<P> The National Health Service in England was created by the National Health Service Act 1946 . Responsibility for the NHS in Wales was passed to the Secretary of State for Wales in 1969, leaving the Secretary of State for Social Services responsible for the NHS in England by itself . </P> <P> The original structure of the NHS in England and Wales had three aspects, known as the tripartite system: </P>

Who paid for medical care before the nhs