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  1. Progress in making NHS efficiency savings

    Report Value for money

    Published on:

    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.

  3. General Practice Extraction Service – Investigation

    Report Value for money

    Published on:

    Mistakes in the original procurement and contract management of an IT system, designed to extract data from GP practices, contributed to losses of public funds, through asset write-offs and settlements with suppliers.

  5. Funding healthcare: Making allocations to local areas

    Report Value for money

    Published on:

    There is wide variation in the extent to which £79 billion in central funding allocated to local health bodies differs from target allocations that are based on relative need.

    • This is NAO’s first report on funding since the 2013 health reforms took effect. Where possible comparisons have been made with funding under the previous system set out in a 2011 NAO report.

  8. 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.

  14. Major programmes – what are we learning?

    Insight Opinion

    Published on:

    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 […]

  15. Services for people with neurological conditions

    Report Value for money

    Published on:

    Since 2005, when the Department of Health introduced its National Service Framework for Long-term Conditions, people with neurological conditions have had better access to health services; but key indicators of quality have worsened. The Department does not know what the Framework and additional spending of nearly 40 per cent have achieved.

  16. 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.

  17. Alcohol treatment services

    Press release

    Published on:

    A factual briefing on alcohol treatment services in England, informed by discussions with the Department of Health and Social Care, NHS England, and the Association of Directors of Public Health.

  18. Establishing social enterprises under the Right to Request Programme

    Report Value for money

    Published on:

    This report highlights risks to value for money associated with the Department of Health’s programme aimed at enabling its staff to take the lead in leaving the NHS to set up health social enterprises. These are independent bodies delivering services, previously provided in-house, under contract to PCTs.

  19. Managing the transition to the reformed health system

    Report Value for money

    Published on:

    Although new organisations set up as part of the reformed health system were ready to start functioning on time, the transition to the system is not yet complete.