It's always amused me, how the government banned the 60w or 100w incandescent light bulb, of which one were more than adequate to illuminate a room, yet people are encouraged to be throwing 500w to 1000w of light to illuminate a room by using these spot lights.
Okay, very confused now after those posts. I hadn't thought of using LED, purely down to the cost. Was going to use 240V downlights (I now know without transformers).
Voltage isn't the issue, nor, really, is lamp type. It's the small diameter of GU10 lamps, 99.999% of which have MR16 envelopes, or equivalent - 2" diameter. As Aragorn says, LED ones won't use much electricity, but they'll still be no good at the job you want them to do and you'll still need ceilings like swiss cheese.
It's horses for courses, what function do you need in each room, and what aesthetics? For example, in places like kitchens, bathrooms, WCs, possibly hallways and landings where you just want unobtrusive efficient lighting that just gets on and does the job, there's a lot to be said for this type of light:
There are loads of those around, they all look pretty much the same - Google for PL downlights.
Most have options for different covers, e.g. floating glass like this:
which look quite nice, but be warned that insects will go in there to die.
If you want LED, again go for larger sizes, e.g. the Thorn BaseLED.
http://www.thornlighting.co.uk/download/Base_LED_Brochure.pdf
http://www.thornlighting.co.uk/PDB/Ressource/teaser/E2/TLG_BaseLED.pdf
http://www.thornlighting.co.uk/object/PDF/datasheet.aspx?CompanyID=7&GroupID=12650&CL=E2&CC=GB
For something a little less utilitarian in the lounge, dining room etc, you should spend time looking at proper lighting shops and websites - cast your net wider than the limited range of cr*p they have in the sheds. As the old saying goes, if all you have is a hammer, everything looks like a nail. And if all you do is look in DIY sheds or web retailers competing purely on price everything that isn't hideous looks like a downlighter.
we are building an extension on the back.
Will you have, or could you make changes to have, a higher ceiling in that?
Could you put curves at the top of the walls and fit concealed cold-cathode neon lighting above a cornice?
Or could you have a dropped section with the same above it? Here's an example of that in a domestic kitchen showing that it isn't only suitable for nightclubs and hotel foyers:
(Ignore the fact that there are also torches in there

)