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A local health board (LHB; Welsh : bwrdd iechyd lleol) is an administrative unit of NHS Wales, established in 2003. Following a reorganisation in 2009, there are currently seven local health boards in Wales. Local health boards may use an operational name of either University Health Board (Welsh : Bwrdd Iechyd Prifysgol) or Teaching Health Board (Welsh : Bwrdd lechyd Addysgu) in their names.
The LHBs were operationally launched on 1 April 2003, [1] [2] following "The Local Health Boards (Establishment) (Wales) Order 2003" coming into force on 10 February 2003, replacing the five Health Authorities in Wales. In 2003, there were 22 LHBs in Wales, corresponding to one LHB for each principal area of Wales. These new boards would receive roughly three-quarters of the allocated budget for NHS Wales, and the boards were set up to effectively plan services for the populations of their respective local authorities. The boards were given the responsibility of financing hospital trusts, G.Ps, dentists, and other healthcare professionals to provide these services. The Health Commission Wales (Specialist Services) was also created on 1 April 2003 to take over the responsibility of a few services, previously allocated to the Health Authorities, on an all-Wales basis for more effective planning and service, such as the services for; cardiac surgery, emergency ambulance services, and some children's services.
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. [3]
Alongside the seven local health boards there are three all-Wales NHS trusts of NHS Wales (Public Health Wales, Velindre University NHS Trust and the Welsh Ambulance Service) [4] and one Special Health Authority (Health Education and Improvement Wales). [5]
Between 2003 and 2009, there were 22 local health boards, corresponding to each principal area, for example, the health board for Vale of Glamorgan was the Vale of Glamorgan Local Health Board, and the board for Wrexham County Borough was the Wrexham Local Health Board. In addition, there were changing numbers of NHS trusts since their establishment following the National Health Service and Community Care Act 1990, due to mergers of some trusts, by 2009 there were 10 local NHS trusts in Wales. These local trusts were then abolished and their functions transferred to the local health boards in 2009.
The current seven local health boards in Wales are:
A map of the seven local health boards (LHBs) in Wales is shown below. Each LHB is responsible for delivering all NHS healthcare services within a geographical area, divided into a number of Network Clusters. [8]
Betsi Cadwaladr University Health Board
Hywel Dda University Health Board
Cwm Taf Morgannwg University Health Board
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Cardiff and Vale University Health Board
Swansea Bay University Health Board
Aneurin Bevan University Health Board
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Dewi Sant Hospital is a small hospital on Albert Road, in Pontypridd, Rhondda Cynon Taf, Wales. It is managed by the Cwm Taf Morgannwg University Health Board.
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.
Prince Charles Hospital is a district general hospital in Gurnos, Merthyr Tydfil, Wales. It is managed by the Cwm Taf Morgannwg University Health Board.
Maesteg Community Hospital is a community hospital in Maesteg, Wales. It is managed by Cwm Taf Morgannwg University Health Board.
The Princess of Wales Hospital is a district general hospital in Bridgend, Wales. It is managed by Cwm Taf Morgannwg University Health Board.
Cardiff and Vale University Health Board is the local health board of NHS Wales for Cardiff and Vale of Glamorgan, in the south-east of Wales. Formed on 1 October 2009 through the amalgamation of three NHS organisations in the Cardiff and Vale of Glamorgan area. The three organisations amalgamated were: Cardiff and Vale NHS Trust, employing 12,000 staff and previously responsibility for hospital services in the Cardiff and Vale of Glamorgan area; Cardiff Local Health Board; and Vale of Glamorgan Local Health Board both responsible for GP, Dental, Optical and pharmacy services. The headquarters of the Board is in the University Hospital of Wales, in Cardiff. Cardiff and Vale University Health Board is the operational name of Cardiff and Vale Local Health Board.
Monnow Vale Integrated Health and Social Care Facility is a hospital at Drybridge Park in Monmouth, Wales. It is managed by the Aneurin Bevan University Health Board.
