NHS financial management and sustainability 2012
Published on:The NHS delivered a £2.1bn surplus in 2011-12 but there is some financial distress in NHS trusts with some very large deficits.
The NHS delivered a £2.1bn surplus in 2011-12 but there is some financial distress in NHS trusts with some very large deficits.
2019 will be a pivotal year for local government in England. Numerous difficult and open-ended questions need rapid resolution, at a time when government focus and capacity is directed elsewhere. Drawing on a number of our recent reports, here I explore some of the challenges facing the sector, from budget cuts and growing social care […]
Since we first published our Framework to review programmes in 2017 there has been no let-up in NAO reports on major projects and programmes, most recently on Crossrail, the Emergency Services Network and the Stonehenge by-pass road. From the need to manage the risks of untried approaches to signs warning of unrealistic cost estimates, this […]
We all rely on local public services to be able to function in our day-to-day lives, and in these challenging times, we’re even more reliant on those services. Whether from local authorities, local NHS organisations police forces and fire and rescue organisations, to keep us safe and take care of us should we need it. […]
Although some areas of the NHS in England are achieving value for money for out-of-hours GP services, this is not the case across the board.
Government does not know how many people in prison have a mental illness, how much it is spending on mental health in prisons or whether it is achieving its objectives. It is therefore hard to see how Government can be achieving value for money in its efforts to improve the mental health and well being of prisoners. In 2016 there were 40,161 incidents of self-harm in prisons and 120 self-inflicted deaths.
Weaknesses in modelling for NHS England’s Long Term Workforce Plan need addressing to improve future strategic workforce planning.
The NAO has reported on the 2022-23 accounts of the Department of Health and Social Care (DHSC).
Many government departments and organisations are implementing employee exit schemes to reduce staff numbers and cut running costs. This is aimed at improving efficiency and delivering better value for taxpayers. To aid government departments and organisations, the NAO has created guidance to assess how exits and redundancies in government are being conducted, which includes expectations […]
Benefits are expected to exceed costs slightly over the life of the systems, but there is uncertainty around whether the benefits will be realised
Our report shows that many people living with moderate and severe frailty are not getting the care and support they need.
This impacts case study shows how our accounting expertise provided “invaluable” help in improving the strength and efficiency of the massive process of consolidating all the NHS England and other new health bodies’ accounts.
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 Whole of Government Accounts consolidates accounts from over 10,000 public bodies, providing an overview of the UK’s public finances.
The cyber threat to UK government is severe; government must act now to protect its own operations and key public services.
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.
The Better Care Fund is an innovative idea but the quality of early preparation and planning did not match the scale of the ambition. Current plans forecast £314m of savings for the NHS rather than the £1 billion in early planning assumptions.
The National Audit Office (NAO) has published the new draft Code of Audit Practice (the Code) 2024.
A National Audit Office (NAO) report assessing the government’s approach to improving urgent and emergency care services in England.
The prison and health services are facing substantial, increasing and rapidly changing threats from illicit drugs in prisons, says the NAO.
The head of the NAO’s annual speech will focus on the challenges of rising demand for public services and stretched resources.