List of district health authorities in England and Wales

A district health authority was an administrative unit of the National Health Service in England and Wales from 1982 to 2000. Both the configuration and the responsibilities were altered several times during that period. Area Health Authorities, which existed from 1974 to 1982, were an intermediate tier created by the 1974 reorganisation. The most common complaint in evidence about the reorganisation of the NHS made to the Royal Commission on the National Health Service was that it added an extra and unnecessary tier of management.[1]

Authorities in Northern Region

District authorities created 1982

Sixteen district health authorities were formed in the Northern Region in 1982, replacing nine area health authorities:

AHA 1974–82 District Health Authority 1982 Local Government Areas Changes
Cleveland Hartlepool Hartlepool
Cleveland North Tees Stockton-on-Tees
Cleveland South Tees Langbaurgh and Middlesbrough
Cumbria East Cumbria Carlisle, Eden, part of Allerdale (Keswick and Wigton areas)
Cumbria South Cumbria Barrow-in-Furness (borough) and South Lakeland
Cumbria West Cumbria Copeland, part of Allerdale (Cockermouth, Maryport and Workington areas)
Durham Darlington Darlington and Teesdale Part of South Durham District 1992
Durham Durham Chester-le-Street, Durham, and Easington Part of North Durham District 1992
Durham North West Durham Derwentside Part of North Durham District 1992
Durham South West Durham Sedgefield and Wear Valley Part of South Durham District 1992
Gateshead Gateshead Gateshead (Same area as AHA)
Newcastle Newcastle Newcastle (Same area as AHA)
Northumberland Northumberland County of Northumberland (Same area as AHA)
North Tyneside North Tyneside North Tyneside (Same area as AHA)
South Tyneside South Tyneside South Tyneside (Same area as AHA)
Sunderland Sunderland Sunderland (Same area as AHA)

1992–1994

Reorganisation in 1992 led to a reduction in the number of districts to fourteen:

District Health Authority County Area
East Cumbria Cumbria Unchanged
Gateshead Tyne and Wear Unchanged
Hartlepool Cleveland Unchanged
Newcastle Tyne and Wear Unchanged
Northumberland Northumberland Unchanged
North Durham County Durham Districts of Chester-le-Street, Derwentside, Durham and Easington
North Tees Cleveland Unchanged
North Tyneside Tyne and Wear Unchanged
South Cumbria Cumbria Unchanged
South Durham County Durham Districts of Darlington, Sedgefield, Teesdale, and Wear Valley
South Tees Cleveland Unchanged
South Tyneside Tyne and Wear Unchanged
Sunderland Tyne and Wear Unchanged
West Cumbria Cumbria Unchanged

1994–1996

In 1994 the Northern region became part of the larger Northern and Yorkshire Region, and there were further amalgamations of districts:

  • North Cumbria District formed from East Cumbria and West Cumbria
  • South of Tyne District was formed from Gateshead and South Tyneside
  • Tees District formed from Hartlepool, North Tees and South Tees
  • Morecambe Bay District formed in (North Western Region) from South Cumbria and Lancaster

Authorities in Yorkshire Region

District Authorities created 1982

Seventeen district health authorities were formed in the Yorkshire Region in 1982, replacing seven Area Health Authorities:

AHA 1974–82 District Health Authority 1982 Local Government Areas Changes
Bradford, North Yorkshire Airedale Craven, part of Bradford (Keighley, Ilkley and Worth Valley areas) Abolished 1992 - part to Bradford, remainder (Craven District) to North Yorkshire
Bradford Bradford Part of Bradford (Baildon, Bingley, Clayton, Denholme, Eccleshill, Idle, Queensbury and Shipley areas) Gained part of abolished Airedale 1992
Calderdale Calderdale Calderdale Same area as AHA Part of West Yorkshire District 1993
Humberside Beverley : renamed East Yorkshire 1982 Beverley, East Yorkshire Part of East Riding District 1993
Humberside Grimsby Great Grimsby, Cleethorpes Part of Grimsby and Scunthorpe District 1993
Humberside Hull Holderness, Kingston upon Hull Part of East Riding District 1993
Humberside Scunthorpe Boothferry, Glanford and Scunthorpe Part of Grimsby and Scunthorpe District 1993
Kirklees Dewsbury Part of Kirklees (Batley, Birstall, Birkenshaw, Cleckheaton, Dewsbury, Heckmondwike, Mirfield, Spen, and Thornhill areas) Part of West Yorkshire District 1993
Kirklees Huddersfield Part of Kirklees (Almondbury, Colne Valley, Deighton, Denby Dale, Golcar, Holme Valley, Huddersfield and Kirkburton areas Part of West Yorkshire District 1993
Leeds Leeds Eastern Part of Leeds (Barwick and Kippax, Burmantofts, Chapel Allerton, Garforth and Swillington, Halton, Harehills, Hunslet, Middleton, Moortown, North, Rothwell, Roundhay, Seacroft, Wetherby, and Whinmoor areas) Part of Leeds District 1991
Leeds Leeds Western Part of Leeds (Aireborough, Armley, Beeston, Bramley, Headingley, Horsforth, Kirkstall, Morley, Otley, Pudsey, Wharfedale and Wortley areas) Part of Leeds District 1991
North Yorkshire Harrogate Part of Harrogate (Harrogate, Knaresborough and Ripon areas) Part of North Yorkshire District 1992
North Yorkshire Northallerton Richmondshire, part of Hambleton (Bedale, Stokesley and Thirsk areas), part of Harrogate (Masham area) Part of North Yorkshire District 1992
North Yorkshire Scarborough Scarborough, part of Ryedale (Malton, Norton and Pickering areas) Part of North Yorkshire District 1992
North Yorkshire York Selby, York, part of Hambleton (Easingwold area), part of Harrogate (Ouseburn and Poppleton areas), part of Ryedale (Flaxton and Helmsley areas) Part of North Yorkshire District 1992
Wakefield Pontefract Part of Wakefield (Castleford, Featherstone, Hemsworth, Normanton, Pontefract areas) Part of Wakefield District 1993
Wakefield Wakefield Part of Wakefield (Horbury, Ossett, Stanley, Wakefield areas) Absorbed Pontefract District 1993

