Her Majesty's Principal Secretary of State for Health is a UK cabinet position responsible for the NHS. Since devolution in 1999, the position holder's responsibility for the health service is mainly restricted to England, with the holder's counterparts in Scotland and Wales responsible for the NHS in those countries. 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.