What I have previously written reflects my personal experiences, with the occasional dedicated (generally younger) staff putting more effort in over the incumbents, where you get paid regardless on how badly you treat patients, which we would not put up with if it was a multiple sourced competitive industry, free at the point of access, so the hospital, GPs etc of our choice are paid for treatment by the government which is largely how the much superior French system works.
The doctor that saved my eyes was always totally rude and obnoxious towards me where he had to work late to do so and always let me know that. As I needed the treatment and had no alternatives with this single sourced system I had no choice but to bite my tongue. In a multiple sourced system it would have given me great pleasure to tell him to flip off I'm taking my business elsewhere.
The hospital time limits for there performance bonuses are a total farce, where you get to see anybody if the discipline you need has no budget or no staff available, until such time, if ever, they are available within the time limit as explained by one experated doctor, who was seeing patients that he could not treat, but the patients were staying within the time limit. Our local hospital trust comes out as one of the best in the UK, so all I can say is good luck if you are in a bad area.
At my local hospital my notes are a paper folder which grew rapidly in size with my severe adverse reaction to the flu vaccine. My local useless GP surgery uses an electronic system, but the only communication by the GPs and the hospital is the occasional physical letter. I'm sure this system was set up in the 19th century and while the rest of the world has changed dramatically where we are now in the 21st for the very much better, the NHS and its predecessors have all been left behind. The NHS administration percentage of the budget spent is one of the highest in the world. It reminds me of the man trying to chop down a tree with a very blunt axe, when a passer by suggests he stops chopping at the tree and sharpens his axe, he retorts that cutting down the tree is going to take so long he hasn't got time for that.
My local GP surgery is a local monopoly where they own both surgeries covering over 20,000 patients and unlike virtually all other 21st century businesses it has no demand management with standard hours worked all the year round. This means that in the summer they are very underutilised, you can walk in and get an almost immediate appointment, where between 8:30 and 12 they will only have a smattering of patients and in the winter the longest wait I have had to see a GP has been just under 12 weeks (there advance appointment limit), 6 weeks to see any GP unless it is an emergency and then if you are lucky you may get an appointment in 2-3 weeks in normal every year from December to the beginning of March.