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England is covered by 28 Strategic Health Authorities (SHAs) which were set up in 2002 with responsibility for developing plans for improving health services in their local area, making sure their local NHS organisations were performing well, increasing the capacity of local health services, and ensuring national priorities, eg, improving cancer services, are integrated into local health service plans. Within each SHA, the NHS is split into various types of Trusts that take responsibility for running the different NHS services in the local area: Acute Trusts, Ambulance Trusts, Care Trusts, Mental Health Trusts and PCTs. There are 304 PCTs in England.
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