Reforming adult social care in England
Published on:Government has delayed plans to cap lifetime social care costs and scaled back plans for reforming the system it set out in December 2021.
Government has delayed plans to cap lifetime social care costs and scaled back plans for reforming the system it set out in December 2021.
Given the prevalence of government-funded inquiries, the frequency with which the government uses them following high-profile failures, their importance in relation to the public’s trust of authorities, and the public funds spent on them, the NAO has conducted an investigation into the 26 inquiries that have started and concluded since 2005.
Review of a sample of the data systems underpinning the input and impact indicators in the Department of Health’s Business Plan, Common Areas of Spend and wider management information.
This report reviews how well patients flow through A&E into the wider hospital in England and at the support NHSE provides to trusts.
The 2003 contract for hospital consultants delivered many expected benefits, but there is room for improvement in how trusts manage their consultants.
The Annual Report and Accounts shares details of our work and performance.
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.
The NAO sets out eight lessons for stronger workforce planning, including identifying future skills needs and addressing staffing shortfalls early
A report from the NAO examines the financial resilience of the adult hospice sector in England, focusing on the financial state of the sector
The report finds variations in health outcomes across the four nations, and will help health departments examine how better value for money could be achieved.
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.
Benefits are expected to exceed costs slightly over the life of the systems, but there is uncertainty around whether the benefits will be realised
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.
The Care Quality Commission had a difficult task in establishing itself and has not so far achieved value for money in regulating the quality and safety of health and adult social care in England.
The NHS delivered a £2.1bn surplus in 2011-12 but there is some financial distress in NHS trusts with some very large deficits.
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.
The horsemeat incident in January 2013 exposed weaknesses in control in the food supply chain.
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 […]
The NAO has reported on the 2021-22 accounts of the Department of Health and Social Care (DHSC).
Residential care costs for looked-after children have almost doubled in five years driven by rising demand and limited placements.