1991–1996

Reorganisation in 1991 to 1993 led to a reduction in the number of districts to seven:

District Health Authority County Area
Bradford West Yorkshire City of Bradford
East Riding Humberside The Districts of Beverley, East Yorkshire, Holderness and Kingston upon Hull
Grimsby and Scunthorpe Humberside The Districts of Boothferry, Cleethorpes, Great Grimsby, Glanford and Scunthorpe
Leeds West Yorkshire The City of Leeds
North Yorkshire North Yorkshire Entire County
Wakefield West Yorkshire The City of Wakefield
West Yorkshire West Yorkshire Calderdale and Kirklees Metropolitan Boroughs

In 1994 the Yorkshire Region became part of the Yorkshire and Northern Region.

Authorities in Trent Region

District Authorities created 1982

Twelve district health authorities were formed in the Trent Region in 1982, replacing eight Area Health Authorities:

AHA 1974–82 District Health Authority 1982 Local government areas Changes
Barnsley Barnsley Barnsley (same area as AHA)
Derbyshire North Derbyshire Bolsover, Chesterfield, North East Derbyshire, part of High Peak (Buxton, Chapel-en-le-Frith, New Mills, Whaley Bridge areas), part of West Derbyshire (Bakewell and Matlock areas)
Derbyshire Southern Derbyshire Amber Valley, Derby, Erewash, South Derbyshire, part of West Derbyshire (Ashbourne and Wirksworth areas)
Doncaster Doncaster Doncaster (same area as AHA)
Leicestershire Leicestershire County of Leicestershire (same area as AHA)
Lincolnshire North Lincolnshire Lincoln, West Lindsey, part of East Lindsey (Mablethorpe, Skegness and Spilsby areas)
Lincolnshire Southern Lincolnshire Boston, South Holland, South Kesteven, part of North Kesteven (Sleaford area), part of East Lindsey (Alford, Horncastle and Woodhall Spa areas)
Nottinghamshire Bassetlaw Bassetlaw Part of North Nottinghamshire District 1992
Nottinghamshire Central Nottinghamshire Mansfield, Newark, part of Ashfield (all except Hucknall) Part of North Nottinghamshire District 1992
Nottinghamshire Nottingham Broxtowe, Gedling, Nottingham, Rushcliffe and part of Ashfield (Hucknall)
Rotherham Rotherham Rotherham (same as AHA)
Sheffield Sheffield Sheffield (same area as AHA)

1992–1996

Reorganisation in 1992 led to a reduction in the number of districts to eleven by the creation of North Nottinghamshire District by the amalgamation of Bassetlaw and Central Nottinghamshire Districts.

In 1994 Lincolnshire District was formed from North Lincolnshire and South Lincolnshire

Authorities in East Anglia Region

District authorities created 1982

Eight district health authorities were formed in the East Anglian region in 1982, replacing three area health authorities:

AHA 1974–82 District Health Authority 1982 Local Government Areas Changes
Cambridgeshire Cambridge Cambridge, East Cambridgeshire, most of South Cambridgeshire (all except Caxton and Papworth areas)
Cambridgeshire Huntingdon Most of Huntingdon (all except Norman Cross area), part of South Cambridgeshire (Caxton and Papworth areas)
Cambridgeshire Peterborough Peterborough, part of Huntingdon (Norman Cross area), part of Fenland (Chatteris, March, North Witchford, Whittlesey areas) Part of North West Anglia District 1992
Cambridgeshire, Norfolk West Norfolk and Wisbech Part of Fenland (Wisbech), King's Lynn and West Norfolk, part of Breckland (Swaffham and Thetford rural areas) Part of North West Anglia District 1992
Norfolk, Suffolk Great Yarmouth and Waveney Great Yarmouth, Waveney, part of Broadland (3 parishes), part of South Norfolk (7 parishes)
Norfolk Norwich Norwich, part of Breckland (East Dereham, Mitford & Launditch, Wayland areas), part of North Norfolk (5 parishes), most of South Norfolk (except 7 parishes)
Suffolk East Suffolk Ipswich, Suffolk Coastal, Part of Babergh (Cosford, Hadleigh and Samford areas), part of Mid Suffolk (Eye, Gipping and Stowmarket areas) Part of Suffolk District 1993
Norfolk, Suffolk West Suffolk Part of Breckland (parish of Thetford), Forest Heath, St Edmundsbury, part of Babergh (Melford and Sudbury areas), part of Mid Suffolk (Hartismere and Thedwastre areas) Part of Suffolk District 1993

1993–1996

Reorganisation in 1992 and 1993 led to a reduction in the number of districts to six:

District Health Authority County Area
Cambridge Cambridgeshire Unchanged
Great Yarmouth and Waveney Norfolk, Suffolk Unchanged. Abolished 1994 to East Norfolk, Suffolk Districts
Huntingdon Cambridgeshire Unchanged
North West Anglia Cambridgeshire, Norfolk Districts of Fenland, King's Lynn and West Norfolk, Peterborough; most of Breckland
Norwich Norfolk Gained parish of Thetford 1993. Abolished 1994 to East Norfolk District
Suffolk Suffolk Entire County except Waveney District

A further change was made in 1994 (at the same time the Region was merged with Oxford Region to form Anglia and Oxford Region):

  • East Norfolk District formed from Norwich District and the part of Great Yarmouth and Waveney District in Norfolk. Waveney, in Suffolk, was transferred to Suffolk District.

