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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 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
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 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

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 image showing joined hands

Developing Effective Services for Older People

“Older people are major users of public services and many of them find the divisions between service providers confusing. Often those most in need have to contact the largest number of agencies.

“The Government has been successful in finding new ways of developing services for older people that are joined up and avoid duplication. But there is scope to build on this. Improved co-ordination across government on older people’s issues could be addressed by the publication of an Older People strategy. At the same time, Government must ensure it continues to provide feedback to those it consults in order to maintain commitment and to avoid raising expectations that are later undermined”.

Published:
26 Mar 2003
Report cover image showing NHS anti-violence poster campaign

A Safer Place to Work: Protecting NHS Hospital and Ambulance Staff from Violence and Aggression

“It is unacceptable that the very people who are trying to help the sick and injured are themselves subject to violence and aggression on a daily basis. Apart from the immediate impact on the individuals concerned, the experience or threat of violence causes increased stress and sickness absence, lowers staff morale and drives individuals out of the health sector at a time of serious staff shortages. Good progress has been made through the zero tolerance zone campaign, but the NHS needs to demonstrate clear improvement across Trusts in incident follow up, staff training and partnerships with other public agencies.”

Published:
27 Mar 2003