Managing the transition to the reformed health system
Published on:Although new organisations set up as part of the reformed health system were ready to start functioning on time, the transition to the system is not yet complete.
Although new organisations set up as part of the reformed health system were ready to start functioning on time, the transition to the system is not yet complete.
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.
This report highlights risks to value for money associated with the Department of Health’s programme aimed at enabling its staff to take the lead in leaving the NHS to set up health social enterprises. These are independent bodies delivering services, previously provided in-house, under contract to PCTs.
A review of how NHS Health Checks are provided in England is needed to improve the system for preventing cardiovascular disease.
This Departmental Overview is one of 17 we have produced covering our work on each major government department. It summarises our work on the Department of Health during 2010-2011.
Monitor has achieved value for money in regulating NHS foundation trusts, and has generally been effective in helping trusts in difficulty to improve.
Although some areas of the NHS in England are achieving value for money for out-of-hours GP services, this is not the case across the board.
The dental recovery plan, launched in February 2024, is unlikely deliver an additional 1.5 million treatments by March 2025.
The first private company awarded a franchise to run an NHS hospital has made improvements in some clinical areas, but big financial challenges remain.
Value for money is not being achieved across all trusts in the planning, procurement and use of high value equipment. There are significant variations across England in levels of activity and a lack of comparable information about performance and cost of machine use.
Review of the new arrangements for the NHS proposed in the Health White Paper.
It is important that the Government ensures its compliance programme reflects the changing risks within the labour market, and maintains its progress in ensuring all employers pay the minimum wage.
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.
This impacts case study shows how our review of the whole adult care system and the increasing pressures on its financial and service sustainability aided the debate about meeting future care needs and highlighted the need for more research to identify the most effective ways of working.
It is one example of financial or non-financial benefits realised in 2014 as a result of our involvement, all of which are set out in our interactive PDF.
Shortcomings must be addressed if value for money is to be secured in the future for users of social care “personal budgets” once they are extended to all eligible users by April 2013.
The NAO Annual Report and Accounts 2020-21 provides details about our work and performance.
The UK’s future resilience to dangerous diseases is being undermined by decision-making failures regarding a planned health security campus in Harlow.
This report examines progress in establishing Integrated Care Systems in England.
Comprehensive Spending Review 2007 covering the period 2008-2011
Review of the data systems for Public Service Agreement 18 led by the Department of Health: ‘Promote better health and wellbeing for all’
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.