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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]
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.
Originally established as a special health authority on 28 June 2012, it became a non-departmental public body (NDPB) on 1 April 2015 under the provisions of the Care Act 2014. [4] Dr Navina Evans, Chief Executive of East London NHS Foundation Trust, a psychiatrist, was appointed Chief Executive in March 2020, succeeding Prof Ian Cumming. [6]
"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.
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 National Health Service and Community Care Act 1990 (in England) defined this "internal market", whereby health authorities ceased to run hospitals but "purchased" care from their own or other authorities' hospitals. Certain GPs became "fund holders" and were able to purchase care for their patients.
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The Royal Hospital Chelsea is a retirement home and nursing home, founded by King Charles II in 1682 as a retreat for veterans.. Healthcare in England is mainly provided by the National Health Service (NHS), a public body that provides healthcare to all permanent residents in England, that is free at the point of use.