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  1. Successful commissioning toolkit
    Why, what and who for?

    This page is part of our successful commissioning toolkit. Constructing and maintaining good financial relationships between public bodies and third sector organisations (TSOs) has never been straightforward. If anything, achieving this has become more difficult as more and more financial relationships are made through public sector commissioning processes. But good financial relationships are important – to help achieve […]

  2. NHS (England) Summarised Accounts 2002-2003

    Report Financial audit

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    Head of the National Office Sir John Bourn reported to Parliament today that, in 2002-2003, the Department of Health successfully met its target of ensuring that financial balance was achieved in aggregate across the 607 individual NHS organisations. The NHS as a whole reported an underspend of £96 million within the context of healthcare commissioned […]

  3. NHS Direct in England

    Report Value for money

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    NHS Direct, the national telephone healthcare advice service operated by nurses, has achieved a high level of customer satisfaction since its introduction. The service, which has been fully available throughout England and Wales since November 2000, has a good safety record. Evidence at the local level suggests that it can help reduce demand on healthcare […]

  4. Successful commissioning toolkit
    Engaging with TSOs

    This page is part of our successful commissioning toolkit. Engaging with third sector organisations (TSOs) can provide a number of benefits. For you, it will increase your understanding of: The needs of your programme’s users and of the types of services that might best meet those needs. This will be especially effective in the case of […]

  5. Successful commissioning toolkit
    Practical issues

    This page is part of our successful commissioning toolkit. Using grant While grant making is less regulated than procurement, there remain important rules you need to follow if you choose this approach as the basis for a financial relationship. Elsewhere, we discuss the need for a power to pay a grant, and for the need to […]

  6. NHS Ambulance Services

    Press release

    Published on:

    Demand for ambulance services continues to grow rapidly, but services are finding it increasingly difficult to cope with rising demand.

  8. The impact of the 2007-08 changes to public service pensions

    Report Value for money

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    Changes made in 2007-08 to public service pension schemes are on course to deliver savings and stabilise pension costs. However the value for money of the changes cannot be demonstrated in the absence of a strategic assessment of their long term impact on staff motivation and retention.

  9. NHS (England) Summarised Accounts 2001- 02

    Report Financial audit

    Published on:

    Head of the National Audit Office Sir John Bourn has published a report following his examination of each of the twenty three summarised accounts for the NHS in England. Today’s report draws attention to a number of issues, including the NHS’s overall financial performance, developments in accounting and internal control, fraud, and clinical negligence liabilities. […]

  10. Successful commissioning toolkit
    Who is involved?

    This page is part of our successful commissioning toolkit. Within a public sector organisation, commissioning and establishing good financial relationships with third sector organisations (TSOs) involves: people at different levels – from senior officials, acting as Senior Responsible Owners (SROs) of a programme, to staff responsible for programme implementation; and people with different functions – while […]

  11. Mental health in prisons

    Press release

    Published on:

    Government does not know how many people in prison have a mental illness, how much it is spending on mental health in prisons or whether it is achieving its objectives. It is therefore hard to see how Government can be achieving value for money in its efforts to improve the mental health and well being of prisoners. In 2016 there were 40,161 incidents of self-harm in prisons and 120 self-inflicted deaths.

  12. Improving patient access to general practice

    Press release

    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.

  13. Facing the Challenge: NHS Emergency Planning in England

    Report Value for money

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    Head of the National Audit Office Sir John Bourn today reported to Parliament on how well prepared the NHS is to respond to disasters. The NAO started this study before September 11 2001 and since then updated its work to take into account progress made by the NHS in this area during the subsequent period […]

  14. Financial sustainability of the NHS

    Press release

    Published on:

    The financial performance of NHS bodies worsened considerably in 2015-16, according to the National Audit Office.

  15. Inappropriate adjustments to NHS waiting Lists

    Report Value for money

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    The National Audit Office has published the results of its examination into the inappropriate adjustment of waiting lists at a number of NHS trusts. In July of this year the NAO published its report Inpatient and outpatient waiting in the NHS looking at the accuracy and management of NHS waiting lists. In that report it […]

  16. Inpatient and Outpatient Waiting in the NHS

    Report Value for money

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    The need for wider implementation of good practice to manage and reduce waiting lists and times in the NHS in England is highlighted today in a National Audit Office report. In March 2001 some 42,000 patients had been waiting more than 12 months for admission to hospital, and there are large inequalities across the country […]

  17. The Management of Suspensions of Clinical Staff in NHS Hospital and Ambulance Trusts in England

    Report Value for money

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    There is a pressing need for the Department of Health, Strategic Health Authorities and NHS trusts to improve their management of suspensions of clinical staff, according to the head of the National Audit Office, Sir John Bourn. Today’s report to Parliament, while acknowledging the paramount importance of protecting patient safety, highlights concerns about the length […]

  19. NHS (England) Summarised Accounts 2000-2001

    Report Financial audit

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    Head of the National Audit Office Sir John Bourn has given an unqualified opinion on each of the 20 NHS summarised accounts, prepared by the Secretary of State for Health from the accounts for individual health organisations. Today’s report from the NAO draws attention to a number of issues, including overall financial performance, fraud in […]

  20. Health and social care integration

    Press release

    Published on:

    The Better Care Fund has not achieved the expected value for money, in terms of savings, outcomes for patients or hospital activity.