The Gibraltar Health Authority, established under the Medical (Gibraltar Health Authority) Act of 1987 is funded through the Gibraltar Group Practice Medical Scheme. It employs around 900 people, handling 37,000 A&E attendances, 40,000 outpatient appointments, and 90,000 GP visits a year. Some specialist care is provided by visiting consultants and in UK and Spanish hospitals. First-line medical and nursing services are provided at the Primary Care Centre, which has 16 GPs, with more specialised services available at St Bernard's Hospital, a 210-bed civilian hospital opened in 2005. Psychiatric care is provided by King George V Hospital.