How does NHS England work? March 20, 2019 NHS England leads the National Health Service in England. It’s an independent body whose main role is to set the priorities and direction of the NHS, whilst at the same time improving health and care across England. NHS England was created in 2013 as part of sweeping reforms aimed at improving services by increasing competition, cutting red tape and keeping the government out of the day-to-day running of the NHS. The duties and responsibilities of NHS England Back to blogs written by GKA