and therefore provided services that fell between that of the GP service and those available at the hospital. Some primary care trusts in England attempted to bring together even more services into such centres, most notably by co-locating GPs, health laboratories, pharmacies and other services under one roof. The Heart of Hounslow Centre for Health for example has GP services, outpatient care, physiotherapy, dentistry, podiatry, social care outreach, mental health services for children and a gym to help in rehabilitation. All these services take place in a purpose-built facility. However, the centre does not provide urgent care and only has a limited range of diagnostics. Polyclinics were proposed only for London by Professor the Lord Darzi of Denham in his review of healthcare in London for NHS London: Healthcare for London: A Framework for Action. In the final report of his subsequent national review for the Department of Health, High Quality Care for All Lord Darzi has not suggested that polyclinics would be appropriate elsewhere; instead he suggests "GP-led health centres". He explained the difference between the two models to the House of Commons Health Select Committee on 19 July 2008. A key principle of A Framework for Action is to "localise where possible, centralise where necessary." This would move "routine healthcare" away from acute hospitals and into community-based centres to provide a one-stop-shop for health care. "More complex care" would remain centralised. A key part of the plan is to extend the opening times of such centres, especially in the evenings, to make them more accessible to working people. While polyclinics had not been widely implemented across England prior to 2008, they have existed in Australia, France, Germany (since 2004), Northern Ireland, Switzerland and Russia; and in many countries across Asia and Africa, although several of these countries are now seeking to remove them. In Russia, where they were introduced under communism, attempts were made to replace them with a more western model by the new Russian government. However, the Russian polyclinic model proved robust and the authorities' prescriptive interference failed. Rationale The Department of Health and the government claimed that polyclinics offer: A way of providing more services in the community closer to home and at more convenient times (including antenatal and postnatal care, healthy living information, community mental health services, community care, and social care and specialist advice) An improved structure within which GPs and other health