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Report details
Spring 2018

NHS England’s management of the Primary Care Support contract with Capita

Scope of investigation In October 2015 NHS England commissioned Capita Business Services Ltd to undertake a major transformation of primary care support services over a 7-year period and deliver significant cost savings. This includes GP pay and pensions, management of medical records, patient registration and maintenance of lists of new GPs. In spring 2016 NHS … Read more

Summer 2018

The Nuclear Decommissioning Authority

The Nuclear Decommissioning Authority (NDA) is a non-departmental public body sponsored by the Department for Business, Energy & Industrial Strategy. The NDA is responsible for the operation, decommissioning and clean-up of 17 nuclear reactor and research sites in the UK. Of the 17 sites, Sellafield is the largest in terms of size and annual expenditure. … Read more

Spring 2018

Ensuring sufficient skilled military personnel in the Armed Forces

The size of the Armed Forces has been reducing for many years and now stands at 139,000. At the same time, the nature of warfare is changing and the skill level required to operate modern equipment is increasing. The study offers an opportunity to review how MoD is responding to these challenges. Our study will … Read more

Spring 2018

Department for Work and Pensions Estates Management

The Department for Work and Pensions (DWP) employs nearly 80,000 people in around 900 buildings. DWP’s 20-year PFI contract with Telereal Trillium covers 96% of its estate and expires on 31 March 2018. The end of the contract offers the Department the opportunity to revise its current estate needs and to create a new estate … Read more

Early 2018

Low carbon heating of homes and businesses and the Renewable Heat Incentive

To meet the targets in the 2008 Climate Change Act, the energy used for heating in homes and businesses will need to be significantly decarbonised. The Renewable Heat Incentive (RHI) has been the government’s major programme for decarbonising heat. Under RHI, homes and businesses can apply for subsidies if they install low carbon heating systems … Read more

Early 2018

Department for Education: Converting schools to academies

Converting maintained schools to academies continues to be a key education policy. The Department for Education believes that ‘all schools should benefit from the freedom and autonomy that academy status brings’. Approximately 30% of schools (over 6,400) have so far become academies. Academy trusts take on significant new responsibilities, with extra financial, legal and governance … Read more

Spring 2018

The BBC’s commercial activities

The BBC’s commercial activities support its public service mission by investing in, commercialising and showcasing BBC content around the world. These activities are undertaken with a view to generating profit and other returns, which the BBC uses to supplement the licence fee. This landscape review will be the first study undertaken by the NAO under … Read more

Early 2018

Integrated care – avoiding unnecessary admissions to hospitals

Emergency admissions impose a significant financial cost on the NHS, estimated by the NAO at £12.5 billion in 2013. The overall number of emergency admissions is also increasing, up 14% between 2010-2011 and 2016-17. Unnecessary emergency admissions can have an adverse affect on both other hospital services, as well as patients’ quality of life, particularly … Read more

Spring 2018

Financial sustainability of local authorities 2018

The NAO has published two reports on the impacts that major funding changes were having on the financial sustainability of local authorities, most recently in November 2014. Following a further three years of funding reductions the time is right to return to the issue. The study will reassess conditions in the sector and the implications … Read more

Spring 2018

Rolling-out Universal Credit

Universal Credit is a single benefit for working age people both in and out of work, which replaces six existing means-tested benefits and tax credits. It is available to all eligible claimants through the Universal Credit full service. In May 2016, the Department for Work and Pensions started rolling out the full service to jobcentres … Read more

Spring 2018

Errors in Employment and Support Allowance

Employment and Support Allowance (ESA) is a benefit that the Department for Work & Pensions (the Department) pays to people who cannot work because they are disabled or ill. In November 2017, there were media reports that an estimated 75,000 people, who had been transferred to ESA from other benefits, had been underpaid premiums on … Read more

Spring 2018

Transforming our Courts

Government has acknowledged that the justice system is complex, slow and costly. In 2015, Her Majesty’s Courts and Tribunals Service launched a £1 billion, six year programme of work that aims to: Ensure justice is accessible to those who seek it; Create a system that is financially viable through a more cost-effective infrastructure (physical and … Read more

Spring 2018

Ofsted’s inspection of schools

Ofsted (the Office for Standards in Education, Children’s Services and Skills) inspects a wide range of education and skills providers and social care services for children and young people, and regulates providers in some settings such as children’s homes. Through its work, Ofsted aims to raise the standard of education and quality of life for … Read more

Spring 2018

The Intercity East Coast franchise

The East Coast franchise covers intercity routes between London King’s Cross and Yorkshire, the north-east and Scotland. The franchise started in 2015, and had been due to run till 2023. In November 2017, the Department announced that the franchise would be replaced by a new ‘East Coast Partnership’ from 2020, bringing trains and infrastructure under … Read more

Summer 2018

Increased spend on generic drugs

In 2016-17, based on list prices and before any discounts, the NHS spent £17.4 billion on medicines. In recent months the prices of some generic medicines, which are copies of brand-named drugs, have increased. This is creating unexpected pressure on the budgets of clinical commissioning groups. The Comptroller and Auditor General has started an investigation … Read more

Summer 2018

Smart Meters

The Department for Business, Energy & Industrial Strategy is leading the rollout of smart meters to all homes and small businesses in Great Britain by 2020. This will impact around 30 million premises. Smart meters will enable consumers to see what energy they are using in monetary terms, and will communicate with their energy suppliers … Read more

Summer 2018

Developing new models of healthcare through NHS vanguards

In its Five Year Forward View, NHS England set out its intention to develop new models of care in response to increasing demand for healthcare and financial pressure on the NHS. In 2015, NHS England selected 50 vanguard sites to lead the development of five new care models, using a locally-driven approach with frontline staff … Read more

Summer 2018

The return of Lloyds Banking Group to private ownership

At the height of the financial crisis in late 2008, the government provided support to the banking sector, including the purchase of more than £20 billion of shares in Lloyds Banking Group (Lloyds). In September 2013, the government sold just over 15 per cent of the taxpayers’ shares in Lloyds to institutional investors. The National … Read more