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The NHS Confederation, formerly the National Association of Health Authorities and Trusts, is a membership body for organisations that commission and provide National Health Service services founded in 1990. The predecessor organisation was called the National Association of Health Authorities in England and Wales.
Originally established as a special health authority on 28 June 2012, it became a non-departmental public body (NDPB) on 1 April 2015 under the provisions of the Care Act 2014. [4] Dr Navina Evans, Chief Executive of East London NHS Foundation Trust, a psychiatrist, was appointed Chief Executive in March 2020, succeeding Prof Ian Cumming. [6]
"Strategic Health Authorities will provide strategic leadership to ensure the delivery of improvements in health and health services locally by PCTs and NHS Trusts within the national framework of developing a patient-centred NHS. They will lead the development and empowerment of innovative and uniformly excellent frontline NHS organisations.
The NHS was established within the differing nations of the United Kingdom through differing legislation, and as such there has never been a singular British healthcare system, instead there are 4 health services in the United Kingdom; NHS England, the NHS Scotland, HSC Northern Ireland and NHS Wales, which were run by the respective UK government ministries for each home nation before falling ...
NHS trusts are not trusts in the legal sense but are in effect public sector corporations. Each trust is headed by a board consisting of executive and non-executive directors, and is chaired by a non-executive director. There were about 2,200 non-executives across 470 organisations in the NHS in England in 2015. [2]
Primary care trusts were abolished on 31 March 2013 as part of the Health and Social Care Act 2012, with their commissioning work taken over by clinical commissioning groups. Their public health role was transferred to local authorities and to Public Health England.
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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.