Outcome-based payment schemes: government’s use of payment by results
Published on: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.
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.
The Higher Education Funding Council has taken a cost-efficient approach and has delivered value for money in the context in which it has operated to date. However, the sector is facing a period of transition to a very different financial environment.
This report examines the effectiveness of regulations to ensure that food is safe and is what it says it is.
The NAO believes a review of the New Homes Bonus scheme is essential to ensure the Department understands the substantial financial risks to local authorities.
MOD’s procurement budget is now more stable, despite a £754m increase in the cost of the carriers, but there are still risks to the affordability of the equipment plan.
This report focuses on the arrangements for converting schools to academies. We assess the Department for Education’s approach and the extent of conversion; the robustness, cost and speed of the conversion process; and the availability of sponsors and multi-academy trusts to support schools to convert to academies.
The NAO’s report highlights that England’s special educational needs system is not delivering better outcomes for children and young people.
We recommended that the Department for Communities and Local Government improve its evaluation of the impact of funding changes on local authorities’ financial sustainability.
This NAO impacts case study represents one example where there has been some beneficial change, whether financial or non-financial, resulting from our involvement.
In March 2021, the C&AG submitted evidence to the Health and Social Care Committee inquiry into the Department of Health & Social Care’s White Paper, ‘Integration and Innovation: working together to improve health and social care’. This drew on the National Audit Office’s past body of work to highlight the main risks and opportunities the White Paper presents, both in terms of effective implementation of the proposed reforms and in terms of making progress towards overarching health and social care policy aims.
This report examines the financial sustainability of mainstream schools in England.
The NAO has reported on the 2012-22 Equipment Plan of the Ministry of Defence.
This briefing on the NHS and sustainability in England has been prepared for the Environmental Audit Committee. It focuses on identifying potential good practice, opportunities and challenges and draws on the NAO’s good practice criteria.
This report looks at the Office for Student’s responsibilities for financial regulation of higher education providers.
This report focuses on the financial sustainability of further education and sixth-form colleges.
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.
This report an update to the NAO’s 2016 report on the St Helena airport and the FCDO’s economic support of the St Helena government.
This report examines whether the government secured financial sustainability across the local authority sector during COVID-19.
This impacts case study shows how our work motivated the Department for Health to develop a tool and coding system that standarised and reduced consumables procurement costs in the NHS.
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.
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
This report examines the BBC’s progress in delivering its savings and reform programme.