Competition is all very well, but it leads to lowest-cost bids providing substandard services with inequitable contractual terms (10 year cleaning contracts in hospitals with no measurable standards of cleanliness attached f'rex). And if the Councils don't have the skills for working in such ways, then similar screwups will inevitably occur.

Gawdelpus.

Easy, put Sir John Bourne on packed lunches, problem goes away.

What you describe is not competition nor contestability but poor outsourcing. Poor outsourcing retains the risk (of bad outcomes) with the outsourcing authority.

Using your example, if health were truly contestable, with the money following the patient, then poor hospitals would go out of business, with or without cleaning services.

We don't need state control of food supply (which is still subject to state regulation) why is state control of health provision (as opposed to regulation) such a good idea?

Hold on, am I going to wake up one morning to find my local council (Milton Keynes (yes, yes, I know)) has been outbid by Peebles for the pleasure of emptying my bins?

The Public Sector's private agenda makes them inherently wasteful. Squeezing suppliers or always going for the cheapest option won't change that.

Council services are supply driven, not demand led. A shiny new community centre will get the Councillor's face in the paper whether it is used or not.

Reducing waste will not get them in the paper.

The Audit Commission is quite good at spotting rubbish councils, but I suspect they are whistling in the wind with this one. Tendering for contracts is riven with corruption up and down the country, with contractors even paying each other bungs to queue in an orderly manner for their turn at the trough of council tax expenditure, and there seems little the councils can do about it.