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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.
In October 2006, all primary care trusts (PCTs) outside the London area were restructured. This reduced the number of PCTs from 303 to 152. [1] At the same time, the number of strategic health authorities (SHAs) (which have responsibility for the PCTs) were also decreased (from 28 to 10).
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.
Long title: An Act to make further provision about health authorities and other bodies constituted in accordance with the National Health Service Act 1977; to provide for the establishment of National Health Service trusts; to make further provision about the financing of the practices of medical practitioners; to amend Part VII of the Local Government (Scotland) Act 1973 and Part III of the ...
Each SHA area contained various NHS trusts which took responsibility for running or commissioning local NHS services, and the SHA was responsible for strategic supervision of these services. The types of trust included: Hospital trust; Ambulance services trust; Care trust; Mental health trust; Primary care trust (PCT)
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 ...
Primary care trusts were given the target of sourcing at least 15 per cent of primary care from the private or voluntary sectors over the medium term. As a corollary to these initiatives, the NHS was required to take on pro-active socially "directive" policies, for example, in respect of smoking and obesity.
An NHS foundation trust is a semi-autonomous organisational unit within the National Health Service in England.They have a degree of independence from the Department of Health and Social Care (and, until the abolition of SHAs in 2013, their local strategic health authority).