NHS Strategic Health Authority
Encyclopedia
NHS strategic health authorities (SHA) are part of the structure of the National Health Service
in England
. 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 trust
s 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. 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. This is hoped to produce substantial financial savings.
The SHAs have the board
and governance
structures common to all NHS trust
s.
The Health and Social Care Bill 2011
proposes the abolition of SHAs.
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.
† known as the 'Coventry, Warwickshire, Herefordshire and Worcestershire SHA until 2004.
The London break-up is
These SHAs were all be replaced by a single London SHA in 2006.
National Health Service (England)
The National Health Service or NHS is the publicly funded healthcare system in England. It is both the largest and oldest single-payer healthcare system in the world. It is able to function in the way that it does because it is primarily funded through the general taxation system, similar to how...
in England
England
England is a country that is part of the United Kingdom. It shares land borders with Scotland to the north and Wales to the west; the Irish Sea is to the north west, the Celtic Sea to the south west, with the North Sea to the east and the English Channel to the south separating it from continental...
. Each SHA is responsible for enacting the directives and implementing fiscal policy as dictated by the Department of Health
Department of Health (United Kingdom)
The Department of Health is a department of the United Kingdom government with responsibility for government policy for health and social care matters and for the National Health Service in England along with a few elements of the same matters which are not otherwise devolved to the Scottish,...
at a regional level. In turn each SHA area contains various NHS trust
NHS Trust
A National Health Service trust provides services on behalf of the National Health Service in England and NHS Wales.The trusts are not trusts in the legal sense but are in effect public sector corporations. Each trust is headed by a board consisting of executive and non-executive directors, and is...
s 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. On April 12, 2006, Patricia Hewitt
Patricia Hewitt
Patricia Hope Hewitt is an Australian-born British Labour Party politician, who was the Member of Parliament for Leicester West from 1997 until 2010. She served in the Cabinet until 2007, most recently as Health Secretary....
, Secretary of State for Health
Secretary of State for Health
Secretary of State for Health is a UK cabinet position responsible for the Department of Health.The first Boards of Health were created by Orders in Council dated 21 June, 14 November, and 21 November 1831. In 1848 a General Board of Health was created with the First Commissioner of Woods and...
, announced that, following an NHS consultation, which ended on March 22, 2006, the SHAs were to be reorganized, reducing to ten in number. This is hoped to produce substantial financial savings.
The SHAs have the board
Board of directors
A board of directors is a body of elected or appointed members who jointly oversee the activities of a company or organization. Other names include board of governors, board of managers, board of regents, board of trustees, and board of visitors...
and governance
Corporate governance
Corporate governance is a number of processes, customs, policies, laws, and institutions which have impact on the way a company is controlled...
structures common to all NHS trust
NHS Trust
A National Health Service trust provides services on behalf of the National Health Service in England and NHS Wales.The trusts are not trusts in the legal sense but are in effect public sector corporations. Each trust is headed by a board consisting of executive and non-executive directors, and is...
s.
The Health and Social Care Bill 2011
Health and Social Care Bill 2011
The Health and Social Care Bill 2011 is proposed health care reform legislation introduced in the House of Commons on 19 January 2011. If passed, the Bill would be the most extensive reorganisation of the structure of the National Health Service in England to date. It proposes to abolish NHS...
proposes the abolition of SHAs.
SHAs after 1st July 2006
The ten SHAs established as of 1 July 2006 are:- NHS East of EnglandNHS East of EnglandNHS East of England is a strategic health authority of the National Health Service in England. It operates in the East of England region, which is coterminous with the local government office region....
(East of EnglandEast of EnglandThe East of England is one of the nine official regions of England. It was created in 1994 and was adopted for statistics from 1999. It includes the ceremonial counties of Essex, Hertfordshire, Bedfordshire, Cambridgeshire, Norfolk and Suffolk. Essex has the highest population in the region.Its...
region) - NHS East MidlandsNHS East MidlandsNHS East Midlands is a strategic health authority of the National Health Service in England. It operates in the East Midlands region, which is coterminous with the local government office region....
