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NHS (England) Summarised Accounts 2001- 02

“The National Health Service continues to be subject to significant restructuring to be better able to deliver the government’s “NHS Plan” and to use its resources more effectively. Against this background of change, I urge the Department of Health to make every effort to ensure that risk-management arrangements are fully in place and these are operating effectively across the NHS as soon as possible.

“I commend the progress made by the Department in tackling fraud so far and developing an anti-fraud culture within the NHS. However, there is a need for the Department to complete fraud measurement exercises across all areas of NHS expenditure I encourage the Department to take steps as soon as possible to measure the full extent of the fraud being committed and to set new targets to demonstrate the success of their efforts in countering fraud.”

Published:
21 Mar 2003
Report cover showing an older patient

Ensuring the effective discharge of older patients from NHS acute hospitals

“Many tens of thousands of older people each year find themselves unable to leave hospital, even though their treatment has been completed. This significantly reduces their quality of life and undermines the ability of hospitals to treat more patients and meet testing targets.

“The Department of Health has made strides in the last 18 months to address this problem but the pressures on the health and social care systems are unrelenting. This is a classic case of the need for ‘joined-up government’ with the NHS, local authorities and private and voluntary sector care providers working together. The Department should ensure that it is doing everything it can to allow this to happen.”

Published:
12 Feb 2003
Report cover showing tablets

Safety, Quality, Efficacy: Regulating Medicines in the UK

“The Medicines Control Agency has a good record and its work is highly respected around the world and forms a model in many countries. But it needs to do more to communicate directly with health professionals and the public and improve the effectiveness of its safety messages. The Agency, and its successor after merger with the Medical Devices Agency, must build on its strong position to maintain an influential position in the European regulatory environment.”

Published:
16 Jan 2003
Report cover showing a rail accident

Facing the Challenge: NHS Emergency Planning in England

“Since the events of September 11, the NHS has made a concerted effort to improve its planning and preparedness for dealing with major incidents and in many respects has succeeded. But there is still room for improvement in the systems in place to ensure that the NHS response is as good as possible.

“I recognise that there are limits to what can be done in improving readiness. Some incidents are of a scale for which no organisation could expect to be fully prepared. And it does not necessarily make sense for everyone in the NHS to be prepared for every eventuality.

“However, the nature of the threats now potentially facing us means that the Department of Health and the Chief Executives of hospital, ambulance and primary care trusts need to continue to act with determination to improve their planning and readiness.”

Published:
15 Nov 2002
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NHS (England) Summarised Accounts 2000-2001

“The NHS is continuing to improve financial control over its budget. I welcome this and the initiatives to measure and take action against fraud.

“The way forward is to continue with improvements to corporate and clinical governance and to ensure that accounting for these large sums presents fully and clearly the financial position of NHS organisations.”

Published:
24 Apr 2002
Report cover showing Old Lambeth Hospital's former nurses' home

The Management of Surplus Property by Trusts in the NHS in England

“We have found good practice and good value being obtained in many sales of surplus NHS trust property and this needs to be built on. There needs to be better management of NHS surplus estate, better working with planning authorities, and better handling of some sales to speed things up to release resources for NHS developments to benefit patients. My recommendations and examples of good practice show how improvements can be achieved.”

Published:
21 Mar 2002
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
Report cover showing a waiting room with patients

Inappropriate adjustments to NHS waiting Lists

The National Audit Office has published the results of its examination into the inappropriate adjustment of waiting lists at a number of NHS trusts. In July of this year the NAO published its report Inpatient and outpatient waiting in the NHS looking at the accuracy and management of NHS waiting lists. In that report it … Read more

Published:
19 Dec 2001