NHS Wales () is the publicly-funded healthcare system in Wales, and one of the four systems which make up the National Health Service in the United Kingdom. NHS Wales was formed as part of the public health system for England and Wales created by the National Health Service Act 1946, with powers over the NHS in Wales coming under the Secretary of State for Wales in 1969. That year, the latter took over much of the responsibility for health services in Wales, being supported in this by the Welsh Office, which had been established in 1964. Following the pre-legislative Welsh devolution referendum of 18 September 1997, Royal Assent was given on 31 July to the Government of Wales Act 1998. This created the National Assembly for Wales, to which overall responsibility for NHS Wales was devolved in 1999. Responsibility, therefore, for NHS Wales was passed to the Welsh Government under devolution in 1999 and has since then been the responsibility of the Welsh Minister for Health and Social Services. NHS Wales provides emergency services and a range of primary, secondary, and specialist tertiary care services. District General Hospitals provide outpatient, inpatient, and accident and emergency services, and there is a network of community hospitals run by GPs. Specialist hospitals provide services such as burns units and plastic and cardiac surgery. NHS Wales also funds GP services, dental services, pharmacies, and sexual health services. Community services are also provided, including district nurses, health visitors, midwives, community-based speech therapists, physiotherapists and occupational therapists. Structure NHS Wales provides services through seven health boards and three NHS trusts. Health boards The seven local health boards (LHBs) in Wales are shown below. Each LHB is responsible for delivering all NHS healthcare services within a geographical area, divided into a number of Network Clusters. NHS trusts The three NHS trusts, called "all-Wales trusts", are: the Welsh Ambulance Service Velindre University NHS Trust, which operates the Velindre Cancer Centre and the Welsh Blood Service Public Health Wales The current health boards were created on 1 October 2009 following a reorganisation of NHS Wales that saw the abolition of the 22 local health boards (LHBs) and seven NHS trusts that had existed since 2003. Since the reorganisation health boards have been responsible for delivering all NHS services, replacing the two-tiered trust and LHB system. In April 2019 responsibility for health services in Bridgend County Borough was transferred from