I think this is what many Tories want - a small state - to turn back time a century or so to an era when all education and healthcare was either private or a charitable institution.
At least private or charitable funded services are more likely to be efficient and cater for what people actually want.
A huge amount of public spending is wasted on waste and inefficiency and on projects/services that few (if any) people actually want, such as political vanity projects.
Take diabetic eyecare. Used to be done by High Street opticians. I could phone up and make an appointment of my choosing within a few days and I'd be in and out within 20 minutes. The NHS paid the optician for their time. Now, it's been taken in-house by our NHS trust. Trying to make an appointment is a joke - even though they have a dedicated admin office for our county. They never answer the phone, they send out letters with a communist style "allocation" of an appointment at a time and place of their choosing, which you have to endure phone queues and answerphones to try to change to something more convenient, and the only appointments are usually months away. When you get there, there's a dedicated receptionist checking in one person every 15 minutes (gossiping for the other 14 minutes), then someone takes you from the reception area to outside a surgery door (gossiping between patients), then someone takes you in one room to put in the eye drops (2 minutes per 15!), then 10 minutes later another person takes you into another room to take photos (3 minutes per 15), and finally you're free to go after about 30-40 minutes because the whole process never runs on time, even when there's only 1 person every 15 minutes (presumably because the gossiping between patients goes over-time!) and after all that, the photos are emailed to a real optician to review - so a total of 5 people involved, 4 of whom are the old union loved "one person one job". Compare that to a single receptionist and a single optician in a High Street opticians! That's a classic example of how privatisation works really well under the NHS - heaven knows why they took it back in-house as it can't possibly be cheaper having all those staff for so long compared with an efficient opticians.
Same with hearing aids these days thank goodness. It took me best part of a year to get a hearing aid, due to having to get a referral from a GP, then an eye test in one NHS hospital, an ENT consultant appointment at another and finally a fitting at a third different hospital, there being a gap of several weeks/months between appointments due to inefficiency, waiting lists, etc - not to mention lost referral letters! When my wife needed one, it was all done within a couple of weeks via our High Street specsavers who managed to do the hearing tests, fitting etc all in a single appointment with minimal bureacracy and fuss!