The commissioning of specialised services in the NHS
Published on:Against a backdrop of increasing pressure on NHS finances, NHS England has not controlled the rising cost of specialised services.
Against a backdrop of increasing pressure on NHS finances, NHS England has not controlled the rising cost of specialised services.
Devolution deals to devolve power from central government to local areas in England offer opportunities to stimulate economic growth and reform public services for local users, but the arrangements are untested and government could do more to provide confidence that these deals will achieve the benefits intended
The Department of Health and NHS England are making progress but much remains to be done to improve access to mental health services.
The Department for Education recognised since 2010 that child protection services are not good enough but its subsequent response has not yet resulted in better outcomes. Spending on children’s social work, including on child protection, varies widely across England and is not related to quality. Neither the DfE nor authorities understand why spending varies.
The Department for Work and Pensions has not yet achieved value for money in managing contracted-out health and disability assessments.
It is important that the services for vulnerable people at the Yarls Wood Immigration Removal Centre are delivered ‘right first time’ and this did not happen here. Steps are now being taken to address the problems but 35% of the recommendations from Her Majesty’s Inspector of Prisons’ 2015 inspection have not yet been implemented.
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
In a report to Parliament today, head of the NAO Sir John Bourn recognised that the outsourcing of the Department of Social Security’s medical assessment service had reduced costs and speeded up the turnaround of work. But the standard of medical assessments and the quality of service to benefit customers need to improve. The service […]
The Comptroller and Auditor General’s audit of the DWP’s Social Fund White Paper Account for 2012-13 has revealed substantial improvements in many areas over which he had previously expressed concerns.
There were problems in performance during the first seven months after the launch of the Criminal Records Bureau but, following joint action by the Bureau, Capita and the Home Office, the Bureau is now delivering reliably each week over twice the number of Disclosures of criminal records undertaken by the police under the old arrangements. […]
Sir John Bourn, head of the National Audit Office, today reported to Parliament that properly planned and managed risk taking by government departments can promote innovation and lead to improved value for money for taxpayers. Departments are increasingly considering how best to devise and implement effective risk management strategies. By September 2000, all departments must […]