Authorities in North West Thames Region

In 1982 the boundary of the region was adjusted when part of the City of Westminster was placed in the North East Thames Region. In 1990 the area was returned to the North West Thames Region. Also in 1982 the borough of Spelthorne, Surrey was received from the South West Thames Region, to which it returned in 1993.

District Authorities created 1982

Fourteen district health authorities were formed in the North West Thames Region in 1982, replacing seven Area Health Authorities:

AHA 1974–82 District Health Authority 1982 Local Government Areas Changes
Barnet Barnet Barnet (same area as AHA)
Bedfordshire South Bedfordshire Luton, South Bedfordshire Part of Bedfordshire District 1994
Bedfordshire North Bedfordshire Mid Bedfordshire, North Bedfordshire Part of Bedfordshire District 1994
Brent and Harrow Brent Brent Part of Parkside District 1988 †
Brent and Harrow Harrow Harrow Part of Brent and Harrow District 1993
Ealing, Hammersmith and Hounslow Ealing Ealing Part of Ealing, Hammersmith and Hounslow District 1993
Ealing, Hammersmith and Hounslow, Surrey Hounslow and Spelthorne Hounslow, Spelthorne Part to Ealing, Hammersmith and Hounslow District, part to North West Surrey District 1993
Ealing, Hammersmith and Hounslow Hammersmith and Fulham Hammersmith and Fulham Part of Riverside District 1985‡
Hertfordshire East Hertfordshire Broxbourne, East Hertfordshire, Welwyn Hatfield Part of East and North Hertfordshire District 1992
Hertfordshire North Hertfordshire North Hertfordshire, Stevenage Part of East and North Hertfordshire District 1992
Hertfordshire North West Hertfordshire Dacorum, St Albans
Hertfordshire South West Hertfordshire Hertsmere, Three Rivers, Watford
Hillingdon Hillingdon Hillingdon
Kensington, Chelsea and Westminster Paddington and North Kensington Part of City of Westminster (Paddington area), part of Kensington and Chelsea (North Kensington area) Part of Parkside District 1988 †
Kensington, Chelsea and Westminster Victoria Part of City of Westminster (except Paddington area), part of Kensington and Chelsea (except North Kensington area) Part of Riverside District 1985‡

There were changes in the central London districts in 1985 and 1988:

‡ Riverside District was formed in 1985 by the amalgamation of Hammersmith and Fulham and Victoria Districts.

† Parkside District was created by the amalgamation of the Paddington & North Kensington and Brent Districts in 1988. In 1990 it was enlarged by gaining part of the City of Westminster from the abolished Bloomsbury District in the neighbouring North East Thames District. Parkside was abolished with part going to Kensington Chelsea and Westminster and part to Brent and Harrow in 1993.

1992–1996

Reorganisation in 1992 to 1994 led to a reduction in the number of districts to nine:

District Health Authority County Area
Barnet Greater London London Borough of Barnet (unchanged)
Bedfordshire Bedfordshire County of Bedfordshire
Brent and Harrow Greater London London Boroughs of Brent, Harrow
Ealing, Hammersmith and Hounslow Greater London London Boroughs of Ealing, Hammersmith and Fulham, Hounslow
East and North Hertfordshire Hertfordshire Districts of Broxbourne, East Hertfordshire, North Hertfordshire, Stevenage and Welwyn Hatfield
Hillingdon Greater London London Borough of Hillingdon (unchanged)
Kensington, Chelsea and Westminster Greater London Royal Borough of Kensington and Chelsea and City of Westminster
North West Hertfordshire Hertfordshire Districts of Dacorum and St Albans (unchanged)
South West Hertfordshire Hertfordshire Districts of Hertsmere, Three Rivers and Watford (unchanged)

Authorities In North East Thames Region

In 1982 the boundary of the region was adjusted when part of the City of Westminster was received from in the North West Thames Region. In 1990 the area was returned.

District Authorities created 1982

Fourteen district health authorities were formed in the North East Thames Region in 1982, replacing seven Area Health Authorities:

