I spent 25 years working in the public services and watched what happened when privatisation and outsourcing arrived - lowered standards, lack of commitment, lack of continuity, client/customer confusion.
No naneaj - I am not being silly. Sad, yes, but silly, no. It is not usual on this forum to dismiss others' views as "silly." We mostly listen and discuss.
Outsourcing and competition do not save money. Private firms rip off the public services.
Business models are not working in public services, but it is going to be impossible to turn that particular train around.
To give a recent example. I spent a long time earlier this year organising care for my elderly father at home. Several different companies were involved: one to provide equipment; one to provide incontinence devices; 4 different companies to provide care - I could go on. We are educated people but we did not know whether we were coming or going; and even when he went into a home, the staff there said that it is impossible to get what people need, as one company passes the buck to another. It truly is nonsense - when I was working in social services the care we offered and that the NHS community services offered was streamlined and simple and everyone knew where they were.
Outsourcing is a move based on political doctrine and not an economic or efficiency move. It is certainly NOT a way to get better services for those on the receiving end.