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  2. Government on the internet: progress in delivering information and services online.

    Report Value for money

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    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 […]

  3. Improving patient care by reducing the risk of hospital acquired infection: a progress report

    Report Value for money

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    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 […]

  4. The Provision of Out-of-Hours Care in England

    Report Value for money

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    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 […]

  5. National Insurance Fund Account 2004-05

    Report Financial audit

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    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 […]

  6. Smarter food procurement in the public sector

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    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 […]

  7. Tackling cancer in England: saving more lives

    Report Value for money

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    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 […]

  8. Hip Replacements: an Update

    Report Value for money

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    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 […]

  9. Department of Health – Reducing Brain Damage: Faster access to better stroke care

    Report Value for money

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    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 […]

  10. Department of Health: Improving Emergency Care in England

    Report Value for money

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    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. […]

  11. Update on PFI debt refinancing and the PFI equity market

    Report Value for money

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    An update report by the NAO identifies that the government has secured gains of £137 million from PFI debt refinancings under new arrangements introduced by the Treasury in 2002. These new arrangements followed previous reports by the NAO and the Public Accounts Committee that highlighted the opportunities for the private sector to benefit from refinancing […]

  12. The PFI Contract for the redevelopment of West Middlesex University Hospital

    Report Value for money

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    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 […]

  13. Educating and Training the Future Health Professional Workforce for England

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    The Audit Commission and the National Audit Office today published the results of their comprehensive joint review of education and training for existing and trainee nurses, midwives and other healthcare staff. Getting the development of these staff right is fundamental to meeting patients’ needs, improving services, reducing risks and modernising the NHS. The reports make […]

  14. Tackling Child Obesity – First Steps

    Report Value for money

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    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 […]

  15. Tackling Cancer: Improving the patient journey

    Report Value for money

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    Patients’ experiences of cancer services in England in 2004 have broadly improved on the situation in 2000, when the NHS Cancer Plan was introduced, according to head of the National Audit Office Sir John Bourn. Patients responding to a national survey of cancer patients carried out by the NAO were more positive, to a greater […]

  16. Innovation in the National Health Service – The Acquisition of the London Heart Hospital

    Report Value for money

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    The acquisition of the Heart Hospital represented an entrepreneurial and novel approach to improving patient services, Sir John Bourn, head of the National Audit Office, reported to Parliament today. The NHS acted quickly to take advantage of an unusual opportunity and acquired the hospital and its equipment at a good price. Activities at the Heart […]

  17. Hip replacements: getting it right first time

    Report Value for money

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    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 […]

  18. Tackling Obesity in England

    Report Value for money

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    Sir John Bourn, head of the National Audit Office, told Parliament today that the prevalence of obesity in England had tripled over the last 20 years and continues to rise. Most adults in England are now overweight, and one in five is obese. Producing the first authoritative estimates of the costs and consequences of obesity […]

  20. Safety, Quality, Efficacy: Regulating Medicines in the UK

    Report Value for money

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    The Medicines Control Agency (MCA) has a good track record, nationally and internationally, in protecting public health and in ensuring that medicines are in general safe, of good quality and effective if used properly. But, according to a National Audit Office report, it needs to do more to improve the quality of information and advice […]