Drugs are more streamlined, but most of the NHS looks a lot like the US system. There are 8 major private electronic health systems, and many have not signed interoperability pledges. 145 CCGs. Foundation Trusts, remember just 10 years ago GP Practices would become part. Quasi-private GP Practices. Mergers going on every year (195 CCGs to 145 last year). Funding comes out of a myriad of mystery buckets (winter funding).