NHS strategic health authority

NHS strategic health authorities (SHA) are part of the structure of the National Health Service in England.[1][2] Each SHA is responsible for enacting the directives and implementing fiscal policy as dictated by the Department of Health at a regional level. In turn each SHA area contains various NHS trusts which take responsibility for running or commissioning local NHS services. The SHA is responsible for strategic supervision of these services.

In 2002, the existing NHS health authorities (see List of NHS Health Authorities (1996-2002)) were renamed and merged to form the 28 new strategic health authorities.[3][4] On April 12, 2006, Patricia Hewitt, Secretary of State for Health, announced that, following an NHS consultation, which ended on March 22, 2006, the SHAs were to be reorganized, reducing to ten in number.[5][6] This is hoped to produce substantial financial savings.

The SHAs have the board and governance structures common to all NHS trusts.

The Health and Social Care Bill 2011 proposes the abolition of SHAs.

Contents

SHAs after 1st July 2006

The ten SHAs established as of 1 July 2006 are:

  1. NHS East of England (East of England region)
  2. NHS East Midlands (East Midlands region)
  3. NHS London (London)
  4. NHS North East (North East region)
  5. NHS North West (North West region)
  6. NHS South Central
  7. NHS South East Coast
  8. NHS South West (South West region)
  9. NHS West Midlands (West Midlands region)
  10. NHS Yorkshire and the Humber (Yorkshire and the Humber region)

These Strategic Health Authorities are coterminous with government office regions, except that the large South East England region is divided into two: South Central and South East Coast.[7]

Types of trust under the supervision of SHAs

Map of SHAs before 2006 reorganisation

  1. Avon, Gloucestershire and Wiltshire SHA
  2. Bedfordshire and Hertfordshire SHA
  3. Birmingham and The Black Country SHA (West Midlands minus Coventry)
  4. Cheshire and Merseyside SHA
  5. County Durham and Tees Valley SHA
  6. Cumbria and Lancashire SHA
  7. Dorset and Somerset SHA
  8. Essex SHA
  9. Greater Manchester SHA
  10. Hampshire and Isle Of Wight SHA
  11. Kent and Medway SHA
  12. Leicestershire, Northamptonshire and Rutland SHA
  13. Norfolk, Suffolk and Cambridgeshire SHA
  14. North and East Yorkshire and Northern Lincolnshire SHA
  15. North Central London SHA
  16. North West London SHA
  17. North East London SHA
  18. Northumberland, Tyne and Wear SHA
  19. Shropshire and Staffordshire SHA
  20. South East London SHA
  21. South West London SHA
  22. South West Peninsula SHA
  23. South Yorkshire SHA
  24. Surrey and Sussex SHA (Surrey, East Sussex, West Sussex)
  25. Thames Valley SHA (Oxfordshire, Berkshire, Buckinghamshire)
  26. Trent SHA (Derbyshire, Nottinghamshire, Lincolnshire)
  27. West Midlands South SHA (Warwickshire, Worcestershire, Herefordshire, Coventry) †
  28. West Yorkshire SHA

† known as the 'Coventry, Warwickshire, Herefordshire and Worcestershire SHA until 2004.[8]

The London break-up is

These SHAs were all be replaced by a single London SHA in 2006.

References

  1. ^ NHS Choices - Authorities and trusts - Strategic health authorities
  2. ^ NHS Confederation - About Strategic Health Authorities
  3. ^ National Health Service Reform and Health Care Professions Act 2002 (c. 17)
  4. ^ The Health Authorities (Establishment and Abolition) (England) Order 2002
  5. ^ http://www.connectingforhealth.nhs.uk/bureauservices/plannedmigrations/mergejuly06sha
  6. ^ untitled
  7. ^ http://www.dh.gov.uk/assetRoot/04/13/37/60/04133760.pdf
  8. ^ http://www.opsi.gov.uk/si/si2004/20040037.htm

External links