New thinking is needed to meet the scale of the UK's fiscal challenge. Public services – particularly locally – still underperform in working effectively across organisational boundaries which impacts adversely on quality and outcomes. It also builds cost and inefficiency into the system. Worthy efforts have been made to ensure greater collaboration between public service organisations, but these are often at the margin of mainstream activity which limits their impact.
The UK Government's latest response – Total Place - seeks to achieve more ambitious "joining up" to deliver radically better outcomes and efficiencies. PwC's work for London Councils highlighted the scale of the opportunity.