The debate around reform of public service delivery is gathering pace. Greater change is coming, driven by economic realities and the likelihood of a new government with a very different view of what the state should deliver. The agenda is firmly fixed – service providers across health, education, welfare and social care are going to have to deliver more for less.

As we enter the most important period for public services in twelve years, we ask whether service providers can deliver equal or better services on reduced budgets, and how they can ensure they are taking consumers with them as change happens.