Public figures, journalists, politicians and commentators often present false polar choices to the general public over policy; it helps to create a sense of tension and an imperative for their version of change. Those of us who have worked in public services know that policy change is often more measured. Rather than the old cliche of 'reform or revolution' the policies we are subject to undergo a steady evolution, slowly changing the value and impact of public services provided, shifting incrementally to meet the desires of Government, the demands of the public and the experience of delivery.
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