Strategic health authority
Strategic health authorities (SHA) were part of the structure of the National Health Service in England between 2002 and 2013. Each SHA was responsible for enacting the directives and implementing fiscal policy as dictated by the Department of Health at a regional level.
In 2002, the existing regional health authorities were renamed and merged to form 28 new strategic health authorities. On 12 April 2006, Patricia Hewitt, Secretary of State for Health, announced that, following an NHS consultation which ended on 22 March 2006, the SHAs were to be reorganized, reducing to ten in number. This was expected to produce substantial financial savings.
Strategic health authorities and primary care trusts were abolished on 31 March 2013 as part of the Health and Social Care Act 2012. Facilities owned by SHAs were transferred to NHS Property Services.
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:
- NHS hospital trust
- NHS ambulance services trust
- NHS care trust
- NHS mental health services trust
- NHS primary care trust (PCT)
After 1 July 2006
The ten SHAs established on 1 July 2006, and abolished on 31 March 2013, were:
- NHS East of England (East of England region)
- NHS East Midlands (East Midlands region)
- NHS London (London)
- NHS North East (North East region)
- NHS North West (North West region)
- NHS South Central
- NHS South East Coast
- NHS South West (South West region)
- NHS West Midlands (West Midlands region)
- NHS Yorkshire and the Humber (Yorkshire and the Humber region)
Before 2006 reorganisation
- Avon, Gloucestershire and Wiltshire SHA
- Bedfordshire and Hertfordshire SHA
- Birmingham and The Black Country SHA (West Midlands minus Coventry)
- Cheshire and Merseyside SHA
- County Durham and Tees Valley SHA
- Cumbria and Lancashire SHA
- Dorset and Somerset SHA
- Essex SHA
- Greater Manchester SHA
- Hampshire and Isle of Wight SHA
- Kent and Medway SHA
- Leicestershire, Northamptonshire and Rutland SHA
- Norfolk, Suffolk and Cambridgeshire SHA
- North and East Yorkshire and Northern Lincolnshire SHA
- North Central London SHA
- North West London SHA
- North East London SHA
- Northumberland, Tyne and Wear SHA
- Shropshire and Staffordshire SHA
- South East London SHA
- South West London SHA
- South West Peninsula SHA
- South Yorkshire SHA
- Surrey and Sussex SHA (Surrey, East Sussex, West Sussex)
- Thames Valley SHA (Oxfordshire, Berkshire, Buckinghamshire)
- Trent SHA (Derbyshire, Nottinghamshire, Lincolnshire)
- West Midlands South SHA (Warwickshire, Worcestershire, Herefordshire, Coventry) †
- West Yorkshire SHA
† known as the 'Coventry, Warwickshire, Herefordshire and Worcestershire SHA until 2004.
The London boundaries were:
- North Central London – Barnet, Camden, Enfield, Haringey, Islington
- North East London – Barking and Dagenham, City, Hackney, Havering, Newham, Redbridge, Tower Hamlets, Waltham Forest
- North West London – Brent, Ealing, Hammersmith and Fulham, Kensington and Chelsea, Harrow, Hillingdon, Hounslow, Westminster
- South East London – Bexley, Bromley, Greenwich, Lambeth, Lewisham, Southwark
- South West London – Croydon, Kingston, Merton, Richmond, Wandsworth, Sutton
These SHAs were replaced by a single London SHA in 2006.
- Choices, NHS. "Authorities and trusts – The NHS in England – NHS Choices". www.nhs.uk.
- "NHS Confederation – About Strategic Health Authorities".
- "Legislation.gov.uk". www.opsi.gov.uk.
- "The Health Authorities (Establishment and Abolition) (England) Order 2002". www.opsi.gov.uk.
- "Strategic Health Authority Configurations" (PDF). Department of Health. 11 April 2006. Archived from the original (PDF) on 5 February 2007. Retrieved 12 July 2016.
- "The Health Authorities (Establishment and Abolition) (England) Amendment Order 2004". www.opsi.gov.uk.
- Sustainability and transformation plan – a 2016 reorganisation