NHS Wales (Welsh: GIG Cymru) is the publicly funded healthcare system in Wales, and one of the four systems which make up the National Health Service in the United Kingdom. NHS Wales was formed as part of the public health system for England and Wales created by the National Health Service Act 1946, with powers over the NHS in Wales coming under the Secretary of State for Wales in 1969. That year, the latter took over much of the responsibility for health services in Wales, being supported in this by the Welsh Office, which had been established in 1964.