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House and garden

The Decent Homes Programme

“The Programme to make social sector housing and private sector housing for vulnerable people decent has made progress, and the families living in those properties will be enjoying the benefits. However, there are risks to both the Programme’s completion and what has been achieved so far if a reliable funding mechanism is not put in place to deliver the remainder of the Programme and to maintain homes to a decent standard. Hundreds of thousands of families are still living in properties which are not warm, weather tight, or in a reasonable state of repair. The Department’s efforts have been undermined by weaknesses in the information it holds.

 

There are important lessons here on the benefits of having clear information on Programmes when delivery is devolved to a local level.”

Published:
21 Jan 2010
Report cover, showing modern school interior

The Building Schools for the Future Programme: Renewing the secondary school estate

“Building Schools for the Future is a highly ambitious £55 billion programme. Converting that ambition to reality requires robust planning, close cost control and making a success of complex long-term partnerships. Partnerships for Schools and the Department were too optimistic in their early plans though programme management has since improved. But it remains a real challenge, in difficult market conditions, to deliver the 250 schools a year that will be needed, to include all schools by 2020 as currently planned.”

Published:
12 Feb 2009
People with autism at training lesson

Supporting people with autism through adulthood

“Greater awareness of the numbers of people with autism, as well as better understanding of autism amongst those providing health, social care, benefits, education and employment services, would lead to improved quality of life for those on the autistic spectrum. Specialist support and joint working across all areas – clinical, social and employment – could improve the transition from childhood to adult services, make services more effective and improve value for money.”

 

Published:
5 Jun 2009
X-ray of hands

Services for people with rheumatoid arthritis

“Patients with this debilitating and distressing disease are not identified or treated quickly enough and this dramatically affects long-term outcomes and people’s ability to remain in work. The NHS should take a more co ordinated approach to identifying people with symptoms of early rheumatoid arthritis, so that they get access to specialist care quickly and receive support and advice to help them manage and live with the disease. This would provide better value for money, better outcomes for patients, and lead to productivity gains for the economy. Some of the systemic improvements needed to manage and control this disease also apply to other long-term conditions requiring specialist-led care.”

 

Published:
15 Jul 2009
National Audit Office logo

Review: The NAO’s work on local delivery

This briefing draws out findings from 46 NAO reports since 2008-09 that are relevant to local delivery. It communicates the wide range of work we have undertaken and the main lessons that have arisen from it.

Published:
30 Mar 2012
Regenerated coalfield site

Regenerating the English Coalfields

“The coalfields regeneration programme has achieved positive results in job generation and improved environments. However, the programme has taken much longer than expected to deliver results and needs to be much better planned. What we want to see is a concerted effort to deliver to the coalfields the best possible value for money from the remaining £450 million of funds.”

Published:
17 Dec 2009
Hospital Cleaner with cleaning materials

Reducing Healthcare Associated Infections in Hospitals in England

“The Department of Health’s hands on approach to what seemed, in 2004, to be an intractable problem, has been successful in reducing MRSA bloodstream and C. difficile infections. This is a significant achievement and a good example of what concerted effort can achieve. Inevitably, with a focused and centrally driven initiative of this kind, the improvements are not uniform across the NHS and we still don’t know in any meaningful way what impact there has been on other healthcare associated infections. We have identified a number of key problems that need to be addressed such as: a lack of robust comparable data on other infection risks; increases in antibiotic resistance and poor data on hospital prescribing; and that compliance with good practice is still not universal.”

 

Published:
12 Jun 2009
Woman on a mobile phone

Public service markets: Putting things right when they go wrong

Over 10 million people who used public services (about 1 in 5) in the UK last year faced problems with the services. Detriment can and does occur. But users find the complaints and redress systems confusing.

Published:
17 Jun 2015