NHS Trust
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National Health Service Trusts (NHS Trusts) provide many services of the United Kingdom National Health Service in England and Wales. They are not trusts in the legal sense but are corporations that have been called "Trusts" because of percieved public relations benefits of this term. There are 4 major types of Trusts: Primary Care Trusts, Hospital Trusts, (known as Acute Trusts), Ambulance Trusts [1] and Mental Health Trusts [2].
Radical reorganisation of Primary Care Trusts (PCTs) is currently proposed, which will result in a number of amalgamations by the end of 2006.
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Primary Care Trusts
Image:JerichoHealthCentre20050326 CopyrightKaihsuTai.jpg Primary Care Trusts (PCT) are free-standing statutory bodies responsible for delivering better health care and health improvements to their local area. They started as committees or Primary Care Groups of the Health Authority.
PCT have their own budgets and set their own priorities. They directly provide a range of community health services (such as general practitioner (GP), community and primary care services); they may commission hospital services from other NHS trusts (such as hospital trusts). They are governed by a Board (with members from within and outside the Trust), a Professional Executive Committee (PEC) elected from local GPs, community nurses, pharmacists, dentists etc., and managed by a team of Executive Directors. Much of their agenda is determined by directives from the Strategic Health Authority (SHA) or the Department of Health.
In 2005 the Government announced that the number of Strategic Health Authorities and Primary Care Trusts would be reduced.
England
Source: http://www.nhs.uk/England/AuthoritiesTrusts/Pct/list.aspx Date: 22/11/05
East Midlands
Trent SHA
- Amber Valley PCT [3]
- Ashfield PCT [4] (most of Ashfield: Hucknall covered by Broxtowe and Hucknall)
- Bassetlaw PCT [5]
- Broxtowe and Hucknall PCT [6] (Broxtowe district and Hucknall from Ashfield)
- Central Derby PCT [7] [8] - wards from Derby
- Chesterfield PCT [9]
- Derbyshire Dales and South Derbyshire PCT [10] - wards from both districts
- East Lincolnshire PCT [11] - East Lindsey, Boston, South Holland
- Erewash PCT [12]
- Gedling PCT [13]
- Greater Derby PCT [14] - wards from Derby
- High Peak and Dales PCT [15] - wards from both districts
- Lincolnshire South West Teaching PCT [16] - South Kesteven district, wards from North Kesteven, and one ward from East Northamptonshire
- Mansfield District PCT [17]
- Newark and Sherwood PCT [18]
- North Eastern Derbyshire PCT [19] - Bolsover and North East Derbyshire
- Nottingham City PCT [20]
- Rushcliffe PCT [21]
- West Lincolnshire PCT [22] - Lincoln, West Lindsey, wards from North Kesteven
Leicestershire, Northamptonshire & Rutland SHA
- Charnwood and North West Leicestershire PCT [24] - North West Leicestershire, wards from Charnwood, one ward from Hinckley and Bosworth (Markfield)
- Daventry and South Northamptonshire PCT [25] [26] - wards from both districts
- Eastern Leicester PCT [27] - wards in eastern Leicester
- Hinckley and Bosworth PCT [28] - wards in Hinckley and Bosworth, Blaby and 1 from Harborough (Broughton)
- Leicester City West PCT [29] - wards in western Leicester
- Melton, Rutland and Harborough PCT [30] - all of Melton and Rutland, two wards from Charnwood (Queniborough, Syston) and most wards from Harborough
- Northampton PCT [31] - wards from Northampton, Daventry, South Northamptonshire
- Northamptonshire Heartlands PCT [32] - all of Corby, Kettering, Wellingborough, East Northamptonshire
- South Leicestershire PCT [33] - all of Oadby and Wigston, and wards from Blaby and Harborough
East of England
Bedfordshire & Hertfordshire SHA
- Bedford PCT
- Bedfordshire Heartlands PCT
- Dacorum PCT
- Hertsmere PCT
- North Hertfordshire and Stevenage PCT
- Royston, Buntingford and Bishop's Stortford PCT
- St Albans and Harpenden PCT
- South East Hertfordshire PCT
- Watford and Three Rivers PCT
- Welwyn Hatfield PCT
Norfolk, Suffolk & Cambridgeshire SHA
- Broadland PCT
- Cambridge City PCT
- Central Suffolk PCT
- East Cambridgeshire and Fenland PCT
- Great Yarmouth PCT
- Huntingdonshire PCT
- Ipswich PCT
- Luton PCT
- North Norfolk PCT
- Norwich PCT
- North Peterborough PCT
- South Cambridgeshire PCT
- South Peterborough PCT
- Southern Norfolk PCT
- Suffolk Coastal PCT
- Suffolk West PCT
- Waveney PCT [34] - wards from Waveney, South Norfolk, Suffolk Coastal
- West Norfolk PCT
Essex SHA
- Basildon PCT
- Billericay, Brentwood and Wickford PCT
- Castle Point and Rochford PCT
- Chelmsford PCT
- Colchester PCT
- Epping Forest PCT
- Harlow PCT
- Maldon and South Chelmsford PCT
- Southend on Sea PCT
- Tendring PCT
- Thurrock PCT
- Uttlesford PCT
- Witham, Braintree and Halstead Care Trust
London
Proposed reforms will result in a single SHA for London by the end of 2006. PCTs will be remain coterminous with London borough boundaries.
