Technically, we only have private-sector GPs, but most work mainly under contract to the NHS. This is a consequence of how the NHS was created in the 1940s.

Some offer private services too and some only do private work, but try it for yourself. Throw a pin in a map of England and try to make a private primary care appointment. You’ll often end up in the nearest city or large town, maybe 30-50 miles away if not on the big city spine. Not convenient, and then there’s the cost, often £150-200 for a first short appointment urgent package. Unless you’re already subscribed to private healthcare at “from £11.32 to £127.89 per month” to quote one private mutual, it’s not an option for most people (and why should it be needed if we’ve paid our National Insurance…)