Healthcare in UK

Each country of the UK ( England, Scotland, Wales & Northern Ireland) has a separate public healthcare system, with power over the provision of health services in Scotland, Wales and Northern Ireland being devolved. Each system provides healthcare to their citizens that is free at the point of need (being funded from general taxation). Despite this similarity, considerable differences are now developing between the different systems. A much smaller private medical system also exists. Various regulatory bodies are organised on a UK-wide basis such as the General Medical Council, the Nursing and Midwifery Council and non-governmental-based (e.g. Royal Colleges). Across the UK, there is a large number of medical schools and dental schools, and a considerable establishment for training nurses and professions allied to medicine, such as physiotherapy, occupational therapy, clinical psychology and radiography. The UK and devolved governments take on both the role of suppliers of public healthcare and assessors of the quality of its delivery through groups organised directly by government departments, such as NICE and CHI.
Though the public health systems are commonly referred to as the NHS across the UK, in fact the National Health Service just covers England. The Secretary of State for Health is answerable to the UK Parliament for the running of the Department of Health and for the work of the NHS (in England). The NHS is one of the largest cohesive organisations of any type in the world employing over 1.3 million people. Public sector healthcare delivery consists of primary (General Practice), secondary (district general hospital) and tertiary (teaching hospital) levels of service. There is considerable interaction and cross-flow between the various levels.
NHS Scotland provides public healthcare in Scotland with the Cabinet Secretary for Health and Wellbeing responsible to the Scottish Parliament for the its work. In 2006, the NHS in Scotland had around 158,000 staff including more than 47,500 nurses, midwives and health visitors and over 3,800 consultants. In addition, there were also more than 12,000 doctors, family practitioners and allied health professionals, including dentists, opticians and community pharmacists, who operate as independent contractors providing a range of services within the NHS in return for fees and allowances.
NHS Wales provides public healthcare in Wales and employs some 90,000 staff, making it Wales’ biggest employer. The Minister for Health and Social Services is the person within the Welsh Assembly Government who holds cabinet responsibilities for both health and social care in Wales.