The management of adult diabetes services in the NHS
Published on:Diabetes care in the NHS is poor, with low achievement of treatment standards, high numbers of avoidable deaths and annual spending reaching an estimated £3.9 billion.
Diabetes care in the NHS is poor, with low achievement of treatment standards, high numbers of avoidable deaths and annual spending reaching an estimated £3.9 billion.
The Treasury’s 2009 decision to split Northern Rock in two was reasonable at the time but the final net cost to the taxpayer could be some £2 billion.
Reported fraud in Employment Programmes is low despite past flaws such as in the New Deal. New improvement controls are better, yet risks remain.
The £1.4 billion funding could result in 41,000 extra full-time equivalent private sector jobs but thousands more could have been created from the same resources.
The BBC has reduced its spending on support functions but in future it should plan for cuts by clearly defining the level of service it requires and what that should cost.
This management report examines how the National Offender Management Service planned and is implementing the restructure of its headquarters.
Significant changes have been made to the assurance system for major projects but Government needs to do more as the system is not yet ‘built to last’.
The Home Office has improved the financial management of its core business but strengths at the centre are not being demonstrated in its ‘change programmes’.
Better access to public information can improve accountability and service delivery. Government needs a firm grasp of whether that potential is being realised.
This briefing draws out findings from 46 NAO reports since 2008-09 that are relevant to local delivery. It communicates the wide range of work we have undertaken and the main lessons that have arisen from it.
The HS1 project has delivered a high performing line, which was subsequently sold in a well-managed way. But international passenger numbers are falling far short of forecasts and the project costs exceed the value of journey time saving benefits.
This system was implemented by the UK Border Agency with predictable flaws. The Agency has taken little action to prevent and detect students overstaying or working in breach of their visa conditions.
Used appropriately, GPC can be a cost-effective way for government to procure goods and services. However, there is no up to date value-for-money case quantifying the benefits of the cards. There has also been a lack of clear central guidance on when the cards are the most appropriate way to procure goods and services.
The Conflict Pool funds discretionary activities that support conflict prevention, stabilisation and contribute to peacekeeping overseas. It is managed by the Foreign and Commonwealth Office (FCO), the Department for International Development (DFID) and the Ministry of Defence (MOD).
This competition was launched in 2007 with insufficient planning and recognition of the commercial risks and cancelled four years later. With commercial scale carbon capture and storage technology still to be developed, DECC must learn from the failure of this project.
Departments have acted quickly to reduce staff numbers and this should bring significant savings. To sustain these savings, and deliver long-term value for money improvements, staff numbers must stay at these reduced levels and departments must develop new ways of working.
By creating complex shared services over-tailored to individual departments, government has increased costs rather than made savings.
Departments have made good progress in improving the efficiency of their office estate. However, in order to achieve the best value for money, departments should stop managing their estates in isolation from one another.
Our compliance checklist should help Departments and other bodies to assess where they have complied with and adhered to”Corporate Governance in Central Government Departments: Code of Good Practice 2011 (the Code)”, and to identify areas of non-compliance that need to be explained and described in their annual governance statement.
A major HMRC programme to improve the way it tackles evasion delivered £4.32 billion of additional tax yield, reduced staff numbers and improved compliance work. However the Department is not yet exploiting the full potential of its new systems.