The long-term viability of governance arrangements in England is a significant and pressing problem that has been neglected by successive governments for too long. It is clear that those in local government want a system that enables them to deliver for people and businesses in their area. However, the reality is that the governance arrangements for England are simply too complex, and too much is controlled from the centre. We heard that people in England have particularly low political efficacy, meaning they simply do not think that their voice will be heard or matters. This is a serious warning sign for the health of democracy in the United Kingdom.