In April it will be abolished and its finances passed to four clinical commissioning groups (CCGs).
In April the trust will be abolished and its finances passed to four clinical commissioning groups (CCGs).
He acknowledges that budgets are tight, and there is close scrutiny from the NHS Commissioning Board which oversees CCGs.
About 25 extra GPs have been hired by the CCGs, allowing two to be on duty at any one time.
The existing Primary Care Trusts (PCTs), which manage hospitals, would be abolished and replaced by the clinical commissioning groups (CCGs).
Across England almost every GP practice has joined with neighbouring surgeries to form what are called Clinical Commissioning Groups, or CCGs.
Meanwhile, councils have had to set up health and wellbeing boards that include representatives from CCGs, hospitals and patient groups as well as councillors.
Not all CCGs will be ready to take on budgets in 2013, and they will have to be centrally authorised before they take control.
There are currently around 240 CCGs but that number may decrease.
The CCGs said managing the debt remained an "enormous challenge".
Opposition spokesman Lord Hunt later forced a vote on an amendment to create an independent process to appoint the chairman and non-executive member of the boards of CCGs.
It will control a significant part of the overall budget so that it can plan and buy specialist services and will also be charged with ensuring CCGs do not overspend their budgets.
This title launched without much fanfare in the North American market, but after a few weeks of assessment the conclusion is that this could easily be one of the top digital CCGs of 2013.
And the NHS Commissioning Board has a series of regional offices (to provide oversight on the ground) and strategic networks (to provide expert advice to CCGs in areas such as dementia, heart disease and cancer).
Local councils are to have more of a role in tackling public health problems, such as obesity, in their area - and new health and wellbeing boards will help link this work with that of the CCGs.
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