North East London SHA
- Barking and Dagenham PCT
- City and Hackney Teaching PCT
- Havering PCT
- Newham PCT
- Redbridge PCT external link to Redbridge PCT website
- Tower Hamlets PCT
- Waltham Forest PCT
North Central London SHA
- Barnet PCT
- Camden PCT external link to Camden PCT website
- Enfield PCT external link to Enfield PCT website
- Haringey Teaching PCT
- Islington PCT external link to Islington PCT website
North West London SHA
- Brent Teaching PCT
- Ealing PCT
- Hammersmith and Fulham PCT
- Kensington and Chelsea PCT
- Harrow PCT
- Hillingdon PCT
- Hounslow PCT
- Westminster PCT external link to Westminster PCT website
South West London SHA
- Croydon PCT
- Kingston PCT
- Sutton and Merton PCT
- Richmond and Twickenham PCT
- Wandsworth PCT
South East London SHA
- Bexley Care Trust
- Bromley PCT
- Greenwich Teaching PCT
- Lambeth PCT
- Lewisham PCT
- Southwark PCT
North East England
County Durham & Tees Valley SHA
external link to County Durham Tees Valley STHA website- Darlington PCT external link to Darlington PCT website
- Derwentside PCT external link to Derwentside PCT website
- Durham and Chester-le-Street PCT external link to Durham & Chester-le-Street PCT website
- Durham Dales PCT external link to Durham Dales PCT website
- Easington PCT external link to Easington PCT website
- Hartlepool PCT external link to Hartlepool PCT website
- Langbaurgh PCT external link to Langbaurgh PCT website
- Middlesbrough PCT external link to Middlesbrough PCT website
- North Tees PCT external link to North Tees PCT website
- Sedgefield PCT external link to Sedgefield PCT website
Northumberland, Tyne & Wear SHA
- Gateshead PCT
- Newcastle PCT
- North Tyneside PCT
- Northumberland Care Trust
- South Tyneside PCT
- Sunderland Teaching PCT
North West England
Cumbria & Lancashire SHA
- Blackburn with Darwen PCT
- Blackpool PCT
- Burnley, Pendle and Rossendale PCT
- Carlisle and District PCT
- Chorley and South Ribble PCT
- Eden Valley PCT
- Fylde PCT
- Hyndburn and Ribble Valley PCT
- Morecambe Bay PCT
- Preston PCT
- West Cumbria PCT
- West Lancashire PCT
- Wyre PCT
Greater Manchester SHA
- Ashton, Leigh and Wigan PCT
- Bolton PCT
- Bury PCT
- Central Manchester PCT
- Heywood and Middleton PCT
- North Manchester PCT
- Oldham PCT
- Rochdale PCT
- Salford PCT
- South Manchester PCT
- Stockport PCT
- Tameside and Glossop PCT (Glossop part in East Midlands/Trent SHA)
- Trafford North PCT
- Trafford South PCT
Mersey SHA
- Bebington and West Wirral PCT
- Birkenhead and Wallasey PCT
- Central Cheshire PCT
- Central Liverpool PCT
- Cheshire West PCT
- Eastern Cheshire PCT
- Ellesmere Port and Neston PCT
- Halton PCT
- Knowsley PCT
- North Liverpool PCT
- South Liverpool PCT
- South Sefton PCT
- Southport and Formby PCT
- St Helens PCT
- Warrington PCT
South East England
Kent & Medway SHA
- Ashford PCT
- Canterbury and Coastal PCT
- Dartford, Gravesham and Swanley PCT
- East Kent Coastal PCT
- Maidstone Weald PCT
- Medway PCT
- Shepway PCT
- South West Kent PCT
- Swale PCT
Sussex & Surrey SHA
- Adur, Arun and Worthing PCT
- Bexhill and Rother PCT
- Brighton and Hove City PCT
- Crawley PCT
- East Elmbridge and Mid Surrey PCT
- East Surrey PCT
- Eastbourne Downs PCT
- Guildford and Waverley PCT
- Hastings and St Leonards PCT
- Horsham and Chanctonbury PCT
- Mid-Sussex PCT
