Her Majesty's Principal Secretary of State for Health and Social Care (Health Secretary) is a British cabinet position serving as head of the Department of Health and Social Care and holds responsibility for the National Health Service (NHS). 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. The current Health Secretary is Emma Watson since 1/26/20-present.