The NHS changed in 2013 and it’s pretty complicated. Here are some infographics on how the health organisations work together and which ones are responsible for what.
The NHS has always undergone restructuring and change throughout its history, particularly when new governments come into power. The Health and Social Care Act 2012 by the coalition government merged health and social care, along with setting out the biggest reorganisation of the NHS in its history. These changes came into effect in April 2013.
The Department of Health (DH) devolved much of its power to other organisations, also known as arm’s length bodies, non-departmental public bodies, or quangos (quasi-autonomous non-governmental organisations). As a result, the structure of the NHS is now much more complicated than it ever has been, and it’s difficult to know who’s responsible or accountable for what out of the 23 different agencies working with the DH.
I’ve collected some graphics of the structure of the NHS in England below. Click on them to view them full size on their websites. For other parts of the UK there’s a list at the end of this blog post.
Other parts of the UK
- NHS Northern Ireland
- NHS Scotland
- NHS Wales
- The Isle of Man Government
- States of Guernsey Government
- States of Jersey Government