NHS reform, an accident waiting to happen

Something has to give, and it will be the quality of front-line care, whether through rising waiting times, hospital closures or rationing of expensive drugs and treatments, writes Philip Stephens
CBI conference seeks ‘more meat on the bones’ on priorities for resources, the removal of barriers and incentives for private sector growth
Coalition’s deficit-cutting policies are almost as radical as those pursued by some of Britain’s struggling eurozone neighbours – but they differ in the detail
Government departments are to be deprived of billions originally allocated by Labour for use on public services under a ‘spend it or lose it’’ system that allowed for unspent cash to be claimed in succeeding years
Full details of the UK coalition’s plan for a green investment bank will be set out next spring, the Treasury said, as it outlined a national infrastructure plan
Local authorities are considering securitising assets for the first time to plug pension-fund gaps and ease cash flow constraints that have tightened in the wake of last week’s spending review
The prime minister has been accused of ‘pulling the rug from under’ his own Big Society agenda by the chairman of the Charity Commission as the voluntary sector braces itself for billions of pounds of cuts to funding
The US secretary of state is said to have raised concern about how the public spending cuts might affect the BBC World Service only days before its funding was transferred from the Foreign Office to the BBC
The favourite to win the leadership of Britain’s most powerful union says strikes over the government’s £81bn spending reductions are inevitable and is calling on the TUC to co-ordinate the fight
Interactive graphic: take a look at the sort of briefing George Osborne will have received, annotated with political strategy from advisers, as he attempts to balance the books in the comprehensive spending review

Something has to give, and it will be the quality of front-line care, whether through rising waiting times, hospital closures or rationing of expensive drugs and treatments, writes Philip Stephens
Uncapping fees is the best way for Britain’s world-renowned education system to fulfil its potential. Students would have more choice; universities and private providers would compete on services and price
Savings of the scale faced by Britain’s councils cannot be achieved by lopping a little off the budgets of lots of programmes. Local consolidation is radical but necessary
Radical measures on productivity are needed. For instance, local councils should share services. Every council does not need its own team of lawyers or press officers, writes Eric Pickles
I do not agree with some of my media colleagues that this is the biggest economic policy shift since Henry VIII’s Dissolution of the Monasteries, writes Samuel Brittan

Cool Britannia, self-confident globalism and liberal internationalism – all belong to a bygone era, writes Philip Stephens
The government is hoping the sum of many small negatives will be positive
The review has not delivered the new model forces that Britain needs. Many hard choices remain when the next one takes place
Quite why prosperous pensioners deserve their special treatment is unclear to this economist, but no doubt perfectly obvious to the opinion pollsters, writes Tim Harford
By launching a four-year austerity programme now, George Osborne limits the risk that above-forecast economic growth might recommend Labour’s gentler philosophy, writes Jonathan Guthrie