards in Wales), which make the related payments.
The PCTs were organised into clusters so as to achieve management cost savings, although the PCTs themselves remained separate statutory bodies. Whilst the majority of clusters contained multiple PCTs, there were some clusters, such as Cumbria, which consisted of just a single primary care trust.
Hospital trust (also known as an acute trust), which provides secondary care services; Mental health trust; Ambulance services trust; Community health trust; Over time the distinction between different types has eroded, and both hospital and mental health trusts have taken on responsibility for various community services.
The government intended GP practices to be supported by the PCTs (primary care trusts) to buy in ("commission") services for their patients based on cost and quality of care. This process was expected to generate financial savings of which 7/10ths may be retained by the practice for further investment while the remainder is passed back to the 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 health care professional/health care body and the primary care trust (PCT) enter a local contract. The main use of this contract is to give GPs the option of being salaried. Alternative Provider Medical Services (APMS) are primary care services provided by outside contractors (like US health companies).
These primary care trusts took over the functions of health authoriiesy, which were abolished under the National Health Service Reform and Health Care Professions Act 2002. [ 10 ] [ 11 ] Social care in England was reorganised to be structured into these trusts which would pool their services - this was the first time that health and social care ...