This chapter provides a detailed review and analysis of all the major reforms that were initiated and subsequently implemented by Malta’s Government from the year 2013 onwards, regarding policy making, coordination and implementation. It expands on the theme of the previous chapter that focused on the interaction of public policy with the public administrative framework. The Government’s progressive and contemporary policy design augmented the quality level through the application of standards; the reprioritisation of the political agenda; and the revamping of how key policy sectors are managed. These have changed significantly the country’s political direction. Significant advancement has been made in implementing national policies so that Malta is more compliant with EU directives. The structural reforms have resulted in a substantial increase in all revenue streams reflecting the sustained and robust performance of the Maltese economy. Despite all the policy reforms, the only constant feature is change. It is contended that much more policy reforms are required, especially in the new COVID-19 era, to transform the citizen’s lives drastically for the better.