A commenter on this post about the length of health authority names on Simplicity’s blog states that the LAU or Low Activity Unit in his area are … the acronym and title given to the Mortuary!
The PCT must monitor all the other types of other trusts in your area – hospitals (see above), mental health (see below), patient transport including A & E (i.e. the Ambulance Trusts – see below, but does this mean the Acute Trust “contracts” with the Primary Care Trust which “contracts” with the Ambulance Trust? I’m confused!). It must “make sure” (what the hell does that mean?) that your dentists and opticians are in place.
Ambulance Trusts: self-evident. There are 13 of these organised on a regional basis. I don’t quite understand how these fit into the supposed policy of “internal competition”. An Acute or Primary Care Trust in the north-west of
Foundation Trusts: these are hospitals "run by local managers, staff, members of the public, which are tailored to the needs of the local population". They have more financial and operational freedom than the other types of trusts and supposedly represent the government's policy of decentalisation. Introduced in 2004, there are now 67 of them. The public sector trade union UNISON does not agree arguing that they will in fact lead to greater inequalities in the NHS.
Care Trusts: these combine healthcare and local authority social care. They often provide mental healthcare and sometimes primary care.
Mental Health Trusts: self-evident.
Strategic Health Authorities: these serve as the interface between the Department of Health and NHS trusts. Their role is essentially the development of regional health policy and planning. Thus the North West SHA was responsible for the Healthy Futures and Making It Better reforms in NE Greater Manchester and the north west respectively.
Now, the actual name of your local trusts may confuse you even more. The Essex Rivers Healthcare Trust gives you no indication of what type of trust it is. The Manchester Mental Health and Social Trust could be a Care Trust or a Mental Health Trust. The Bexley Care Trust is not a Care Trust, it is a Primary Care Trust.
Confused?
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