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The National Health Service Act 2006 (c. 41) is an act of the Parliament of the United Kingdom. It sets out the structure of the National Health Service in England . It was altered and completely renumbered by the Health and Social Care Act 2012 ( c 7 ).
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).
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)
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From March 2019, with the effective merger of NHS Improvement and NHS England, there was no longer any real purchaser/provider split at a national level. [ 15 ] The move away from Payment by Results , which started in 2019, further undermines the principles of the internal market, as it is intended to reduce incentives for increases in hospital ...
Macrogol 4000, pharmaceutical quality. Macrogol 3350, often in combination with electrolytes, is used for short-term relief of constipation as well as for long-term use in constipation of various causes, including in multiple sclerosis and Parkinson's disease patients (an often-overlooked non-motor symptom) as well as constipation caused by pharmaceutical drugs such as opioids and ...
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