- under - L yme ▁P CT , ▁Staff ord shire ▁Mo or lands ▁P CT , ▁Sto ke - on - Tr ent ▁P CT ▁and ▁South ▁Staff ord shire ▁P CT . ▁ ▁New castle - under - L yme ▁and ▁Staff ord shire ▁Mo or lands ▁were ▁merged ▁into ▁North ▁Staff ord shire ▁P CT ▁in ▁ 2 0 0 6 . ▁ ▁They ▁were ▁managed ▁by ▁the ▁Sh ro pshire ▁and ▁Staff ord shire ▁Str ateg ic ▁Health ▁Author ity ▁which ▁was ▁merged ▁into ▁N HS ▁West ▁Mid lands ▁in ▁ 2 0 0 6 . ▁ ▁Management ▁consult ancy ▁K PM G ▁produced ▁a ▁report ▁on ▁the ▁local ▁health ▁economy ▁in ▁March ▁ 2 0 1 5 ▁for ▁the ▁N HS ▁Trust ▁Development ▁Author ity , ▁N HS ▁England ▁and ▁Mon itor ▁which ▁critic ised ▁the ▁lack ▁of ▁collaboration ▁between ▁different ▁organis ations ▁in ▁the ▁county . ▁They ▁said ▁the ▁health ▁system ▁was ▁in ▁“ per pet ual ▁crisis ▁mode ” ▁with ▁a ▁lack ▁of ▁clin ical ▁leaders ▁and ▁a ▁manager ial ly ▁focused ▁leadership ▁with ▁“ many ▁examples ▁of ▁sil o ▁working ”. ▁They ▁reported ▁that ▁clin ical ▁commission ing ▁groups ▁in ▁the ▁county ▁did ▁not ▁collabor ate ▁and ▁their ▁plans , ▁including ▁financial ▁contract s , ▁were ▁not ▁aligned ▁with ▁each ▁other ▁or ▁prov iders . ▁ ▁The ▁C CG s ▁of ▁Staff ord ▁& ▁S urr ounds , ▁C ann ock ▁Ch ase , ▁and ▁South ▁East ▁Staff ord shire ▁and ▁Se is don ▁Pen