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Report cover showing nurse and patient in a ward

The management of Medical Equipment in NHS Acute Trusts in England

Sir John Bourn, head of the National Audit Office, reported to Parliament today that NHS Acute Trusts in England held medical equipment with an estimated replacement value of some £3 billion. In 1996-97 they spent some £220 million on acquiring medical equipment annually and a further £120 million on maintenance. Figures for 1997-98 are similar. Medical … Read more

Published:
10 Jun 1999
Report cover showing hospital staff with a patient

The Scottish Ambulance Service: A Service for Life

Sir John Bourn, the head of the National Audit Office, reported to the Scottish Parliament today that there is scope to improve the responsiveness of accident and emergency ambulance services in Scotland and the impact they have on the healthcare of patients. The Scottish Ambulance Service are responsible for ambulance services across Scotland. Their emergency … Read more

Published:
8 Dec 1999
Report cover showing hospital staff

The Management and Control of Hospital Acquired Infection in Acute NHS Trusts in England

“Hospital acquired infections are a huge problem for the NHS. They prolong patients’ stays in hospital and, in the worst cases, cause permanent disability and even death. By implementing the NAO recommendations the NHS could make real improvements in the quality of care for patients and could free up significant additional resources for patient care.”

Published:
17 Feb 2000
Report cover showing hospital staff and a patient

Inpatient Admissions and Bed management in NHS acute hospitals

“This winter has reminded us again of how crucial it is that hospitals manage their bed stock effectively. We have found significant variations in performance between hospitals in admitting and discharging patients, and managing beds. Failing to place patients promptly in the most appropriate facilities, cancelling their admission, or delaying their discharge from hospital can cause enormous frustration and distress. More hospitals should follow the good practices we have highlighted to help improve the overall quality of service to patients.”

Published:
24 Feb 2000
Report cover

NHS (England) Summarised Accounts 1998-99

“The NHS continues to make improvements in its financial control over the £36 billion spent by Health Authorities and NHS Trusts. However, more work is necessary to ensure that accounting for these large sums fully and clearly reports the financial position of health authorities and NHS Trusts on a consistent basis.”

Published:
5 Apr 2000
Report cover showing an x-ray of an artificial hip joint

Hip replacements: getting it right first time

“Hip replacement surgery is a procedure that successfully improves the lives of tens of thousands of people each year. However, the current process for introducing new hip prostheses into the NHS cannot always ensure long term effectiveness, and if a hip prosthesis performs poorly, it can have serious consequences for the patient. We have also found variations in practice between NHS trusts and between orthopaedic consultants on a range of issues such as the purchase of hip prostheses, supervision of surgery, length of patient stay in hospital, and follow-up after operation. In these and other areas, all trusts and consultants need to follow good practice for the benefit of patients. My Report also contains a list of 19 questions patients can ask in connection with their hip replacement.”

Published:
19 Apr 2000
Report cover showing montage of board meeting, Charities Commission documents and accounts

Charitable Funds Associated with NHS Bodies

“I am glad to be able to provide a positive assurance that these funds are being well managed. In our report, wherever possible we have drawn out examples of good practice, as well as pointing to areas where we consider that further improvements to corporate governance and financial control arrangements could be made.”

Published:
15 Jun 2000
Report cover

NHS (Scotland) Summarised Accounts 1998-99

Sir John Bourn, head of the National Audit Office, reported to Parliament today on the Summarised Accounts of the National Health Service in Scotland for 1998-99. The report describes the findings of the appointed auditors of the individual health bodies, discusses developments in accounting and financial control, considers the financial performance of the NHS in … Read more

Published:
4 Aug 2000

Public Health Laboratory Service Board Accounts 1998-99

“The Board have assured me of the importance they place on effective internal financial controls, and they are confident that these controls have now been restored. I remain concerned, however, that these problems arose.

The lesson for other public bodies from the Board’s experiences is that, when letting and managing such a contract, potential risks need to be identified, evaluated, mitigated and managed so that the fundamental responsibilities of the Board and its Accounting Officer for the proper management of its resources can continue to be discharged.”

Published:
15 Sep 2000