Free personal care saves money - axe top salaries instead.

   

     So who pays?  What gets cut? Well,  hardly a day seems to go by without a story in the press claiming that the cost of free personal care for the elderly is “out of control” and “unsustainable” .   There are repeated calls to axe near-free prescription charges; to restore the graduate endowment and bridge tolls.  Let’s end free bus passes; shut swimming pools and libraries.  Museums - who needs ‘em?  Clearly, everything has to be looked at.  But there’s a real danger that we start from the wrong end, axing relatively cost-effective front line services rather than cutting administration.  That is where the real savings are to be made ina public sector which is highly labour intensive.  Great damage could be done to the quality of peoples’ lives, and the dignity of vulnerable groups, by slashing services that don’t actually cost very much while protecting the public sector bureaucracy.