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Column 78

Norfolk Ambulance NHS Trust

Anglian Harbours NHS Trust

North East Thames RHA

Southend Health Care NHS Trust

The Royal London Hospital and Associated Community Services NHS Trust

The Royal Free Hampstead NHS Trust

The Royal National Throat, Nose and Ear Hospital NHS Trust The Royal National Orthopaedic Hospital NHS Trust

North Middlesex Hospital NHS Trust

North West Thames RHA

North Hertfordshire NHS Trust

Mount Vernon Hospital NHS Trust

Hillingdon Hospital NHS Trust

Central Middlesex Hospital NHS Trust

South East Thames RHA

The Guy's and Lewisham NHS Trust

South West Thames RHA

Lifecare NHS Trust

Kingston Hospital NHS Trust

Homewood NHS Trust

The St. Helier NHS Trust

Croydon Community NHS Trust

Epsom Health Care NHS Trust

The Royal Surrey County and St. Luke's Hospitals NHS Trust South Western RHA

Weston Area NHS Trust

East Somerset NHS Trust

East Gloucestershire NHS Trust

Cornwall Community Healthcare NHS Trust

The United Bristol Healthcare NHS Trust

Cornwall and Isles of Scilly Mental Handicap NHS Trust

South Devon Health Care NHS Trust

Taunton and Somerset NHS Trust

Wessex RHA

The Royal National Hospital for Rheumatic Diseases NHS Trust West Dorset Mental Health NHS Trust

The West Dorset General Hospitals NHS Trust

West Dorset Community Health NHS Trust

Oxford RHA

Nuffield Orthopaedic Centre NHS Trust

West Midlands RHA

First Community NHS Trust

The Mental Health Foundation of Mid Staffordshire NHS Trust The Rugby NHS Trust

Walsall Hospitals NHS Trust

Mersey RHA

The Wirral Hospital NHS Trust

The Royal Liverpool University Hospital NHS Trust

St. Helens and Knowsley Hospital Services NHS Trust

Chester and Halton Community NHS Trust

The Cardiothoracic Centre--Liverpool NHS Trust

Broadgreen Hospital NHS Trust

Royal Liverpool Children's Hospital and Community Services NHS Trust

The Mid Cheshire Hospitals NHS Trust

North Western RHA

Manchester Central Hospitals and Community Care NHS

Trust

Christie Hospital NHS Trust

Establishment orders for these trusts will be made forthwith and the trusts will be established later this month to run in shadow form for a period of some three months before taking up their full responsibilities on 1 April 1991.

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Column 79

We shall be setting the external financing limit for each trust shortly. In doing this, we shall take account both of the overall resources available and of the plans which trusts have set out. Inevitably, this will involve difficult decisions, as it will not be possible to meet all trusts' capital aspirations next year. As has been made clear in the past, our first priority will be to ensure funding for those schemes which Trusts could otherwise expect to be funded from regions' capital programmes next year had the trusts remained under health authority management.

I believe that the following eight applications have the potential to become successful trusts and hope in time they will do so. Newcastle General Hospital

The City and Hackney Health District

Harefield Hospital

North West Hertfordshire Priority Services Unit

St. Thomas' Hospital

Bromley Priority Health Services Unit

Bromley Acute Services Unit

Mid Downs West Unit (Crawley Hospital)

However, I consider that, in view of the very significant management tasks they face it would not be right to establish them now as trusts, with the substantial responsibilities as well as benefits which trust status confers. I realise that my decision will come as a deep disappointment to them. I am writing to each of them today setting out the reasons for my decision and I hope that, if they are able to demonstrate that they have satisfactorily addressed these issues, I shall be able to establish them as trusts to come into operation in April 1992.

Following recent changes to the project management team of the potential trust, the sponsors of the proposed North Devon healthcare trust believe that it would be preferable that I defer the establishment of the trust at present. They remain committed to trust status but believe it would be sensible to give the new management team more time to establish itself and win local support. I have no doubt that the proposed trust has the potential to deliver benefits to local people, but I agree entirely that it would be sensible for me not to establish the trust at present.

The sponsors of the proposed Brighton hospitals trust have also asked that their application should be deferred. I have agreed to this request. I have no doubt that Brighton has the potential to become a successful trust in the future.

Meanwhile, we are already embarking on the process of responding to the many expressions of interest in a second wave of potential trusts to become operational on 1 April 1992. I am delighted to report that there is great interest in this, and I have today agreed that the 111 hospitals and other units listed, which have expressed interest in trust status, can proceed to work up applications to become trusts on 1 April 1992.

Northern RHA

Cleveland Ambulance Service

Darlington Health Services

Gateshead Community Unit

Gateshead Mental Health

Northgate Hospital Northumberland

North West Durham Hospital and Community Services

North Tees Acute and Community Services

Royal Victoria and Dental Hospital Newcastle upon Tyne

South Tees Acute Hospital Services

Yorkshire RHA

Airedale Health Services

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Column 80

Bradford Mental Health and Community Services

Harrogate Health Services

Northallerton Health Services

Scarborough Health Services

Trent RHA

Barnsley Community and Priority Services Unit

Bassetlaw Hospital and Community Services

City Hospital Nottingham

Doncaster Community Development Unit

Doncaster Priority Care Services Unit

South Sheffield Hospital Unit

Chesterfield and North Derbyshire Royal Hospital

Nottingham Community Unit

Nottingham Mental Health Unit

Childrens Hospital Sheffield

South Lincolnshire Mental Handicap Services

South Yorkshire Metropolitan Ambulance Service

University Hospital Nottingham

Weston Park Hospital, Sheffield

East Anglian RHA

East Suffolk Community Unit

Huntingdon Acute Unit Hinchingbrook Hospital Huntingdon Huntingdon Community Unit

Papworth Hospital, Huntingdon

West Norfolk and Wisbech Community Unit

North West Thames RHA

Barnet Community Health Services

Barnet General Hospitals

Ealing Community Health Services

East Hertfordshire Acute, Priority and Community Services Harrow Acute Unit --Northwick Park Hospital

Harrow Community Services

Hillingdon Primary and Community Health Services

North West Hertfordshire Mental Handicap

South Bedfordshire Community and Mental Health Services South Bedfordshire General Hospitals

Parkside Mental Health Unit

North East Thames RHA

Basildon and Thurrock Acute Services

Basildon and Thurrock Community

Essex Ambulance Service

Mid Essex Acute

North East Essex Acute

North East Essex Mental Handicap Unit Turner Village

North East Essex Mental Illness (Severals Hospital)

Oldchurch and Rush Green Hospitals

Royal London Homoeopathic Hospital

Harold Wood Health Services

Southend Priority Services

South East Thames RHA

Bexley Acute and Community

Bexley Mental Health and Mental Handicap Services

Brighton Community and Mental Health Services

Camberwell Provider Unit

Dartford and Gravesham Acute Unit

Thameslink HealthCare Trust

Eastbourne Community Services Unit

Hastings Provider Services

Lewisham Community Services

Maidstone Acute and Community Unit

Maidstone Mental Handicap

Tunbridge Wells Mental Handicap Services

Queen Victoria Hospital East Grinstead

West Lambeth Priority Services

South West Thames RHA

East Surrey Acute and Community

East Surrey Mental Illness and Mental Handicap

Frimley Park Hospital

Merton and Sutton Mental Handicap and Community Unit

Mid Surrey Mental Handicap

Mid Surrey Mental Illness

North West Surrey Acute

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