Central Nottinghamshire Healthcare trust and Rampton hospital authority: merger options to be discussed this autumn.

North Derbyshire Confederation of adult mental health services will bring together acute inpatient services with community mental health from October.

Manchester HA and city council: a decision on a single trust is due in October. The proposals are opposed by providers.

Leeds Citywide: five PCGs look likely to take on work from Leeds Community and Mental Health Services Teaching trust.