The
National Health Service (Scotland) Act 1947 came into effect on 5 July 1948 and created the
National Health Service in Scotland. Though the title 'National Health Service' implies one health service for the United Kingdom, in reality one NHS was created for
England and Wales, accountable to the
Secretary of State for Health and a separate NHS was created for Scotland, accountable to the
Secretary of State for Scotland. Similar health services in Northern Ireland were created by the Northern Ireland Parliament through the Health Services Act (Northern Ireland) 1948.