The challenge is to deliver efficiencies while maintaining or improving service quality and quantity 1.9 Delivering the benefits of the Efficient Government Initiative is a major undertaking. It involves not only achieving efficiencies within already existing cost pressures, such as the consequences of pay modernisation in the NHS, but also a number of structural, cultural and process reforms across the public sector. Efficiency gains need to be achievable without jeopardising other policy objectives. For example, an efficiency target could be achieved by cutting resources with a consequent reduction in service quality. But the continuation of service quality is imperative and the Executive will only accept reported efficiency gains if quality has at least been maintained.