The adult social care market in England
This report examines the current care market and the Department of Health & Social Care’s role in overseeing it.
25 Mar 2021
As part of central government's decision to give more power to Councils and other local bodies (eg in healthcare), local organisations now decide how to spend hundreds of billion each year. Parliament and the public expect this spending to be efficient and effective and achieve the intended aims. Central government sets these aims, while local organisations decide how to spend the funding based on local needs and priorities. The public must be told how the money is spent and what outcomes have been achieved so that local electorates can be sure the money is spent well and can question decisions.
Central government must also be sure that the spending is achieving the desired outcomes and value for money. It is also responsible for protecting customers and making sure that where services fail, customers can get redress, including from local government and health Ombudsmen.
Key NAO publications:
This report examines the current care market and the Department of Health & Social Care’s role in overseeing it.
The report examines the timeliness of auditor reporting on English local public bodies’ financial statements covering 2019-20.
This report examines whether the government secured financial sustainability across the local authority sector during COVID-19.
This report examines the government’s replacement of the COMPASS contracts for accommodation and support for asylum seekers.
This investigation sets out how MHCLG is overseeing the remediation of dangerous cladding under its Building Safety Programme.
The number of NHS and local government bodies with weaknesses in their arrangements for delivering value for money is increasing.
For combined authorities to deliver real progress they will need to demonstrate that they can drive economic growth and contribute to public sector reform.
The incentives on government Accounting Officers to prioritise value for money are weak compared to those associated with the day-to-day job of satisfying Ministers.
Over 10 million people who used public services (about 1 in 5) in the UK last year faced problems with the services. Detriment can and does occur. But users find the complaints and redress systems confusing.
The Department for Education is not meeting its objectives to improve the quality of care and the stability of placements for children in care.