[1] In the NHS in England,the national tariffoutlines the average cost of procedures. UK hospitals ranked from best to worst across the country - mirror Source: Adult social care data is the gross current expenditure on adult social care in 2019/20. Ambulance call-outs that didn't result in a trip to A&E cost an average of 206. This list excludes community health trusts established under the National Health Service and Community Care Act 1990 and their successors, primary care trusts, for which see the list of primary care trusts in England. 13 Appendix 1: More information For information about the Trust, such as business plans, annual reports, and services, . First published on Thu 4 Apr 2019 12.32 EDT. Since April 2021,42 ICSshave been operating across England. Before the pandemic, elective admissions were also increasing from 6.7 million in 2008/09 to 8.5 million in 2019/20, largely due to an increase in day-case admissions. Health professionals from the EU working in the NHS in UK 2016 and 2021, NHS trusts' in surplus/deficit in the UK 2012/13-2020/21, Facebook: quarterly number of MAU (monthly active users) worldwide 2008-2022, Quarterly smartphone market share worldwide by vendor 2009-2022, Number of apps available in leading app stores Q3 2022. The most important key figures provide you with a compact summary of the topic of "National Health Service (NHS) UK" and take you straight to the corresponding statistics. Healthcare UK annual review 2019 to 2020 (web/online version) Healthcare expenditure, UK Health Accounts provisional estimates East Kent Hospitals University NHS Foundation Trust: 12. Total current healthcare spending grew by 4.0% in real terms in 2019, the strongest rate of annual growth since . Imperial College Healthcare NHS Trust is an NHS trust based in London, England. HQO0)eZ2;cKS7AcJ!}I;BI^Urq~r JI&4 $L7{9}lovH$DQfl,)W$f)L T+Mx.*EHD}H"&/yL9?|gA! We have provided the full version of the report and made relevant sections available as separate documents. The Tavistock and Portman NHS Foundation Trust is a specialist mental health trust based in north London. "@+YFR r A G/E1A)y%$PNs-"bfAfU6qD' ~XH uMDgm*e-?Od+@? endstream endobj 1211 0 obj <>/Pages 1209 0 R/StructTreeRoot 28 0 R/Type/Catalog>> endobj 1212 0 obj <>/MediaBox[0 0 595.2 841.68]/Parent 1209 0 R/Resources<>/ProcSet[/PDF/Text]>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 1213 0 obj <>stream Key statistics on the NHS | NHS Confederation Best Hospitals - United Kingdom - Newsweek There is no average day for the NHS. Global health care spending expected to rise at a compound annual growth rate ( CAGR) of 5% in 2019 to 2023 a year and recent research estimates that there is a winnable contract value between 3 . Fast facts. In 2020/21 the Department for Health and Social Care spent 192 billion. NHS vacancy statistics estimate that there are almost100,000in the NHS, as ofQ2 2021/22 (including more than 8,000 medical professionals and nearly 40,000 nursing staff). East Midlands Ambulance Service Nhs Trust: 226. NHS spending is based on the Department of Health and Social Care total departmental expenditure limit 2019/20 and NHS trust accounts. While we cant show equivalent trends as we have for A&E or elective care,a research studyusing a sample of GP data estimated that the total number of face-to-face and telephone consultations increased 15.4 per cent between 2010/11 and 2014/15. The cost of a hip fracture procedure varies from 2,094 to 7,266 depending on the complexity of the procedure and the condition of the patient. Many of the shortfalls in staff are filled (albeit temporarily) day to day. Get in touch with us. For non-specialist acute trusts, we also give a rating for the trust's use of resources, and award a