I think the main problem is the huge barrier imposed by GPs in gaining access to the health system. For many it is virtually impossible to gain an appointment, certainly face to face and many who are reluctant to seek medical advice in the first place give up after trying to negotiate the appointment system or being fobbed off by receptionists.
Once you have been referred to a hospital you are likely to encounter good treatment. Unfortunately many do not make it that far, at least not until their problem it becomes an emergency.
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