The commissioning of specialised services in the NHS
Published on: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.
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.
Against a backdrop of increasing pressure on NHS finances, NHS England has not controlled the rising cost of specialised services.
Against a backdrop of increasing pressure on NHS finances, NHS England has not controlled the rising cost of specialised services.
There are shortcomings in how the supply of NHS clinical staff in England is managed, in terms of both planning the future workforce and meeting the current demand for staff.
There are shortcomings in how the supply of NHS clinical staff in England is managed, in terms of both planning the future workforce and meeting the current demand for staff.
Progress has been made to reduce the additional risk of death for people with diabetes. However, 22,000 are still estimated to be dying each year from diabetes related causes.
This impacts case study shows how our work prompted a national strategy for stroke care and NHS adoption of clinical best practice more widely, leading to considerable cost reductions.
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.
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.
The Department recognizes the potential for conflicts of interest in the new system for NHS commissioning. Public confidence that conflicts are well managed will be vital.
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.
Financial risk is increasing in NHS trusts and foundation trusts. Those in severe financial difficulty continue to rely on cash support from the Department of Health.
In response to questions raised by the House of Commons Health Committee in late 2013 and wider Parliamentary interest, we conducted an investigation into five specific concerns about NHS Property Services. Our investigation established the facts relating to these concerns.
May 2014
In response to questions raised by the House of Commons Health Committee in late 2013 and wider Parliamentary interest, we conducted an investigation into five specific concerns about NHS Property Services. Our investigation established the facts relating to these concerns.
May 2014
Monitor has achieved value for money in regulating NHS foundation trusts, and has generally been effective in helping trusts in difficulty to improve.
The NAO has identified inconsistencies in the way trusts measure waiting time and errors in the time recorded.
These case studies illustrate how four government bodies are managing the risk of their legacy ICT systems (that is, typically older ICT systems critical for the delivery of public services).
There was a surplus of £2.1 billion across the NHS in 2012-13, matching that in 2011-12. However, there are signs of increasing pressure.
Benefits are expected to exceed costs slightly over the life of the systems, but there is uncertainty around whether the benefits will be realised
The 2003 contract for hospital consultants delivered many expected benefits, but there is room for improvement in how trusts manage their consultants.
The NHS made a substantial amount of efficiency savings in 2011-12. These will need to be sustained and built on if savings targets are to be met.