<unk>  (legally known as<unk>  Primary Care Trust) was the statutory NHS body responsible for improving the health of the resident population within the London Borough of<unk> . It commissioned services for the second largest London borough, both in terms of geographical size and population.<unk>  Primary Care Trust was established on 1 April 2001, taking on functions previously undertaken by the three former<unk>  Primary Care Groups and<unk>  Health Authority. The Trust also assumed responsibility for the community services previously provided by<unk>  Healthcare NHS Trust (other than mental health services, which were provided by<unk> , Enfield and Haringey Mental Health NHS Trust. In May 2009<unk>  Primary Care Trust was renamed<unk>  in line with a national move to create a ‘one-stop’ contact for all NHS services for patients. In legal terms the organisation remained<unk>  Primary Care Trust. On 1 April 2010 it was announced that<unk>  Community Services, the provider arm of the Trust would be moved to the Central London Community Healthcare Trust.<unk>  was responsible for managing the local health system, for developing services and for making financial investments.<unk>  commissioned services from GPs, dentists, optometrists, community pharmacists, private providers, voluntary sector, acute hospitals and mental health trusts. Together,<unk>  and its commissioned providers provided a range of services at health centres and clinics across the Borough and at the Trust's two main community hospitals (Edgware Community Hospital, rebuilt and re-opened in February 2005 and Finchley Memorial Hospital, extended in 2013).<unk>  held an annual budget of approximately £500 million (with annual fluctuations). Approximately half was spent on acute care commissioning. Following an inspection by the Care Quality Commission in 2015,<unk> , Enfield and Haringey Mental Health Trust obtained an overall rating of ‘requires improvement’. In October 2016, a draft Sustainability and Transformation Plan (STP) was submitted to NHS England by the NHS in North Central London (representing<unk> , Haringey, Islington, Camden and Enfield) proposing changes and improvements to their future services.
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