AHA 1974–82 District Health Authority 1982 Local Government Areas Changes
Barking and Havering, Essex Barking, Havering and Brentwood Barking and Dagenham, Havering, Brentwood Part to Barking and Havering District, part to South Essex District 1993
Essex Basildon and Thurrock Basildon, Thurrock Part of South Essex District 1993
Camden and Islington, Kensington, Chelsea and Westminster Bloomsbury Part of Camden (Bloomsbury, Holborn and St Pancras areas), part of City of Westminster (Regent's Park and West End areas) Abolished 1990, part to Bloomsbury and Islington District†, part to Parkside District (North West Thames Region)
City and East London City and Hackney City of London, Hackney Part of East London and The City District 1993
Enfield and Haringey Enfield Enfield Part of New River District 1993
Camden and Islington Hampstead Part of Camden (Hampstead area) Part of Camden and Islington District 1993
Enfield and Haringey Haringey Haringey Part of New River District 1993
Camden and Islington Islington Islington Part of Bloomsbury and Islington District 1990†
Essex Mid Essex Chelmsford, Maldon, most of Braintree (Braintree and Witham areas) Part of North Essex 1993
City and East London Newham Newham Part of East London and The City District 1993
Essex North East Essex Colchester, Tendring, part of Braintree (Halstead area) Part of North Essex District
Redbridge and Waltham Forest Redbridge Redbridge Part of Redbridge and Waltham Forest 1993
Essex Southend Castle Point, Rochford, Southend-on-Sea Part of South Essex District 1993
City and East London Tower Hamlets Tower Hamlets Part of East London and The City District 1993
Redbridge and Waltham Forest Waltham Forest Waltham Forest Part of Redbridge and Waltham Forest 1993
Essex West Essex Epping Fores, Harlow, Uttlesford Part of North Essex District 1993

† Bloomsbury and Islington District was created in 1990. It consisted of the London Borough of Islington and 11 wards from the London Borough of Camden. It became part of Camden and Islington District in 1993.

1993–1996

Reorganisation in 1990 and 1993 led to a reduction in the number of districts to seven:

District Health Authority County Area
Barking and Havering Greater London London Boroughs of Barking and Dagenham and Havering
Camden and Islington Greater London London Boroughs of Camden and Islington
East London and The City Greater London The City of London & the Temples, and the London Boroughs of Hackney, Newham and Tower Hamlets
New River Greater London London Boroughs of Enfield and Haringey
North Essex Essex Districts of Braintree, Chelmsford, Colchester, Epping Forest, Harlow, Maldon, Tendring and Uttlesford
Redbridge and Waltham Forest Greater London London Boroughs of Redbridge and Waltham Forest
South Essex Essex Districts of Basildon, Brentwood, Castle Point, Rochford, Southend-on-Sea and Thurrock

Authorities in South East Thames Region

District Authorities created 1982

Fifteen district health authorities were formed in the South East Thames Region in 1982, replacing five Area Health Authorities:

AHA 1974–82 District Health Authority 1982 Local Government Areas Changes
Bromley Bromley Bromley (same area as AHA)
East Sussex Brighton Brighton, Hove, most of Lewes (all except Seaford) Part of East Sussex District 1993
East Sussex Eastbourne Eastbourne, most of Wealden (all except 2 parishes), part of Lewes (Seaford) Part of East Sussex District 1993
East Sussex Hastings Hastings, Rother, part of Wealden (2 parishes) Part of East Sussex District 1993
Greenwich and Bexley Bexley Bexley Part of Bexley and Greenwich District 1994
Greenwich and Bexley Greenwich Greenwich Part of Bexley and Greenwich District 1994
Kent Canterbury and Thanet Canterbury, Thanet, part of Dover (Eastry area), part of Swale (Faversham area) Part of East Kent District 1994
Kent Dartford and Gravesham Dartford, Gravesham, Sevenoaks (former Dartford Rural District area), Part of West Kent District 1994
Kent Maidstone Maidstone, part of Tonbridge and Malling (Malling area) Part of West Kent District 1994
Kent Medway Gillingham, Rochester-upon-Medway, part of Swale (Queenborough and Sittingbourne areas) Part of West Kent District 1994
Kent South East Kent Ashford, Shepway, part of Dover (Deal, Dover and Sandwich areas) Part of East Kent District 1994
Kent Tunbridge Wells Tunbridge Wells, part of Sevenoaks (Sevenoaks area Part of West Kent District 1994
Lambeth, Southwark and Lewisham Camberwell Part of Southwark (Camberwell area), part of Lambeth (East Lambeth, Gipsy Hill, Herne Hill, Tulse Hill areas) Part of South East London District 1993
Lambeth, Southwark and Lewisham Lewisham and North Southwark Lewisham, part of Southwark (Newington, Rotherhithe and Southwark areas) Part of South East London District 1993
Lambeth, Southwark and Lewisham West Lambeth Part of Lambeth (West Lambeth area) Part of South East London District 1993

1993–1996

Reorganisation in 1993 and 1994 led to a reduction in the number of districts to eight:

District Health Authority County Area
Bexley and Greenwich Greater London Bexley, Greenwich
Bromley Greater London (unchanged)
East Kent Kent Ashford, Canterbury, Dover, part of Swale (Faversham area), Shepway, Thanet
East Sussex East Sussex Entire County
South East London Greater London London Boroughs of Lambeth, Lewisham and Southwark
West Kent Kent Dartford, Gillingham, Gravesham, Maidstone, Rochester-upon-Medway, Sevenoaks, part of Tonbridge and Malling (Malling area) part of Swale (Queenborough and Sittingbourne areas), Tunbridge Wells

Authorities in South West Thames Region

District Authorities created 1982

Thirteen district health authorities were formed in the South West Thames Region in 1982, replacing five Area Health Authorities:

AHA 1974–82 District Health Authority 1982 Local Government Areas Changes
Croydon Croydon Croydon (Same area as AHA)
Kingston and Richmond, Surrey Kingston and Esher Kingston upon Thames, part of Elmbridge (Esher area) Part of Kingston and Richmond District 1993
Kingston and Richmond; Merton, Sutton and Richmond Richmond, Twickenham and Roehampton Richmond upon Thames, part of Wandsworth (Putney and Roehampton areas) Part of Kingston and Richmond District 1993
Merton, Sutton and Wandsworth Merton and Sutton Merton, Sutton Part of Merton, Sutton and Wandsworth District 1994
Merton, Sutton and Wandsworth Wandsworth Part of Wandsworth (all except Putney and Roehampton areas) Part of Merton, Sutton and Wandsworth District 1994
Surrey East Surrey Tandridge, part of Mole Valley (Dorking and Horley areas), part of Reigate and Banstead (Reigate area)
Surrey Mid Surrey Epsom and Ewell, part of Reigate and Banstead (Banstead area), part of Elmbridge (Cobham, Oxshott and Stoke D'Abernon areas), part of Mole Valley (Leatherhead area)
Surrey North West Surrey Runnymede, Woking, part of Elmbridge (Walton and Weybridge area)
Surrey South West Surrey Most of Guildford (all except Ash area), part of Waverley (Godalming, Hambledon and Haslemere area)
Surrey West Surrey and North East Hampshire Surrey Heath, part of Guildford (Ash area only), part of Waverley (Farnham area) To North West Surrey District, part to South West Surrey 1993
West Sussex Chichester Chichester, part of Arun (Arundel and Bognor Regis areas)
West Sussex Cuckfield and Crawley: renamed Mid Downs 1982 Crawley, Mid Sussex, part of Horsham (Horsham area)
West Sussex Worthing Adur, Worthing, part of Arun (Littlehampton area)

1993–1996

Reorganisation in 1993 and 1994 led to a reduction in the number of districts to ten:

District Health Authority County Area
Chichester West Sussex Unchanged
Croydon Greater London Unchanged
East Surrey Surrey Unchanged
Kingston and Richmond Greater London, Surrey Kingston upon Thames, Richmond upon Thames, part of Elmbridge (Esher area), part of Wandsworth (Putney and Roehampton areas)
Merton, Sutton and Wandsworth Greater London Merton, Sutton, Part of Wandsworth (all except Putney and Roehampton areas)
Mid Downs West Sussex Unchanged
Mid Surrey Surrey Unchanged
North West Surrey Surrey Unchanged
South West Surrey Surrey Districts of Guildford and Waverley
Worthing West Sussex Unchanged

Authorities in Wessex Region

District Authorities created 1982

Ten district health authorities were formed in the Wessex Region in 1982, replacing four Area Health Authorities:

AHA 1974–82 District Health Authority 1982 Local Government Areas Changes
Dorset East Dorset Bournemouth, Christchurch, Poole, Purbeck, Wimborne Part of Dorset District in 1992
Dorset West Dorset North Dorset, West Dorset, Weymouth and Portland Part of Dorset District 1992
Hampshire Basingstoke and North Hampshire Basingstoke and Deane, Hart, Rushmoor, part of East Hampshire (Alton area) Part of North and Mid Hampshire District 1994
Hampshire Southampton and South West Hampshire New Forest, Southampton, part of Eastleigh (rural area), part of Test Valley (Romsey area)
Hampshire Winchester Part of Test Valley (Andover and Stockbridge areas), most of Winchester (all except Droxford area), part of Eastleigh (Eastleigh area) Part of North and Mid Hampshire District 1994
Hampshire Portsmouth and South East Hampshire Fareham, Gosport, Havant, Portsmouth, part of East Hampshire (Petersfield area)
Isle of Wight Isle of Wight County of Isle of Wight (same area as AHA)
Wiltshire Bath West Wiltshire, part of North Wiltshire (Calne, Chippenham, Malmesbury areas), part of Kennet (Devizes area) Part of Bath and Wiltshire District 1994
Wiltshire Salisbury Salisbury Part of Bath and Wiltshire District 1994
Wiltshire Swindon Thamesdown, part of Kennet (Marlborough, Pewsey and Ramsbury areas), part of North Wiltshire (Cricklade and Wootton Bassett areas) Part of Bath and Wiltshire District 1994

1994–1996

Reorganisation in 1994 led to a reduction in the number of districts to six:

District Health Authority County Area
Bath and Wiltshire Wiltshire Entire County
Dorset Dorset Entire County
Isle of Wight Isle of Wight Entire County (unchanged)
North and Mid Hampshire Hampshire Districts of Basingstoke and Deane, Hart, and Rushmoor; part of East Hampshire (Alton area); part of Test Valley (Romsey area); most of Winchester (except 3 parishes); part of Eastleigh (Eastleigh area)
Portsmouth and South East Hampshire Hampshire Unchanged
Southampton and South West Hampshire Hampshire Unchanged

Also in 1994, the Wessex Region was merged with the South West Region to form the South and West Region.

