Beware of privatisations that still leave bureaucrats calling the shots
The debate on public services reform has degenerated into a deafening slanging match between unreformed socialists who won’t countenance a single employee leaving the state payroll and dogmatic privatisers. But the matter of who owns the hospitals and the dustcarts should come a rather poor second compared with whether they actually get their knees sorted out and their bins emptied.
Public service reforms will only work if they are seen to put us, the users, in charge. Lousy care homes and hospitals, private or state-run, will not survive if residents, patients and their families can vote with their feet. Just imagine if the families of Winterbourne View’s residents could have taken them out as easily as they could sign out of a hotel. It wouldn’t be a case of ‘tightening procedures’, as officials tend to say on these occasions — its last guests would have left last week and its gates would be chained shut.
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