(East MidlandsEast MidlandsThe East Midlands is one of the regions of England, consisting of most of the eastern half of the traditional region of the Midlands. It encompasses the combined area of Nottinghamshire, Derbyshire, Leicestershire, Rutland, Northamptonshire and most of Lincolnshire...
region) - NHS LondonNHS LondonNHS London is a strategic health authority of the National Health Service in England. It operates in the London region, which is coterminous with the local government office region....
(LondonLondonLondon is the capital city of :England and the :United Kingdom, the largest metropolitan area in the United Kingdom, and the largest urban zone in the European Union by most measures. Located on the River Thames, London has been a major settlement for two millennia, its history going back to its...
) - NHS North EastNHS North EastNHS North East is a strategic health authority of the National Health Service in England. It operates in the North East region, which is coterminous with the local government office region....
(North EastNorth East EnglandNorth East England is one of the nine official regions of England. It covers Northumberland, County Durham, Tyne and Wear, and Teesside . The only cities in the region are Durham, Newcastle upon Tyne and Sunderland...
region) - NHS North WestNHS North WestNHS North West is a strategic health authority of the National Health Service in England. It operates in the North West region, which is coterminous with the local government office region....
(North WestNorth West EnglandNorth West England, informally known as The North West, is one of the nine official regions of England.North West England had a 2006 estimated population of 6,853,201 the third most populated region after London and the South East...
region) - NHS South CentralNHS South CentralNHS South Central is a strategic health authority of the National Health Service in England. It operates in the South East region, along with NHS South East Coast, providing coterminosity with the local government office region....
- NHS South East CoastNHS South East CoastNHS South East Coast is a strategic health authority of the National Health Service in England. It operates in the South East region, along with NHS South Central, providing coterminosity with the local government office region.-History:...
- NHS South WestNHS South WestNHS South West is a strategic health authority of the National Health Service in England. It operates in the South West region, which is coterminous with the local government office region....
(South WestSouth West EnglandSouth West England is one of the regions of England defined by the Government of the United Kingdom for statistical and other purposes. It is the largest such region in area, covering and comprising Bristol, Gloucestershire, Somerset, Dorset, Wiltshire, Devon, Cornwall and the Isles of Scilly. ...
region) - NHS West MidlandsNHS West MidlandsNHS West Midlands is a strategic health authority of the National Health Service in England. It operates in the West Midlands region, which is coterminous with the local government office region.-General information:...
(West MidlandsWest Midlands (region)The West Midlands is an official region of England, covering the western half of the area traditionally known as the Midlands. It contains the second most populous British city, Birmingham, and the larger West Midlands conurbation, which includes the city of Wolverhampton and large towns of Dudley,...
region) - NHS Yorkshire and the HumberNHS Yorkshire and the HumberNHS Yorkshire and the Humber is a strategic health authority of the National Health Service in England. It operates in the Yorkshire and the Humber region, which is coterminous with the local government office region....
(Yorkshire and the HumberYorkshire and the HumberYorkshire and the Humber is one of the nine regions of England and formally one of the government office regions. It covers most of the historic county of Yorkshire, along with the part of northern Lincolnshire that was, from 1974 to 1996, within the former shire county of Humberside. The...
region)
These Strategic Health Authorities are coterminous with government office regions
Regions of England
In England, the region is the highest tier of sub-national division used by central Government. Between 1994 and 2011, the nine regions had an administrative role in the implementation of UK Government policy, and as the areas covered by elected bodies...
, except that the large South East England
South East England
South East England is one of the nine official regions of England, designated in 1994 and adopted for statistical purposes in 1999. It consists of Berkshire, Buckinghamshire, East Sussex, Hampshire, Isle of Wight, Kent, Oxfordshire, Surrey and West Sussex...
region is divided into two: South Central and South East Coast.
