Redrawing the relationship between citizen and state

There is a long-standing ambition by Welsh Ministers of creating world-class health and social services in Wales, ‘services best suited to Wales but comparable with the best anywhere’ (Welsh Government 2011). To achieve this against the backdrop of increasing demand and austerity will require a very different approach and culture than is evident to date. This paper outlines a series of recommendations to redraw the relationship between citizen and state.