Health scare

Am I missing something? Probably, probably. Still, recent experiences of hospitals, for assessments, consultations and procedures that aren't urgent, have mystified me more than ever.

Small private hospital: nurses, doctors etc (mostly) cheerful, helpful, courteous and professional. Free car parking. Attractive and pleasant waiting areas with plenty of comfortable seats, today's papers and free drinks, although you don't get to spend much time there as generally you are given an appointment time which means something. Wards small or individual and a better prospect than a Comfort Inn. Forms filled in once, follow you around and catch up with you next visit. 

Large NHS hospital: nurses, doctors etc (mostly) cheerful, helpful, courteous and professional. Car park expensive if you can get in. Endless repeated form filling with the constant background caveat of litigious vultures. Waiting rooms institutional and mostly devoid of reading material as newspapers can spread disease, apparently (micro-organisms have certainly changed since I did my degree, unless there's a special disease only Daily Mail readers are susceptible to - actually, let's hope so...but what would they be doing in a large NHS hospital anyway...sorry, I digress) which is a shame because you can spend half a day there, given that your appointment time is aspirational at best. Although there are televisions, which is nice for devotees of daytime broadcasts about houses and antiques. The wards follow the prison/barracks theme and I know that it might just be my limited experience but why does each ward reception area seem to be a mountain of paper and bad tempered people on the phone? Does this not suggest something about the way the place is managed?

Which brings me to my point. One of these organisations is run at a profit. The model for the profit-making company is a small establishment with excellent customer care. I assume the money comes from rich people's private health insurance premiums. But somehow, the NHS pays this organisation to look after us. So I suppose in this way our NI contributions help to keep the private health insurance contributions reasonable. I wouldn't know, because I don't do private health care, on principle. And I pay National Insurance. 

Everyone should be looked after this well. And it isn't the fault of the dedicated and professional carers, because I can't detect any difference in their quality. How can the NHS pay someone else to do what they should be doing? Why don't they build small pleasant hospitals instead of centralising them into these massive and remote treatment farms? 
How about one in Littlehampton? I know the ideal place.