There are moments in public service reform when separate policy agendas begin to point in the same direction. Adult social care reform, neighbourhood health and devolution are often discussed as distinct programmes. They should not be.
Taken together, they offer a once-in-a-generation opportunity to build a system that starts with people, families, communities and places – not institutions. For Solace, and for chief executives across the country, that is the prize, a model of public service reform that begins with the lives people want to lead and then organises services, funding, accountability and leadership around that ambition.
