1974
- Major reorganisation and creation of Regional, Area and District Health Authorities
1982
- Area Health Authorities abolished
1983
- General management introduced
1989
- Internal market introduced
- Process of merging health authorities started
- 199 initially reducing to 99 by 2000
1990
- Family Practitioner Committees replaced by Family Health Service Authorities
- Self governing trusts started
- GP Fundholding introduced
- Internal market established
1992-1999
- Multiple mergers of Health Authorities – from 200+ to 99
1996
- Family Health Service Authorities merged with District Health Authorities
1999
- 481 Primary Care Groups (PCGs) established
- NICE established
2001
- 302 Primary Care Trusts (PCTs) created, PCGs phased out
- Many community trusts folded into PCTs
- 99 Health Authorities abolished
- 4 Regional Directorates of Health & Social Care created
- Care Trusts created
- Commission for Health Improvement (CHI) established
2002
- 28 SHAs created
- Foundation Trusts (FT) created
2003
- Regional Directorates abolished
2004
- CHI abolished, HCC created
2006
- PCTs merged to 152
- SHAs reduced to 10
2007
- PCTs merged to 152
SHAs reduced to 10 cases transferred to non-for profit social enterprises or hospitals, mental health trusts and in some cases the private for-profit sector.
2008
- Darzi review
- 2008 Health and Social Care Act
2009
- HCC abolished, CQC established
- Community services transferred to other providers including private sector and community interest companies
2011
- ~130 + PCTs clustered to 52
2013
- SHAs and PCTs abolished
- 211 CCGs created
- Public Health moved to local authorities
- 19 Commissioning Support Units (CSUs) proposed
2014
- Five Year Forward View
- Integration of various regulatory functions
2016-2021
- CCG Mergers & pseudo mergers
- 44 STPs created
- ICS/ICP concept introduced
- Restructuring national and regional bodies
- Monitor and Trust Development Authority
2022
- NHS & Social Care Act
- CCGs abolished
- 42 ICS become statutory bodies