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]
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.
NHS North East London and the City
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.
County Durham and Darlington
County Durham PCT – Created by a merger of five primarycCaretTrusts in 2006. These PCTs were: Derwentside, Durham and Chester-le-Street, Durham Dales, Easington and Sedgefield PCTs.
Central Lancashire PCT - Formed on 1 October 2006 from the merger of Chorley and South Ribble PCT, Preston PCT, and West Lancashire PCT
East Lancashire Teaching PCT
North Lancashire PCT - Formed on 1 October 2006 from the merger of Fylde PCT, Wyre PCT, and half of Morecambe Bay PCT
Merseyside
Halton and St Helens PCT
Liverpool PCT
Sefton PCT
Knowsley PCT
NHS Yorkshire and the Humber
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.
Calderdale, Kirklees and Wakefield
Calderdale PCT
NHS Kirklees (when created?)
NHS Wakefield District
The Humber
NHS Hull
North East Lincolnshire Care Trust Plus
East Riding of Yorkshire
North Lincolnshire PCT
South Yorkshire and Bassetlaw
Barnsley PCT
Bassetlaw PCT - until 2011 Bassetlaw PCT was under the East Midlands SHA. However, when PCTs were formed into clusters, it was transferred to the South Yorkshire cluster.
Doncaster PCT (from the merger of Doncaster Central PCT, Doncaster East PCT, Doncaster West PCT on 1 October 2006)
NHS Rotherham
NHS Sheffield (from the merger of North Sheffield PCT, Sheffield South West PCT, Sheffield West PCT, Sheffield South East PCT on 1 October 2006)
Bradford
Bradford and Airedale Teaching Primary Care Trust
Leeds
NHS Leeds
North Yorkshire and York
NHS North Yorkshire and York
NHS Midlands and East
This SHA cluster was constituted into three strategic health authorities; NHS East of England, NHS East Midlands, and NHS West Midlands.
NHS East Midlands
This strategic health authority had responsibility for nine PCTs, arranged into five clusters.[7]
Derbyshire County and Derby City
Derby City PCT - Formed from the merger of Central Derby PCT and Greater Derby PCT
Derbyshire County PCT - Formed on 1 October 2006 from the merger of High Peak and Dales PCT, Erewash PCT, Derbyshire Dales and South Derbyshire PCT, North Eastern Derbyshire PCT, Amber Valley PCT and Chesterfield PCT
Leicestershire County and Rutland and Leicestershire City
Leicester City PCT - Formed from the merger of Eastern Leicester PCT and Leicester City West PCT
Leicestershire County and Rutland PCT - Formed from the merger of Charnwood & North West Leicestershire PCT, Hinckley and Bosworth PCT, Melton, Rutland & Harborough PCT, and South Leicestershire PCT
Lincolnshire
NHS Lincolnshire - Formed from the merger of East Lincolnshire PCT, Lincolnshire South West Teaching PCT and West Lincolnshire PCT
Northamptonshire and Milton Keynes
Northamptonshire Teaching PCT - Formed from the merger of Daventry and South Northamptonshire PCT, Northampton Teaching PCT and Northamptonshire Heartlands PCT
Milton Keynes PCT - Became part of the East Midlands SHA in April 2011.[8]
Nottinghamshire County and Nottingham City
Nottingham City PCT
Nottinghamshire County Teaching PCT - Formed from the merger of Ashfield PCT, Broxtowe and Hucknall PCT, Gedling PCT, Mansfield District PCT, Newark and Sherwood PCT, and Rushcliffe PCT [7]
East of England
The Bedfordshire & Hertfordshire; Norfolk, Suffolk & Cambridgeshire; and Essex strategic health authorities were merged in July 2006 to make the East of England SHA.
Hertfordshire
NHS Hertfordshire
Bedfordshire and Luton
NHS Luton
NHS Bedfordshire
North Essex
West Essex PCT
North East Essex PCT
Mid-Essex PCT
South Essex
South East Essex PCT
South West Essex PCT
Cambridgeshire and Peterborough
Cambridgeshire PCT
Peterborough PCT
Norfolk and Waveney
Norfolk PCT
Great Yarmouth and Waveney PCT
Suffolk
Suffolk PCT
West Midlands
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.
Arden
Coventry Teaching PCT
Warwickshire PCT - formed on 1 October 2006 following merger of North Warwickshire PCT, Rugby PCT and South Warwickshire PCT)
Birmingham and Solihull
NHS Birmingham East and North (also known as Birmingham East and North Primary Care Trust, and formed on 1 October 2006 following merger of Eastern Birmingham PCT and North Birmingham PCT)
Heart of Birmingham Teaching PCT
Solihull Care Trust (Solihull Adult Social services joined Solihull PCT to create a new organisation Solihull Care Trust)
South Birmingham PCT
Black Country
Dudley PCT (formed on 1 October 2006 following merger of Dudley Beacon & Castle PCT and Dudley South PCT)
Sandwell PCT (formed on 1 October 2006 following merger of Oldbury & Smethwick PCT, Rowley Regis & Tipton PCT and Wednesbury & West Bromwich PCT)
Walsall Teaching PCT
Wolverhampton City PCT
Staffordshire
Stoke-on-Trent PCT
South Staffordshire PCT
NHS North Staffordshire (North Staffordshire PCT - formed on 1 October 2006 following merger of Newcastle-under-Lyme PCT and Staffordshire Moorlands PCT)
West Mercia
Herefordshire PCT
NHS Telford and Wrekin (Telford and Wrekin PCT)
Shropshire County PCT
Worcestershire PCT (formed on 1 October 2006 following merger of Redditch and Bromsgrove PCT, South Worcestershire PCT and Wyre Forest PCT)
NHS South of England
The NHS South of England SHA comprised South Central, South East Coast and South West strategic health authorities.
South Central Strategic Health Authority
This SHA consisted of eight PCTs organised into three separate clusters.
NHS Berkshire Cluster
NHS Berkshire West
NHS Berkshire East
NHS Southampton, Hampshire, Isle of Wight and Portsmouth
NHS Southampton City
NHS Hampshire
NHS Isle of Wight
NHS Portsmouth
NHS Oxfordshire and Buckinghamshire
NHS Buckinghamshire
NHS Oxfordshire
South East Coast
Kent and Medway
NHS Eastern and Coastal Kent
NHS West Kent
NHS Medway
Surrey
Surrey PCT
Sussex
Brighton and Hove City PCT
East Sussex Downs and Weald PCT (made by merger of Eastbourne Downs PCT and Sussex Downs and Weald PCT)
Hastings and Rother PCT (made by merger of Hastings and St Leonards PCT and Bexhill and Rother PCT)
West Sussex PCT (made by merger of Adur, Arun and Worthing PCT, Western Sussex PCT, Horsham and Chanctonbury PCT, Crawley PCT, and Mid-Sussex PCT)
Wycombe PCT
NHS South West
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.
Bath, North East Somerset, Wiltshire
Bath & North East Somerset PCT
Wiltshire PCT
Bournemouth, Poole, Dorset
Dorset PCT
Bournemouth & Poole Teaching PCT
Bristol, North Somerset, South Gloucestershire
Bristol Teaching PCT
North Somerset PCT
South Gloucestershire PCT
Cornwall and Isles of Scilly
Cornwall & Isles of Scilly PCT
Devon, Plymouth, Torbay Care Trust
Devon PCT
Plymouth Teaching PCT (also known as NHS Plymouth)