I think the bottom line to all of this is that most voters have simple needs.
Be able to see a doctor within 48 hours
Be able to summon an ambulance within 30 minutes
Be able to summon a policeman when the situation demands it
Be able to keep warm in winter
To have reasonable council tax charges
Anything else?
The public services have evolved massively since I were a lad into giant employers of people who don't seem to do much. There are too many managers in most places and nothing ever gets done to upset the status quo.
Why do we need "Mayors"? Look at the mess London is in. Too many overpaid dolittles in nice warm offices. I'll stop there.