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NHS and sustainability

This briefing on the NHS and sustainability in England has been prepared for the Environmental Audit Committee. It focuses on identifying potential good practice, opportunities and challenges and draws on the NAO’s good practice criteria.

Published:
27 Mar 2015
Report cover

NHS Direct 2004-2005: Qualification of Audit Opinion

“I have qualified the accounts of NHS Direct because of a lack of evidence that correct payments have been made to staff.

“NHS Direct has taken steps in year to centralize its accounting and payroll systems. It is vital that it continues to strengthen internal controls and ensures that proper accounting records are maintained in the future.”

Published:
8 Feb 2006
Report cover showing mother and child with NHS Direct worker

NHS Direct in England

“It was a significant achievement getting NHS Direct up and running in less than three years. The service is valued by those who use it and, according to the evidence available, is starting to meet its aim of directing people to more appropriate forms of healthcare.

“The challenge now for NHS Direct is to meet the expected rapid increase in callers and to set a clear future direction for the service. NHS Direct should also address the fact that some social groups are tending not to use the service, and increase the proportion of callers who are promptly connected to a nurse.”

Published:
25 Jan 2002
Cover of NHS Pay Modernisation showing image of a nurse at work

NHS Pay Modernisation in England: Agenda for Change

“It was no mean feat transferring virtually all NHS staff on to a new pay system within a very constrained timeframe, and this element of Agenda for Change has been a success. On the other hand, the benefits that should have come with this new simpler system, such as more effective working, have not been wholly achieved. So the programme as a whole has further to go before it achieves the intended value for money for the taxpayer.”

Published:
29 Jan 2009
Report cover showing a doctor checking a child

NHS Pay Modernisation: New contracts for general practice services in England

“There is no doubt that a new GP contract was needed and there are now 4,000 more GPs than five years ago. But in return for higher pay, we have yet to see real increases in productivity. The extra money flowing into practices has largely benefited GP partners rather than rewarding other important members of the practice team. Primary Care Trusts now need to deliver to patients the benefits that were expected in return for GPs increase in pay.”

Published:
28 Feb 2008