- North Surrey PCT
- Surrey Heath and Woking PCT
- Sussex Downs and Weald PCT
- Western Sussex PCT
Hampshire & Isle of Wight SHA
- Blackwater Valley and Hart PCT
- East Hampshire PCT
- Fareham and Gosport PCT
- Eastleigh and Test Valley South PCT
- Isle of Wight PCT
- Mid-Hampshire PCT
- New Forest PCT
- North Hampshire PCT
- Portsmouth City Teaching PCT
- Southampton City PCT
Thames Valley SHA
- Bracknell Forest PCT
- Cherwell Vale PCT
- Chiltern and South Bucks PCT
- Milton Keynes PCT
- Newbury and Community PCT
- North East Oxfordshire PCT
- Oxford City PCT
- Reading PCT
- Slough PCT
- South East Oxfordshire PCT
- South West Oxfordshire PCT
- Vale of Aylesbury PCT
- Windsor, Ascot and Maidenhead PCT
- Wokingham PCT
- Wycombe PCT
South West England
Avon, Gloucestershire & Wiltshire SHA
- Bath and North East Somerset PCT
- Bristol North PCT
- Bristol South and West PCT
- Cheltenham and Tewkesbury PCT
- Cotswold and Vale PCT
- Kennet and North Wiltshire PCT
- South Gloucestershire PCT
- South Wiltshire PCT
- West Wiltshire PCT
- Swindon PCT
Dorset & Somerset SHA
- Bournemouth Teaching PCT
- Mendip PCT
- North Dorset PCT
- North Somerset PCT
- Poole PCT
- Somerset Coast PCT
- South and East Dorset PCT
- South Hams and West Devon PCT
- South Somerset PCT
- South West Dorset PCT
- West Gloucestershire PCT
South West Peninsula SHA
- Central Cornwall PCT
- East Devon PCT
- Exeter PCT
- Mid Devon PCT
- North and East Cornwall PCT
- North Devon PCT
- Plymouth Teaching PCT
- Taunton Deane PCT
- Teignbridge PCT
- West of Cornwall PCT
West Midlands
Birmingham & the Black Country SHA
- Dudley Beacon and Castle PCT
- Dudley South PCT
- Eastern Birmingham PCT
- Heart of Birmingham Teaching PCT
- North Birmingham PCT
- Oldbury and Smethwick PCT
- Rowley Regis and Tipton PCT
- Solihull PCT
- South Birmingham PCT
- Walsall Teaching PCT
- Wednesbury and West Bromwich PCT
- Wolverhampton City PCT
Shropshire & Staffordshire SHA
- Burntwood, Lichfield and Tamworth PCT
- Cannock Chase PCT
- East Staffordshire PCT
- Newcastle-under-Lyme PCT
- North Stoke PCT
- South Stoke PCT
- Shropshire County PCT
- South Western Staffordshire PCT
- Staffordshire Moorlands PCT
- Telford and Wrekin PCT
West Midlands South SHA
- Coventry Teaching PCT
- Herefordshire PCT
- North Warwickshire PCT
- Redditch and Bromsgrove PCT
- Rugby PCT
- South Warwickshire PCT
- South Worcestershire PCT
- Wyre Forest PCT
Yorkshire and the Humber
West Yorkshire SHA
- Airedale PCT
- Bradford City Teaching PCT
- Bradford South and West PCT
- Calderdale PCT
- East Leeds PCT
- Eastern Wakefield PCT
- Huddersfield Central PCT
- Leeds North East PCT
- Leeds North West PCT
- Leeds West PCT
- North Bradford PCT
- North Kirklees PCT
- South Huddersfield PCT
- South Leeds PCT
- Wakefield West PCT
South Yorkshire SHA
- Barnsley PCT
- Doncaster Central PCT
- Doncaster East PCT
- Doncaster West PCT
- North Sheffield PCT
- Rotherham PCT
- Sheffield South West PCT
- Sheffield West PCT
- South East Sheffield PCT
North and East Yorkshire and Northern Lincolnshire SHA
- Craven, Harrogate and Rural District PCT
- East Yorkshire PCT
- Eastern Hull PCT
- Hambleton and Richmondshire PCT
- North East Lincolnshire PCT
- North Lincolnshire PCT
- Scarborough, Whitby and Ryedale PCT
- Selby and York PCT
- West Hull PCT
- Yorkshire Wolds and Coast PCT