When I was little, my mum didn't go back to work until I was 12 (and then it was part time). So there were no childminders needed. My dad would pop home for lunch - a healthy omelette or something and then go back to work. Children always had their parents when they needed or wanted them and parents never missed the first step or first tooth etc, It was a slower, poorer, but much happier way of life and was possible because peoples workplaces were more local to them. Instead, we now have "centres of excellence" in big cities with a long commute. No wonder we keep hearing of people with mental health issues, children who go off the rails and don't even get me started on the carbon footprint of our current working lifestyles! It used to be that lots of shops and cafes etc in lots of towns thrived, but now it seems our town centres are dying and the only businesses that will survive are those that are satellites to these huge offices etc in London and the like where they bemoan their extortionate rates.
In hospitals, small local ones closed in favour of massive ones dotted around the country, so ambulance journeys are longer and more difficult due to all the commuters on the road.
(and all the while those carbon emissions are rising and possibly making us all ill). Surely it would be better for the "excellent surgeon or specialist teams to travel to smaller hospitals (where friends and relatives can visit the sick - all useful for recovery). - say one of Mondays another on Tuesdays etc rather than ferrying sick people miles away to the surgeons.
Maybe it's time for another rethink!