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  1. Managing staff costs in central government

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    Despite numbers of staff employed by central government falling slightly over the last decade, costs have increased by 10 per cent.

  4. The impact of the 2007-08 changes to public service pensions

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    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.

  5. Delivering the Cancer Reform Strategy

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    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.

  7. Department of Health: Progress in improving stroke care

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    The Department of Health’s strategy for stroke care has increased the priority and awareness of the condition and started to improve patients’ care and outcomes, concludes a report by the National Audit Office published today. Actions taken since 2006 have improved the value for money of stroke care; but improvements have not been universal and […]

  8. Improving dementia services in England – an interim report

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    The Department of Health has developed an ambitious and comprehensive strategy for dementia. However, there has not yet been a robust approach to implementation, according to a National Audit Office report published today. Despite the Department stating, since 2007, that dementia is now a national priority, it has not been given the levers or urgency […]

  9. Services for people with rheumatoid arthritis

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    Too many people with rheumatoid arthritis are not being diagnosed or treated quickly enough, and some services for people with the disease are not coordinated enough, according to a report published today by the National Audit Office. Delay in treatment is detrimental to patients’ health, their quality of life and, with three quarters of people […]

  10. Reducing Healthcare Associated Infections in Hospitals in England

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    The Department of Health has met its target to reduce MRSA bloodstream infections by 50 per cent by 2008 and has made encouraging progress towards its target to reduce Clostridium difficile infections, according to a National Audit Office report published today.  However, blood stream infections due to other causes may be increasing.  There is also […]

  11. Supporting people with autism through adulthood

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    The National Audit Office has reported today that Government departments and local health and social care organisations do not have enough information on numbers of adults with autism. They also lack a full understanding and awareness of the condition, limiting their ability to plan and deliver services effectively. Autism, which includes Asperger syndrome, is a […]

  12. Prescribing savings in 2008

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    In 2007 the National Audit Office reported that primary care trusts (PCTs) could save more than £200 million a year without compromising patient care if GPs prescribed cheaper, generic medicines.  Keele University has now confirmed the NAO’s finding by calculating that almost £400 million has been saved by the Department of Health, the NHS and […]

  13. Addressing the environmental impacts of Government procurement

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    A National Audit Office report has found that government has strengthened its drive to purchase more environmentally sustainable goods and services. In 2005 the government set a target to be recognised by 2009 as one of the leaders in the EU in sustainable procurement. However a number of departments are not yet on course to […]

  14. End of life care

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    Each year around half a million people die in England, three quarters of whom do so following a period of chronic illness, such as cancer or heart disease. A report out today by the National Audit Office found that some people approaching the end of their life receive a high quality service, but that there […]

  15. Feeding back? Learning from complaints handling in health and social care

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    A report out today by the National Audit Office found that navigating complaints systems is not straightforward, particularly for health service users, and handling some complaints takes too long. There is little sharing of lessons from complaints or evidence that services are improving as a result. Some 133,600 NHS and 17,100 social care complaints were […]

  17. Caring for Vulnerable Babies: The Reorganisation of neonatal services in England

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    The reorganisation of neonatal services in England has helped improve care for premature and low birth weight babies with fewer babies travelling long distances for suitable treatment. But, according to the National Audit Office, further improvements to the service are being limited by shortages in nursing staff, a lack of cots in the right place […]

  18. Helping people through mental health crisis: The role of Crisis Resolution and Home Treatment services

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    Crisis Resolution Home Treatment teams are having a positive impact on local acute mental health services, providing an alternative to hospital admission for people experiencing a short-term mental health crisis. But a report out today by the National Audit Office found that services are being limited by a lack of input from specialist health and […]

  19. Improving Corporate Functions Using Shared Services

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    Shared service centres in the NHS and HM Prison Service are on course to deliver substantial financial savings. But a report out today by the National Audit Office found that central government was initially slow to adopt shared services. While the momentum has picked up it is not clear that the shared services initiative is […]

  20. Public funding of Large National Charities

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    Evidence from 12 large national charities shows that their delivery of public services could be undermined and limited by the complexity of the arrangements by which they receive public funding. Today’s report by the National Audit Office found that charities’ funding relationships with public bodies, including central government departments, local authorities and health trusts can […]