Polyclinics in England were intended to offer a greater range of services than were offered by current general practitioner (GP) practices and local health centres. In addition to traditional GP services they would offer extended urgent care, healthy living services, community mental health services and social care, whilst being more accessible and less medicalised than hospitals. A variety of models were proposed, ranging from networks of existing clinics to larger premises with several colocated general practitioner (GP) practices, more extensive facilities and additional services provided by allied healthcare professionals. The incoming health secretary in May 2010 Andrew Lansley put on hold all plans to increase numbers of polyclinics and to relocate GPs to them pending a review of policy under the new coalition government, after a review by management consultants McKinsey revealed "NHS managers had vastly overestimated the ability of polysystems to handle the shift in care from hospitals and revolutionise GP care". Operational polyclinics On Wednesday 29 April 2009, the first seven polyclinics in England opened in London, marked by the opening of the Loxford Polyclininc by Lord Darzi. The seven were: Redbridge Primary Care Trust: Loxford Polyclininc (the first purpose-built polyclinic) Harrow Primary Care Trust: Alexandra Avenue Health and Social Care Centre Hounslow Primary Care Trust: Heart of Hounslow Lambeth Primary Care Trust: Gracefield Gardens Health and Social Care Centre Waltham Forest PCT: Oliver Road Polyclinic Tower Hamlets Primary Care Trust: The Barkantine Centre Hammersmith and Fulham Primary Care Trust: Hammersmith Centre for Health at Hammersmith Hospital (London's first hospital-based polyclinic) Polyclinic services The polyclinic model proposed in London will provide: GP services – e.g. core and enhanced with extended opening hours Other health services – including other health professionals (e.g. ophthalmology, dentistry) Minor procedures Outpatient appointments Urgent care Diagnostics – e.g. core and enhanced testing with extended opening hours Community services – e.g. interactive health information, management of long term conditions, complex needs, community nursing, community mental health teams Co-located services – e.g. including local authority, social care, mental health, leisure and the London Ambulance Service The government accepts that the polyclinic model may not be suitable for rural areas but may be popular in the larger conurbations. History Health centres offering a mix of community-based health care services have existed in England since the early years of the National Health Service (NHS). They have typically provided specialist care such as ophthalmology, podiatry, dentistry, minor injuries nursing,