We need a public debate on what governement responsibilities should be and the timescales and arrangements necessary to achieve effective change
to government managed service.

My motivation for saying this is that over the last 20 years, governements have moved to the centre ground and as far as the major services: health, welfare and education are concerned have spent a great deal of effort and money on new initiatives which have been rushed through in order to produce measureable 'results' before the end of the current parliament. Although this started in the Conservative administrations, it has become ever more frenetic under this Labour term. Large initiatives need to be properly piloted and evaluated. The evaluation in many cases has not been done properly, one common excuse having been that the PM wanted everyone to benefit as soon as possible.

However there is no substitute for proper experts, and successive ministers have proved themselves to be expert meddlers and claimers of short-term success. The most striking success of this government has been the handing over of responsibility for interest rates to the 'wise men'. The consensus for good schooling for all and a publicly funded health service is almost universal.
What they need is effective long-term and expert management, with the way forward properly debated and costed.