combined rating for the trust based on the combination of the six trust-level ratings. National Health Service (NHS) finances UK, Get the best reports to understand your industry, State of health in the United Kingdom (UK), National Health Service finance in the UK. All such trusts were abolished on 31 March 2013. However, these numbers are only estimates as there is not yet a standardised method for reporting NHS vacancies. . Due to varying update cycles, statistics can display more up-to-date The Trust specialises in talking therapies.The education and training department caters for 2,000 students a year from the United Kingdom and abroad. There were136,878 consultant-led beds available in the NHS, as of Q2 2021/22. Total current healthcare expenditure in 2020 is estimated at 269 billion, a nominal-terms increase of 20% on spending in 2019. Mayday Healthcare NHS, established 22 January 1993, Mental Health Foundation of Mid Staffordshire NHS Trust changed its name to Foundation NHS Trust in 1993, Mental Health Services of Salford NHS Trust merged into Bolton, Salford and Trafford Mental Health NHS Trust in 2003, Mersey Regional Ambulance Service NHS Trust merged into, Merton and Sutton Community NHS Trust merged into South West London Community NHS Trust in 1999, Mid Anglia Community Health NHS Trust merged into Local Health Partnerships NHS Trust 1999, Mid Essex Community & Mental Health NHS Trust dissolved 2001, Mid Essex Community Health NHS Trust was dissolved in 1993 into the Mid Essex Community & Mental Health NHS Trust, Mid Kent Healthcare NHS Trust merged into, Milton Keynes Community Health NHS trust dissolved 2000, Morecambe Bay Hospitals NHS Trust became University Hospitals of Morecambe Bay NHS Trust in 2005, Mount Vernon & Watford Hospitals NHS Trust merged into West Hertfordshire Hospitals NHS Trust in 2000, Mulberry NHS trust merged into Lincoln District Healthcare NHS Trust 1999, New Possibilities NHS Trust dissolved 2002, Newcastle City Health NHS Trust merged into Newcastle, North Tyneside and Northumberland Mental Health NHS trust in 2001, Newcastle Mental Health Trust merged into Newcastle City Health NHS Trust in 1994, Newcastle, North Tyneside and Northumberland Mental Health NHS trust merged into Northumberland, Tyne and Wear NHS Trust in 2006, Newham Community Health Services NHS Trust dissolved 2001, Norfolk Ambulance NHS Trust merged into East Anglian Ambulance NHS Trust in 1993, Norfolk and Waveney Mental Health Partnership NHS Trust merged with Suffolk Mental Health Partnership NHS Trust in 2012 to form Norfolk and Suffolk NHS Foundation Trust, Norfolk Mental Health Care NHS Trust changed its name to Norfolk and Waveney Mental Health Partnership NHS Trust in 2004, North and East Devon Partnership NHS Trust changed its name to Devon Partnership NHS Trust in 2002, North Cheshire Hospitals NHS trust became, North Cumbria Acute Hospitals NHS Trust is now called, North Downs Community Health NHS Trust merged into Surrey Hampshire Borders NHS Trust in 1998, North Durham Acute Hospitals NHS Trust dissolved 1998, North Durham Health Care NHS Trust merged into County Durham and Darlington NHS Trust 2002, North East Essex Mental Health NHS Trust dissolved 2001, North East Lincolnshire NHS Trust dissolved 2001, North East Worcestershire Community HealthCare NHS Trust merged into Worcestershire Community Healthcare NHS Trust 1996, North Hampshire Hospitals NHS Trust became Basingstoke and North Hampshire NHS Foundation Trust in 2006, North Hampshire Loddon Community NHS Trust dissolved 2001, North Hertfordshire NHS Trust merged into East and North Hertfordshire NHS Trust in 2000, North Kent Healthcare NHS Trust merged into Thames Gateway NHS Trust in 1998, North Lakeland Healthcare