Types of trust under the supervision of SHAs
- NHS hospital trustNHS Hospital TrustAn NHS hospital trust, also known as an acute trust is an NHS trust that provides secondary health services within the English National Health Service and in NHS Wales. Hospital trusts are commissioned to provide these services by NHS primary care trusts....
- NHS ambulance services trust
- NHS care trustNHS Care TrustAn NHS care trust, is a type of NHS trust in the English National Health Service and NHS Wales that provides both health and social care. They may carry out a range of services, including social care, mental health services or primary care services...
- NHS mental health services trustNHS Mental Health Services TrustAn NHS Mental Health Trust provides health and social care services for people with mental health problems in England. They are one kind of NHS trust, the regional organisations that together form the National Health Service....
- NHS primary care trustNHS Primary Care TrustAn NHS primary care trust is a type of NHS trust, part of the National Health Service in England. PCTs commission primary, community and secondary care from providers. Until 31 may2011 they also provided community services directly. Collectively PCT are responsible for spending around 80% of the...
(PCT)
Map of SHAs before 2006 reorganisation
- AvonAvon (county)Avon was, from 1974 to 1996, a non-metropolitan and ceremonial county in the west of England.The county was named after the River Avon, which runs through the area. It was formed from parts of the historic counties of Gloucestershire and Somerset, together with the City of Bristol...
, GloucestershireGloucestershireGloucestershire is a county in South West England. The county comprises part of the Cotswold Hills, part of the flat fertile valley of the River Severn, and the entire Forest of Dean....
and WiltshireWiltshireWiltshire is a ceremonial county in South West England. It is landlocked and borders the counties of Dorset, Somerset, Hampshire, Gloucestershire, Oxfordshire and Berkshire. It contains the unitary authority of Swindon and covers...
SHA - BedfordshireBedfordshireBedfordshire is a ceremonial county of historic origin in England that forms part of the East of England region.It borders Cambridgeshire to the north-east, Northamptonshire to the north, Buckinghamshire to the west and Hertfordshire to the south-east....
and HertfordshireHertfordshireHertfordshire is a ceremonial and non-metropolitan county in the East region of England. The county town is Hertford.The county is one of the Home Counties and lies inland, bordered by Greater London , Buckinghamshire , Bedfordshire , Cambridgeshire and...
SHA - BirminghamBirminghamBirmingham is a city and metropolitan borough in the West Midlands of England. It is the most populous British city outside the capital London, with a population of 1,036,900 , and lies at the heart of the West Midlands conurbation, the second most populous urban area in the United Kingdom with a...
and The Black CountryBlack CountryThe Black Country is a loosely defined area of the English West Midlands conurbation, to the north and west of Birmingham, and to the south and east of Wolverhampton. During the industrial revolution in the 19th century this area had become one of the most intensely industrialised in the nation...
SHA (West MidlandsWest Midlands (county)The West Midlands is a metropolitan county in western central England with a 2009 estimated population of 2,638,700. It came into existence as a metropolitan county in 1974 after the passage of the Local Government Act 1972, formed from parts of Staffordshire, Worcestershire and Warwickshire. The...
minus CoventryCoventryCoventry is a city and metropolitan borough in the county of West Midlands in England. Coventry is the 9th largest city in England and the 11th largest in the United Kingdom. It is also the second largest city in the English Midlands, after Birmingham, with a population of 300,848, although...
) - CheshireCheshireCheshire is a ceremonial county in North West England. Cheshire's county town is the city of Chester, although its largest town is Warrington. Other major towns include Widnes, Congleton, Crewe, Ellesmere Port, Runcorn, Macclesfield, Winsford, Northwich, and Wilmslow...
and MerseysideMerseysideMerseyside is a metropolitan county in North West England, with a population of 1,365,900. It encompasses the metropolitan area centred on both banks of the lower reaches of the Mersey Estuary, and comprises five metropolitan boroughs: Knowsley, St Helens, Sefton, Wirral, and the city of Liverpool...
