The current out-of-hours medical care is demonstrably not working. One doctor can end up being responsible for half a county, and foreign doctors have been deployed with (in at least one high-profile case) fatal results because of the language barrier.
GP's are now being paid more, with less responsibility. Time to redress the balance, and return to the previous pattern of practices being responsible for the care of their own patients at night or at weekends.
Why is this idea important?
Returning out-of hours care to local practices means that the local doctors know the area, and it becomes more possible to actually see a doctor, or to speak to a doctor rather than a nurse.
Bigger is not necessarily better. Nor does it necessarily save money, or inspire confidence. Vulnerable people such as the elderly or single parents are not then required to travel miles to see a doctor. Local is better.