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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.
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 .
NHS trusts were established under the National Health Service and Community Care Act 1990 and were set up in five waves. Each one was established by a statutory instrument. NHS trusts are not trusts in the legal sense but are in effect public sector corporations.
The contract is regularly revised – in 2003, the Government announced major changes to NHS dentistry, giving primary care trusts (PCTs) responsibility for commissioning NHS dental services in response to local needs, and using NHS contracts to influence where dental practices were located, and in 2006 a new contract was introduced following ...
This list excludes community health trusts established under the National Health Service and Community Care Act 1990 and their successors, primary care trusts, for which see the list of primary care trusts in England. All such trusts were abolished on 31 March 2013. All trusts are supervised by NHS England.
The functions of the HAs were mostly taken up by 300 primary care trusts (PCTs), and 28 larger strategic health authorities (SHAs) were established (which were reduced in number to 10 in 2006). [4] [5] 20,000 staff changed jobs and the process was often unclear with little clear guidance given.
Karen James, chief executive of Tameside and Glossop Integrated Care NHS Foundation Trust, said in July 2020 that the NHS should aim to permanently scrap activity-based payment tariffs for acute care because block contracts – in which trusts are paid a set level of income – had encouraged "the right behaviours" in Greater Manchester during ...
The duty to involve the public had been enshrined in the Health and Social Care Act 2001. [2] The PPIFs replaced the community health councils created in 1974 The PPIFs worked to standards set by the Commission for Patient and Public Involvement in Health (CPPIH). Unlike the abolished community health councils, the remit of PPIFs included ...
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