The<unk>  was established by the National Health Service and Community Care Act 1990, to separate the roles of purchasers and providers within the National Health Service in the United Kingdom. Previously, healthcare was provided by regional health authorities which were given a budget to run hospitals and community health services (but not general practice) in their area. The Health and Social Care Act 2012 was intended to open up the<unk><unk>  to external competition. The 2019<unk>  Long Term Plan called for the establishment of integrated care systems across England by 2021, effectively ending the<unk><unk> .
NHS internal market
NHS trust
Therapeutic community
Wet market
Migrant Architects of the NHS
Community health trust
NHS Charities Together
Disproportionate share hospital