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  2. Successful commissioning toolkit
    Why, what and who for?

    This page is part of our successful commissioning toolkit. Constructing and maintaining good financial relationships between public bodies and third sector organisations (TSOs) has never been straightforward. If anything, achieving this has become more difficult as more and more financial relationships are made through public sector commissioning processes. But good financial relationships are important – to help achieve […]

  3. Inpatient and Outpatient Waiting in the NHS

    Report Value for money

    Published on:

    The need for wider implementation of good practice to manage and reduce waiting lists and times in the NHS in England is highlighted today in a National Audit Office report. In March 2001 some 42,000 patients had been waiting more than 12 months for admission to hospital, and there are large inequalities across the country […]

  4. NHS (England) Summarised Accounts 2000-2001

    Report Financial audit

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    Head of the National Audit Office Sir John Bourn has given an unqualified opinion on each of the 20 NHS summarised accounts, prepared by the Secretary of State for Health from the accounts for individual health organisations. Today’s report from the NAO draws attention to a number of issues, including overall financial performance, fraud in […]

  6. The Management of Suspensions of Clinical Staff in NHS Hospital and Ambulance Trusts in England

    Report Value for money

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    There is a pressing need for the Department of Health, Strategic Health Authorities and NHS trusts to improve their management of suspensions of clinical staff, according to the head of the National Audit Office, Sir John Bourn. Today’s report to Parliament, while acknowledging the paramount importance of protecting patient safety, highlights concerns about the length […]

  7. Successful commissioning toolkit
    Who is involved?

    This page is part of our successful commissioning toolkit. Within a public sector organisation, commissioning and establishing good financial relationships with third sector organisations (TSOs) involves: people at different levels – from senior officials, acting as Senior Responsible Owners (SROs) of a programme, to staff responsible for programme implementation; and people with different functions – while […]

  8. Successful commissioning toolkit
    Engaging with TSOs

    This page is part of our successful commissioning toolkit. Engaging with third sector organisations (TSOs) can provide a number of benefits. For you, it will increase your understanding of: The needs of your programme’s users and of the types of services that might best meet those needs. This will be especially effective in the case of […]

  9. NHS (England) Summarised Accounts 1999-2000

    Report Financial audit

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    In a report to Parliament today, head of the National Audit Office Sir John Bourn gave the results of his annual examination of the 19 summarised accounts which cover the financial activities of the NHS in England. Sir John’s opinion on each of the 19 summarised accounts was unqualified. The report drew attention, however, to […]

  10. Successful commissioning toolkit
    Practical issues

    This page is part of our successful commissioning toolkit. Using grant While grant making is less regulated than procurement, there remain important rules you need to follow if you choose this approach as the basis for a financial relationship. Elsewhere, we discuss the need for a power to pay a grant, and for the need to […]

  12. The impact of the 2007-08 changes to public service pensions

    Report Value for money

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    Changes made in 2007-08 to public service pension schemes are on course to deliver savings and stabilise pension costs. However the value for money of the changes cannot be demonstrated in the absence of a strategic assessment of their long term impact on staff motivation and retention.

  14. Charitable Funds Associated with NHS Bodies

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    Sir John Bourn, head of the National Audit Office, told Parliament today that trustee bodies administering charitable funds associated with the NHS have made substantial progress in adopting high standards of corporate governance and have adequate controls in place to ensure that business is properly conducted. Sir John concludes that the current arrangements for supervision […]

  15. NHS Ambulance Services

    Press release

    Published on:

    Demand for ambulance services continues to grow rapidly, but services are finding it increasingly difficult to cope with rising demand.

  16. Financial sustainability of the NHS

    Press release

    Published on:

    The financial performance of NHS bodies worsened considerably in 2015-16, according to the National Audit Office.

  17. The Management of Surplus Property by Trusts in the NHS in England

    Report Value for money

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    A National Audit Office report today finds that NHS trusts need to do more to identify property they no longer need and dispose of it more quickly and effectively. Better management could bring forward some sales and release significant sums for use elsewhere in the NHS. The NHS has one of the largest estates in […]

  18. Mental health in prisons

    Press release

    Published on:

    Government does not know how many people in prison have a mental illness, how much it is spending on mental health in prisons or whether it is achieving its objectives. It is therefore hard to see how Government can be achieving value for money in its efforts to improve the mental health and well being of prisoners. In 2016 there were 40,161 incidents of self-harm in prisons and 120 self-inflicted deaths.

  19. Delivering the Cancer Reform Strategy

    Report Value for money

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    Improvements and efficiencies have been made in key areas of cancer care since the Cancer Reform Strategy was published. However, a lack of high quality information on costs of cancer services and their outcomes inhibits substantial further improvements.

  20. NHS (England) Summarised Accounts 1998-99

    Report Financial audit

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    The Comptroller and Auditor General, Sir John Bourn, today reported to Parliament the results of his examination of the 17 Summarised Accounts* which cover the financial activities of the National Health Service in England, with an annual budget of some £36 billion. Sir John’s opinion on each of the summarised accounts is unqualified. His report […]