Anti-social behaviour can affect a person's physical and mental health. High crime, disorderly neighbourhoods have correspondingly high health needs. Health services have a role to play in tackling anti-social behaviour at a strategic level - for example in analysing admissions to accident and emergency departments (A&E) to determine alcohol fuelled violence hotspots - and at a local level - providing health care for victims, witnesses and perpetrators of ASB.

The structure of the health service in England and Wales is as follows:

General practitioners and primary care: GPs are the gatekeepers of the National Health Service ( NHS ) and are a starting point for virtually all health services provided in hospitals or in the community. GPs are self-employed doctors who have a contract with the local health authority for the provision of general medical services.

Primary care groups ( PCG ): From April 1999 481 PCGs were established in England covering populations ranging from 50,000 to 250,000. The new PCGs involve all GPs in an area together with community nurses. PCGs do not have total budgetary responsibility for their area.

Primary care trusts: a PCT may opt to become free-standing and assume responsibility for commissioning the vast majority of hospital and community services in their area. PCTs provide packages of seamless care, offering treatment, advice, physiotherapy and chiropody.

Health authorities: Health authorities assess the health needs of the local population and draw up, in partnership with all the local interests, a health improvement programme (HimP) for the area. They must also determine local targets and standards to drive quality and efficiency in line with nationally set priorities and guidance. Health authorities allocate resources down to PCG level and hold them to account both financially and in terms of their contribution to the HimP.

NHS trusts: The health authority and PCGs/PCTs sign service agreements with NHS Trusts for the provision of secondary care services - hospitals, community health services and ambulance services.


From the 30th of April 2004 primary care trusts became statutory partners in crime and disorder reduction partnerships ( CDRPs ). Guidance was issued by the Department of Health and the Home Office on 3 August 2004 about the role of primary care trusts in this partnership. View the Department of Health and the Home Office guidance below.


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