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The City and Hackney Health District was created in 1974 and formed one of three Health Districts in the City and East London Area Health Authority (Teaching), its boundaries coinciding with those of the Local Authority. The two other districts were Tower Hamlets and Newham. The District became the City and Hackney Health District Authority in 1982. It was abolished in 1993 and superceded by the East London and The City Health Authority.
Hospitals in the area were divided into units, with St Bartholomew's Hospital Unit comprising St Bartholomew's, St Leonard's and St Mark's hospitals; City of London Unit comprising St Bartholomew's and St Mark's; and the Hackney Unit comprising the Hackney, Eastern, Mothers', German, Homerton and St Matthew's hospitals. The Joint Consultative Committee was established to provide for joint care planning between local authorities and health authorities, and drew its membership from the London Borough of Hackney, the City of London Corporation, the Inner London Education Authority, the City and East London Family Practitioner Committee and voluntary organisations, as well as City and Hackney Health Authority. The City and East London Area Health Authority (Teaching) was responsible for the healthcare facilities in the City of London and the London Boroughs of Hackney, Tower Hamlets and Newham. It was divided into three Health Districts: City and Hackney, Newham and Tower Hamlets.