NHS Trust merged into North Cumbria Acute Hospitals NHS Trust in 2001, North Manchester Healthcare NHS Trust merged into, North Mersey Community NHS Trust dissolved 2002, North Sefton & West Lancashire Community NHS Trust merged into Lancashire Care NHS Trust in 2000, North Staffordshire Hospital Centre NHS Trust changed its name to North Staffordshire Hospital NHS Trust in 1993 and again to, North Tees NHS Trust merged into North Tees and Hartlepool NHS Trust in 1999, North Tyneside Health Care NHS Trust merged into Northumbria Health Care National Health Service Trust in 1998, North Warwickshire NHS Trust dissolved 2002, North West Anglia Healthcare NHS Trust merged into Cambridgeshire and Peterborough Mental Health Partnership in 2002, North West London Mental Health NHS Trust merged into Brent, Kensington & Chelsea and Westminster Mental Health NHS Trust 1998, North West Surrey Mental Health National Health Service Partnership Trust merged into Surrey and Borders Partnership NHS Trust in 2005, North Yorkshire Ambulance Service NHS Trust merged into Tees, East and North Yorkshire Ambulance Service NHS Trust in 1999, Northallerton Health Services NHS Trust dissolved 2002, Northampton Community Healthcare NHS Trust dissolved 2001, Northern Birmingham Community Health NHS Trust merged into Birmingham Specialist Community NHS Trust in 1999, Northern Birmingham Mental Health Trust merged into Birmingham and Solihull Mental Health NHS Trust in 2003, Northern General Hospital NHS Trust merged into, Northgate and Prudhoe NHS Trust merged into Northumberland, Tyne and Wear NHS Trust in 2006, Northgate NHS trust merged into Northgate and Prudhoe NHS Trust 1994, Northumberland Community Health NHS Trust merged into Northumbria Healthcare NHS Trust in 1998, Northumberland Mental Health NHS Trust merged into Newcastle, North Tyneside and Northumberland Mental Health NHS trust in 2001, Northumbria Ambulance Service NHS Trust merged into, Norwich Community Health Partnership NHS Trust dissolved 2001, Northwick Park and St. Marks NHS Trust merged into North West London Hospitals NHS Trust in 1999, Northwick Park Hospital NHS Trust was renamed Northwick Park and St. Marks NHS Trust in 1994, Nottingham City Hospital NHS Trust merged into, Nottingham Healthcare NHS Trust dissolved 2001, Nottinghamshire Ambulance Service NHS Trust merged into, Nuffield Orthopaedic Centre NHS Trust merged into, Optimum Health Services NHS Trust merged into South London and Maudsley NHS Trust in 1999, Oxford Radcliffe Hospitals NHS Trust changed its name to, Oxfordshire Ambulance NHS Trust merged into, Oxfordshire and Buckinghamshire Mental Health Partnership NHS Trust became, Oxfordshire Community Health NHS Trust dissolved 2001, Oxfordshire Learning Disability NHS Trust merged with, Oxfordshire Mental Healthcare NHS Trust changed its name to Oxfordshire and Buckinghamshire Mental Health Partnership NHS Trust in 2006, Parkside Health NHS Trust, Westminster, dissolved 2002, Pathfinder NHS trust changed its name to South West London and St George's Mental Health NHS Trust in 1999, Pilgrim Health NHS Trust merged into United Lincolnshire Hospitals NHS Trust in 2000, Pinderfields & Pontefract NHS Trust merged into, Pinderfields Hospitals NHS Trust merged into Pinderfields & Pontefract NHS Trust in 1997, Plymouth Community Services NHS Trust dissolved 2001, Pontefract Hospitals NHS Trust merged into Pinderfields & Pontefract NHS Trust in 1997, Portsmouth Healthcare NHS Trust dissolved 2002, Premier Health NHS Trust merged into South Staffordshire Healthcare NHS Trust 2001, Preston Acute Hospitals NHS Trust merged into Lancashire Teaching Hospitals NHS Trust in 2002, Princess Royal Hospital NHS Trust merged into Shrewsbury and Telford Hospital