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单词 National Health Service
释义

National Health Service
(NHS) A service established for England and Wales in 1948 as a result of the National Health Service Act 1946 and reorganized in 1974, 1982, 1990, 1999 (under the Health Act 1999), 2002 (under the NHS Reform and Health Care Professions Act 2002), and 2013 (under the Health and Social Care Act 2012). It is concerned with the provision of hospital, specialist, general practitioner (medical, dental, ophthalmic, and pharmaceutical), nursing, ambulance, and related services, under the ultimate responsibility of the Secretary of State for Health. In England the Health Service is administered by the National Health Service Executive headed by a Chief Executive.

Following reorganization in 2002, the regional provision of NHS services was managed by Strategic Health Authorities, whereas local healthcare services (e.g. general practitioners, hospitals, ambulances, pharmacies) were managed by Primary Care Trusts, which commissioned these services from NHS Trusts and other provider organizations.

However, Primary Care Trusts and Strategic Health Authorities were abolished under the Health and Social Care Act 2012 and new organizations, such as Clinical Commissioning Groups, were established to take their place. At the same time, NHS services were opened up to competition from other providers, and the vast majority of hospitals and other NHS Trusts became foundation trusts (see NHS Foundation Trust). Local authorities have assumed responsibility for budgets for public health (see Health and Wellbeing Boards). The Department of Health and Social Care remains responsible for strategic leadership of the health system but no longer directly manages any NHS organizations. The Care Act 2014 also established Health Education England (HEE) and the Health Research Authority (HRA) as statutory non-departmental bodies (NDPBs). This was intended to ensure the independence of these bodies, which lead national systems for the education and training of healthcare professionals and regulate health and social care research respectively See also NHS England; Public Health England.

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更新时间:2025/5/29 14:06:16