coordination and overall provision of health and social care services is the Public Health Agency. The five professional groups are: Medical and Allied Services Social Services Inspectorate Nursing and Midwifery Advisory Group Dental Services Pharmaceutical Advice and Services Information technology The Northern Ireland Electronic Care Record, developed from 2013, was extended to community optometrists in July 2019. Cloud21 (British) and Tegria (American) were engaged in 2022 to deliver the Encompass programme which will have a fully-integrated electronic health and care record across acute physical services, mental health, community care, and social services. This is the second such system in Western Europe. Trusts Trusts are the statutory bodies responsible for the management of staff, health and social care services on the ground and have control their own budgets. The 19 health and social services trusts were merged into six health and social care trusts which became operational on 1 April 2007. The six trusts are: Belfast Health and Social Care Trust Northern Health and Social Care Trust Northern Ireland Ambulance Service Health and Social Care Trust South Eastern Health and Social Care Trust Southern Health and Social Care Trust Western Health and Social Care Trust Primary care There are about 350 GP Practices in the region. In 2016 Michelle O'Neill produced a plan to install a named district nurse, health visitor and social worker in every practice. 54 pharmacists are to start in practices in December 2016 with one in every practice by 2021. The number of GP training places is to increase to 111. The British Medical Association voted to start collecting undated resignations from Northern Ireland GPs in January 2017 in protest against the underfunding of general practice in the province. Less than 60% were collected. There was a decline in partners take-home pay in 2016/17, to £90,500. An investment package of £22 million was announced in 2018. £12.3 million is for pharmacists in practices. In May 2018 a £100 million Health and Social Care transformation funding package was announced, including £5 million for Multi Disciplinary Teams in two areas initially, each of about 100,000 people, which will involve the establishment of practice-based physiotherapists, mental health specialists and social workers working alongside doctors and nurses. The first community hub for primary care in the province is to be established in Cookstown, in 2018, backed by four local GP practices and the health board. It is to incorporate scanning facilities,