The adult social care market in England
Published on:This report examines the current care market and the Department of Health & Social Care’s role in overseeing it.
This report examines the current care market and the Department of Health & Social Care’s role in overseeing it.
This sets out the role, costs and performance of CCGs, the changing commissioning landscape and the future of CCGs.
This report brings together our learning and identifies eight areas for government departments and national regulators to consider when designing, delivering and improving regulation involving local regulatory delivery.
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.
This overview of the NAO’s work on the government’s management of contracting examines subjects including the government’s commercial capability, accountability and transparency, and its management of contracted-out service delivery.
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.
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.
If the government is serious about increasing its use of small and medium – sized enterprises (SMEs), it will need to focus on those areas where SMEs can deliver real benefits.
Against a backdrop of increasing pressure on NHS finances, NHS England has not controlled the rising cost of specialised services.
The NAO has today published an update for the Public Accounts Committee, detailing developments in the management of the Sellafield site, the UK’s largest and most hazardous nuclear site, and the extent to which progress has been made in decommissioning and cleaning it up.
The Department for Education is not meeting its objectives to improve the quality of care and the stability of placements for children in care.
Payment by results (PbR) schemes are hard to get right, and are risky and costly for commissioners. Credible evidence for claimed benefits of PbR is now needed.
By operating in a more integrated way, government could reduce inefficiencies in public services and deliver a better service to citizens. A case study on the Whole-Place Community Budget pilots points to the potential benefits on offer where public services are integrated more effectively.
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 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.
Two government programmes aiming to help families with multiple challenges, such as unemployment and anti-social behaviour, are starting to provide benefits but considerable challenges remain.
This guide provides practical advice on how to plan for and manage the decommissioning of public services delivered by civil society organisations (CSOs) and maintain value for money while doing so.
Cloud services’ can bring cost and performance benefits. But they can also bring new challenges and risks. To help leaders oversee decision-making and implementation of cloud services, we recently published ‘Guidance for audit committees on cloud services’. The magazine, Public Sector Executive, invited us to outline the issues in the article The National Audit Office’s guide […]
The study will examine how effectively government is identifying, preventing and mitigating the impact of cardiovascular disease on people and the economy.
Explore the results of our surveys of NHS acute hospitals and clinical commissioning groups, showing their views on NHS England’s commissioning of specialised services.