The local population and valued frontline workers are core to this local, sustainable approach and attempt to coordinate and integrate local activities to best benefit the end-user rather than the central or local public service organisation managers. Perhaps this is a good way to value and engage with frontline workers as part of the solution, as opposed to encouraging managerial changes in organisations which promote the development of mutuals and the enforced introduction of competing providers of services. These proposals will upset and change the ‘whole system’ to the detriment of the continual pressing need to successfully address particular issues in local communities.