The Artificial Limb & Appliance Service (ALAS) is an NHS Wales organisation providing support, equipment and rehabilitation to people with permanent or long-term impairment. It is commissioned by Health Commission Wales, and is provided through a consortium arrangement between three NHS Wales trusts, each hosting one centre (ALAC). The centres are situated in:
The Royal Glamorgan Hospital, is a District General Hospital in Ynysmaerdy, Talbot Green, Rhondda Cynon Taf, South Wales. It is managed by the Cwm Taf Morgannwg University Health Board, and is part of the NHS Wales public healthcare system.
Healthcare in Wales is mainly provided by the Welsh public health service, NHS Wales. NHS Wales provides healthcare to all permanent residents that is free at the point of need and paid for from general taxation. Health is a matter that is devolved, and considerable differences are now developing between the public healthcare systems in the different countries of the United Kingdom, collectively the National Health Service (NHS). Though the public system dominates healthcare provision, private health care and a wide variety of alternative and complementary treatments are available for those willing to pay.
Swansea Bay University Health Board (SBUHB) is the local health board of NHS Wales for Swansea and Neath Port Talbot, in the south-west of Wales. Established as Abertawe Bro Morgannwg University Health Board (ABMUHB) in 2009, it was renamed and had its boundaries altered on 1 April 2019. In February 2019 it was decided to rename it Swansea Bay University Health Board and to alter the boundary with the Cwm Taf University Health Board.
Hywel Dda University Health Board (HDUHB) is the local health board of NHS Wales for the west of Wales. Established on 1 October 2009 from the merger of the Hywel Dda NHS Trust, the Pembrokeshire Local Health Board, Ceredigion Local Health Board and Carmarthenshire Local Health Board. The local health board is named in honour of historic south west Wales king Hywel Dda. Hywel Dda University Health Board provides healthcare services to a total population of around 385,615 throughout Carmarthenshire, Ceredigion and Pembrokeshire. The headquarters of Hywel Dda is based in Hafan Derwen, St David's Park, Carmarthen, Wales. Hywel Dda University Health Board is the operational name of Hywel Dda Local Health Board.
Cwm Taf Morgannwg University Health Board (CTMUHB) is the local health board of NHS Wales for Merthyr Tydfil, Rhondda Cynon Taf, and Bridgend in the south of Wales. It was renamed from Cwm Taf University Health Board on 1 April 2019 following the transfer of Bridgend County Borough from the former Abertawe Bro Morgannwg University Health Board.
Aneurin Bevan University Health Board (ABUHB) is the local health board of NHS Wales for Gwent, in the south-east of Wales. Headquartered in Caerleon, the local health board (LHB) was launched in October 2009 through the merger of Gwent Healthcare NHS Trust and Blaenau Gwent, Caerphilly, Newport, Torfaen, and Monmouthshire LHBs. It is named after Aneurin Bevan, a Member of Parliament who represented the area and who was the Minister of Health responsible for the foundation of the National Health Service. Aneurin Bevan University Health Board is the operational name of Aneurin Bevan Local Health Board.
Betsi Cadwaladr University Health Board (BCUHB) is the local health board of NHS Wales for the north of Wales. It is the largest health organisation in Wales, providing a full range of primary, community, mental health, and acute hospital services for a population of around 694,000 people across the six principal areas of north Wales as well as some parts of Mid Wales, Cheshire and Shropshire. Betsi Cadwaladr University Health Board is the operational name of Betsi Cadwaladr Local Health Board.
Powys Teaching Health Board (PTHB) is the local health board of NHS Wales for Powys in Mid Wales. PTHB is responsible for healthcare in Powys, covering the same area as Powys County Council. It was established in 2003. Its headquarters are at Bronllys Hospital near Talgarth, Powys, Wales. Powys Teaching Health Board is the operational name of Powys Local Health Board.
Pontypridd Cottage Hospital is a health facility on Hospital Road, in Pontypridd, Rhondda Cynon Taf, Wales. It is managed by the Cwm Taf Morgannwg University Health Board.
Blood Bikes Wales is a blood bike charity based in Wales. Founded in 2011, it provides a free motorcycle courier service to NHS Wales hospitals across the country, operating a fleet of motorcycles which are ridden and co-ordinated by volunteers. Blood Bikes Wales is a member of the Nationwide Association of Blood Bikes (NABB) and co-operates with similar organisations in England.