The Gibraltar Health Authority (GHA) delivers Primary, Secondary and Mental Health Care in Gibraltar using a Healthcare model closely linked to the National Health Service (NHS) in the United Kingdom and for this purpose some tertiary referrals are delivered in the NHS as well as in Spanish Hospitals due to the proximity. The organisation is split into three sites with the administration based in the hospital itself. The hospital is a 30,000m² facility, which opened in February 2005. The GHA employs approximately 1000 employees and handles approximately 37,000 A&E attendances, 40,000 out patient episodes and 90,000 GP visits on an annual basis. The GHA’s three main sites are the Primary Care Centre, St.Bernard’s Hospital and the Ocean Views Mental Health Facility. In January 2017 the GHA also opened a new Dementia Day Facility that can accommodate up to 90 patients on a daily basis from Monday to Friday. The GHA has an operating budget of around £100m per annum.