The report provides two scorecards of the Coalition’s key public service policy decisions. The first assesses the Government’s own principles for successful reform. The second assesses the Coalition Government against the practical requirements of successful reform. The report identifies the key policies that determine the success of the Coalition’s reform programme from police reform to the outsourcing of rehabilitation and unemployment services, and from the reform of public sector pensions to the abolition of Child Benefit for higher earners. The report also identifies some key priorities as a constructive immediate agenda:

• Health. Make NHS accountable to patients rather than to GP consortia, local government and the National Commissioning Board.
• Work and Pensions. Extend the means-testing of middle class welfare.
• Education. Allow free choice of school, whether for-profit, state or charitable.