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  1. Health and social care integration

    Report Value for money

    Published on:

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

  2. Yarl’s Wood Immigration Removal Centre

    Report Value for money

    Published on:

    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.

  5. Planning for the Better Care Fund

    Report Value for money

    Published on:

    The Better Care Fund is an innovative idea but the quality of early preparation and planning did not match the scale of the ambition. Current plans forecast £314m of savings for the NHS rather than the £1 billion in early planning assumptions.

  6. Transforming NHS ambulance services

    Report Value for money

    Published on:

    The Department of Health has until recently been focusing on speed of response as a measure of performance of the ambulance service, rather than on clinical outcomes. The service achieves high levels of public satisfaction but there are wide variations in ambulance trusts’ efficiency. The system has not delivered the best value for money to date.

  7. Progress in improving mental health services in England

    Press release

    Published on:

    Despite funding and staffing levels for mental health services increasing, and more patients being treated, millions of people with mental health needs are still not accessing services, with some facing lengthy waits for treatment, according to a new National Audit Office report.

  8. Maternity services in England

    Report Value for money

    Published on:

    Most women have good outcomes from NHS maternity services, but there are significant and unexplained variations in performance around the country.

  9. Achievement of Foundation Trust status by NHS hospital trusts

    Report Value for money

    Published on:

    Many NHS trusts need to tackle a range of financial, quality and governance issues if they are to meet the standards required of them to become self-governing foundation trusts by 2014. The Department of Health and the NHS will now have to decide how they will deal with those facing the most severe problems.

  10. Alcohol treatment services

    Press release

    Published on:

    A factual briefing on alcohol treatment services in England, informed by discussions with the Department of Health and Social Care, NHS England, and the Association of Directors of Public Health.

  12. Management of NHS hospital productivity

    Report Value for money

    Published on:

    Hospital productivity has fallen over the last ten years. There have been significant increases in  funding and hospitals have used this to deliver against national priorities, but they need to provide more leadership, management and clinical engagement to optimise the use of additional resources and deliver value for money.

  13. Managing conflicts of interest and keeping public trust

    Insight Opinion

    Published on:

    High profile incidents remind individuals and organisations just how important it is to manage potential conflicts of interest. In March 2017, the Court of the Bank of England commissioned a review of the institution’s approach to managing conflicts of interest. The review was prompted by the resignation of Charlotte Hogg who had been Deputy Governor […]

  14. Investigation into the collapse of the UnitingCare Partnership contract in Cambridgeshire and Peterborough

    Report Value for money

    Published on:

    In December 2015 a five year contract, worth around £800 million between UnitingCare Partnership and Cambridgeshire and Peterborough clinical commissioning group collapsed after only 8 months because it ran into financial difficulties. NAO examined the design, procurement and operation of the contract and the events that led to its termination.

  15. Managing NHS backlogs and waiting times in England

    Press release

    Published on:

    This is our second report on backlogs for elective and cancer care. It examines the design of NHSE’s recovery plan, how the NHS has been implementing the plan and the ongoing risks NHSE has to manage.

  18. Progress with the New Hospital Programme

    Press release

    Published on:

    The New Hospital Programme (NHP) has experienced delays and is expected to deliver 32 of the intended target of 40 new hospitals by 2030.

  19. Briefing for Health Select Committee

    Briefing

    Published on:

    In March 2021, the C&AG submitted evidence to the Health and Social Care Committee inquiry into the Department of Health & Social Care’s White Paper, ‘Integration and Innovation: working together to improve health and social care’. This drew on the National Audit Office’s past body of work to highlight the main risks and opportunities the White Paper presents, both in terms of effective implementation of the proposed reforms and in terms of making progress towards overarching health and social care policy aims.

  20. The procurement of consumables by NHS acute and Foundation trusts

    Report Value for money

    Published on:

    NHS hospitals often pay more than they need to when buying basic supplies. A combination of inadequate information and fragmented purchasing means that NHS hospitals’ procurement of consumables is poor value for money.