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Charitable Funds Associated with NHS Bodies

Sir John Bourn, head of the National Audit Office, told Parliament today that trustee bodies administering charitable funds associated with the NHS have made substantial progress in adopting high standards of corporate governance and have adequate controls in place to ensure that business is properly conducted. Sir John concludes that the current arrangements for supervision … Read more

Report cover showing an x-ray of an artificial hip joint

Hip replacements: getting it right first time

“Hip replacement surgery is a procedure that successfully improves the lives of tens of thousands of people each year. However, the current process for introducing new hip prostheses into the NHS cannot always ensure long term effectiveness, and if a hip prosthesis performs poorly, it can have serious consequences for the patient. We have also found variations in practice between NHS trusts and between orthopaedic consultants on a range of issues such as the purchase of hip prostheses, supervision of surgery, length of patient stay in hospital, and follow-up after operation. In these and other areas, all trusts and consultants need to follow good practice for the benefit of patients. My Report also contains a list of 19 questions patients can ask in connection with their hip replacement.”

Published:
19 Apr 2000

Hip replacements: getting it right first time

Sir John Bourn, head of the National Audit Office, reported to Parliament today that many NHS trusts and orthopaedic consultants apply good practice in the way that they handle total hip replacements. However, there are significant variations in performance, and there is need for good practice to be spread more widely for the benefit of … Read more

Report cover

NHS (England) Summarised Accounts 1998-99

“The NHS continues to make improvements in its financial control over the £36 billion spent by Health Authorities and NHS Trusts. However, more work is necessary to ensure that accounting for these large sums fully and clearly reports the financial position of health authorities and NHS Trusts on a consistent basis.”

Published:
5 Apr 2000

NHS (England) Summarised Accounts 1998-99

The Comptroller and Auditor General, Sir John Bourn, today reported to Parliament the results of his examination of the 17 Summarised Accounts* which cover the financial activities of the National Health Service in England, with an annual budget of some £36 billion. Sir John’s opinion on each of the summarised accounts is unqualified. His report … Read more

Report cover showing hospital staff and a patient

Inpatient Admissions and Bed management in NHS acute hospitals

“This winter has reminded us again of how crucial it is that hospitals manage their bed stock effectively. We have found significant variations in performance between hospitals in admitting and discharging patients, and managing beds. Failing to place patients promptly in the most appropriate facilities, cancelling their admission, or delaying their discharge from hospital can cause enormous frustration and distress. More hospitals should follow the good practices we have highlighted to help improve the overall quality of service to patients.”

Published:
24 Feb 2000
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