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NHS Wales has been organised into administrative units known as Local Health Boards since 2003. In 2009, the health boards were reorganised and merged with local NHS hospital trusts into seven larger local health boards, coming into effect on 1 October 2009, replacing the system in use since 2003. These Health Boards using the operational names of either University or Teaching Health Board.

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Alongside the health boards, there are three all-Wales NHS trusts of NHS Wales - Public Health Wales, Velindre University NHS Trust, and the Welsh Ambulance Service. There are currently two Special Health Authorities - Health Education and Improvement Wales, and Digital Health & Care Wales.

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Local health boards are responsible for planning and delivering NHS services in their areas. These health services include; Dental, Optical, Pharmacy, and Mental Health.

They are also responsible for:

  • Improving physical and mental health outcomes
  • Promoting wellbeing
  • Reducing health inequalities across their population
  • Commissioning services from other organisations to meet the needs of their residents