Budget Memo to George

A mañana budget is the only way to describe it.

The pre-budget hype, radical moves on pensions for example, is simply not matched by the way you seek to gently tinker with a failing system. Many of the changes in personal taxation are delayed until 2013, although the economy could do with a genuinely redistributive boost now, and an automatic future extension of the pension age means that people will eventually be completely stuffed by the system.

Funding state pensions from current day receipts is simply not sustainable. At the moment it is a struggle and already people have to work for around 50 years to enjoy perhaps 30 on a pension that is a tiny fraction of what they earn, or even contributed. In 15 years time, according to my rough calculations, around 22% more people will be drawing pensions than today, relative to those in work. Extending the age at which you can draw a pension to match increases in life expectancy will simply not plug that hole and unless you plug the hole now it is likely to be unpluggable.

The Unofficial Green Paper contains suggestions on ways to deal with this, but the budget is just another missed opportunity. Yet again a government seems to be slowly releasing cash to engender a feel good factor just around election time rather than genuinely planning for the long term.

There are three things that you should urgently do:

• Fully review the future of all pensions
• Fully review the future of health and social care funding (not delivery as in the current NHS Bill)
• Fully review the status of social enterprise and its capacity to support the above two categories of expenditure.

Once you have done this you should be open with people about exactly what they will get for their contributions for the whole of their lives. The Green Paper carries the full list of suggestions. This is urgent and matters hugely to the '99%' many of whom do not yet realise how much. Please do not leave it much longer.

Memo to Dave

On your return from the USA you will find that not much has changed. The unloved and scary NHS Bill mysteriously continues to win votes whilst alienating people. Social Enterprise continues to peck for crumbs around the capitalist feeding table that is public expenditure and the vast majority of people continue to look at all your 'reform' and 'change' and wonder why. Not why as in 'why are you doing it?', they're all reasonably convinced that you're doing it for your capitalist mates, but why as in 'where is the plan?'. They're wanting to know if it all fits together and if so, in what. Is it really an attempt at improving lives or is it fiddling while their Rome burns but someone else's Mammon is further gilded?

This is a valid question as it is becoming increasingly accepted that the current incarnation of capitalism has failed and yet you continue to prop it up. In a situation where your actions appear illogical people will naturally suspect impure motives. We have a short window of opportunity to produce a new world-class economic system from the rubble of 20th century capitalism. As Adam Smith might have said, the next system is unlikely to perfect, but with hindsight we should at least be able to make it better than the last one.

The Unofficial Big Society Green Paper (www.bigsocietygreenpaper.org) argued that social enterprise should be at the forefront of any new system. It contends that we should not try to change capitalism but force it to change itself, or die. We can very easily do this by the creation of a new social enterprise trading structure which measures social value and social return as part of the criteria for the award of any state contract. Christopher White's recent 'social value' bill goes half way to addressing this, but there remains a big gap and we allow too much capital to flow out of our system before it has reached all parts.

In addition, social enterprise is often a poor cousin to business, relying on handouts, grants and specialist funding to gain a foothold next to 'real' business. This is wrong and whilst there are many worthy attempts at improving access to funding and real contracts, these are always coming from the view that social enterprise needs a leg up because it is worthy or trendy. It's a bit big society, but apparently not interesting enough to be part of any formal policy. That needs to stop. Capitalism has become anti-social. It is anti-social enterprise and social enterprise needs to be seen as the purest form of Adam Smith's capitalism that currently remains. It needs to have pride of place in the pecking order before it is too late.

The next thing we need therefore is a social return bill, to go alongside the social value bill. An act that enshrines in law the obligation for any public body to measure the return of profit to a community from a social enterprise. This needs a very careful piece of legislation which defines social enterprise, gives it a structure within which to operate and ensures that all of its returns are key parts in the award of any contract. This will make anti-social enterprises think much more closely about how they operate and how they bid for business. It is not red tape, or an attack on capitalism, it is levelling the playing field between social and anti-social enterprise.

We have come some way towards it but have much further to go. The Green Paper also discusses ways that these returns can be co-ordinated to a much greater good, but more of that another day. I have just spent 5 years of my life battling against small p politics in a local setting, so I know how Steve Hilton feels, but don't give up on the Big Society if you really want one, just support it with a big plan. Soon.

Memo to Andrew Lansley - How to save the Health Bill without changing it

The response to mounting opposition to the NHS Bill is not yet meeting the required standard. The concerns are far deeper than either political manoeuvring or self-preservation by empire-builders, although there are obviously elements of both. Before doing anything further if you stop and analyse the resistance you will find a common thread. It is that no-one understands how the reforms will actually get the NHS to a better place, and it is therefore causing fear rather than excitement. In effect it appears to be the fiddling while Rome burns. I have spoken to several GPs involved in new clinical commissioning groups who can see the logic in some of the arrangements but fear the funding will not support the needs of their patients and alongside that existing NHS commissioners are saying that the changes will do nothing to re-position the service to cope in 10 or more years time, that will need hard cash.

The Unofficial Big Society Green Paper (www.bigsocietygreenpaper.org) has a full chapter on the NHS because of it's importance to us and your reforms may well drive efficiency but they have two glaring omissions. Firstly, they do not show how they are compatible with the future financial strains which demographics alone will place on healthcare and the funding of it. This leads GPs especially to be wary of being the gatekeepers of insufficient funding and as a result being the ones to tell patients that they will be left to die. Secondly, the reforms fail to demonstrate how they will protect the NHS against lowest common denominator services which will result from a totally free any willing provider system.

What is needed therefore is a sub-bill which enshrines the role of community-led social enterprise in the NHS and does so within a framework which ensures open competition whilst supporting the funding model through reinvestment of profit. Secondly, you need to address the whole system that funds health, pensions and social care from current day taxation. This system frightens the life out of me and will break at some point, leaving us like Greece. No amount of reform or doing more for less can save a system in which twice as many people need help as those paying for it and that is where we are headed.

The Green Paper talks at length about this issue but in a nutshell you can save the bill by two relatively simple actions, which it will be easy and beneficial for the coalition to support:

1. Commit to a system of competition in which all outputs are measured, not just the financial, and in which the state seeks a return of profit from providers. This will ensure that social enterprise becomes the main delivery vehicle for our healthcare and avoid the danger of back door privatisation.

2. Commit to a new system of funding, on a whole of life basis, which will guarantee that a standard set of treatments and social/pension benefits are available nationally to all those eligible. 

This will not only help financially, it will help voters to believe in your full support for the NHS and also help those inside it to believe that the reforms will not simply be used to squeeze the NHS to save cash. These are not nice to have bolt ons, they will save your Bill. They will underpin the modernisation of the NHS as well as transform the financial position of the country.