title: Reinvent, reorganise and reform.
abstract: The OCTOBER spending review set out the government's plans for the country in the coming years. The review is one of the most challenging we have seen and will affect us all. This, along with the proposals in the white paper on NhS reform and efficiency and public sector job losses, paints a difficult picture of uncertainty. In addition, we are midway through a review of pension reform and as yet undecided funding plans for sustaining public pensions.
authors.affiliation: Older people at the Department of Health, London.
authors.forename: Deborah
authors.initials: D
authors.lastname: Sturdy