Accessible and effective public services are a basic indicator of a successful country. If we want world-class healthcare, education and local services, we need the growth that makes proper long-term investment possible. Those services should be strong, well run and open to reform, with a focus on high standards, less waste, and more responsibility at local levels. Choice and competition can help raise standards, but they are the means, not the end. The goal must always be better services and better outcomes for the people who rely on them.