SHA - County DurhamCounty DurhamCounty Durham is a ceremonial county and unitary district in north east England. The county town is Durham. The largest settlement in the ceremonial county is the town of Darlington...
and Tees ValleyTees ValleyThe Tees Valley is an area in the North East of England. It can be described as "greater Teesside" and consists of the four unitary authorities created by the breakup of the County of Cleveland in 1996: Hartlepool, Middlesbrough, Redcar & Cleveland, and Stockton-On-Tees along with the borough of...
SHA - CumbriaCumbriaCumbria , is a non-metropolitan county in North West England. The county and Cumbria County Council, its local authority, came into existence in 1974 after the passage of the Local Government Act 1972. Cumbria's largest settlement and county town is Carlisle. It consists of six districts, and in...
and LancashireLancashireLancashire is a non-metropolitan county of historic origin in the North West of England. It takes its name from the city of Lancaster, and is sometimes known as the County of Lancaster. Although Lancaster is still considered to be the county town, Lancashire County Council is based in Preston...
SHA - DorsetDorsetDorset , is a county in South West England on the English Channel coast. The county town is Dorchester which is situated in the south. The Hampshire towns of Bournemouth and Christchurch joined the county with the reorganisation of local government in 1974...
and SomersetSomersetThe ceremonial and non-metropolitan county of Somerset in South West England borders Bristol and Gloucestershire to the north, Wiltshire to the east, Dorset to the south-east, and Devon to the south-west. It is partly bounded to the north and west by the Bristol Channel and the estuary of the...
SHA - EssexEssexEssex is a ceremonial and non-metropolitan county in the East region of England, and one of the home counties. It is located to the northeast of Greater London. It borders with Cambridgeshire and Suffolk to the north, Hertfordshire to the west, Kent to the South and London to the south west...
SHA - Greater ManchesterGreater ManchesterGreater Manchester is a metropolitan county in North West England, with a population of 2.6 million. It encompasses one of the largest metropolitan areas in the United Kingdom and comprises ten metropolitan boroughs: Bolton, Bury, Oldham, Rochdale, Stockport, Tameside, Trafford, Wigan, and the...
SHA - HampshireHampshireHampshire is a county on the southern coast of England in the United Kingdom. The county town of Hampshire is Winchester, a historic cathedral city that was once the capital of England. Hampshire is notable for housing the original birthplaces of the Royal Navy, British Army, and Royal Air Force...
and Isle Of WightIsle of WightThe Isle of Wight is a county and the largest island of England, located in the English Channel, on average about 2–4 miles off the south coast of the county of Hampshire, separated from the mainland by a strait called the Solent...
SHA - KentKentKent is a county in southeast England, and is one of the home counties. It borders East Sussex, Surrey and Greater London and has a defined boundary with Essex in the middle of the Thames Estuary. The ceremonial county boundaries of Kent include the shire county of Kent and the unitary borough of...
and MedwayMedwayMedway is a conurbation and unitary authority in South East England. The Unitary Authority was formed in 1998 when the City of Rochester-upon-Medway amalgamated with Gillingham Borough Council and part of Kent County Council to form Medway Council, a unitary authority independent of Kent County...
SHA - LeicestershireLeicestershireLeicestershire is a landlocked county in the English Midlands. It takes its name from the heavily populated City of Leicester, traditionally its administrative centre, although the City of Leicester unitary authority is today administered separately from the rest of Leicestershire...
, NorthamptonshireNorthamptonshireNorthamptonshire is a landlocked county in the English East Midlands, with a population of 629,676 as at the 2001 census. It has boundaries with the ceremonial counties of Warwickshire to the west, Leicestershire and Rutland to the north, Cambridgeshire to the east, Bedfordshire to the south-east,...
and RutlandRutlandRutland is a landlocked county in central England, bounded on the west and north by Leicestershire, northeast by Lincolnshire and southeast by Peterborough and Northamptonshire....
