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. Their community service provision was distributed in various ways, some to community health trusts. This list is of the PCTs which existed in 2012.
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 government office regions. The exception to this was the South East Government Office Region which is covered by two strategic health authorities: South Central SHA and South East Cost SHA. [2]
The PCTs were organised into clusters so as to achieve management cost savings, although the PCTs themselves remained separate statutory bodies. Whilst the majority of clusters contained multiple PCTs, there were some clusters, such as Cumbria, which consisted of just a single primary care trust. In October 2011, the ten SHAs were also grouped into clusters, with each having its own executive team, chief executive, and directors. There were four SHA clusters, and these were London, North of England, NHS Midlands and East, and South of England. [3]
As a result of the Health and Social Care Act 2012, all PCTs and SHAs were abolished on 31 March 2013, and replaced by clinical commissioning groups taking over the function of commissioning health and care services.
NHS London was the strategic health authority for the capital, with responsibility for 31 PCTs which operated in five clusters. The PCTs were coterminous with London borough boundaries.
In April 2012, North East London and the City was created from the merger of two previous PCT clusters; NHS East London and the City, and NHS Outer North East London. [4]
The North of England SHA cluster was made up of three strategic health authorities; NHS Yorkshire and the Humber, NHS North West and NHS North East. [5]
NHS North East consisted of 12 PCTs organised into 4 clusters.
NHS North West consisted of 24 PCTs organised into 5 PCT clusters. [6]
NHS Yorkshire and the Humber SHA was formed in 2006 from the merger of the three former SHAa of West Yorkshire, South Yorkshire, and North and East Yorkshire and Northern Lincolnshire. This SHA contained 15 PCTs organised into 6 clusters.
This SHA cluster was constituted into three strategic health authorities; NHS East of England, NHS East Midlands, and NHS West Midlands.
This strategic health authority had responsibility for nine PCTs, arranged into five clusters. [7]
The Bedfordshire & Hertfordshire; Norfolk, Suffolk & Cambridgeshire; and Essex strategic health authorities were merged in July 2006 to make the East of England SHA.
NHS West Midlands (otherwise known as the West Midlands Strategic Health Authority) was formed on 1 July 2006 from Birmingham and the Black Country SHA, Shropshire and Staffordshire SHA, and West Midlands South SHA). It consisted of five PCT clusters.
The NHS South of England SHA comprised South Central, South East Coast and South West strategic health authorities.
This SHA consisted of eight PCTs organised into three separate clusters.
NHS South West (South West SHA) was formed from the merger of Avon, Gloucestershire and Wiltshire SHA, Dorset and Somerset SHA and South West Peninsula SHA. [9] It consisted of 7 PCT clusters containing 14 PCTs.
Strategic health authorities (SHA) were part of the structure of the National Health Service in England between 2002 and 2013. Each SHA was responsible for managing performance, enacting directives and implementing health policy as required by the Department of Health at a regional level. Initially 28 in number, they were reduced to 10 in 2006. Along with primary care trusts, they were replaced by clinical commissioning groups and Public Health England in 2013 under the Health and Social Care Act 2012.
The North Midlands is a loosely defined area covering the northern parts of the Midlands in England. It is not one of the ITL regions like the East Midlands or the West Midlands.
Mike Farrar CBE was Chief Executive of the NHS Confederation from 2011 until October 2013.
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.
A mental health trust provides health and social care services for people with mental health disorders in England.
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.
Sir David Nicholson is a public policy analyst and NHS Manager who is the Chair of Sandwell and West Birmingham Hospitals NHS Trust and Chair of Worcestershire Acute Hospitals NHS Trust. He was previously the Chief Executive of the National Health Service in England. He was appointed in October 2011 following the NHS reforms, having been seventh Chief executive of the NHS within the Department of Health since September 2006. He issued what has become known as the "Nicholson challenge" regarding the finances of the NHS. He retired from the role on 1 April 2014 in the wake of the Stafford Hospital scandal.
Blackburn with Darwen tPCT was an English National Health Service primary care trust, responsible for commissioning & purchasing of health care in Blackburn with Darwen in Lancashire. It came under the North West of England's NHS strategic health authority (SHA). It was abolished in April 2013.
NHS West Midlands was a strategic health authority (SHA) of the National Health Service in England. It operated in the West Midlands region, which is coterminous with the local government office region. It was abolished in April 2013.
NHS North West was a strategic health authority (SHA) of the National Health Service in England. It operated in the North West region, which is coterminous with the local government office region.
NHS South East Coast was a strategic health authority of the National Health Service in England. It operated in the South East region, along with NHS South Central, providing coterminosity with the local government office region.
NHS West Essex was a NHS primary care trust (PCT) in Essex, England. Formed in October 2006 following the merger of the three previous primary care trusts – Epping Forest, Harlow and Uttlesford, it has an annual budget of £370m. It covers approximately 390 square miles (1,000 km2), from Buckhurst Hill to Steeple Bumpstead with a population of about 280,000. It is responsible for improving primary care and the health of the local population and with a statutory responsibility for providing health services.
NHS Birmingham East and North was an NHS primary care trust (PCT) that was formed on 1 October 2006 following the merger of Eastern Birmingham PCT and North Birmingham PCT. PCTs were abolished in April 2013.
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 Staffordshire was the responsibility of six clinical commissioning groups until July 2022, covering Stafford & Surrounds, North Staffordshire, South East Staffordshire and Seisdon Peninsula, East Staffordshire, Cannock Chase, and Stoke-on-Trent.
Healthcare in the West Midlands was, until July 2022, the responsibility of five integrated care groups: Birmingham and Solihull, Sandwell and West Birmingham, Dudley, Wolverhampton, and Walsall.
Healthcare in Yorkshire from 2016 was the responsibility of 19 clinical commissioning groups, which were replaced by integrated care systems in July 2022.
Healthcare in Lincolnshire was, until July 2022, the responsibility of integrated care systems covering Lincolnshire West, Lincolnshire East, North East Lincolnshire, North Lincolnshire, and South Lincolnshire.