NHS Trust in 2004, Priority Health Care, Wearside NHS Trust merged into South of Tyne and Wearside Mental Health NHS Trust in 2002, Queen Elizabeth Hospital NHS Trust merged into, Queens Medical Centre, Nottingham, University Hospital NHS Trust merged into, Queen Mary's Sidcup NHS Trust merged into, Radcliffe Infirmary NHS Trust became Oxford Radcliffe Hospitals NHS Trust in 1999, Ravensbourne Priority Health NHS trust dissolved 2001 and transferred to Bromley, Redbridge Healthcare NHS Trust merged into Barking, Havering and Redbridge University Hospitals NHS Trust in 2000, Richmond, Twickenham and Roehampton Healthcare NHS Trust merged into merged into South West London Community NHS Trust in 1999, Riverside Community Healthcare NHS Trust, Fulham, dissolved 2002, Riverside Mental Health NHS Trust merged into Brent, Kensington & Chelsea and Westminster Mental Health NHS Trust 1998, Rochdale Healthcare NHS Trust merged into, Rockingham Forest NHS Trust dissolved 2001 became, Rotherham Priority Health Service NHS Trust dissolved 2002, Royal Berkshire Ambulance NHS Trust merged into, Royal Brompton Hospital NHS Trust merged into Royal Brompton and Harefield NHS Trust in 1998, Royal Cornwall Hospitals and West Cornwall Hospital changed its name to, Royal Hull Hospitals NHS Trust merged into Hull and East Yorkshire Hospitals NHS Trust in 1999, Royal Liverpool Children's NHS Trust became, Royal Manchester Children's Hospital Trust merged with, Royal Shrewsbury Hospitals NHS Trust merged into Shrewsbury and Telford Hospital NHS Trust in 2004, Royal Surrey County & St Lukes Hospital NHS Trust changed its name to, Rugby NHS Trust merged into North Warwickshire NHS Trust in 1998, Salford Community Health Care NHS Trust dissolved 2001, Sandwell Healthcare NHS Trust merged into, Sandwell Mental Health National Health Service and Social Care Trust, Scunthorpe & Goole Hospitals NHS Trust dissolved 2001, Scunthorpe Community Health Care NHS Trust was abolished 1999, Shropshire Community and Mental Health Services NHS Trust dissolved 2002, Shropshire Mental Health NHS Trust merged into Shropshire Community and Mental Health Services NHS Trust in 1998, Solihull Healthcare NHS Trust dissolved 2001, South Bedfordshire Community Health Care NHS Trust merged into Bedfordshire & Luton Community NHS Trust in 1999, South Birmingham Community Health NHS Trust changed its name to Southern Birmingham Community NHS Trust in 1994, South Birmingham Mental Health NHS Trust merged into Birmingham and Solihull Mental Health NHS Trust in 2003, South Buckinghamshire NHS Trust merged into Buckinghamshire Hospitals NHS Trust 2002, South Cumbria Community and Mental Health NHS Trust merged into Bay Community NHS Trust in 1998, South Durham Health Care NHS Trust merged into South Durham NHS Trust 1996, South Durham NHS Trust merged into County Durham and Darlington NHS Trust 2002, South East London Mental Health NHS Trust changed its name to Lewisham and Guys Mental Health NHS Trust on 1994, South Essex Mental Health and Community Care NHS Trust became South Essex Partnership University NHS Trust in 2006, South Kent Community Healthcare NHS Trust merged into Canterbury and Thanet Community Healthcare NHS Trust in 1998, South Kent Hospitals NHS Trust merged into East Kent Hospitals NHS Trust in 1999, South Lincolnshire Community and Mental Health Services NHS Trust merged into Lincolnshire Healthcare NHS Trust in 2001, South Manchester University Hospital Trust became, South of Tyne and Wearside Mental Health NHS Trust merged into Northumberland, Tyne and Wear NHS Trust in 2006, South Tees Community and Mental Health NHS Trust dissolved 1999, South Warwickshire Combined Healthcare NHS Trust dissolved 2002, South Warwickshire Health Care