Despite a steeply rising trend in cases of dementia, the condition is being given too low a priority by health and social services, according to a report out today by the National Audit Office. Too few people are being diagnosed, or being diagnosed early enough, and early interventions known to be cost-effective are not being […]
GPs could prescribe lower cost clinically effective medicines without affecting patient care, according to Parliament’s spending watchdog. And this could save primary care trusts (PCTs) more than £200 million a year. Today’s report by the National Audit Office also points out that unused or wasted drugs could cost the NHS at least £100 million a […]
Most government departments are continuing to produce high quality accounts and are presenting them for audit in a timely fashion. However, Sir John Bourn, head of the National Audit Office, had to issue qualified opinions on seven out of 54 sets of departmental resource accounts in 2005-06, compared with two out of 54 sets in […]
The Department of Health and the Information Centre could not demonstrate to the National Audit Office’s satisfaction that they had achieved value for money in establishing Dr Foster Intelligence, a joint venture between the Information Centre and a private sector company Dr Foster LLP. This is primarily because they did not go out to tender […]
The National Audit Office has urged the NHS to ensure that a focus on quality and safety is at the top of the agenda in primary care. In a report out today, the NAO says that almost all primary care trusts (PCTS) have clinical governance structures and processes in place that should assure quality and […]
Sir John Bourn, the head of the National Audit Office, reported to Parliament today on the cancellation of the Paddington Health Campus scheme in June 2005 at a cost of £15 million. The scheme was a complex and ambitious attempt to build a world-class healthcare facility and ultimately proved to be beyond the capacity of […]
There were shortcomings in the process of setting up new arrangements to provide out-of-hours primary medical care in 2004, although there is no evidence that patient safety was compromised, the National Audit Office reported today. The Primary Care Trusts (PCTs) who took over responsibility for organising out-of-hours services from GPs lacked knowledge and experience in […]
An update report by the NAO identifies that the government has secured gains of £137 million from PFI debt refinancings under new arrangements introduced by the Treasury in 2002. These new arrangements followed previous reports by the NAO and the Public Accounts Committee that highlighted the opportunities for the private sector to benefit from refinancing […]
The public sector could save annually over £220 million in food and catering costs by 2010-11, while raising nutritional standards and increasing sustainability, Sir John Bourn, head of the National Audit Office, has reported today. In particular, there is significant scope for improvement by increasing joined up procurement, implementing good practice, enhancing the roles and […]
Without clearer leadership from Departments there is a risk that the Government’s target to halt the rise in obesity in children under 11 will not be met. This is a key finding of a joint report published today by the Audit Commission, the Healthcare Commission and the National Audit Office. The report investigates the strength […]
Clarification Point 2 in the C&AG introduction (page 26), should read: “From April 2003 an additional one per cent National Insurance contribution has been collected and allocated directly to the National Health Service, bringing the total payments to the NHS to some £16.8 billion in 2004-2005 (£14.9 billion in 2003-2004).” Head of the National Audit […]
Sir John Bourn, head of the National Audit Office, reported today that the priority afforded to stroke care by the Department of Health and the wider health service can be increased, given its impact and cost. Sir John’s report shows that notable progress has been made from a low starting point. It recommends further improvements […]
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. […]
Patients’ experiences of cancer services in England in 2004 have broadly improved on the situation in 2000, when the NHS Cancer Plan was introduced, according to head of the National Audit Office Sir John Bourn. Patients responding to a national survey of cancer patients carried out by the NAO were more positive, to a greater […]
The Department of Health has made progress towards its target that, by December 2005, each NHS patient referred by a GP for non-emergency hospital treatment will be offered a choice of four or five healthcare providers. However, according to the National Audit Office, there remain significant risks for the Department to manage, especially that of […]
NHS trusts have achieved a large and sustained reduction in the length of time patients spend in accident and emergency (A&E) departments, largely through improved working practices. This reduction has followed a strongly increased focus, since 2002, by the Department of Health on trusts ensuring that patients spend no more than four hours in A&E. […]
There has been notable progress at trust level in putting systems and processes in place and strengthening infection control teams to improve the prevention and control of hospital acquired infection, but the NHS still does not have enough information on the extent and cost of hospital acquired infection. These are the principal findings of a […]
Sir John Bourn, head of the National Audit Office, reported today that cancer patients are increasingly surviving the disease as a result of the new initiatives launched by the Department of Health and the NHS over the last decade. But the NHS needs to continue to do more to ensure all patients are treated swiftly […]
Sir John Bourn, head of the National Audit Office, reported to Parliament today that he had identified five critical issues which departments must pay careful attention to if the extra £61 billion spent on improving public services over the next three years is to have its full impact. It is too early to tell whether […]
NHS patients receiving hip replacements have received an improved service over the last three years, according to a report today from the National Audit Office. But it will take time for developments to take full effect and more remains to be done to ensure improved quality of care to patients. This includes making sure that […]