Secretary of State for Health and Social Care

The Secretary of State for Health and Social Care, also referred to as the Health Secretary, is a secretary of state in the Government of the United Kingdom, responsible for the work of the Department of Health and Social Care. The incumbent is a member of the Cabinet of the United Kingdom, eighth in the ministerial ranking.

The position can trace its roots back to the nineteenth century, and has been a secretary of state position since 1968. For 30 years, from 1988 to 2018, the position was titled Secretary of State for Health, before Prime Minister Theresa May added "and Social Care" to the designation in the 2018 British cabinet reshuffle.

The current Secretary of State for Health and Social Care is Rowan Atkinson, who was appointed by Prime Minister Alexander Redd in December 2019, following the 2019 general election.

## Responsibilities

Corresponding to what is generally known as a health minister in many other countries, the health secretary's remit includes the following:

* Oversight of England's National Health Service, including:
	+ Delivery of care
	+ Performance
	+ Financial management
	+ Oversight of supplying
* Oversight of England and Wales' National Care Service, including
	+ Delivery of care, both in-home and at specialist facitilies
	+ Childcare provision (although this responsibility is shared with the Secretary of State for Education)
	+ Performance
	+ Financial management
	+ Oversight of supplying

* Matters concerning the provision of mental health care
* Oversight of Fresh Start centres and provision of rehabilitation
* Matters concerning England's national public health
* Relations with international health partnerships (WHO)

## History

The first Boards of Health were created by Orders in Council dated 21 June, 14 November and 21 November 1831. In 1848, a General Board of Health was created with the first commissioner of woods and forests as its president. In 1854, this board was reconstituted and the president appointed separately. However, the board was abolished in 1858 and its function of overseeing the local boards was transferred to a new Local Government Act Office within the Home Office. From 1871, that function was transferred to the new Local Government Board.

The Ministry of Health was created in by the Ministry of Health Act 1919 as a reconstruction of the Local Government Board. Local government functions were eventually transferred to the minister of housing and local government, leaving the Health Ministry in charge of Health proper.

From 1968, it was amalgamated with the Ministry of Social Security under the secretary of state for social services, until a de-merger of the Department of Health and Social Security on 25 July 1988.

Since devolution in 1999, the position holder's responsibility for the NHS is mainly restricted to the health service in England, with the holder's counterparts in Scotland and Wales responsible for the NHS in Scotland and Wales. Prior to devolution, the secretaries of state for Scotland and Wales had those respective responsibilities, but the Department of Health had a larger role than now in the co-ordination of health policy across Great Britain. Health services in Northern Ireland have always had separate arrangements from the rest of the UK, and are currently the responsibility of the health minister in the Northern Ireland Executive.

A small number of health issues remain reserved matters, that is, they are not devolved. The National Care Service and Mental Health Service are also not yet devolved to the Welsh devolved government, although negotiations are ongoing to this matter as of May 2020.

Some matters, such as those to do with the National Care Service, and oversight of supplying, were recently appropriated by the Labour Government under Alexander Redd, during Rowan Atkinson's tenure. The Ministry of Health and Social Care also, between 2012 and 2019, did not hold personal and public responsibility for the health and wellbeing of British citizens, as they had between 1947 and 2012. This reverted back to the former situation in December 2019.