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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.
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)
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).
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 ...
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.
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.