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  3. Department of Health: The National Programme for IT in the NHS

    Report Value for money

    Published on:

    The National Audit Office reported to Parliament today the results of its examination of the National Programme for IT in the NHS. The Programme’s scope, vision and complexity are wider and more extensive than any ongoing or planned healthcare IT programme in the world and it represents the largest single IT investment in the UK […]

  4. Investigation into devolved funding

    Press release

    Published on:

    This investigation covers how the UK government determines the amount of funding it allocates to the devolved administrations.

  7. Local auditor reporting in England 2018

    Press release

    Published on:

    The number of NHS and local government bodies with weaknesses in their arrangements for delivering value for money is increasing.

  8. Financial management in the NHS – NHS Summarised Accounts 2003-2004

    Report Financial audit

    Published on:

    The challenges facing local NHS bodies are unprecedented and improved financial management will be essential to meeting them, according to a study by the National Audit Office and the Audit Commission. The report, Financial Management in the NHS, published today, is the first joint study carried out by the NAO and the Commission. It shows […]

  9. Successful commissioning toolkit
    Clarifying your ability to intervene

    This page is part of our successful commissioning toolkit. You need to establish at an early stage that you and your organisation have the ability to undertake the activities of the commissioning process you are contemplating. This falls into three parts – legal powers; money; and authority: Legal power (also known as ‘vires’) There may be power […]

  10. Successful commissioning toolkit
    Agreeing outcomes

    This page is part of our successful commissioning toolkit. When deciding on outcomes, you often have to weigh up all the above factors listed in ‘Building outcomes‘ and come to a balanced view. It can be helpful to do this collaboratively, for example through workshops with the key players involved, including relevant third sector organisations (TSOs). Practical example: agreeing […]

  12. Public Service Pensions

    Press release

    Published on:

    This report outlines how the public service pensions landscape has changed since the Hutton Review and highlights future challenges.

  13. Decommissioning toolkit
    Managing change

    This page is part of our decommissioning toolkit. Decommissioning, whatever form it takes, requires providers to think about and manage change. This is often made more challenging due to tight timeframes and poor quality information. In some cases decommissioning raises very complex issues. Commissioners should sign-post providers to sources of advice and support, particularly for […]

  15. Decision support tool
    Define contract scale

    This page is part of our decision support tool. Large scale contracts can bring benefits through reduced procurement and contract management costs, but they do not always offer the best value for money and may, in the long term, reduce the diversity of the supplier base. You should consider whether the contract should be divided […]

  16. The health and social care interface

    Press release

    Published on:

    This ‘think piece’ draws on our past work highlighting the barriers that prevent health and social care services working together effectively, examples of joint working and the move towards services centred on the needs of the individual, to inform the ongoing debate about the future of health and social care in England.

  17. Successful commissioning toolkit
    What about grant-in-aid, or strategic grants?

    This page is part of our successful commissioning toolkit. If you have decided to use grant as the basis for a financial relationship, you then have the further option of choosing to use a particular type of grant, known as ‘grant-in-aid’ (in central government) or ‘strategic grant’ (especially in local government and the NHS).  The key […]

  18. Successful commissioning toolkit
    Building outcomes

    This page is part of our successful commissioning toolkit. When you are establishing the outcomes for your programme, you may draw on a number of sources: Needs assessment.  What does research show about the needs of your target client group? For example, if one of the main needs is a higher rate of vaccination among the children […]

  19. The NHS Cancer Plan: A Progress Report

    Report Value for money

    Published on:

    The National Audit Office reported today that, four years into the 10-year NHS Cancer Plan, substantial progress has been made in meeting the Plan’s targets. The thirty-four cancer networks which have been established have achieved important improvements in delivering cancer services across England. However, the networks need to be more effective and to develop partnership […]

  20. Successful commissioning toolkit
    NAO model of commissioning and the third sector

    This page is part of our successful commissioning toolkit. There are various models of the commissioning cycle. For example, the NHS model uses nine elements within three broader stages – strategic planning, procuring services, and monitoring and evaluation. The Institute for Public Care model is based upon four key performance management elements – analyse, plan, do […]