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In April 1999 they established 481 primary care groups in England "thereby universalising fundholding while repudiating the concept." [1] Primary and community health services were brought together in a single Primary Care Group controlling a unified budget for delivering health care to and improving the health of communities of about 100,000 ...
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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). These ten new SHAs largely mimic the geography of the ...
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.
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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.
Airedale NHS Foundation Trust, established 1 November 1991 as Airedale NHS Trust, [2] authorised as a foundation trust on 1 June 2010. [3]Alder Hey Children's NHS Foundation Trust, established 21 December 1990 as Royal Liverpool Children's Hospital and Community Services NHS Trust, [4] changed its name to The Royal Liverpool Children's National Health Service Trust on 15 March 1996, [5 ...
Germany has the world's oldest national social health insurance system, [1] with origins dating back to Otto von Bismarck's Sickness Insurance Law of 1883. [2] [3] In Britain, the National Insurance Act 1911 included national social health insurance for primary care (not specialist or hospital care), initially for about one-third of the population—employed working class wage earners, but not ...