Town planners had often done a degree in Geography in the olden days. These days, I suspect, numbers rule, and short-termism.
E.g. Let's close the A&E at Bishop. Let's ask the locals what they think.
Oh, the locals have said No? Well, we'll just have to ask them again.
They've still said No? Well, they've got one last chance to make the right choice.
Eventually:
Well, we know best. It's Dryburn or Darlo for everyone in Weardale from now on.
(Oh, by the way, let's change that to The University Hospital of North Durham.)
(Similar sort of thing for Shotley Bridge, IIRC
)
Surprise, surprise! Not enough parking at TUHOND/Dryburn. Not for visitors, not for staff.
Nobody gets paid for thinking things through properly these days, it seems.
(Not strictly town planning, or is it?, but same factors at play.)