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YAS in The NHS

The NHS Structure
Where We Fit
Our Structure

The NHS Structure

The NHS is divided into two sections: primary and secondary care. Primary care is the first point of contact for most people and is delivered by a wide range of independent contractors, including GPs, dentists, pharmacists and optometrists.

Secondary care is known as acute healthcare and can be either elective care or emergency care. Elective care means planned specialist medical care or surgery, usually following referral from a primary or community health professional such as a GP.

Primary care trusts (PCTs) are in charge of primary care and have a major role around commissioning secondary care, providing community care services. They are central to the NHS and control 80% of the NHS budget.

Diagram showing the split of primary care services and secondary care service

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Where We Fit

We are the only NHS trust that covers the whole of Yorkshire.

Within the region we cover, there are 13 primary care trusts (PCTs) and a mix of NHS trusts, foundation trusts, mental health trusts and care trusts.

The NHS Yorkshire and Humber website shows a list of trusts in our region.

The 999 service we provide to the region is purchased by the county’s 13 primary care trusts that manage health services in local areas. Our lead commissioner is NHS Bradford and Airedale.

Our performance is monitored by NHS Yorkshire and the Humber, the county’s strategic health authority. Ultimately we are responsible to the Department of Health.

Ambulances outside hospital

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Our Structure

We have around 4,358 staff, based at ambulance stations and support offices across Yorkshire.

We have a total of 62 ambulance stations across the region. There are two 999 Emergency Operations Centres, in Wakefield and York, plus three administration centres, including Wakefield, which is the Trust’s headquarters.

comms

Our emergency response service is split into five operational areas across the county, known as clinical business units (CBUs). These are:

  • North Yorkshire and Craven
  • Leeds and Wakefield
  • Bradford, Calderdale and Kirklees
  • South Yorkshire
  • Hull and East Riding.

Each CBU is managed by an assistant director of operations.

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