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73:. In April 1999 they established 481 primary care groups in England "thereby universalising fundholding while repudiating the concept." Primary and community health services were brought together in a single Primary Care Group controlling a unified budget for delivering health care to and improving the health of communities of about 100,000 people. A PCG was legally speaking a subcommittee of a
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In 2005 the government announced that the number of strategic health authorities and primary care trusts would be reduced, the latter by about 50 per cent. The result was that, as of 1 October 2006, there were 152 PCTs (reduced from 303) in
England, with an average population of just under 330,000
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and medical prescriptions; they also commissioned hospital and mental health services from NHS provider trusts or from the private sector. Many PCTs used the naming style of "NHS" followed by the geographical area, to make it easier for local people to understand the management of the NHS locally.
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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
219:. Strategic health authorities would also be abolished under these plans. Following widespread criticism of the plans, on 4 April 2011, the Government announced a "pause" in the progress of the Health and Social Care Bill to allow the government to "listen, reflect and improve" the proposals.
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PCGs were transformed into primary care trusts. 17 trusts were established in April 2000, a further 23 in
October 2000, and 124 in April 2001 with a plan that all primary care groups would become trusts by 2004. This was said to be a break with the market culture of the previous government,
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of each trust was a non-executive director. Other board members included the chair of the trust's professional executive committee (PEC) (elected from local general practitioners, community nurses,
215:, taking on the responsibilities they formerly held. The public health aspects of PCT business would become the responsibility of local councils. Facilities owned by PCTs would transfer to
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per trust. After these changes, about 70 per cent of PCTs were coterminous with local authorities having social service responsibilities, which facilitated joint planning.
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The Health and Social Care Act 2012 received royal assent on 27 March 2012 and PCTs were formally abolished on 31 March 2013. Some of their staff were transferred to
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PCTs held their own budgets and set their own priorities, within the overriding priorities and budgets set by the relevant strategic health authority, and the
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The financial budgets, and much of the agenda, of PCTs were effectively determined by directives from the
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the total NHS budget. Primary care trusts were abolished on 31 March 2013 as part of the
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with a corporate culture that emphasises partnership and collective responsibility.
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Providing responsibilities were gradually removed from PCTs under the
495:"Government to 'pause, listen, reflect and improve' NHS reform plans"
384:"National Health Service Reform and Health Care Professions Act 2002"
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National Health
Service Reform and Health Care Professions Act 2002
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A primary care trust could commission community health centres.
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Wilkin, David; Gillam, Steve; Smith, Keri (16 June 2001).
105:(PCTs) to cover all areas in England and abolished the 95
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230:, some to NHS England and some were made redundant.
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69:In 1997 the incoming Labour Government abolished
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309:"Tackling organisational change in the new NHS"
523:NHS Confederation – Primary Care Trust Network
141:. These directors were members of the trust's
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553:Defunct National Health Service organisations
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149:appointed after open advertisement. The
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77:. As part of the implementation of the
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463:"Pro-market agenda drives NHS reforms"
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240:List of primary care trusts in England
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493:Mulholland, Hélène (6 April 2011).
411:"Local health bodies face shake-up"
260:"Markets, politicians, and the NHS"
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258:Klein, Rudolf (27 November 1999).
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548:2013 disestablishments in England
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440:"Health and Social Care Act 2012"
109:which has been created under the
461:Ramesh, Randeep (12 July 2010).
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186:Transforming Community Services
133:PCTs were managed by a team of
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357:"Health Authorities Act 1995"
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111:Health Authorities Act 1995
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325:10.1136/bmj.322.7300.1464
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75:district health authority
442:. UK Parliament Website
313:British Medical Journal
264:British Medical Journal
147:non-executive directors
46:National Health Service
501:. Guardian Media Group
195:unveiled a new health
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389:The Health Foundation
362:The Health Foundation
217:NHS Property Services
122:general practitioners
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473:Guardian Media Group
205:coalition government
170:Department of Health
118:Department of Health
319:(7300): 1464–1467.
135:executive directors
103:primary care trusts
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207:. Among the
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129:Management
82:replacing
478:30 March
415:BBC News
343:11408304
294:10574834
234:See also
159:dentists
151:chairman
505:6 April
446:4 April
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161:etc.).
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