I work for the NHS and have done so for the last 10 years. In that time I’ve seen the service degraded by the government of the day. Austerity imposed by the Tory government cut funding for the NHS and Social care and we are now paying the price.
The reason Councils have outsourced services is because the central government grant they rely on has been cut to the bone. That has resulted in the logjams we have where patients are having to stay at hospital because there are inadequate social care places.
The reason Public sector services are in turmoil is as a direct result of the Austerity policies of this government. Austerity pushes people into poverty and weakens public services. If you can’t see the cause and effect I’d suggest you’re not really looking.