Re all my comments above about community hospitals.
My GP Practice is also in a Health Centre with 2 large practices that cover the whole of my town and surrounding villages. In my Practice there are something like 10 partners, plus registrars and "learners". Each partner has his or her own specialisation, so you can chose whichever GP suits the ailment you are concerned about. A while ago I saw my own GP and mentioned my gammy knee whilst I was there. She examined it then said I should make an appointment to see another GP who is the orthopaedic specialist.
Together with the community hospital up the road from the Health Centre, we have all the facilities possible including in-patients for recuperation after being discharged from main hospital and also for respite. The hospital is GP run but hospital consultants visit for Out Patients appointments. We have chiropody, physiotherapy, clinics for everything you can think of, a treatment room for minor injuries, dressings, stitches, including a mini-theatre for small ops that GP's can carry out with local anaesthetics. (I had a mole removed from my foot there years ago), a dentist, blood clinic, pharmacy, X-ray, and loads of other things. The out of hours doctors are also stationed there. There are more nurses and HCA's than you can count.
If one health authority can do this, why can't the rest?
PS. The community hospital is also brand new - it opened last year, replacing a very old building that was past its sell by date.