NHS<unk> <unk>  and<unk>  was an NHS primary<unk>  trust (PCT) that was formed on 1 October 2006 following the merger of<unk> ern<unk>  PCT and<unk> <unk>  PCT. PCTs were abolished in April 2013. NHS<unk>  provided primary<unk> , intermediate<unk>  and community services on behalf of 440,000 people living in the<unk>  and<unk>  of Britain's second city. It was one of three primary<unk>  trusts that covered<unk> . Following the Health and Social<unk>  Act of 2012, the PCT was dissolved and NHS<unk>  CrossCity Clinical Commissioning Group become the largest commissioner of healthcare in the area. The trust commissioned services from GPs, dentists, pharmacists, opticians, and voluntary sector organisations. It is held accountable for the quality and accessibility of these services, primarily by the<unk>  Quality Commission. NHS<unk> <unk>  and<unk>  also answered to NHS West Midlands, the Strategic Health Authority for the region. The trust employed over 1,700 staff, and was responsible for over 200 GPs working in more than 80 practices. The trust spent hundreds of millions of pounds every year on services for local people; it also held the money to commission specialised services for people across the whole of the West Midlands. The trust directly provided primary<unk>  and community services through its Community Health Services arm.
Birmingham East and North Primary Care Trust
Isle of Wight Primary Care Trust
Sandwell and West Birmingham Hospitals NHS Trust
Tavistock and Portman NHS Foundation Trust
South London and Maudsley NHS Foundation Trust
Surrey and Borders Partnership NHS Foundation Trust
NHS East of England
East London NHS Foundation Trust