Public Services Committee
A critical juncture for public services: lessons from COVID-19

1st Report of Session 2019-21 - published 13 November 2020 - HL Paper 167



Chapter 1: Introduction

A ‘critical juncture’ for public service reform

Key conclusions

Principles for public service reform

Our inquiry

Chapter 2: Insufficient support for prevention and early intervention

Poor health prevention and the impact of COVID-19

Initial NHS response to the COVID-19 pandemic

Underfunding of prevention

Health inequalities and COVID-19

Policy responses

Box 1: The German public health system

Prevention and the criminal justice system

Early intervention in education

Chapter 3: Inequality of access to high-quality public services

The consequences of poorly integrated services: vulnerable children

Numbers of vulnerable children

Inadequate integration between service providers

Box 2: Breaking down silos: learning from New Zealand’s “joint ventures”

Black, Asian and Minority Ethnic and Gypsy, Roma and Traveller service users

Chapter 4: ‘Co-production’ and user voice

Box 3: What is ‘co-production’?

Chapter 5: The fragility of adult social care

Care sector fragility before COVID-19

The effects of COVID-19

Chapter 6: Over-centralised delivery of public services

Poor central Government coordination and communication

Public health

Funding for local service delivery

Chapter 7: Empowering local public services and communities

A ‘place-based approach’: integration and partnership working at the local level

Box 4: What is a ‘place-based approach’?

Working with local voluntary sector and community groups

Holding local areas to account

Chapter 8: A new approach to data-sharing

Data-sharing failures at the national level

Innovative data-sharing at the local level: a ‘place-based’ approach

The case for a new approach to data-sharing

Towards a new consensus on data

Chapter 9: Commissioning reform—unlocking the potential of charities and the private sector

Innovation in the charity and private sectors

New models of procurement: working with charities and businesses

Chapter 10: Digital technology and innovation in frontline public services

Better access and engagement

Maintaining face-to-face services

Chapter 11: “From lockdown to lock-in”—how do public services learn?

Rapid evaluation

Embedding changes

Recognising long-term weaknesses

Chapter 12: The pandemic response in the devolved jurisdictions

Box 5: COVID-19 and social care in the devolved jurisdictions

Box 6: Local government and the devolved administrations

Summary of conclusions and recommendations

Appendix 1: List of Members and declarations of interest

Appendix 2: List of witnesses

Appendix 3: Call for evidence

Evidence is published online at and available for inspection at the Parliamentary Archives (020 7219 3074).

Q in footnotes refers to a question in oral evidence.

© Parliamentary copyright 2018