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  2. Parliamentary and Health Service Ombudsman Procurement Investigation

    Report Value for money

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    We report on our investigation arising from the findings of Internal Audit for the Parliamentary and Health Service Ombudsman regarding the management of conflicts of interest in procuring services during a fundamental change programme.

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

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    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 […]

  5. Care leavers’ transitions to adulthood

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    The government has made a commitment to improve support for young people leaving foster or residential care in England but the system is not working effectively.

  6. Regulating financial services

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    The new system of regulating financial services will need to demonstrate in future that the cost of two regulators achieves value for money for customers.

  7. The Provision of Out-of-Hours Care in England

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    There were shortcomings in the process of setting up new arrangements to provide out-of-hours primary medical care in 2004, although there is no evidence that patient safety was compromised, the National Audit Office reported today. The Primary Care Trusts (PCTs) who took over responsibility for organising out-of-hours services from GPs lacked knowledge and experience in […]

  9. Financial sustainability of local authorities

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    The NAO examines central government’s approach to the funding of local authorities as they deal with reduced funding without reducing services.

  10. The Management of Staff Sickness Absence in Department of Transport and its agencies

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    Staff sickness absence in the Department for Transport and its agencies averaged 10.4 days in 2005, costing the taxpayer around £24 million a year, according to a new NAO report published today. Performance varies across the Department, and some parts such as the central department, the Highways Agency and the Maritime and Coastguard Agency compare […]

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

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    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 […]

  12. Caring for Vulnerable Babies: The Reorganisation of neonatal services in England

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    The reorganisation of neonatal services in England has helped improve care for premature and low birth weight babies with fewer babies travelling long distances for suitable treatment. But, according to the National Audit Office, further improvements to the service are being limited by shortages in nursing staff, a lack of cots in the right place […]

  13. Supporting people with autism through adulthood

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    The National Audit Office has reported today that Government departments and local health and social care organisations do not have enough information on numbers of adults with autism. They also lack a full understanding and awareness of the condition, limiting their ability to plan and deliver services effectively. Autism, which includes Asperger syndrome, is a […]

  14. The performance and management of hospital PFI contracts

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    Most PFI hospital contracts are well-managed and the evidence indicates that they are currently achieving the value for money expected when the contracts were signed. There continue to be risks, however, to the long-term value for money of these contracts.

  15. The health and social care interface

    Press release

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    This ‘think piece’ draws on our past work highlighting the barriers that prevent health and social care services working together effectively, examples of joint working and the move towards services centred on the needs of the individual, to inform the ongoing debate about the future of health and social care in England.

  19. Digital transformation in the NHS

    Press release

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    This report considers the readiness of the government to deliver its ambitions for digital transformation in the NHS in England.

  20. Department for International Development Tsunami: Provision of Financial Support for Humanitarian Assistance

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    The reaction of the Department for International Development to the Indian Ocean Tsunami was both rapid and impressive Sir John Bourn, head of the National Audit Office, reported to Parliament today. The first of many cargoes of relief supplies was airlifted to the affected area within 24 hours. However DFID need to strengthen their financial […]