SHA - NorfolkNorfolkNorfolk is a low-lying county in the East of England. It has borders with Lincolnshire to the west, Cambridgeshire to the west and southwest and Suffolk to the south. Its northern and eastern boundaries are the North Sea coast and to the north-west the county is bordered by The Wash. The county...
, SuffolkSuffolkSuffolk is a non-metropolitan county of historic origin in East Anglia, England. It has borders with Norfolk to the north, Cambridgeshire to the west and Essex to the south. The North Sea lies to the east...
and CambridgeshireCambridgeshireCambridgeshire is a county in England, bordering Lincolnshire to the north, Norfolk to the northeast, Suffolk to the east, Essex and Hertfordshire to the south, and Bedfordshire and Northamptonshire to the west...
SHA - NorthNorth YorkshireNorth Yorkshire is a non-metropolitan or shire county located in the Yorkshire and the Humber region of England, and a ceremonial county primarily in that region but partly in North East England. Created in 1974 by the Local Government Act 1972 it covers an area of , making it the largest...
and East YorkshireEast Riding of YorkshireThe East Riding of Yorkshire, or simply East Yorkshire, is a local government district with unitary authority status, and a ceremonial county of England. For ceremonial purposes the county also includes the city of Kingston upon Hull, which is a separate unitary authority...
and Northern LincolnshireSouth HumbersideSouth Humberside is a former postal county of England. It was introduced by the Royal Mail on 1 July 1974, when some addresses were altered in response to the changes in administration brought about under the Local Government Act 1972....
SHA - North Central London SHA
- North West London SHA
- North East London SHA
- NorthumberlandNorthumberlandNorthumberland is the northernmost ceremonial county and a unitary district in North East England. For Eurostat purposes Northumberland is a NUTS 3 region and is one of three boroughs or unitary districts that comprise the "Northumberland and Tyne and Wear" NUTS 2 region...
, Tyne and WearTyne and WearTyne and Wear is a metropolitan county in north east England around the mouths of the Rivers Tyne and Wear. It came into existence as a metropolitan county in 1974 after the passage of the Local Government Act 1972...
SHA - ShropshireShropshireShropshire is a county in the West Midlands region of England. For Eurostat purposes, the county is a NUTS 3 region and is one of four counties or unitary districts that comprise the "Shropshire and Staffordshire" NUTS 2 region. It borders Wales to the west...
and StaffordshireStaffordshireStaffordshire is a landlocked county in the West Midlands region of England. For Eurostat purposes, the county is a NUTS 3 region and is one of four counties or unitary districts that comprise the "Shropshire and Staffordshire" NUTS 2 region. Part of the National Forest lies within its borders...
SHA - South East London SHA
- South West London SHA
- South West Peninsula SHA
- South YorkshireSouth YorkshireSouth Yorkshire is a metropolitan county in the Yorkshire and the Humber region of England. It has a population of 1.29 million. It consists of four metropolitan boroughs: Barnsley, Doncaster, Rotherham, and City of Sheffield...
SHA - SurreySurreySurrey is a county in the South East of England and is one of the Home Counties. The county borders Greater London, Kent, East Sussex, West Sussex, Hampshire and Berkshire. The historic county town is Guildford. Surrey County Council sits at Kingston upon Thames, although this has been part of...
and SussexSussexSussex , from the Old English Sūþsēaxe , is an historic county in South East England corresponding roughly in area to the ancient Kingdom of Sussex. It is bounded on the north by Surrey, east by Kent, south by the English Channel, and west by Hampshire, and is divided for local government into West...
SHA (Surrey, East SussexEast SussexEast Sussex is a county in South East England. It is bordered by the counties of Kent, Surrey and West Sussex, and to the south by the English Channel.-History:...
, West SussexWest SussexWest Sussex is a county in the south of England, bordering onto East Sussex , Hampshire and Surrey. The county of Sussex has been divided into East and West since the 12th century, and obtained separate county councils in 1888, but it remained a single ceremonial county until 1974 and the coming...
