The Chancellor should admit in his statement that his rules were misconceived from the start

Autumn Statement wishlist.

Unless he can find some dodge to circumvent them, George Osborne’s fiscal rules are likely to require him to tighten policy in the autumn statement through some combination of spending cuts (such as freezing welfare payments) and tax increases. At a time when the economic recovery is so weak and economists are speculating about the possibility of a ‘triple-dip’ recession this would be folly.

The Chancellor should admit in his statement that his rules were misconceived from the start. The first is, in theory, no constraint at all because it only requires him to forecast that the deficit will be eliminated in five years time, not to ever actually eliminate it. But in practice, he interprets the rule as forcing him to take action now in order to demonstrate he is still on track to achieve his five-year target. The second rule – that debt should be falling by 2015-16 – is a bigger problem; it can only be achieved by more tax increases or spending cuts.

George Osborne should adopt a new rule specifying that the scale of spending cuts will vary according to the strength of the economy. When growth is weak, spending cuts should be scaled back; when it is strong, they should be speeded up. This would increase the credibility of fiscal policy and allow the Chancellor to relax policy in the autumn statement. This should be done through what is clearly a one-off boost to spending, and the best way to do that is by providing additional resources for infrastructure spending in 2013-14.

Tony Dolphin is from the Institute of Public Policy Research

When growth is weak, spending cuts should be scaled back. Photograph: Getty Images

Tony Dolphin is chief economist at IPPR

Photo: Getty
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The big problem for the NHS? Local government cuts

Even a U-Turn on planned cuts to the service itself will still leave the NHS under heavy pressure. 

38Degrees has uncovered a series of grisly plans for the NHS over the coming years. Among the highlights: severe cuts to frontline services at the Midland Metropolitan Hospital, including but limited to the closure of its Accident and Emergency department. Elsewhere, one of three hospitals in Leicester, Leicestershire and Rutland are to be shuttered, while there will be cuts to acute services in Suffolk and North East Essex.

These cuts come despite an additional £8bn annual cash injection into the NHS, characterised as the bare minimum needed by Simon Stevens, the head of NHS England.

The cuts are outlined in draft sustainability and transformation plans (STP) that will be approved in October before kicking off a period of wider consultation.

The problem for the NHS is twofold: although its funding remains ringfenced, healthcare inflation means that in reality, the health service requires above-inflation increases to stand still. But the second, bigger problem aren’t cuts to the NHS but to the rest of government spending, particularly local government cuts.

That has seen more pressure on hospital beds as outpatients who require further non-emergency care have nowhere to go, increasing lifestyle problems as cash-strapped councils either close or increase prices at subsidised local authority gyms, build on green space to make the best out of Britain’s booming property market, and cut other corners to manage the growing backlog of devolved cuts.

All of which means even a bigger supply of cash for the NHS than the £8bn promised at the last election – even the bonanza pledged by Vote Leave in the referendum, in fact – will still find itself disappearing down the cracks left by cuts elsewhere. 

Stephen Bush is special correspondent at the New Statesman. He usually writes about politics.