When most people, professionals or media discuss the NHS, it is more often NHS England that they think about. However, due to devolution, each country has its own form of NHS system. While the goal of any NHS system is to provide an excellent service for health
provision to their population, how it is delivered can vary greatly. This article examines how the initial NHS was set up, how devolution in Wales has changed how services in Wales are commissioned, and how this has impacted on continence/bladder/bowel care in Wales.