After spending the day with my mil at an day surgery in a city hospital I observed two families for whom an interpreter had been arranged. They wore nhs badges so obviously employed by hospital. Now before you all shout racist let me point out that the families all spoke good English except for the patient and seemed more than happy to translate for them. In fact one lady offered to translate for a nurse when the interpreter was not there but was told 'no, I'll find the interpreter'. Why shouldn't the family do this for their relative? It would save a lot of money!
Lack of public toilets in towns.