As part of the changes to the NHS brought about by the Health
and Social Care Act 2012, Primary Care Trusts (PCTs) and
Strategic Health Authorities (SHAs) ceased to exist on 31 March
2011. Their responsibilities were taken over by Clinical
Commissioning Groups and the NHS Trust Development Authority.
For more details please see: www.dh.gov.uk/health/2012/06/act-
explained/ or click on the links below. At the heart of the new
health and care system making sure that NHS services deliver the
best possible care for patients. Sets objectives and budgets and
holds the system to account on behalf of the Secretary of State.
Supporting NHS trusts to secure sustainable, high quality
services for the patients and communities it serves. Provides
public health leadership and expertise, and works to improve the
nation’s health and wellbeing, and to reduce health
inequalities. Responsible for the education, training and
development of the healthcare workforce. Provides information on
conditions, treatments, local services an