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  5. The management of adult diabetes services in the NHS

    Report Value for money

    Published on:

    Diabetes care in the NHS is poor, with low achievement of treatment standards, high numbers of avoidable deaths and annual spending reaching an estimated £3.9 billion.

  7. Achievement of Foundation Trust status by NHS hospital trusts

    Report Value for money

    Published on:

    Many NHS trusts need to tackle a range of financial, quality and governance issues if they are to meet the standards required of them to become self-governing foundation trusts by 2014. The Department of Health and the NHS will now have to decide how they will deal with those facing the most severe problems.

  8. Transforming NHS ambulance services

    Report Value for money

    Published on:

    The Department of Health has until recently been focusing on speed of response as a measure of performance of the ambulance service, rather than on clinical outcomes. The service achieves high levels of public satisfaction but there are wide variations in ambulance trusts’ efficiency. The system has not delivered the best value for money to date.

  10. Managing high value capital equipment in the NHS in England

    Report Value for money

    Published on:

    Value for money is not being achieved across all trusts in the planning, procurement and use of high value equipment. There are significant variations across England in levels of activity and a lack of comparable information about performance and cost of machine use.

  11. The procurement of consumables by NHS acute and Foundation trusts

    Report Value for money

    Published on:

    NHS hospitals often pay more than they need to when buying basic supplies. A combination of inadequate information and fragmented purchasing means that NHS hospitals’ procurement of consumables is poor value for money.

  12. Management of NHS hospital productivity

    Report Value for money

    Published on:

    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.

  13. NHS Pay Modernisation in England: Agenda for Change

    Report Value for money

    Published on:

     According to a National Audit Office report, the NHS has successfully transferred 1.1 million NHS employees on to a new simplified pay system. Given the scale of the NHS this was a substantial task which the NHS, in partnership with the trade unions, achieved in a short timescale. There are some examples of NHS trusts […]

  14. Financial Management in the NHS: Report on the NHS Summarised Accounts 2007-08

    Report Financial audit

    Published on:

    The NHS reported a surplus of £1.67 billion in 2007-08. According to a report jointly prepared by the Audit Commission and the National Audit Office and published today, the surplus achieved reflected good use of resources rather than a failure to deliver healthcare. The Department of Health (DH) has given a commitment that the NHS […]

  15. The National Programme for IT in the NHS: Progress since 2006

    Report Value for money

    Published on:

    Delivering the National Programme for IT in the NHS is proving to be an enormous challenge. All elements of the Programme are advancing and some are complete, but the original timescales for the electronic Care Records Service, one of the central elements of the Programme, turned out to be unachievable, raised unrealistic expectations and put […]

  16. NHS Pay Modernisation: New contracts for general practice services in England

    Report Value for money

    Published on:

    The new contract for general practice has contributed to improved recruitment and retention of GPs, with numbers increasing from 26,833 to 30,931 since 2003. However, according to a report out today by the National Audit Office, the contract has cost the Department £1.76 billion more than it originally budgeted for. Today’s report found that, in […]

  17. NHS (England) Summarised Accounts 2006-07

    Report Financial audit

    Published on:

    The NHS as a whole achieved a net surplus of £515 million in 2006-07, compared with a net deficit of £547 million in 2005-06, according to a report out today by the National Audit Office. The NHS Summarised Accounts show that in 2006-07 287 NHS organisations reported a gross surplus of £1,431 million (2005-06: 357 […]

  19. Pay Modernisation: A new contract for NHS consultants in England

    Report Value for money

    Published on:

    Under the new NHS consultants’ contract, consultants in England are earning on average 25 per cent more than three years ago but are working the same number of hours or less. Whilst the contract has the potential to improve management of consultant time it has yet to deliver the full value for money to the […]

  20. Improving the use of temporary nursing staff in NHS acute and foundation trusts

    Report Value for money

    Published on:

    The National Audit Office has found that while the NHS has successfully reduced its expenditure on agency nursing staff, temporary staff remain a key component of trusts’ ability to be flexible and expenditure on temporary nursing staff employed through nursing banks and NHS Professionals has increased. Many NHS trusts do not have robust information to […]