Authorities in Oxford Region

District Authorities created 1982

Eight district health authorities were formed in the Wessex Region in 1982, replacing four Area Health Authorities:

AHA 1974–82 District Health Authority 1982 Local Government Areas Changes
Berkshire, Buckinghamshire East Berkshire Bracknell, Slough, Windsor and Maidenhead, part of South Bucks (part formerly in Slough Rural District) Part of Berkshire District, Buckinghamshire District 1993
Berkshire, Oxfordshire West Berkshire Newbury, Reading, Wokingham, part of South Oxfordshire (Henley area) Part of Berkshire District, Oxfordshire District 1993
Buckinghamshire Aylesbury: renamed Aylesbury Vale 1982 Aylesbury Vale Part of Buckinghamshire District 1993
Buckinghamshire Milton Keynes Milton Keynes Part of Buckinghamshire District 1993
Buckinghamshire Wycombe Chiltern, Wycombe, part of South Bucks (Beaconsfield area) Part of Buckinghamshire District 1993
Northamptonshire Kettering Corby, East Northamptonshire, Kettering, Wellingborough Part of Northamptonshire District 1994
Northamptonshire Northampton Daventry, Northampton, South Northamptonshire Part of Northamptonshire District 1994
Oxfordshire Oxfordshire Cherwell, Oxford, Vale of White Horse, West Oxfordshire, part of South Oxfordshire (Bullingdon, Thame and Wallingford areas)

1993–1996

Reorganisation in 1993 led to a reduction in the number of districts to four:

District Health Authority County Area
Buckinghamshire Buckinghamshire Entire County
Berkshire Berkshire Entire County
Northamptonshire Northamptonshire Entire County
Oxfordshire Oxfordshire Entire County

In 1994 the Oxford Region was merged with the East Anglia Region to form Anglia and Oxford Region.

Authorities in South Western Region

District Authorities created 1982

Eight district health authorities were formed in the Wessex Region in 1982, replacing four Area Health Authorities:

AHA 1974–82 District Health Authority 1982 Local Government Areas Changes
Avon Bristol and Weston Bath, Wansdyke, part of Woodspring (Axbridge and Weston-super-Mare areas), part of Bristol (Bedminster, Brislington, Clifton, Windmill Hill areas) Part of Bristol and District 1991
Gloucestershire Cheltenham and District Cheltenham, part of Cotswold (Cirencester, Chipping Campden, Stow-on-the-Wold areas), most of Tewkesbury (except area formerly in Gloucester Rural District Part of Gloucestershire District 1991
Cornwall and Isles of Scilly Cornwall and Isles of Scilly Cornwall and Isles of Scilly (Same area as AHA)
Devon Exeter East Devon, Exeter, Mid Devon, part of West Devon (Okehampton area), part of Teignbridge (area formerly in St Thomas Rural District) Part of Exeter and North Devon District 1993
Avon Frenchay Kingswood, part of Northavon (Chipping Sodbury area), part of Bristol (Easton, Eastville, St George areas) Part of Bristol and District 1991
Gloucestershire Gloucester Forest of Dean, Gloucester, Stroud, part of Cotswold (Tetbury area) Part of Gloucestershire District 1991
Devon North Devon North Devon, Torridge Part of Exeter and North Devon District 1993
Devon Plymouth Plymouth, part of South Hams (Kingsbridge, Salcombe areas) Part of Plymouth and Torbay District 1993
Somerset Somerset Somerset (entire county) Same area as AHA
Avon Southmead Part of Bristol (Avonmouth, Henbury, Horfield, Redland, Southmead, Westbury-on-Trym areas), part of Northavon (Thornbury area), part of Woodspring (Clevedon and Portishead areas) Part of Bristol and District 1991
Devon Torbay Torbay, part of Teignbridge (except part in Exeter District), part of South Hams (Dartmouth, Totnes areas) Part of Plymouth and Torbay District 1993

1993–1996

Reorganisation in 1991 and 1993 led to a reduction in the number of districts to five:

District Health Authority County Area
Bristol and District Avon Entire County
Cornwall and Isles of Scilly Cornwall, Isles of Scilly Unchanged
Exeter and North Devon Devon Districts of East Devon, Exeter, Mid Devon, North Devon and Torridge; most of West Devon (except Tavistock areas); part of Teignbridge (the area formerly in St Thomas Rural District)
Gloucestershire Gloucestershire Entire County
Plymouth and Torbay Devon Districts of Plymouth, South Hams, and Torbay, part of Teignbridge (Ashburton, Buckfastleigh, Dawlish, urban districts and the urban and rural districts of Newton Abbot); part of West Devon (the former urban and rural districts of Tavistock)
Somerset Somerset Unchanged

In 1994 the South West Region was merged with the Wessex Region to form the South and West Region.

Authorities in West Midlands Region

District Authorities created 1982

Twenty-two district health authorities were formed in the West Midlands Region in 1982, replacing eleven Area Health Authorities:

