A primary care trust (PCT) was an NHS administrative body in England responsible for commissioning primary, community, and secondary care services for its local population, holding the majority of the NHS budget at the time. PCTs planned services, contracted with GPs and hospitals, and led public health initiatives including nutrition programmes, breastfeeding support, and obesity strategies. They were abolished in England in 2013 under the Health and Social Care Act, with commissioning passing to clinical commissioning groups and public health moving to local authorities. The term survives in historical discussion of NHS organisation and in the literature of that era’s health policy. For nutrition, the PCT period saw coordinated local action on food and health, from school meal improvements to community weight management, that later reforms fragmented.