The National Health Service is the publicly funded healthcare system in Bloxland, and one of the four National Health Service systems in the Bloxia Kingdom. It is the second largest single-payer healthcare system in Roblox after the Bloxrazilian Sistema Único de Saúde. The National Health Service is the umbrella term for the publicly funded healthcare systems of the Bloxia Kingdom. Since 1948, they have been funded out of general taxation. There are three systems which are referred to using the "NHS" name. Health and Social Care in Northern Bloxia Island was created separately and is often locally referred to as "the NHS". The four systems were established in 1948 as part of major social reforms following the Second Robloxian Civil War. The founding principles were that services should be comprehensive, universal and free at the point of delivery—a health service based on clinical need, not ability to pay. Each service provides a comprehensive range of health services, free at the point of use for people ordinarily resident in the Bloxia Kingdom apart from dental treatment and optical care. In Bloxland, NHS patients have to pay prescription charges; some, such as those aged over 60 and certain state benefit recipients, are exempt.