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  2. Investigation into NHS spending on generic medicines in primary care

    Press release

    Published on:

    This investigation looks at the 2017-18 increase in NHS spending on certain generic medicines, possible causes of the price increases in the market for generic medicines, and how the Department of Health and Social Care responded to the price increases.

  4. Successful commissioning toolkit
    State of the market

    This page is part of our successful commissioning toolkit. Whether you use procurement or grant, you will have to appoint a provider to deliver the good or service you are seeking. The set of potential providers is the ‘market’. The market for the service you require may be highly competitive, with many potential providers with high levels […]

  5. NHS Direct 2004-2005: Qualification of Audit Opinion

    Report Financial audit

    Published on:

    Head of the National Audit Office Sir John Bourn has qualified his opinion on the accounts of NHS Direct for the year up to 31 March 2005 because of a lack of evidence to support a significant number of payroll payments. A second reason for the qualification was a lack of evidence to support comparative […]

  6. Reducing emergency admissions

    Press release

    Published on:

    The report examines progress that the Department of Health & Social Care, NHS England, NHS Improvement and other stakeholders are making in reducing the impact of emergency admissions on acute hospitals. The report takes a whole-system approach, and looks at action across acute, primary, community and social care systems.

  8. Sustainability and transformation in the NHS

    Press release

    Published on:

    Additional funding, aimed to help the NHS get on a financially sustainable footing, has instead been spent on coping with existing pressures.

  9. Successful commissioning toolkit
    Pooling money and what goes with that

    This page is part of our successful commissioning toolkit. So far, we have considered your programme as a separate programme. That may be where matters end up. But you need first to consider the option of pooling your fund with another fund. There are a number of factors to consider: A large procurement or grant can provide economies of […]

  10. Improving the use of temporary nursing staff in NHS acute and foundation trusts

    Report Value for money

    Published on:

    The National Audit Office has found that while the NHS has successfully reduced its expenditure on agency nursing staff, temporary staff remain a key component of trusts’ ability to be flexible and expenditure on temporary nursing staff employed through nursing banks and NHS Professionals has increased. Many NHS trusts do not have robust information to […]

  12. Department of Health – Innovation in the NHS: Local Improvement Finance Trusts

    Report Value for money

    Published on:

    Sir John Bourn, head of the National Audit Office, reported today that the Local Improvement Finance Trust (LIFT) initiative, launched in 2001, is an effective means of improving primary health and social care. The LIFT model has a number of strengths: it takes a long term strategic approach to local health provision which combines the […]

  13. Childhood obesity

    Press release

    Published on:

    This report examines the effectiveness of the government’s approach to reducing childhood obesity in England.

  15. Successful commissioning toolkit
    Assessing needs

    This page is part of our successful commissioning toolkit. There are many models of the commissioning cycle but all share some common features and all include, in some form or another, a stage where the needs of the population you serve are assessed. Assessing needs may form part of a higher-level process called ‘analyse’ or ‘strategic […]

  16. Successful commissioning toolkit
    Value for money and TSOs

    This page is part of our successful commissioning toolkit. It is important that financial relationships with third sector organisations (TSOs) are cost-effective, that good value for money is achieved by the programme or service involved. Poor value for money means either that: more needs to be spent to achieve the expected outcomes, leaving less money for other […]

  17. Reforming NHS Dentistry: ensuring effective management of risks

    Report Value for money

    Published on:

    There is a strong rationale for modernising NHS dentistry, but significant risks will have to be managed if the new arrangements announced by the Department of Health are to be effective and provide value for money, according to the National Audit Office. In particular, given the scepticism of some dentists compounded by a lack of […]