Mamie
I think what we notice in hospitals in France is that there are far more doctors and nurses including ancillary nurses. Also the cleaners, porters etc are hospital employees not outsourced. I have no idea about management staff but the regional health authorities are the key providers.
We do pay 25€ up front to the GP, but get all but 1€ back. We can get a next day urgent GP appointment, but wait a few days for our own doctor.
The biggest difference is that we pay about 130€ each a month for our top-up insurance. Apart from serious illness which is 100% funded, treatment is funded at 70% and the top-up pays the rest. If you are on a low income you don't pay it and everything is 100% funded. We can afford it and pay it willingly.
There are shortages of GPs in rural areas and some specialists appointments need booking well in advance, but on the whole it is a very responsive system.
My DD needed an emergency operation on one visit and she said, "it was like a warm blanket of care".
The biggest difference is that we pay about 130€ each a month for our top-up insurance. Apart from serious illness which is 100% funded, treatment is funded at 70% and the top-up pays the rest. If you are on a low income you don't pay it and everything is 100% funded. We can afford it and pay it willingly.
I understand other countries have a similar system.
That is why the NHS needs change but every government is frightened to make an overhaul, they just tinker round the edges.