NHS Trust merged into South Warwickshire Combined Healthcare NHS Trust in 1998, South Warwickshire Mental Health NHS Trust merged into South Warwickshire Combined Healthcare NHS Trust in 1998, South West Durham Mental Health NHS Trust merged into South Durham NHS Trust 1996, South West London Community NHS Trust dissolved 2002, South Worcestershire Community NHS Trust merged into Worcestershire Community Healthcare NHS Trust 1996, Southend Community Care Services NHS trust merged into South Essex Mental Health and Community Care NHS Trust in 2000, Southern Birmingham Community Health NHS Trust merged into Birmingham Specialist Community NHS Trust in 1999, Southern Derbyshire Acute Hospitals NHS Trust became, Southern Derbyshire Community and Mental Health Services NHS Trust changed its name to Derbyshire Mental Health Services NHS Trust in 2002, Southampton Community Health Service NHS Trust dissolved 2002, Southampton University Hospitals NHS Trust became, Southmead Health Services NHS Trust merged into, Southport and Formby Community Health Services NHS Trust merged into Sefton and Lancashire Community NHS Trust in 1999, Southport and Formby NHS Trust merged into Southport and Ormskirk Hospital NHS Trust in 1999, St Albans & Hemel Hempstead NHS Trust merged into West Hertfordshire Hospitals NHS Trust in 2000, St Helens & Knowsley Community Health NHS Trust dissolved 2002, St. Jamess and Seacroft University Hospitals NHS Trust merged into, St Peter's Hospital NHS Trust merged with Ashford Hospital NHS Trust in 1998, St Thomas' Hospital NHS Trust merged into, Stockport Acute Services NHS Trust merged into Stockport NHS Trust 2000, Stockport Healthcare NHS Trust merged into Stockport NHS Trust 2000, Stoke Mandeville Hospital NHS Trust merged into Buckinghamshire Hospitals NHS Trust 2002, Suffolk Mental Health Partnership NHS Trust merged with Norfolk and Waveney Mental Health Partnership NHS Trust in 2012 to form, Surrey Ambulance Service NHS Trust merged into South East Coast Ambulance Service NHS Trust in 2006, Surrey Hampshire Borders NHS Trust merged into Surrey and Borders Partnership NHS Trust in 2005, Surrey Heartlands NHS Trust merged into Surrey Oaklands NHS Trust in 1998, Surrey Oaklands NHS Trust merged into Surrey and Borders Partnership NHS Trust in 2005, Sussex Weald and Downs NHS Trust merged into West Sussex Health and Social Care NHS Trust in 2002, Tameside and Glossop Acute Services NHS Trust became, Tameside and Glossop Community and Priority Services NHS Trust merged into Lancashire Care NHS Trust in 2001, Tees & North East Yorkshire NHS Trust merged into Tees, Esk and Wear Valleys NHS Trust 2006, Tees, East and North Yorkshire Ambulance Service NHS Trust merged (apart from Teesside) into, Thames Gateway NHS Trust merged into West Kent National Health Service and Social Care Trust in 2002, Thameside Community Health Care NHS Trust merged into South Essex Mental Health and Community Care NHS Trust in 2000, Thameslink Healthcare Services NHS Trust merged into Thames Gateway NHS Trust in 1998, Thanet Health Care NHS Trust merged into East Kent Hospitals NHS Trust in 1999, Tower Hamlets Healthcare NHS Trust dissolved 2001, Two Shires Ambulance NHS Trust merged into, United Bristol Healthcare NHS Trust became, United Leeds Teaching Hospitals NHS Trust merged into, Unityne Health NHS Trust merged into Newcastle City Health NHS Trust in 1994, University Hospital Aintree NHS Trust became, University Hospitals Bristol NHS Foundation Trust merged with Weston Area Health Trust in 2020 to form, Walsall Community Health NHS Trust dissolved 2002, Walsgrave Hospitals NHS Trust changed its name to University Hospitals Coventry and Warwickshire NHS Trust in 2000, Wandsworth Community Health NHS