This file contains the digital vector boundaries for NHS England (Region, Local Offices) (NHSRLO), in England, as at 1 April 2017. Organisation Data Service, part of NHS Digital, received formal confirmation from NHS England that they wished to update the collective organisation role/type names for the NHS Region (Geography) areas. The new name for these geography entities are NHS England (Region, Local Office). This is purely a change to organisation role names. The associated organisation role codes, and the names and codes of individual organisations of this type, will all remain unchanged.The boundaries available are: Full resolution - extent of the realm (usually this is the Mean Low Water mark but in some cases boundaries extend beyond this to include off shore islands); Full resolution - clipped to the coastline (Mean High Water mark); Generalised (20m) - clipped to the coastline (Mean High Water mark);Super generalised (200m) - clipped to the coastline (Mean High Water mark) and Ultra generalised (500m) - clipped to the coastline (Mean High Water mark). Contains both Ordnance Survey and ONS Intellectual Property Rights.  Download File Sizes Full resolution - extent of the realm (12 MB) Full resolution - clipped to the coastline (15 MB) Generalised (20m) - clipped to the coastline (1.5 MB) Super generalised (200m) - clipped to the coastline (252 KB) Ultra generalised (500m) - clipped to the coastline (72 KB). REST URL of ArcGIS for INSPIRE View Service – https://ons-inspire.esriuk.com/arcgis/rest/services/Health_Boundaries/NHS_England_Region_Local_Office_April_2017_Boundaries/MapServer/exts/InspireView REST URL of ArcGIS for INSPIRE Feature Download Service – https://ons-inspire.esriuk.com/arcgis/rest/services/Health_Boundaries/NHS_England_Region_Local_Office_April_2017_Boundaries/MapServer/exts/InspireFeatureDownloadREST URL of ArcGIS Feature Service – https://ons-inspire.esriuk.com/arcgis/rest/services/Health_Boundaries/NHS_England_Region_Local_Office_April_2017_Boundaries/FeatureServer