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"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.
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]
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]
In 2005 the government announced that the number of strategic health authorities and primary care trusts would be reduced, the latter by about 50 per cent. The result was that, as of 1 October 2006, there were 152 PCTs (reduced from 303) in England, with an average population of just under 330,000 per trust.
Special health authorities were set to provide a national service to the NHS or the public, under section 11 of the National Health Service Act 1977. [4] [5] [6] Prior to the repeal of the whole of the 1977 Act by the NHS (Consequential Provisions) Act 2006, special health authorities included both infrastructure support organisations and national/specialist treatment providers such as the ...
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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.