The National Audit Office has urged the NHS to ensure that a focus on quality and safety is at the top of the agenda in primary care. In a report out today, the NAO says that almost all primary care trusts (PCTS) have clinical governance structures and processes in place that should assure quality and […]
This memorandum has been prepared for the Health Committee to support its review of public expenditure. It sets out how the NHS, supported by the Department of Health, plans to deliver efficiency savings of up to £20 billion by 2014-15.
In response to questions raised by the House of Commons Health Committee in late 2013 and wider Parliamentary interest, we conducted an investigation into five specific concerns about NHS Property Services. Our investigation established the facts relating to these concerns.
May 2014
The Department of Health and the Information Centre could not demonstrate to the National Audit Office’s satisfaction that they had achieved value for money in establishing Dr Foster Intelligence, a joint venture between the Information Centre and a private sector company Dr Foster LLP. This is primarily because they did not go out to tender […]
Most government departments are continuing to produce high quality accounts and are presenting them for audit in a timely fashion. However, Sir John Bourn, head of the National Audit Office, had to issue qualified opinions on seven out of 54 sets of departmental resource accounts in 2005-06, compared with two out of 54 sets in […]
A memorandum on the provision of out-of-hours GP services in Cornwall found whistleblowers played a significant role in highlighting concerns about the service.
The Department of Health has made progress towards its target that, by December 2005, each NHS patient referred by a GP for non-emergency hospital treatment will be offered a choice of four or five healthcare providers. However, according to the National Audit Office, there remain significant risks for the Department to manage, especially that of […]
This briefing has been prepared to help inform the House of Commons Health Select Committee examination of Health Resource Allocation.
Government has made progress in making a wide range of information available to the public through the internet. But the National Audit Office has found that although internet users rate government websites reasonably well, the quality of those websites has improved only slightly since 2002. Todays report to Parliament looked at the progress made by […]
There has been notable progress at trust level in putting systems and processes in place and strengthening infection control teams to improve the prevention and control of hospital acquired infection, but the NHS still does not have enough information on the extent and cost of hospital acquired infection. These are the principal findings of a […]
NHS patients receiving hip replacements have received an improved service over the last three years, according to a report today from the National Audit Office. But it will take time for developments to take full effect and more remains to be done to ensure improved quality of care to patients. This includes making sure that […]
Sir John Bourn, head of the National Audit Office, reported today that the priority afforded to stroke care by the Department of Health and the wider health service can be increased, given its impact and cost. Sir John’s report shows that notable progress has been made from a low starting point. It recommends further improvements […]
Sir John Bourn, head of the National Audit Office, reported today that cancer patients are increasingly surviving the disease as a result of the new initiatives launched by the Department of Health and the NHS over the last decade. But the NHS needs to continue to do more to ensure all patients are treated swiftly […]
There were shortcomings in the process of setting up new arrangements to provide out-of-hours primary medical care in 2004, although there is no evidence that patient safety was compromised, the National Audit Office reported today. The Primary Care Trusts (PCTs) who took over responsibility for organising out-of-hours services from GPs lacked knowledge and experience in […]
Clarification Point 2 in the C&AG introduction (page 26), should read: “From April 2003 an additional one per cent National Insurance contribution has been collected and allocated directly to the National Health Service, bringing the total payments to the NHS to some £16.8 billion in 2004-2005 (£14.9 billion in 2003-2004).” Head of the National Audit […]
The public sector could save annually over £220 million in food and catering costs by 2010-11, while raising nutritional standards and increasing sustainability, Sir John Bourn, head of the National Audit Office, has reported today. In particular, there is significant scope for improvement by increasing joined up procurement, implementing good practice, enhancing the roles and […]
The redevelopment of the West Middlesex hospital should assist the NHS in delivering modern, high quality healthcare in London, Sir John Bourn, Head of the National Audit Office reported to Parliament today. As a result of letting a 35 year PFI contract with a net present value of £125 million to the Bywest consortium, the […]
NHS trusts have achieved a large and sustained reduction in the length of time patients spend in accident and emergency (A&E) departments, largely through improved working practices. This reduction has followed a strongly increased focus, since 2002, by the Department of Health on trusts ensuring that patients spend no more than four hours in A&E. […]
Sir John Bourn, head of the National Audit Office, reported to Parliament today that many NHS trusts and orthopaedic consultants apply good practice in the way that they handle total hip replacements. However, there are significant variations in performance, and there is need for good practice to be spread more widely for the benefit of […]
Without clearer leadership from Departments there is a risk that the Government’s target to halt the rise in obesity in children under 11 will not be met. This is a key finding of a joint report published today by the Audit Commission, the Healthcare Commission and the National Audit Office. The report investigates the strength […]