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Carer with a meal for a patient

The health and social care interface

This ‘think piece’ draws on our past work highlighting the barriers that prevent health and social care services working together effectively, examples of joint working and the move towards services centred on the needs of the individual, to inform the ongoing debate about the future of health and social care in England.

Published:
4 Jul 2018
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 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
Cover of report showing prison officer with keys

The Management of Sickness Absence in the Prison Service

“The Prison Service has made good progress in tightening up its procedures for recording sickness absence and now has a better grip on the performance of establishments. The average sickness rate remains high, however. Any reduction in working days lost would free resources which could be used, for instance, to improve regimes for reducing re-offending rates or to deal with the increased number of prisoners being held in custody.

“Further reductions in the average rate of sickness absence among Prison Service staff depend on governors working more closely with staff to improve morale and to overcome a culture of absenteeism prevalent in some prisons.”

Published:
19 May 2004
Report cover image showing Dr taking administering to a patient

The Management of Staff Sickness Absence in Department of Transport and its agencies

“Today’s report paints a mixed picture of sickness absence in the Department for Transport and its agencies. While some parts of the Department compare favourably against other public and private sector organisations and all parts of the Department appear to be proactive in managing sickness absence, the high rates in the customer-facing agencies of DVLA and DSA are worrying.

“The central department appears to have a good record of sickness absence but that does not absolve it from the responsibility to hold those agencies with high levels of sickness absence to account.”

The report makes recommendations on how the Department should better manage sickness absence. These include making line managers more aware of responsibilities when it comes to sick leave, making earlier use of occupational health services and ensuring better quality standards for recording sickness absence. Specific recommendations to agencies include the DVLA bringing long term sickness absence to a swifter resolution.

Published:
8 Jun 2007
Report cover showing medication and a glass of water

The Management of Staff Sickness Absence in the National Probation Service

“Managing sickness absence more effectively will lead to better value for money in the Probation Service. Reducing current sickness absence rates of 12.3 days per person to the Service’s target of 9 days would save £11 million, equivalent to 66,420 working days or some 300 full time employees. Tackling the problem will require investment in better information, robust and proactive management, and consistent application locally of policies that have been agreed nationally, particularly to tackle stress and improve work/life balance. “

Published:
26 Apr 2006
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