Trust merged into South West London Community NHS Trust in 1999, Warrington Community Health Care (NHS) Trust became, Warwickshire Ambulance Service NHS Trust changed its name to Coventry and Warwickshire Ambulance NHS Trust in 2004, Weald of Kent Community NHS Trust merged into Invicta Community Care NHS Trust in 1997, Wellhouse NHS Trust merged into Barnet and Chase Farm NHS Hospitals Trust in 1999, West Berkshire Priority Care NHS Trust merged into Berkshire Healthcare NHS Trust in 2000, West Cheshire NHS Trust merged into Wirral and West Cheshire Community NHS Trust in 1997, West Cumbria Health Care NHS Trust merged into North Cumbria Acute Hospitals NHS Trust in 2001, West Dorset Community Health NHS Trust merged into Dorset Community NHS Trust in 1994, West Dorset General Hospital NHS Trust became, West Dorset Mental Health NHS Trust merged into Dorset Community NHS Trust in 1994, West Hampshire NHS Trust changed its name to Hampshire Partnership NHS Trust in 2004, West Herts Community Health NHS Trust dissolved 2001, West Kent National Health Service and Social Care Trust merged into Kent and Medway National Health Service and Social Care Partnership Trust in 2006, West Lambeth Community Care NHS trust changed its name to Lambeth Healthcare NHS Trust in 1996, West Lancashire NHS trust merged into Southport and Ormskirk Hospital NHS Trust in 1999, West Lindsey NHS trust merged into merged into Lincoln District Healthcare NHS Trust 1999, West London Healthcare NHS Trust merged into Brent, Kensington & Chelsea and Westminster Mental Health NHS Trust 1998, West London Mental Health NHS Trust changed its name to, West Sussex Health and Social Care NHS Trust merged into Sussex Partnership NHS Trust in 2006, Westcountry Ambulance Services NHS Services merged into, Westmorland Hospitals NHS trust merged into Morecambe Bay Hospitals NHS Trust in 1998, Weybourne Community NHS Trust merged into Bournewood Community and Mental Health Services Trust 1995, Wigan & Leigh Health Services NHS Trust merged into Wrightington, Wigan and Leigh NHS Trust in 2001, Wiltshire Ambulance Service NHS Trust merged into Great Western Ambulance Service NHS Trust in 2006, Wiltshire & Swindon Health Care NHS Trust dissolved in 2002, Wiltshire Health Care NHS Trust merged into Wiltshire & Swindon Health Care NHS Trust in 1999, Winchester & Eastleigh Healthcare NHS Trust was acquired by Basingstoke and North Hampshire NHS Foundation Trust in 2011, Wirral & West Cheshire Community NHS Trust merged into Cheshire and Wirral Partnership NHS Trust in 2002, Wolverhampton Healthcare NHS Trust became, Wolverley NHS Trust, Kidderminster, dissolved 1995, Worcestershire Community and Mental Health NHS Trust, Worcestershire Community Healthcare NHS Trust merged into Worcestershire Community and Mental Health NHS Trust in 2000, Worcestershire Mental Health Partnership NHS Service merged into Worcestershire Health and Care NHS Trust in 2011, Worthing and Southlands Hospitals NHS Trust merged into, Worthing Priority Care Services Trust merged into West Sussex Health and Social Care NHS Trust in 2002, Wrightington Hospital NHS Trust merged into, This page was last edited on 23 December 2022, at 02:43. Growth in total healthcare expenditure was driven primarily by a 25% (nominal terms) increase in government . Subject to the successful passage of the Health and Care Bill through parliament, CCGs will be abolished at the end of March 2022, with their functions and most of their staff transferring to integrated care systems (ICSs), which will be placed on a statutory footing. National Health Service (NHS) finances UK - Statistics & Facts NHS England Annual Report 2019/20. As of April2020[update], 217 extant trusts employed about 800,000 of the NHS's 1.2 million staff.