2030 Public Services
Financial constraint means the UK is facing big choices about public service priorities in the coming years
Up to 48% of men and 43% of women in the UK could be obese by 2030, adding up to £2bn a year in medical costs- The Lancet
The UK faces significant financial constraint not just today, but in the longer term - as a result of social, demographic and global pressures. This means we have to make big choices as a country about our public services if we are to keep the books balanced.
The CBI believes opening up services to a diversity of providers is a major part of the answer to our short and long term challenge, and the case for moving further and faster on public service reform is compelling.
Pressure on public spending
Securing private sector growth and reducing the deficit are rightly the most important priorities for the government at the moment. We need a leaner, fitter public sector that delivers more for less.
Press release: 'We can't afford to bury our head in the sand' >>
Videos: Public services leaders give their views >>
Read Matthew Fell and Nick Pearce's Guardian article >>
Read the full report (pdf)
But we also need to keep an eye on the longer term social, global and demographic forces that will put pressure on public spending, at a time when – based on current trends – tax receipts are expected to fall.
Long-term pressures on spending could come from a range of sources including an ageing population, chronic diseases, higher expectations of public services by the public, changing family and social structures, climate change and the pressure to stay competitive in the world with the rise of new economic powers.
The number of people over the age of 85 in the UK is expected to more than double over the next 25 years- Office for National Statistics
We need to make big choices about our public services both now and for the future. The CBI and IPPR held a high-level roundtable event in May to discuss the options with public service providers and policy experts.
While there was no consensus on the way forward, a briefing paper by IPPR sets out some of the key ideas that emerged. Three major themes highlighted in the paper are:
We’ll need to decide which services to prioritise funding for. This could mean directing more money towards services that are central to economic growth and that could have export potential; that raise the employment rate such as childcare; or other services that help to realise key economic and social goals.
We could look at making a shift from reactive towards preventative services that help to save significant amounts of money in the longer term. For example, this could mean shifting from acute care to community care; or from spending on prison to spending on reducing re-offending.
There is significant scope to increase productivity across a range of public services. This could be done in a number of ways including automating more areas of public service delivery and opening up public services to private and voluntary sector providers to unlock innovation and deliver savings.
The CBI believes opening up services to private and voluntary sector providers must be a major part of the solution, helping us to meet our immediate and longer term spending challenge and delivering an increase in quality, choice and value for money. The CBI will this year be publishing a major report on the openness of public service markets and the potential benefits of moving further and faster on reform.
More on public service reform
CBI welcomes Government road map for future public service contracts
The CBI commented on the Government’s announcement of a five-year pipeline of public sector contracts worth nearly £79 billion
CBI responds to Government update on open public services agenda
The CBI responded to an update from the Cabinet Office on the Government’s open public services agenda, including the publication of three further Choice Frameworks and a new Choice Charter
CBI comments on Government response to probation reform consultation
The CBI commented on the Government’s response to the consultation on reform of probation and rehabilitation services
CBI responds to 'Nudge Unit' mutualisation
The CBI responded to the announcement that the Government’s Behavioural Insights Team, known as the ‘Nudge Unit’, will be mutualised through a joint venture partnership with the private sector
Joint CBI-DfID Roundtable
On 15 April, John Cridland chaired an exploratory discussion with the Secretary of State for International Development, Justine Greening MP, about how business and government can create a shared agenda on aid.
Public services reform – time for urgency and partnership
One of the clearest knock-on effects of the 2008 financial crisis and subsequent recession has been the extended period of public expenditure constraint...Read Ian Coulter's View from the Chair
CBI calls for greater urgency and partnership on public services reform
CBI Northern Ireland has called on the Northern Ireland Executive to pursue public service reform with greater urgency between now and the next Assembly election
CBI responds to NAO report on police procurement
The CBI responded to a report by the National Audit Office on police procurement
CBI responds to House of Lords report on demographic changes
The CBI responded to a report by the House of Lords Public Service and Demographic Change Committee (Ready for Ageing) on the implications for public services of future demographic changes in the UK
CBI responds to PAC report on National Offender Management Service
The CBI responded to a Public Accounts Committee (PAC) report on the restructuring of the National Offender Management Service (NOMS)