Since April 2004 all primary care services in England have been provided by Primary Care Trusts (PCTs). Serving an average population of 100,000 PCTs constitute the basic organizational units of the NHS in England. Their function is to manage, commission, and, in some areas, provide primary care services that were typically offered by GP fund holding practices. In 2002 the Department of Health gave PCTs the additional remit of commissioning all mental health services resulting in some organizations amalgamating community and mental health trusts, serving populations in excess of 350,000. Some of these organizations are now in the throes of converting to Foundation Trust Status, a requirement for all NHS Trusts by 2013 (DH, 2010).
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