Primary care trusts (PCTs) were part of the National Health Service in England from 2001 to 2013. PCTs were largely administrative bodies, responsible for commissioning primary, community and secondary health services from providers. Until 31 May 2011, they also provided community health services directly. Collectively PCTs were responsible for spending around 80 per cent of the total NHS budget. Primary care trusts were abolished on 31 March 2013 as part of the Health and Social Care Act 2012, with their work taken over by clinical commissioning groups.
Between 1996 and 2002, the National Health Service in England and Wales was organised under health authorities (HAs). There were 95 HAs at the time of their abolition in England in 2002, and they reported to the eight regional offices of the NHS Executive. They generally covered groups of one or more complete local authority districts (LADs), but there were cases where LADs were split.
District health authorities (DHAs) were National Health Service (NHS) administrative organisations set up in England and Wales in 1982 by the Health Services Act 1980. They replaced area health authorities (AHAs) and were responsible to an upper tier of regional health authorities (RHAs). Both the district and regional health authorities were abolished in 1996 as a result of the Health Authorities Act 1995.
Regional health authorities (RHAs) were National Health Service (NHS) organisations set up in 1974 by the National Health Service Reorganisation Act 1973 to replace regional hospital boards and to manage a lower tier of area health authorities (AHAs) in England. AHAs were created for Wales but not RHAs. Separate legislation was passed for Scotland. In 1996, the regional health authorities were abolished and replaced by eight regional offices of the NHS Executive as a result of the Health Authorities Act 1995.
The Health and Social Care Act 2012 is an act of the Parliament of the United Kingdom. It provided for the most extensive reorganisation of the structure of the National Health Service in England to date. It removed responsibility for the health of citizens from the Secretary of State for Health, which the post had carried since the inception of the NHS in 1948. It abolished primary care trusts (PCTs) and strategic health authorities (SHAs) and transferred between £60 billion and £80 billion of "commissioning", or healthcare funds, from the abolished PCTs to several hundred clinical commissioning groups, partly run by the general practitioners (GPs) in England. A new executive agency of the Department of Health, Public Health England, was established under the act on 1 April 2013.
The National Health Service Reorganisation Act 1973 is an Act of the Parliament of the United Kingdom. The purpose of the act was to reorganise the National Health Service in England and Wales. Separate legislation was passed a year earlier for Scotland. This was the first time the NHS had been reorganised in the UK since it was established in 1948. The next major reorganisations would be the Health Services Act 1980 and the Health Authorities Act 1995 which repealed the 1973 Act.
Area health authorities (AHAs) were 90 National Health Service (NHS) administrative organisations set up in England and Wales in 1974 by the National Health Service Reorganisation Act 1973. Separate legislation was passed for Scotland. In England, they were responsible to an upper tier of regional health authorities (RHAs). In 1982, the AHAs were abolished and replaced by 192 smaller district health authorities but the RHAs remained. Both the district and regional health authorities were then themselves abolished in 1996 as a result of the Health Authorities Act 1995.
Family practitioner committees were established by the National Health Service Re-organisation Act 1973. They replaced local executive councils, which had been established in 1948 to manage primary care.
Healthcare in Dorset was primarily the responsibility of Dorset Clinical Commissioning Group until July 2022. Dorset County Council is leading in the development of an electronic health record, to be called the Dorset Care Record, provided by Orion Health. It is intended to enable all health and social care providers to share records.
Healthcare in Kent has, from 1 July 2022, been mainly the responsibility of the Kent & Medway Integrated Care Board. Certain specialised services are directly commissioned by NHS England, coordinated through the South East integrated regional team. Some NHS England structures are aligned on a Kent and Medway basis, others on a South East basis and there is liaison with London to provide many tertiary healthcare services.
Healthcare in Bedfordshire is the responsibility of Bedfordshire and Luton Integrated Care Systems.
Healthcare in Somerset, England was the responsibility of three clinical commissioning groups (CCGs) until July 2022. These covered the ceremonial county of Somerset, which comprises the areas governed by the three unitary authorities of Somerset, North Somerset and Bath and North East Somerset.
Healthcare in Sussex is the responsibility of NHS Sussex, an integrated care system and the NHS Sussex Partnership NHS Foundation Trust.
Healthcare in Cambridgeshire was the responsibility of NHS Cambridgeshire and Peterborough Clinical Commissioning Group until July 2022. This was one of the largest in the United Kingdom.
Healthcare in Gloucestershire was the responsibility of two clinical commissioning groups, covering Gloucestershire and South Gloucestershire, until July 2022. The health economy of Gloucestershire has always been linked with that of Bristol.
Healthcare in Berkshire was the responsibility of five clinical commissioning groups until July 2022: Windsor, Ascot and Maidenhead, Slough, Bracknell and Ascot and Wokingham.
United Kingdom health law concerns the laws in the United Kingdom concerning health care and medicine, primarily administered through the National Health Service.
The Health Authorities Act 1995 is an act of the Parliament of the United Kingdom that reorganised the administration of the National Health Service in England and Wales.
Healthcare in Buckinghamshire was the responsibility for the Aylesbury Vale, Chiltern, and Milton Keynes. They managed the clinical commissioning groups until July 2022.
Healthcare in Oxfordshire, England, is managed by the Buckinghamshire, Oxfordshire and Berkshire West integrated care system.
