The needs are just astronomical and showing no signs of reducing and despite the vast majority of people doing fabulous jobs there are inherent issues - adult social care, lack of professionals to apply for roles, primary care not being used by many in society, pharmacies not being trusted, experts not being trusted that mean things are not improving
Our GP practice - which was brilliant when we moved here over 33 years ago - is now unspeakably awful. It is a huge practice with eight surgeries and not one doctor works full time. It's impossible to get an appointment and so a lot of patients go straight to A&E, even for apparently minor things, which seems to be condoned if not actively encouraged by our surgery.
You are right that adult social care needs to be sorted but neither the present government nor its Conservative predecessor seem to be capable of doing so.
A&E won't be fixed until someone solves the issue of people who don't need to be at A&E turning up. If you phone my surgery when the appointments for the day are gone you get an answerphone message saying to either call 111, who are pretty quick to tell you to go to A&E to cover themselves, or just to go directly to A&E.
Then add in the number or people with mental health issues, addiction issues or even suffering homelessness who turn up at A&E as a last resort and you can see why there's a problem.
We have got to sort the GP service out to get anywhere. IMO it needs to be 7 days a week and more than 9-5. I'd also look to encourage more large pharmacies and health centres that can deal with common conditions on a walk in basis without the need to wait hours.
The problem is that everything is privatised in one way or another and they're only really interested in low effort, large return parts of the system.
There's another problem with how you get bounced around from person to person with no continuity of care. Back in the day my family doctor treated me, my parents and my grandparents. He knew me by sight and had a grasp of family history. Now I rarely see the same GP twice and they often seem to have little grasp on history. You can turn up for a follow up appointment the surgery has requested and they still have little clue why you're there! The number of wasted GP and hospital appointments I've had is ridiculous, wouldn't have happened if I regularly saw the same GP.