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Report cover showing medical team

The Management of Suspensions of Clinical Staff in NHS Hospital and Ambulance Trusts in England

“Where patient safety is considered to be at risk or there are allegations of misconduct, it is vitally important for NHS trusts to be able to exclude clinical staff from work or restrict their activities so that the situation can be thoroughly and promptly investigated. At present, however, there is evidence of many cases of exclusion being allowed to drift on without resolution or proper management. This represents a serious waste of resources for the NHS and can harm the career and even personal well-being of the accused clinicians themselves.

“The Department of Health should now take further steps to achieve a system for managing the exclusion of clinical staff in which both staff and patients can have confidence.”

Published:
6 Nov 2003
The Maritime and Coastguard Agency's Response to growth in the UK Merchant Fleet

The Maritime and Coastguard Agency’s Response to growth in the UK Merchant Fleet

“The Maritime and Coastguard Agency coped with the recent sharp increase in the size of the UK-flagged merchant fleet by using its staff more efficiently and by delegating more of its survey work. But with fewer surveyors, the Agency is now struggling to inspect the increased fleet, which could put at risk the quality advantage of the UK flag. Better recruitment and succession planning will be needed, along with more strategic delegation to the classification societies.”

Published:
11 Feb 2009
Report cover showing a doctor talking to an elderly patient

The Medical Assessment of Incapacity and Disability Benefits

“This has been an innovative project for the Department of Social Security, involving the outsourcing of a service which is close to the department’s core business. The Benefits Agency medical service was underachieving and operated within tight resource constraints. Outsourcing has cut costs and speeded up the processing of the work, but the Department, with SEMA Group, must concentrate on improving the quality of assessments and customer service.

“Bottlenecks and delays throughout the system for paying these benefits also need to be addressed. The aim should be to ensure that disability benefits are speedily paid to those entitled to them, as well as reducing losses to the public purse from payments to those who are no longer eligible for benefit.”

Published:
9 Mar 2001
Report cover showing the Millennium Dome

The Millennium Dome

“Building and opening the Millennium Dome on the very short timescale required was a tremendous achievement. But the New Millennium Experience Company has experienced severe financial difficulties this year and has required considerable additional lottery funding.

“The main cause of these difficulties is the failure to achieve the visitor numbers and income required. The targets were highly ambitious and inherently risky leading to a significant degree of financial exposure on the project. In addition, the task of managing the project has been complicated by the complex organisational arrangements put in place from the outset, and by the failure to establish sufficiently robust financial management.”

Published:
9 Nov 2000
MOD housing

The Ministry of Defence’s arrangement with Annington Property Limited

The Ministry of Defence (the Department) has committed itself to annual rental bills of nearly £200 million and lost out on billions of pounds of asset value as a result of selling and leasing back the majority of its married quarters estate to Annington Property Limited in 1996 because of the subsequent steep increase in house prices and rents.

Published:
30 Jan 2018