The University Hospital of<unk>  in Cardiff.<unk>  provides services through seven health boards and three<unk>  trusts. Health boards The seven local health boards (LHBs) in<unk>  are shown below. Each LHB is responsible for delivering all<unk>  healthcare services within a geographical area, divided into a number of Network Clusters. 600px Betsi Cadwaladr University Health Board * Anglesey * Arfon * Central & South Denbighshire * Conwy East * Conwy west * North East Flintshire * Dwyfor * North West Flintshire * Meirionnydd * South Flintshire * North Denbighshire * South Wrexham * North & West Wrexham * Central Wrexham Hywel Dda University Health Board * Amman/Gwendraeth * Llanelli * North Ceredigion * North Pembrokeshire * South Ceredigion * South Pembrokeshire * Taf/Tywi Cwm Taf Morgannwg University Health Board * Bridgend East Network * Bridgend North Network * Bridgend West Network * North Cynon * North Merthyr Tydfil * North Rhondda * North Taf Ely * South Cynon * South Merthyr Tydfil * South Rhondda * South Taf Ely Powys Teaching Health Board * Mid Powys * North Powys * South Powys Cardiff and Vale University Health Board * Cardiff East * Cardiff South East * City & Cardiff South * Cardiff North * Cardiff South West * Cardiff West * Central Vale * Eastern Vale * Western Vale Swansea Bay University Health Board * Afan * BayHealth * CityHealth * Cwmtawe * Llwchwr * Neath * Penderi * Upper Valleys Aneurin Bevan University Health Board * Blaenau Gwent East * Blaenau Gwent West * Caerphilly East * Caerphilly North * Caerphilly South * Monmouthshire North * Monmouthshire South * Newport North * Newport East * Newport West * Torfaen North * Torfaen South<unk>  trusts The three<unk>  trusts, called "all-Wales trusts", are: * the Welsh Ambulance Service * Velindre University<unk>  Trust, which operates the Velindre Cancer Centre and the Welsh Blood Service * Public Health<unk>  The current health boards were created on 1 October 2009 following a reorganisation of<unk>  that saw the abolition of the 22 local health boards (LHBs) and seven<unk>  trusts that had existed since 2003. Since the reorganisation health boards have been responsible for delivering all<unk>  services, replacing the two-tiered trust and LHB system. In April 2019 responsibility for health services in Bridgend County Borough was transferred from the former Abertawe Bro Morgannwg University Health Board to the former Cwm Taf University Health Board, leading to changes in names and boundaries for both health boards. The University Hospital of<unk>  in Cardiff is the largest teaching hospital in<unk> , the largest hospital outside London and the third-largest in the United Kingdom. Five of the health boards paid for spot contracts with private healthcare providers costing a total of more than £6 million between 2013 and 2015 to carry out<unk>  work on elective surgery. General practice In 2019 the Welsh government decided to introduce an<unk>  indemnity scheme for GPs, to reduce the financial burden of their insurance premiums. The cost, £11.3 million, was to be deducted from the global sum, thus reducing GP practice income. This was not welcomed by the British Medical Association, which complained that indemnity costs for all other staff were borne centrally. A similar scheme in England was centrally funded.
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