What austerity there was should have been time limited for 2 years, as was the case with Eire and Canada, and really put much of the public sector to the sword. What there was, was too little and for too long, with much of the public sector still left unscathed and unreformed.
Austerity should have been accompanied by measures for growth and exports rather than measures to force people to do almost any kind of work and in many cases on zero hours contracts. Without exports and growth the UK cannot create the private sector jobs that replace the lost public sector non jobs.
The public sector needs to be “broken to the fist”, not given tax raising powers and the ability to steal and waste even more money than it does already.
Any extraordinary costs caused by mergers need to be borne by councils reducing headcount and wasteful processes not from the public by way of increased parking fines and other imposts.
Adult Social Care needs to be merged into the NHS which in turn needs to be restructured on German and French lines plus a greater emphasis on personal responsibility on the public for their own health.