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A girl with Downs Syndrome in conversation

Local support for people with a learning disability

Good progress has been made by the Department of Health and NHS England in setting up a programme to close hospital beds for people with a learning disability, but the programme is not yet on track to achieve value for money. The report examines how the NHS in England and local authorities seek to improve the lives of the 129,000 people aged 18 to 64 who use local authority learning disability support services.

3 Mar 2017

Major trauma care in England

“Current services for people who suffer major trauma are not good enough. There is unacceptable variation, which means that if you are unlucky enough to have an accident at night or at the weekend, in many areas you are likely to receive worse quality of care and are more likely to die. The Department of Health and the NHS must get a grip on coordinating services through trauma networks, on costs and on information on major trauma care, if they are to prevent unnecessary deaths.”  

5 Feb 2010
Doctor at desk

Management of NHS hospital productivity

Hospital productivity has fallen over the last ten years. There have been significant increases in  funding and hospitals have used this to deliver against national priorities, but they need to provide more leadership, management and clinical engagement to optimise the use of additional resources and deliver value for money.

17 Dec 2010
Report cover showing attendance record

Managing Attendance in the Department for Work and Pensions

“Achieving better staff attendance at the Department for Work and Pensions, the largest government department, would be an important step towards improving central government efficiency. The Department’s absence rate is high and has not yet been reduced by the introduction of a new policy. There are no easy solutions, particularly at a time when the Department is undergoing a heavy programme of change, but the Department needs to do more to ensure that the good attendance management procedures it has introduced are adopted by all staff and managers across the organisation.”

8 Dec 2004