10 pieces of bad news that Osborne left out of his Autumn Statement

The small print shows that the economy will shrink in the current quarter and that unemployment will rise next year.

As ever, you had to scour the small print to find the bad news that George Osborne chose to leave out of his Autumn Statement. So here, complete with references to the OBR document, are the ten stats that the Chancellor would rather you didn't know.

1. The economy is expected to shrink in the current quarter, with the OBR forecasting a contraction of 0.1 per cent. (p. 48 OBR document). It states that "headline GDP growth is likely to be negative in the final quarter of 2012 as the effect from the Olympics reverses." The day before the last set of growth figures were released, Cameron boasted that "the good news will keep coming". It's now clear that it won't.

2. Despite the government's promise to "make work pay", sixty per cent of the real-terms cut to benefits (they will rise by just 1 per cent for three years) will fall on working households. (Resolution Foundation) A working family on £20,000 with two children will lose £279 a year from next April.

3. The recent fall in unemployment is expected to be reversed as the jobless total rises from 2.5 million to 2.7 million next year. (p. 83 OBR document)

4. Were it not for the inclusion of the expected £3.5bn receipts from the 4G spectrum auction - which hasn't taken place yet - the deficit would be higher this year (£123.8bn) than last year (£121.4bn). (p. 5 OBR document).

5. The measures announced yesterday by Osborne are expected to increase GDP by just 0.1 per cent over the forecast period. (p. 51 OBR document). This was no Autumn Statement for growth.

6. Earnings are forecast to rise at a slower rate than inflation until the second quarter of 2014. (p. 86 OBR document). By then, the median full-time wage will be 7.4 per cent below its 2008 level.

7. Public sector job cuts will reach 1.1 million by 2018 (p. 83 OBR document), reducing government employment to its lowest level in post-war history.

8. An extra 400,000 people will be dragged into the 40p tax band by 2015-16, paying an extra £117 per year.

9. The government is expected to lose £16.5bn on its stakes in the Royal Bank of Scotland and Lloyds, up from an estimate of £14.3bn in March. (p. 162 OBR document).

10. Osborne's decision to cut the top rate of income tax from 50p to 45p means the 8,000 people earning a million pounds or more will receive an average tax cut of £107,500 from next April.

George Osborne leaves number 11 Downing Street for the Treasury on December 5, 2012 in London. Photograph: Getty Images.

George Eaton is political editor of the New Statesman.

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A swimming pool and a bleeding toe put my medical competency in doubt

Doctors are used to contending with Google. Sometimes the search engine wins. 

The brutal heatwave affecting southern Europe this summer has become known among locals as “Lucifer”. Having just returned from Italy, I fully understand the nickname. An early excursion caused the beginnings of sunstroke, so we abandoned plans to explore the cultural heritage of the Amalfi region and strayed no further than five metres from the hotel pool for the rest of the week.

The children were delighted, particularly my 12-year-old stepdaughter, Gracie, who proceeded to spend hours at a time playing in the water. Towelling herself after one long session, she noticed something odd.

“What’s happened there?” she asked, holding her foot aloft in front of my face.

I inspected the proffered appendage: on the underside of her big toe was an oblong area of glistening red flesh that looked like a chunk of raw steak.

“Did you injure it?”

She shook her head. “It doesn’t hurt at all.”

I shrugged and said she must have grazed it. She wasn’t convinced, pointing out that she would remember if she had done that. She has great faith in plasters, though, and once it was dressed she forgot all about it. I dismissed it, too, assuming it was one of those things.

By the end of the next day, the pulp on the underside of all of her toes looked the same. As the doctor in the family, I felt under some pressure to come up with an explanation. I made up something about burns from the hot paving slabs around the pool. Gracie didn’t say as much, but her look suggested a dawning scepticism over my claims to hold a medical degree.

The next day, Gracie and her new-found holiday playmate, Eve, abruptly terminated a marathon piggy-in-the-middle session in the pool with Eve’s dad. “Our feet are bleeding,” they announced, somewhat incredulously. Sure enough, bright-red blood was flowing, apparently painlessly, from the bottoms of their big toes.

Doctors are used to contending with Google. Often, what patients discover on the internet causes them undue alarm, and our role is to provide context and reassurance. But not infrequently, people come across information that outstrips our knowledge. On my return from our room with fresh supplies of plasters, my wife looked up from her sun lounger with an air of quiet amusement.

“It’s called ‘pool toe’,” she said, handing me her iPhone. The page she had tracked down described the girls’ situation exactly: friction burns, most commonly seen in children, caused by repetitive hopping about on the abrasive floors of swimming pools. Doctors practising in hot countries must see it all the time. I doubt it presents often to British GPs.

I remained puzzled about the lack of pain. The injuries looked bad, but neither Gracie nor Eve was particularly bothered. Here the internet drew a blank, but I suspect it has to do with the “pruning” of our skin that we’re all familiar with after a soak in the bath. This only occurs over the pulps of our fingers and toes. It was once thought to be caused by water diffusing into skin cells, making them swell, but the truth is far more fascinating.

The wrinkling is an active process, triggered by immersion, in which the blood supply to the pulp regions is switched off, causing the skin there to shrink and pucker. This creates the biological equivalent of tyre treads on our fingers and toes and markedly improves our grip – of great evolutionary advantage when grasping slippery fish in a river, or if trying to maintain balance on slick wet rocks.

The flip side of this is much greater friction, leading to abrasion of the skin through repeated micro-trauma. And the lack of blood flow causes nerves to shut down, depriving us of the pain that would otherwise alert us to the ongoing tissue damage. An adaptation that helped our ancestors hunt in rivers proves considerably less use on a modern summer holiday.

I may not have seen much of the local heritage, but the trip to Italy taught me something new all the same. 

This article first appeared in the 17 August 2017 issue of the New Statesman, Trump goes nuclear