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NHS England


About the NHS - How the NHS Works

The NHS was set up in 1948 and is now the largest organisation in Europe. It is recognised as one of the best health services in the world by the World Health Organisation but there need to be improvements to cope with the demands of the 21st century. The NHS is changing the way it works to make sure patients always come first. This has brought about some fundamental changes in the way the NHS is structured and the way in which the different organisations within the NHS relate to each other.

The information and clickable diagram below shows you how the NHS structure works in England. For information on the health service in other parts of the UK, please visit the NHS in Northern Ireland, the NHS in Scotland or the NHS in Wales.

The Isle of Man and the Channel Islands have separate independent health service structures. For more information please visit Isle of Man Government, States of Guernsey Government and States of Jersey Government.

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