Strategic health authority

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Strategic health authorities (SHA) were part of the structure of the National Health Service in England between 2002 and 2013.[1][2] 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.[3][4] 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.[5][6] 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:

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

After 1 July 2006[edit]

The ten SHAs established on 1 July 2006, and abolished on 31 March 2013, were:

England Strategic Health Authorities Numbered 2006.png
  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 SHAs 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]

Before 2006 reorganisation[edit]

England Strategic Health Authorities Numbered.png
  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 boundaries were:

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


  1. ^ Choices, NHS. "Authorities and trusts – The NHS in England – NHS Choices".
  2. ^ "NHS Confederation – About Strategic Health Authorities". Archived from the original on 2008-09-25.
  3. ^ "".
  4. ^ "The Health Authorities (Establishment and Abolition) (England) Order 2002".
  5. ^[dead link]
  6. ^ "Strategic Health Authority Configurations" (PDF). Department of Health. 11 April 2006. Archived from the original (PDF) on 5 February 2007. Retrieved 12 July 2016.
  7. ^
  8. ^ "The Health Authorities (Establishment and Abolition) (England) Amendment Order 2004".

See also[edit]