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Overview: Local government

This Overview looks at the local government landscape during the last financial year and summarises both matters of likely interest to Parliament as well as our work with local authorities. The NAO prepares statutory guidance on how local auditors should meet their responsibilities.

Published:
9 Nov 2016
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Outcome-based payment schemes: government’s use of payment by results

Payment by results (PbR) schemes are hard to get right, and are risky and costly for commissioners. Credible evidence for claimed benefits of PbR is now needed.

Published:
19 Jun 2015
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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
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Mobile technology in policing

A programme to equip frontline police officers with mobile devices, such as BlackBerrys and personal data assistants, has achieved a basic level of benefits. However, as the benefits for most forces do not extend beyond this basic level, then value for money has not yet been achieved from the £80 million of expenditure.

Published:
27 Jan 2012
Doctor at desk

Management of NHS hospital productivity

Hospital productivity has fallen over the last ten years. There have been significant increases in  funding and hospitals have used this to deliver against national priorities, but they need to provide more leadership, management and clinical engagement to optimise the use of additional resources and deliver value for money.

Published:
17 Dec 2010
Ambulance

Major trauma care in England

“Current services for people who suffer major trauma are not good enough. There is unacceptable variation, which means that if you are unlucky enough to have an accident at night or at the weekend, in many areas you are likely to receive worse quality of care and are more likely to die. The Department of Health and the NHS must get a grip on coordinating services through trauma networks, on costs and on information on major trauma care, if they are to prevent unnecessary deaths.”  

Published:
5 Feb 2010