Sir John Bourn, head of the National Audit Office, reported to Parliament today that many NHS trusts and orthopaedic consultants apply good practice in the way that they handle total hip replacements. However, there are significant variations in performance, and there is need for good practice to be spread more widely for the benefit of […]
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 […]
Sir John Bourn, head of the National Audit Office, reported to Parliament today that NHS Acute Trusts in England held medical equipment with an estimated replacement value of some £3 billion. In 1996-97 they spent some £220 million on acquiring medical equipment annually and a further £120 million on maintenance. Figures for 1997-98 are similar. Medical […]
The Medicines Control Agency (MCA) has a good track record, nationally and internationally, in protecting public health and in ensuring that medicines are in general safe, of good quality and effective if used properly. But, according to a National Audit Office report, it needs to do more to improve the quality of information and advice […]
Sir John Bourn, head of the National Audit Office, today reported to Parliament on the worsening financial performance of the NHS in Wales and the rising cost of clinical negligence claims. On the financial performance of the NHS in Wales: the underlying cumulative deficit of the NHS in Wales rose by £21.8 million in 1998-99 […]
Sir John Bourn, head of the National Audit Office, reported to Parliament today on the Summarised Accounts of the National Health Service in Scotland for 1998-99. The report describes the findings of the appointed auditors of the individual health bodies, discusses developments in accounting and financial control, considers the financial performance of the NHS in […]
There are currently far too many older people in hospitals who do not need to be there. Without radical action, this problem will worsen and add further financial strain to the NHS and local government.
Executive Agencies can improve how they set targets and do more to ensure that their initiatives are leading to better delivery of services, Sir John Bourn, the Head of the National Audit Office reported today. He presented to Parliament four reports which assess how agencies are seeking to improve public services. Executive Agencies need to […]
The acquisition of the Heart Hospital represented an entrepreneurial and novel approach to improving patient services, Sir John Bourn, head of the National Audit Office, reported to Parliament today. The NHS acted quickly to take advantage of an unusual opportunity and acquired the hospital and its equipment at a good price. Activities at the Heart […]
Sir John Bourn delivered today the National Audit Office’s 50th PFI/PPP report to Parliament, an update report on the new Darent Valley hospital which, in 1997, had been the first hospital procured under the PFI. Sir John reported that the hospital had been successfully delivered and the Trust had received a reduction in the overall […]
Sir John Bourn, head of the NAO, today reported that, following improvements in PFI financing terms, the Norfolk and Norwich University Hospital NHS Trust has shared in the gains from a refinancing of its early PFI hospital contract, but it continues to pay a premium in respect of the financing costs compared to current deals. […]
Sir John Bourn, the head of the National Audit Office, reported to the Scottish Parliament today that there is scope to improve the responsiveness of accident and emergency ambulance services in Scotland and the impact they have on the healthcare of patients. The Scottish Ambulance Service are responsible for ambulance services across Scotland. Their emergency […]
There is a strong rationale for modernising NHS dentistry, but significant risks will have to be managed if the new arrangements announced by the Department of Health are to be effective and provide value for money, according to the National Audit Office. In particular, given the scepticism of some dentists compounded by a lack of […]
The Department of Health and its partners are still some way from implementing a plan to put the NHS’ finances in England on a sustainable footing, according to three reports issued by the Comptroller and Auditor General.
Demand for ambulance services continues to grow rapidly, but services are finding it increasingly difficult to cope with rising demand.
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.
Challenging objectives for improving access to general practice have been set by the Department and NHS England, but a more coordinated approach and stronger incentives are needed.
There are shortcomings in how the supply of NHS clinical staff in England is managed, in terms of both planning the future workforce and meeting the current demand for staff.
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.
The Audit Commission and the National Audit Office today published the results of their comprehensive joint review of education and training for existing and trainee nurses, midwives and other healthcare staff. Getting the development of these staff right is fundamental to meeting patients’ needs, improving services, reducing risks and modernising the NHS. The reports make […]