Hereford and Worcester

AHA 1974–82 District Health Authority 1982 Changes
Birmingham Central Birmingham Part of Birmingham (Edgbaston, Fox Hollies, Hall Green, Harborne, Quinton, Sparkbrook, Sparkhill areas) Absorbed by South Birmingham District 1991
Birmingham East Birmingham Part of Birmingham (Acock's Green, Hodge Hill, Shard End, Sheldon, Small Heath, Washwood Heath, Yardley areas) Absorbed by North Birmingham District 1994
Birmingham North Birmingham Part of Birmingham (Erdington, Kingsbury, Stockland Green, Sutton Coldfield areas) Absorbed East Birmingham, West Birmingham Districts 1994
Birmingham South Birmingham Part of Birmingham (Bartley Green, Billesley, Bourneville, Brandwood, King's Norton, Longbridge, Moseley, Northfield, Selly Oak, and Weoley areas) Absorbed Central Birmingham 1991
Birmingham West Birmingham Part of Birmingham (Aston, Handsworth, Kingstanding, Ladywood, Oscott, Perry Barr, Sandwell, Soho areas) Absorbed by North Birmingham District 1994
Coventry Coventry Coventry (Same area as AHA)
Dudley Dudley Dudley (Same areas as AHA)
Hereford and Worcester Bromsgrove and Redditch Bromsgrove, Redditch Part of North Worcestershire District 1992
Hereford and Worcester Herefordshire Hereford, South Herefordshire, part of Leominster (Kington, Leominster and Wigmore areas), part of Malvern Hills (Bromyard and Ledbury areas)
Hereford and Worcester Kidderminster and District Wyre Forest, part of Leominster (Tenbury area), part of Wychavon (1 parish) Part of North Worcestershire District 1992
Worcester and District Worcester, part of Malvern Hills (Malvern, Martley, Upton upon Severn areas)
Sandwell Sandwell Sandwell (Same area as AHA)
Shropshire Shropshire Shropshire (Same area as AHA)
Solihull Solihull Solihull (Same area as AHA)
Staffordshire Mid-Staffordshire Cannock Chase, South Staffordshire, Stafford Part of South Staffordshire District 1994
Staffordshire North Staffordshire Newcastle-under-Lyme, Staffordshire Moorlands, Stoke-on-Trent
Staffordshire South-East Staffordshire East Staffordshire, Lichfield, Tamworth Part of South Staffordshire District 1994
Walsall Walsall Walsall (Same area as AHA)
Warwickshire North Warwickshire North Warwickshire, Nuneaton and Bedworth Part of North East Warwickshire District 1991†
Warwickshire Rugby Rugby Part of North East Warwickshire District 1991†
Warwickshire South Warwickshire Stratford-on-Avon, Warwick Part of Warwickshire District 1993
Wolverhampton Wolverhampton Wolverhampton (Same area as AHA)

† North East Warwickshire District merged with South Warwickshire District to form Warwickshire District in 1993.

1991–1996

Reorganisation in 1991 to 1993 led to a reduction in the number of districts to fifteen:

District Health Authority County Area
Coventry West Midlands Coventry (unchanged)
Dudley West Midlands Dudley (unchanged)
Herefordshire Hereford and Worcester (unchanged)
North Birmingham West Midlands Part of Birmingham (areas formerly in East Birmingham, North Birmingham, West Birmingham Districts)
North Staffordshire Staffordshire Newcastle-under-Lyme, Staffordshire Moorlands and Stoke-on-Trent
North Worcestershire Hereford and Worcester Districts of Bromsgrove, Redditch and Wyre Forest; part of Leominster (Tenbury area), one parish in Wychavon
Sandwell West Midlands Sandwell (unchanged)
Shropshire Shropshire Entire County (unchanged)
Solihull West Midlands Solihull (unchanged)
South Birmingham West Midlands Part of Birmingham (areas fortmerly in Central Birmingham, South Birmingham Districts)
South Staffordshire Staffordshire Cannock Chase, East Staffordshire, Lichfield South Staffordshire, Stafford, Tamworth
Walsall West Midlands Walsall (Unchanged)
Warwickshire Warwickshire Entire County
Wolverhampton West Midlands Wolverhampton (Unchanged)
Worcester and District Hereford and Worcester Unchanged

Authorities in Mersey Region

District Authorities created 1982

Ten district health authorities were formed in the Mersey Region in 1982, replacing six Area Health Authorities:

AHA 1974–82 District Health Authority 1982 Local Government Areas Changes
Cheshire Chester Chester, part of Ellesmere Port and Neston (Ellesmere Port area)
Cheshire Crewe Crewe and Nantwich, part of Congleton (Alsager, Middlewich and Sandbach areas), most of Vale Royal (all except part formerly in Runcorn Rural District) Part of South and East Cheshire District 1993
Cheshire Halton Halton, part of Vale Royal (part of the area formerly in Runcorn Rural District) Part of North Cheshire District 1993
Cheshire Macclesfield Macclesfield, part of Congleton (Congleton area) Part of South and East Cheshire District 1993
Cheshire Warrington Warrington, part of Vale Royal (part of the area formerly in Runcorn Rural District) part of North Cheshire District 1993
Cheshire, Wirral Wirral Wirral, part of Ellesmere Port and Neston (Neston area)
St Helens and Knowsley St Helens and Knowsley St Helens, Knowsley (Same area as AHA)
Liverpool Liverpool Liverpool (Same area as AHA)
Sefton North Sefton: renamed Southport and Formby Part of Sefton (Southport, Formby areas) Part of Sefton District 1993
Sefton South Sefton (Merseyside) Part of Sefton (Bootle, Crosby, Litherland areas) Part of Sefton District 1993

1993–1996

Reorganisation in 1993 led to a reduction in the number of districts to seven:

District Health Authority County Area
Chester Cheshire Unchanged
Liverpool Merseyside Unchanged
North Cheshire Halton and Warrington; part of Vale Royal (the part formerly in Runcorn Rural District)
Sefton Merseyside Sefton
St Helens and Knowsley Merseyside Unchanged
South and East Cheshire Cheshire Congleton, Crewe and Nantwich and Macclesfield; Vale Royal (except part in North Cheshire)
Wirral Cheshire, Merseyside Unchanged

In 1994 the Mersey Region was merged with the North Western Region to form the North West Region.

