National Health Service Landscape Review
Published on:Review of the new arrangements for the NHS proposed in the Health White Paper.
Review of the new arrangements for the NHS proposed in the Health White Paper.
Amyas Morse, Comptroller and Auditor General, has qualified his audit opinion on the 2008-09 Consolidated Statement on the use of EU Funds in the UK.
The Treasury’s Asset Protection Scheme to protect over £280 billion of Royal Bank of Scotland’s financial assets against losses had a beneficial impact on financial markets. But the Scheme has, so far, only been partially successful in encouraging lending to creditworthy borrowers on the scale originally envisaged.
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.
HMRC’s civil investigations directorates, which examine serious cases of suspected tax evasion, have generated increasing returns from their work, while reducing resources. However, there is scope for them to achieve more.
The scale of the support currently provided to UK banks has fallen from a peak of £955 billion to £512 billion, but the amount of cash currently borrowed by the Government to support banks has risen by £7 billion since December 2009. It is likely the taxpayer will be providing support for years to come.
The Comptroller and Auditor General has limited the scope of his audit opinion on the regularity of expenditure in the 2009-10 House of Commons Members Resource Accounts.
Recent improvements to the youth justice system have contributed to reductions in recorded youth crime. However, young offenders who receive more serious community or custodial sentences remain as likely to reoffend as they were ten years ago when the youth justice system was brought in.
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.
The Chancellor has requested that the C&AG undertake an examination with following scope: To consider whether key economic and fiscal assumptions underpinning the Office for Budget Responsibility’s forecasts were independently arrived at.
The C&AG has qualified the Social Fund Account for the seventh consecutive year. The account has been qualified because of material levels of error in discretionary awards, and in Funeral Expense Payments. He has also qualified, for the first time, his opinion on Sure Start Maternity Grants.
This briefing was prepared for the Members of the International Development Committee to support the Committee’s inquiry into the work of the Department for International Development in 2009-10.
The NAO’s assessment of the maturity of process management in central government identifies areas of strength and opportunities to improve.
The Comptroller and Auditor General, Amyas Morse, has qualified the 2009-10 accounts of the Legal Services Commission because of overpayments made by the Commission to legal aid providers, estimated at almost £77 million.
The criminal justice system, overseen by the Home Office, the Ministry of Justice and the Attorney General’s Office, is intended to cut crime, protect the public and punish offenders.
DWP has not reduced the mistakes made by staff processing benefits. In 2009-10 it overpaid an estimated £1.1 billion and made underpayments of £500 million. However, the scale of the challenge facing the Department should not be underestimated.
The Highways Agency’s PFI contract to widen the M25 could have been better value for money. The slowness with which it was taken forward resulted in higher financing costs, and the Agency was slow to investigate a potentially cheaper alternative to widening.
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.
The Department for Education has made good progress in improving take-up and achievement in areas such as A-Level maths and GCSE Triple Science. However, there has been less success in increasing the number of science teachers, improving take-up of A-Level physics and raising the standards of school science facilities.
Ofcom has saved some £23 million over the last five years. However, with its complex remit across the telecommunications sector, Ofcom needs a better articulation of the intended outcomes of its activities and how its work achieves those outcomes.