[1]. Each day varies depending on the day of the week, the environment (eg, the season), social and cultural events (eg, bank holidays) and disaster events (eg, global pandemics). For example,in emergency care, there were 1.7 million more attendances and 1.1 million more admissions at major (type 1) A&E departments in 2019/20 than there were in 2011/12, bringing the total to 15.8 million attendances and 4.7 million admissions. This represents an overall increase of 42 per cent an average increase of 3.2 per cent a year. Find out whatour position is on the future challenges for the NHS workforce. List of NHS trusts in England - Wikipedia What's the cost of an operation? Source: More than 1 million people would attend a GP appointment, More than 250,000 people would attend an outpatient appointment, Nearly 45,000 people would attend a major A&E department, and about 20 per cent of A&E patients would be admitted into hospital, Around 750 patientswould go into critical care, GP appointments figure is based on the average number of appointments on working weekdays in 2019/20. Royal Derby Hospital 9. H]o0+$HuDvv :fj02vZZvsNJa(n#AQNA:OuD=e{]p=IX/3A7n14;m|R[Y,bjd(E0P+#F. What is social care? 20,270 - 21,318 a year. In 2019/20, the total cost of NHS staff was56.1 billionwhich amounted to 46.6 per cent of the NHS budget. The provisional estimate for 2020 is that this has risen to12.8 per centdue to the increased funding allocated to tackling the Covid-19 pandemic. University Hospital Coventry Total current healthcare expenditure in 2019 was 225.2 billion, equating to 3,371 per person. The challenges facing the NHS in 2019 - BBC News Some areas of activity are expected to return to normal as the country recovers from the pandemic. Addenbrooke's NHS Trust, established 4 November 1992. )xH]fC./0u `;2Cs.1)[ UC]&'jIo3} F`1 As of 1 April 2021, following a series of mergers, there are106 CCGsin England. %%EOF . Spending on the NHS in England - Full Fact 1. NHS Healthcare Cleaners/Ward Hosts. Over 30% are Asian. Infection prevention controls, such as separating Covid-19 positive patients from negative patients, also limited hospital activity levels. Please do not hesitate to contact me. 0 Directly accessible data for 170 industries from 50 countries and over 1 million facts: Get quick analyses with our professional research service. Belowwe outline what 1 billion in health and social care spending would buy in 2019/20. First Community NHS Trust, established 21 December 1990, Forest Healthcare Community NHS Trust merged into North East London NHS Trust in 2000, Fosse Health, Leicestershire Community NHS trust merged into Leicestershire and Rutland Healthcare NHS Trust in 1998, Foundation NHS Trust, Mid Staffordshire, merged into South Staffordshire Healthcare NHS Trust 2001, Freeman Group of Hospitals NHS Trust merged into, Frenchay Healthcare NHS Trust merged into North Bristol NHS Trust in 1999, Furness Hospitals NHS Trust merged into Morecambe Bay Hospitals NHS Trust in 1998, Gateshead Community Health NHS Trust became Gateshead Healthcare NHS Trust in 1994, Gateshead Healthcare NHS Trust dissolved 1998, Gloucestershire Ambulance Services NHS Trust merged into, Gloucestershire Partnership NHS Trust, established 1 April 2002, Gloucestershire Royal NHS Trust merged into, Great Western Ambulance Service NHS Trust merged with, Greater Manchester Ambulance Services NHS Trust merged into, Greenwich Healthcare NHS Trust changed its name to Queen Elizabeth Hospital NHS Trust in 2001, Grimsby Health NHS Trust changed its name to North East Lincolnshire NHS Trust in 1996, Guild Community Healthcare NHS Trust merged into Lancashire Care NHS Trust in 2000, Guys and Lewisham NHS Trust was divided between Lewisham