Improving patient access to general practice
Published on:Challenging objectives for improving access to general practice have been set by the Department and NHS England, but a more coordinated approach and stronger incentives are needed.
Challenging objectives for improving access to general practice have been set by the Department and NHS England, but a more coordinated approach and stronger incentives are needed.
Fire and rescue authorities have managed funding reductions well. The Department for Communities and Local Government should, however, seek greater assurance that authorities are maintaining service standards and delivering value for money locally
HMRC aimed to move more customers online thereby reducing staff costs but significant numbers of staff were let go before technical improvements were completed leading to a collapse in service quality in 2015. Services have since improved.
The government is selling assets on an unprecedented scale but, given the equally large scale of its new loans and other initiatives, the overall projected net effect is a £200m increase in borrowing.
The Department has committed electricity consumers and taxpayers to a high cost and risky deal in a changing energy marketplace. We cannot say the Department has maximised the chances that it will achieve value for money.
This is an investigation into the contractual arrangements that UK Trade and Investment (UKTI) had in place since 2013-14 for the outsourcing of sector specialist services with PA Consulting. PA received £18.8million in the first year of a contract due to last three years. Following concerns about the way the contract had been priced UKTI terminated the contract in January 2016 and agreed a commercial settlement with PA in May 2016.
Overall spending on discretionary local welfare support by central and local government has reduced since April 2013. The consequences of this gap in provision are not understood.
The sale of Eurostar generated proceeds of £757m. The government prepared well for the sale and achieved its objectives to maximise proceeds. The sale illustrates some general lessons for government as it embarks on its asset sales programme.
The risks to the affordability of the Ministry of Defence Equipment Plan are greater than at any point since reporting began in 2012.
This memorandum has been prepared to support the Committee of Public Accounts’ consideration of the Ministry of Defence’s (MoD’s) provision of accommodation to its service personnel.
Probation services have been restructured on time and within cost targets during a period of major change but operational problems and risks to further service transformation need to be resolved if re-offending levels are to reduce.
The Compact is a voluntary agreement that sets out shared principles for effective partnership working between the government and voluntary and civil society organisations in England. This report examines departments’ progress in implementing the recommendations in our 2012 report on the Compact.
The BBC’s cost reduction programme has so far delivered value for money. However, the need to make further savings from productivity improvements will involve more challenging and potentially disruptive changes to structures and ways of working.
In December 2015 a five year contract, worth around £800 million between UnitingCare Partnership and Cambridgeshire and Peterborough clinical commissioning group collapsed after only 8 months because it ran into financial difficulties. NAO examined the design, procurement and operation of the contract and the events that led to its termination.
The Department of Health and NHS England are making progress but much remains to be done to improve access to mental health services.
Since 2010 there has been an increase in the number of companies in government at the same time as a reduction in the number of public bodies which raises issues of transparency, accountability, governance and review.
It is important that the services for vulnerable people at the Yarls Wood Immigration Removal Centre are delivered ‘right first time’ and this did not happen here. Steps are now being taken to address the problems but 35% of the recommendations from Her Majesty’s Inspector of Prisons’ 2015 inspection have not yet been implemented.
The management of rail franchising has improved since 2012 however significant risks remain to achieving value for money as the programme develops.
The Building Public Trust Awards recognise trust and transparency in corporate reporting. This is the 12th year in which PwC has presented these annual awards.
If the government is serious about increasing its use of small and medium – sized enterprises (SMEs), it will need to focus on those areas where SMEs can deliver real benefits.