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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.
Primary health care (PHC) is a whole-of-society approach to effectively organise and strengthen national health systems to bring services for health and wellbeing closer to communities. [ 1 ] Primary health care enables health systems to support a person’s health needs – from health promotion to disease prevention, treatment, rehabilitation ...
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). As of March 2019 there were 151 foundation trusts.
Each SHA area contained various NHS trusts which took responsibility for running or commissioning local NHS services, and the SHA was responsible for strategic supervision of these services. The types of trust included: Hospital trust; Ambulance services trust; Care trust; Mental health trust; Primary care trust (PCT)
The NHS was established within the differing nations of the United Kingdom through differing legislation, and as such there has never been a singular British healthcare system, instead there are 4 health services in the United Kingdom; NHS England, the NHS Scotland, HSC Northern Ireland and NHS Wales, which were run by the respective UK government ministries for each home nation before falling ...
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.
Secondary care (sometimes termed acute health care) can be either elective care or emergency care and providers may be in the public or private sector, but the majority of secondary care happens in NHS owned facilities. [12] The Care Quality Commission is an executive non-departmental public body of the Department of Health and Social Care. It ...
The act had implications for the entire English NHS. Primary care trusts (PCTs) and strategic health authorities (SHAs) were abolished, with projected redundancy costs of £1 billion for around 21,000 staff. [13] £60 to £80 billion worth of commissioning will be transferred from PCTs to several hundred clinical commissioning groups, partly ...