Hospital NHS Trust and, Halton General Hospital NHS Trust merged into North Cheshire Hospitals NHS Trust in 2001, Hampshire Ambulance Service NHS Trust merged into, Hampshire Partnership NHS Foundation Trust merged into, Haringey Healthcare NHS Trust merged into Barnet, Enfield and Haringey Mental Health NHS Trust 2001, Harrow and Hillingdon Healthcare Trust merged into, Harrow Community Health Services NHS Trust merged into Harrow and Hillingdon Healthcare Trust 1994, Hartlepool and East Durham NHS Trust merged into North Tees and Hartlepool NHS Foundation Trust in 1999, Hartlepool and Peterlee Hospitals NHS Trust merged into Hartlepool and East Durham NHS Trust 1996, Hartlepool Community Care NHS Trust merged into Hartlepool and East Durham NHS Trust 1996, Hastings and Rother NHS Trust merged into, Havering Hospitals NHS Trust merged into Barking, Havering and Redbridge University Hospitals NHS Trust in 2000, Heathlands Mental Health NHS trust merged into Surrey Hampshire Borders NHS Trust in 1998, Hereford and Worcester Ambulance Service NHS Trust merged with, Herefordshire Community Health NHS Trust dissolved 2000, Hillingdon Community Health NHS trust merged into Harrow and Hillingdon Healthcare Trust 1994, Homewood NHS Trust merged into Bournewood Community and Mental Health Services Trust 1995, Horizon NHS Trust, Hertfordshire, dissolved 2001, Hounslow and Spelthorne Community and Mental Health NHS Trust joined West London Mental Health NHS Trust in 2002, Huddersfield Health Care Services NHS Trust merged into Calderdale and Huddersfield NHS Trust in 2001, Hull & East Riding Community Health NHS Trust changed its name to Humber Mental Health Teaching NHS Trust in 2005, Hull and Holderness Community Health NHS Trust merged into Hull & East Riding Community Health NHS Trust in 1999, Humber Mental Health Teaching NHS Trust became, Humberside Ambulance Service NHS Trust split into Tees, East and North Yorkshire Ambulance Service NHS Trust (North Humberside) and Lincolnshire Ambulance Service NHS Trust (South Humberside) in 1999, Invicta Community Care NHS Trust merged into West Kent National Health Service and Social Care Trust in 2002, Isle of Wight Community Healthcare NHS Trust merged into, Kent and Canterbury Hospitals NHS Trust merged into East Kent Hospitals NHS Trust in 1999, Kent and Sussex Weald NHS Trust merged into, Kidderminster Health Care NHS Trust merged with, King's Lynn & Wisbech Hospitals NHS Trust became, Kings Mill Centre for Health Care Services NHS Trust changed its name to Sherwood Forest Hospitals NHS Trust in 2001, Kingston and District Community NHS Trust dissolved 2001, Lambeth Healthcare NHS Trust merged into South London and Maudsley NHS Trust in 1999, Lancashire Ambulance Service NHS Trust merged into, Lancashire Care NHS Foundation Trust merged into, Lancaster Acute Hospitals NHS Trust merged into Morecambe Bay Hospitals NHS Trust in 1998, Lancaster Priority Services NHS Trust merged into Bay Community NHS Trust in 1998, Leeds Community and Mental Health Services Teaching NHS Trust became, Leeds General Infirmary and Associated Hospitals NHS Trust changed its name to United Leeds Teaching Hospitals NHS Trust in 1991, Leeds Partnerships NHS Foundation Trust changed its name to, Leicester General Hospital NHS Trust merged into, Leicester Royal Infirmary NHS trust merged into, Leicestershire Ambulance and Paramedic Service NHS Trust merged into, Leicestershire & Rutland Healthcare NHS Trust changed its name to Leicestershire Partnership NHS Trust in 2002, Leicestershire Mental Health Service NHS Trust merged into Leicestershire and Rutland Healthcare NHS Trust in 1998, Lewisham and Guys Mental Health NHS Trust merged into South London and Maudsley NHS Trust in 1999.