Well, I need specialist care, and can't fault the system at all. I mean, why treat a normal bodily function with no complications like a serious medical condition or illness - regardless of age? To me, that's just stressful. Also unnecessary and takes a woman's feelings of control of her body away.
I'm more than happy to have my care handled by midwife.
It appears that my blood pressure doesn't like to stay low whilst I am in the 3rd trimester, and it's just never been a problem getting prompt, specialist care if/when you have a condition that can seriously imperil your life or the baby's.
Back in the States, I never saw an OB/GYN for a smear test, which never bothered me at all. Most nurses, nurse practitioners and PAs I saw were far better, IMO. After 12 normaly smears, CIN II was detected on one - taken by an NP as usual. An NP handled my colposcopy professionally, efficiently and thoroughly. It was only when I needed further treatment - a LEEP procedure - that I saw a GYN.
Edited to add: I'm SO glad to see more NPs practicing here in the UK, and to hear that PAs are on the way as well.