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In England, an integrated care system (ICS) is a statutory partnership of organisations who plan, buy, and provide health and care services in their geographical area.The organisations involved include the NHS, local authorities, voluntary and charity groups, and independent care providers.
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 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 ...
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.
The NHS will potentially have a shortage of general practitioners. From 2015 to 2022, the number of GPs fell by 1,622 and some of those continuing to work have changed to work part-time. [57] In 2023, a report revealed that NHS staff had faced over incidents of 20,000 sexual misconduct from patients from 2017 to 2022 across 212 NHS Trusts.
"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.
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