Local government may be facing tough times, but in the health sector a complete reorganisation has made the future more uncertain. Graham Burgess (pictured) tells Heather Jameson about the impact on cross-public sector working, and how councils should have a greater commissioning role.

Since the coalition government came to power, it is clear that the agenda for public services has been for big changes and increased efficiency. What has been far less clear is how that would happen in practice.