Developing new care models through NHS vanguards
Published on:This report examines whether the NHS is well placed to get value for money from its investment in developing new care models through vanguards.
This report examines whether the NHS is well placed to get value for money from its investment in developing new care models through vanguards.
In this report, we assess whether NHS England managed the PCSE contract with Capita effectively to secure the intended benefits
Sir John Bourn, head of the National Audit Office, reported to Parliament today that the financial analysis* carried out for the London Underground Public Private Partnerships cannot, on its own, be expected to show clearly which public or private sector option for managing and funding the Tube will provide better value for money. Sir John […]
The Ministry of Defence (the Department) has committed itself to annual rental bills of nearly £200 million and lost out on billions of pounds of asset value as a result of selling and leasing back the majority of its married quarters estate to Annington Property Limited in 1996 because of the subsequent steep increase in house prices and rents.
The NDA’s fundamental failures in the Magnox contract procurement raise serious questions about its understanding of procurement regulations and its ability to manage large, complex procurements.
An investigation into why and how the Ministry of Justice adjusted Community Rehabilitation Companies’ (CRCs) contracts; and the financial and other implications of the adjustments to the CRCs’ contracts.
19 December 2017
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 […]
Sir John Bourn, head of the National Audit Office, reported to Parliament today that the Royal Armouries* in July 1999 successfully negotiated a revised deal with Royal Armouries (International) plc** (“RAI”) which ensured that the Royal Armouries Museum in Leeds remained open. The revised deal has also made it possible for the future redevelopment of […]
The National Audit Office has today published a briefing describing how the centre of government is supporting departments to identify the people and skills needed to implement the UK’s exit from the European Union.
1 December 2017
This examines the causes of poor performance on the Thameslink, Southern and Great Northern network since the franchise began in September 2014, the effects on passenger services, financial outcomes for the operator and the Department, and the Department’s handling of the Thameslink, Southern and Great Northern franchise.
The National Probation Service Information Systems Strategy (NPSISS) network is operating in 38 out of the 42 new local probation areas in England and Wales. Nevertheless, there were serious problems in the development of a case recording and management system, known as CRAMS, leading to its use by a minority of probation service areas. During […]
The programme to upgrade to the Thameslink routes through London has a realistic prospect of delivering value for money but there remains risks which the Department for Transport and Network Rail need to manage carefully.
This is an investigation into the contractual arrangements that UK Trade and Investment (UKTI) had in place since 2013-14 for the outsourcing of sector specialist services with PA Consulting. PA received £18.8million in the first year of a contract due to last three years. Following concerns about the way the contract had been priced UKTI terminated the contract in January 2016 and agreed a commercial settlement with PA in May 2016.
The BBC has improved the value for money of its activity, but there is scope to make improvements, particularly on licence fee evasion and the incomplete transition programme.
Having shown that the concept of a national citizen service has something to offer young people, to demonstrate value for money the OCS and the Trust now need to show they can grow NCS as intended and run it at a more affordable cost to the taxpayer.
By reducing the number of its offices and moving to a regional centre model HM Revenue & Customs (HMRC) hopes to significantly reduce its running costs and modernise the way it works. HMRC’s original plan has proved unrealistic and is now reconsidering the scope and timing of the programme. Any changes will need to be carefully managed to avoid diminishing the long term value of the strategy.
The case for a huge expansion of electronic monitoring using GPS was unproven, but the Ministry of Justice pursued an overly ambitious and high risk strategy anyway. Ultimately it has not delivered.
Government has gaps in its capability and must do more to develop the skills needed. It is making plans, but the scale of the challenge means greater urgency is needed.
Digital transformation has a mixed track record across government. It has not yet provided a level of change that will allow government to further reduce costs while still meeting people’s needs.