"England" is meant because that's the scope of the health service "NHS England" (1)

> That would insinuate they don't care about Scotland though.

You forgot the other states of the United Kingdom: Wales and Northern Ireland. But I disagree, it says nothing at all about Scotland - this seems like the "I like pancakes!" "So you hate waffles?" faulty reasoning. (2)

If you disagree, why don't you care about Wales? /s

1) https://en.wikipedia.org/wiki/NHS_England https://www.england.nhs.uk/about/

2) https://knowyourmeme.com/memes/no-bitch-dats-a-whole-new-x-w...