) - Thames ValleyThames ValleyThe Thames Valley Region is a loose term for the English counties and towns roughly following the course of the River Thames as it flows from Oxfordshire in the west to London in the east. It includes parts of Buckinghamshire, Berkshire, North Hampshire, Surrey and west London...
SHA (OxfordshireOxfordshireOxfordshire is a county in the South East region of England, bordering on Warwickshire and Northamptonshire , Buckinghamshire , Berkshire , Wiltshire and Gloucestershire ....
, BerkshireBerkshireBerkshire is a historic county in the South of England. It is also often referred to as the Royal County of Berkshire because of the presence of the royal residence of Windsor Castle in the county; this usage, which dates to the 19th century at least, was recognised by the Queen in 1957, and...
, BuckinghamshireBuckinghamshireBuckinghamshire is a ceremonial and non-metropolitan home county in South East England. The county town is Aylesbury, the largest town in the ceremonial county is Milton Keynes and largest town in the non-metropolitan county is High Wycombe....
) - TrentRiver TrentThe River Trent is one of the major rivers of England. Its source is in Staffordshire on the southern edge of Biddulph Moor. It flows through the Midlands until it joins the River Ouse at Trent Falls to form the Humber Estuary, which empties into the North Sea below Hull and Immingham.The Trent...
SHA (DerbyshireDerbyshireDerbyshire is a county in the East Midlands of England. A substantial portion of the Peak District National Park lies within Derbyshire. The northern part of Derbyshire overlaps with the Pennines, a famous chain of hills and mountains. The county contains within its boundary of approx...
, NottinghamshireNottinghamshireNottinghamshire is a county in the East Midlands of England, bordering South Yorkshire to the north-west, Lincolnshire to the east, Leicestershire to the south, and Derbyshire to the west...
, LincolnshireLincolnshireLincolnshire is a county in the east of England. It borders Norfolk to the south east, Cambridgeshire to the south, Rutland to the south west, Leicestershire and Nottinghamshire to the west, South Yorkshire to the north west, and the East Riding of Yorkshire to the north. It also borders...
) - West MidlandsWest Midlands (region)The West Midlands is an official region of England, covering the western half of the area traditionally known as the Midlands. It contains the second most populous British city, Birmingham, and the larger West Midlands conurbation, which includes the city of Wolverhampton and large towns of Dudley,...
South SHA (WarwickshireWarwickshireWarwickshire is a landlocked non-metropolitan county in the West Midlands region of England. The county town is Warwick, although the largest town is Nuneaton. The county is famous for being the birthplace of William Shakespeare...
, WorcestershireWorcestershireWorcestershire is a non-metropolitan county, established in antiquity, located in the West Midlands region of England. For Eurostat purposes it is a NUTS 3 region and is one of three counties that comprise the "Herefordshire, Worcestershire and Warwickshire" NUTS 2 region...
, HerefordshireHerefordshireHerefordshire is a historic and ceremonial county in the West Midlands region of England. For Eurostat purposes it is a NUTS 3 region and is one of three counties that comprise the "Herefordshire, Worcestershire and Gloucestershire" NUTS 2 region. It also forms a unitary district known as the...
, CoventryCoventryCoventry is a city and metropolitan borough in the county of West Midlands in England. Coventry is the 9th largest city in England and the 11th largest in the United Kingdom. It is also the second largest city in the English Midlands, after Birmingham, with a population of 300,848, although...
) † - West YorkshireWest YorkshireWest Yorkshire is a metropolitan county within the Yorkshire and the Humber region of England with a population of 2.2 million. West Yorkshire came into existence as a metropolitan county in 1974 after the passage of the Local Government Act 1972....
SHA
† known as the 'Coventry, Warwickshire, Herefordshire and Worcestershire SHA until 2004.
