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There are four administratively-separate national health servicesNational Health Service (England)NHS Scotland NHS WalesHealth and Care NI the health service for Northern Ireland (which does not use the names "NHS" or "National Health Service"). Were these all set up as separate organisations at the 'birth' of the NHS (if so -why) - if not when were they separated and why?(I've tried looking for answers to this and there is no readily available information)By definition if they are separate organisations that must be a duplication -why? A missed cost cutting opportunity?The new proposed NHS consistution only covers England - why?Does this mean that a new (and possibly different) Constitution has to be drafted and consulted upon for the other 3 organisations? Why? Another missed cost-cutting opportunity?It seems divisive to me - why should the standards be different?
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