Authorities in North Western Region

District Authorities created 1982

Nineteen district health authorities were formed in the North Western Region in 1982, replacing eleven Area Health Authorities:

AHA 1974–82 District Health Authority 1982 Local Government Areas Changes
Bolton Bolton Bolton (Same area as AHA)
Bury Bury Bury (Same area as AHA) Part of Bury and Rochdale District 1994
Lancashire Blackburn, Hyndburn and Ribble Valley Blackburn, Hyndburn, Ribble Valley Part of East Lancashire District 1994
Lancashire Blackpool, Wyre and Fylde Blackpool, Fylde, Wyre Part of North West Lancashire District 1994
Lancashire Burnley, Pendle and Rossendale Burnley, Pendle, most of Rossendale (Bacup, Haslingden, Rawtenstall areas) Part of East Lancashire District 1994
Lancashire Chorley and South Ribble Chorley, South Ribble Part of South Lancashire District 1994
Lancashire Lancaster Lancaster Part of Morecambe Bay District 1994
Lancashire Preston Preston Part of North West Lancashire District 1994
Lancashire West Lancashire West Lancashire Part of South Lancashire District 1994
Manchester Central Manchester Part of Manchester (Ardwick, Fallowfield, Gorton, Hulme, Levenshulme, Longsight, Moss Side, and Rusholme areas) Part of Manchester District 1994
Manchester North Manchester Part of Manchester (Blackley, Cheetham, Crumpsall, Harpurhey, Moston, and Newton Heath areas) Part of Manchester District 1994
Manchester South Manchester Part of Manchester (Baguley, Chorlton, Didsbury, Northenden, Whalley Range, Withington areas) Part of Manchester District 1994
Oldham Oldham Oldham (same area as AHA) Part of West Pennine District 1994
Rochdale, Lancashire Rochdale Rochdale, part Rossendale (Whitworth area) Part of Bury and Rochdale District 1994
Salford Salford Salford (same area as AHA) Part of Salford and Trafford District 1994
Stockport Stockport Stockport (same area as AHA)
Tameside, Derbyshire Tameside and Glossop Tameside, part of High Peak (Glossop and Tintwistle areas) Part of West Pennine District 1994
Trafford Trafford Trafford (same area as AHA) Part of Salford and Trafford District 1994
Wigan Wigan Wigan (Same area as AHA)

1994–1996

Reorganisation in 1994 led to a reduction in the number of districts to :

District Health Authority County Area
Bolton Greater Manchester Bolton (unchanged)
Bury and Rochdale Greater Manchester, Lancashire Bury, Rochdale, part Rossendale (Whitworth area)
East Lancashire Lancashire Blackburn, Burnley, Hyndburn, Ribble Valley, Pendle, most of Rossendale (Bacup, Haslingden, Rawtenstall areas)
Manchester Greater Manchester Manchester
Morecambe Bay Lancashire, Cumbria Barrow-in-Furness, Lancaster, South Lakeland
North West Lancashire Lancashire Blackpool, Fylde, Preston, Wyre
South Lancashire Lancashire Chorley, South Ribble, West Lancashire
Salford and Trafford Greater Manchester Salford, Trafford
Stockport Greater Manchester Unchanged
West Pennine Greater Manchester, Derbyshire Oldham, Tameside, part of High Peak (Glossop and Tintwistle areas)

In 1994 the North Western Region was merged with the Mersey Region to form the North West Region.

Authorities in Wales

District Authorities created 1982

Nine district health authorities were formed in Wales in 1982. There were no Area Health Authorities in Wales, the entire principality being under the jurisdiction of the Welsh Office.

County District Health Authority 1982
Clwyd Clwyd
Dyfed East Dyfed
Dyfed Pembrokeshire
Gwent Gwent
Gwynedd Gwynedd
Mid Glamorgan Mid Glamorgan
Powys Powys
South Glamorgan South Glamorgan
West Glamorgan West Glamorgan

References
  1. Royal Commission on the NHS Chapter 4. HMSO. July 1979. ISBN 0101761503. Retrieved 19 May 2015.

Sources
  • The National Health Service (Determination of Districts) Order 1981 (1981 No. 1837)
  • The National Health Service (Determination of Districts) Amendment Order 1982 (1982 No. 344)
  • The National Health Service (Determination of Districts) Amendment Order 1985 (1985 No. 370)
  • The National Health Service (Determination of Districts) Amendment Order 1988 (1988 No. 407)
  • The National Health Service (Determination of Regions and Districts) Amendment Order 1990 (1990 No. 1755)
  • The National Health Service (Determination of Districts) Order 1991 (1991 No. 326)
  • The National Health Service (Determination of Districts) (No. 2) Order 1991 (1991 No. 2039)
  • The National Health Service (Determination of Districts) Order 1992 (1992 No. 120)
  • The National Health Service (Determination of Districts) (No. 2) Order 1992 (1992 No. 367)
  • The National Health Service (Determination of Districts) (No. 3) Order 1992 (1992 No. 2163)
  • The National Health Service (Determination of Districts) (No. 4) Order 1992 (1992 No. 2751)
  • The National Health Service (Determination of Districts) Order 1993 (1993 No. 574)
  • The National Health Service (Determination of Districts) (No. 2) Order 1993 (1993 No. 2219)
  • The National Health Service (Determination of Districts) Order 1994 (1994 No. 681)
  • The National Health Service (Determination of Districts) (No. 2) Order 1994 (1994 No. 1261)
  • The National Health Service (Determination of Districts) (No. 3) Order 1994 (1994 No. 2289)
  • The National Health Service (Determination of Districts) Order 1995 (1995 No. 562)
  • The National Health Service (Determination of Districts) (No. 2) Order 1995 (1995 No. 533)
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