Abstract
The events documented in previous chapters have touched on a number of important issues: the use of central power for ideological ends, the decline of local autonomy, the growth of private provision of public services and the role of bureaucratic and trade union interests in service provision. This concluding chapter stands back from the details of competitive tendering exercises and explores these wider issues. It puts recent events into historical perspective by evaluating their impact and significance and by highlighting some of the lessons which can be drawn from the experiences of the health service and local authorities.
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