The London break-up is
- North Central London - BarnetLondon Borough of BarnetThe London Borough of Barnet is a London borough in North London and forms part of Outer London. It has a population of 331,500 and covers . It borders Hertfordshire to the north and five other London boroughs: Harrow and Brent to the west, Camden and Haringey to the south-east and Enfield to the...
, CamdenLondon Borough of CamdenIn 1801, the civil parishes that form the modern borough were already developed and had a total population of 96,795. This continued to rise swiftly throughout the 19th century, as the district became built up; reaching 270,197 in the middle of the century...
, EnfieldLondon Borough of EnfieldThe London Borough of Enfield is the most northerly London borough and forms part of Outer London. It borders the London Boroughs of Barnet, Haringey and Waltham Forest...
, HaringeyLondon Borough of HaringeyThe London Borough of Haringey is a London borough, in North London, classified by some definitions as part of Inner London, and by others as part of Outer London. It was created in 1965 by the amalgamation of three former boroughs. It shares borders with six other London boroughs...
, IslingtonLondon Borough of IslingtonThe London Borough of Islington is a London borough in Inner London. It was formed in 1965 by merging the former metropolitan boroughs of Islington and Finsbury. The borough contains two Westminster parliamentary constituencies, Islington North and Islington South & Finsbury... - North East London - Barking and DagenhamLondon Borough of Barking and DagenhamIn 1801, the civil parishes that form the modern borough had a total population of 1,937; and the area was characterised by farming, woodland and the fishing fleet at Barking. This last industry employed 1,370 men and boys by 1850, but by the end of the century had ceased to exist; replaced by...
, CityCity of LondonThe City of London is a small area within Greater London, England. It is the historic core of London around which the modern conurbation grew and has held city status since time immemorial. The City’s boundaries have remained almost unchanged since the Middle Ages, and it is now only a tiny part of...
, HackneyLondon Borough of HackneyThe London Borough of Hackney is a London borough of North/North East London, and forms part of inner London. The local authority is Hackney London Borough Council....
, HaveringLondon Borough of HaveringThe London Borough of Havering is a London borough in North East London, England and forms part of Outer London. The principal town in Havering is Romford and the other main communities are Hornchurch, Upminster and Rainham. The borough is mainly characterised by suburban development with large...
, Newham, Redbridge, Tower HamletsLondon Borough of Tower HamletsThe London Borough of Tower Hamlets is a London borough to the east of the City of London and north of the River Thames. It is in the eastern part of London and covers much of the traditional East End. It also includes much of the redeveloped Docklands region of London, including West India Docks...
, Waltham Forest - North West London - BrentLondon Borough of BrentIn 1801, the civil parishes that form the modern borough had a total population of 2,022. This rose slowly throughout the 19th century, as the district became built up; reaching 5,646 in the middle of the century. When the railways arrived the rate of population growth increased...
, Ealing, Hammersmith and Fulham, Kensington and ChelseaRoyal Borough of Kensington and ChelseaThe Royal Borough of Kensington and Chelsea is a central London borough of Royal borough status. After the City of Westminster, it is the wealthiest borough in England....
, HarrowLondon Borough of HarrowThe London Borough of Harrow is a London borough of north-west London. It borders Hertfordshire to the north and other London boroughs: Hillingdon to the west, Ealing to the south, Brent to the south-east and Barnet to the east.-History:...
, Hillingdon, Hounslow, WestminsterCity of WestminsterThe City of Westminster is a London borough occupying much of the central area of London, England, including most of the West End. It is located to the west of and adjoining the ancient City of London, directly to the east of the Royal Borough of Kensington and Chelsea, and its southern boundary... - South East London - Bexley, Bromley, Greenwich, Lambeth, Lewisham, Southwark
- South West London - Croydon, Kingston, Merton, Richmond, Wandsworth, Sutton
These SHAs were all be replaced by a single London SHA in 2006.
External links
- NHS Confederation
- Capital challenge: improving healthcare in London Report from the NHS Confederation on the future of healthcare in London and the impact of the proposed NHS reforms