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. […]
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.
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 […]
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.
Demand for ambulance services continues to grow rapidly, but services are finding it increasingly difficult to cope with rising demand.
The financial performance of NHS bodies worsened considerably in 2015-16, according to the National Audit Office.
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 […]
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.
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.
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 Department of Health and NHS England are making progress but much remains to be done to improve access to mental health services.
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.
This National Audit Office briefing gives an overview of government’s approach to improving air quality in the UK. It has been prepared in support of a joint inquiry by the Environmental Audit Committee (EAC), the Environment, Food and Rural Affairs (EFRA) Committee, the Health Committee and the Transport Committee. It examines why air quality matters; the UK’s plan for improving air quality; and risks and success factors for delivery of government’s air quality plans.
16 November 2017
Against a backdrop of increasing pressure on NHS finances, NHS England has not controlled the rising cost of specialised services.
Devolution deals to devolve power from central government to local areas in England offer opportunities to stimulate economic growth and reform public services for local users, but the arrangements are untested and government could do more to provide confidence that these deals will achieve the benefits intended
In a report to Parliament today, head of the NAO Sir John Bourn recognised that the outsourcing of the Department of Social Security’s medical assessment service had reduced costs and speeded up the turnaround of work. But the standard of medical assessments and the quality of service to benefit customers need to improve. The service […]
The Department for Work and Pensions has not yet achieved value for money in managing contracted-out health and disability assessments.
The Department for Education recognised since 2010 that child protection services are not good enough but its subsequent response has not yet resulted in better outcomes. Spending on children’s social work, including on child protection, varies widely across England and is not related to quality. Neither the DfE nor authorities understand why spending varies.
In response to questions raised by the House of Commons Health Committee in late 2013 and wider Parliamentary interest, we conducted an investigation into five specific concerns about NHS Property Services. Our investigation established the facts relating to these concerns.
May 2014