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  2. Darent Valley Hospital: The PFI contract in action

    Report Value for money

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    Sir John Bourn delivered today the National Audit Office’s 50th PFI/PPP report to Parliament, an update report on the new Darent Valley hospital which, in 1997, had been the first hospital procured under the PFI. Sir John reported that the hospital had been successfully delivered and the Trust had received a reduction in the overall […]

  3. The Refinancing of the Norfolk and Norwich PFI Hospital: How the deal can be viewed in the light of the refinancing

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    Sir John Bourn, head of the NAO, today reported that, following improvements in PFI financing terms, the Norfolk and Norwich University Hospital NHS Trust has shared in the gains from a refinancing of its early PFI hospital contract, but it continues to pay a premium in respect of the financing costs compared to current deals. […]

  4. Reforming NHS Dentistry: ensuring effective management of risks

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    There is a strong rationale for modernising NHS dentistry, but significant risks will have to be managed if the new arrangements announced by the Department of Health are to be effective and provide value for money, according to the National Audit Office. In particular, given the scepticism of some dentists compounded by a lack of […]

  7. Educating and Training the Future Health Professional Workforce for England

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    The Audit Commission and the National Audit Office today published the results of their comprehensive joint review of education and training for existing and trainee nurses, midwives and other healthcare staff. Getting the development of these staff right is fundamental to meeting patients’ needs, improving services, reducing risks and modernising the NHS. The reports make […]

  8. NHS Ambulance Services

    Press release

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    Demand for ambulance services continues to grow rapidly, but services are finding it increasingly difficult to cope with rising demand.

  9. Financial sustainability of the NHS

    Press release

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    The financial performance of NHS bodies worsened considerably in 2015-16, according to the National Audit Office.

  10. Managing the supply of NHS clinical staff in England

    Press release

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    There are shortcomings in how the supply of NHS clinical staff in England is managed, in terms of both planning the future workforce and meeting the current demand for staff.

  11. Improving patient access to general practice

    Press release

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    Challenging objectives for improving access to general practice have been set by the Department and NHS England, but a more coordinated approach and stronger incentives are needed.

  12. Mental health in prisons

    Press release

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    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.

  15. Air Quality

    Press release

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    This National Audit Office briefing gives an overview of government’s approach to improving air quality in the UK. It has been prepared in support of a joint inquiry by the Environmental Audit Committee (EAC), the Environment, Food and Rural Affairs (EFRA) Committee, the Health Committee and the Transport Committee. It examines why air quality matters; the UK’s plan for improving air quality; and risks and success factors for delivery of government’s air quality plans.

    16 November 2017

  17. English devolution deals

    Press release

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    Devolution deals to devolve power from central government to local areas in England offer opportunities to stimulate economic growth and reform public services for local users, but the arrangements are untested and government could do more to provide confidence that these deals will achieve the benefits intended

  18. The Medical Assessment of Incapacity and Disability Benefits

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    In a report to Parliament today, head of the NAO Sir John Bourn recognised that the outsourcing of the Department of Social Security’s medical assessment service had reduced costs and speeded up the turnaround of work. But the standard of medical assessments and the quality of service to benefit customers need to improve. The service […]

  20. Children in need of help or protection

    Press release

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    The Department for Education recognised since 2010 that child protection services are not good enough but its subsequent response has not yet resulted in better outcomes. Spending on children’s social work, including on child protection, varies widely across England and is not related to quality. Neither the DfE nor authorities understand why spending varies.