Adult social care in England: overview – National Audit Office – 13 March 2014

Posted on March 13, 2014. Filed under: Social Work | Tags: , , |

Adult social care in England: overview – National Audit Office – 13 March 2014

“The provision of adequate adult social care poses a significant public service challenge. Demand for care is rising while public spending is falling.

In the first of a series of reports on the adult care system, the National Audit Office has highlighted the main risks and challenges as the system changes radically. The report points out that government does not know if the limits of the capacity of the care system to continue to absorb pressures are being approached. It warns that major changes to the system to improve outcomes and reduce costs will be challenging to achieve.

The report details increasing pressures on the system: adults with long-term and multiple health conditions and disabilities are living longer; demand for services is rising while public spending falls; and there is unmet need for care. Government is engaging well with the adult care sector and aims to tackle the pressures in the adult care system through introducing the Care Bill.”

… continues on the site

Press release: Adult social care in England: overview – NAO – 13 March 2014

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NHS waiting times for elective care in England – National Audit Office – 23 January 2014

Posted on January 23, 2014. Filed under: Surgery | Tags: , , , |

NHS waiting times for elective care in England – National Audit Office – 23 January 2014

“The National Audit Office has highlighted the increasing challenge to the NHS of sustaining the 18-week waiting time standard for elective care and the importance for trusts of having reliable performance information and shared good practice. Today’s report to Parliament concludes that value for money is being undermined by the problems with the completeness, consistency and accuracy of patient waiting time data; and by inconsistencies in the way that patient referrals to hospitals are managed.”

Press release

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Review of the final benefits statement for programmes previously managed under the National Programme for IT in the NHS – National Audit Office – 6 June 2013

Posted on June 13, 2013. Filed under: Health Informatics | Tags: , |

Review of the final benefits statement for programmes previously managed under the National Programme for IT in the NHS – National Audit Office – 6 June 2013

Media release

“The National Audit Office has reported the results of its review of a statement by the Department of Health of costs and benefits of the programmes previously managed under the National Programme for IT in the NHS.

The NAO report, published as a memorandum for the Committee of Public Accounts, finds the Department took a structured, logical approach to measuring and reporting costs and benefits. The Department forecasts that benefits will slightly exceed costs over the whole life of the systems, £10.7 billion compared with £9.8 billion.

There is, however, very considerable uncertainty around whether the forecast benefits will be realised. Around two-thirds (£6.6 billion) of the total estimated benefits are forecast to arise after March 2012. For three programmes, 98 per cent of the total estimated benefits were still to be realised. Some £2.5 billion (26 per cent) of the total costs are also forecast to arise after March 2012.

There is a range of risks to the realisation of future benefits. In particular, for some programmes, future benefits rely on the successful deployment of a set number of systems at a set time. Experience over the last ten years suggests this will be challenging to achieve, particularly in the case of the local care records systems.”

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Lessons from PFI and other projects – National Audit Office (UK) – 28 April 2011

Posted on May 5, 2011. Filed under: Health Economics | Tags: , |

Lessons from PFI and other projects – National Audit Office (UK) – 28 April 2011
“The NAO has concluded that lessons from the large body of experience of using PFI can be applied to improve other forms of procurement and help Government achieve its aim of securing annual infrastructure delivery cost savings of £2 billion to £3 billion. Government should also do more to act as an ‘intelligent customer’ in the procurement and management of projects.”

Includes commentary on:  The performance and management of hospital PFI contracts June 2010

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National Health Service Landscape Review: Review of the new arrangements for the NHS proposed in the Health White Paper – National Audit Office – 20 January 2011

Posted on January 24, 2011. Filed under: Health Economics, Health Mgmt Policy Planning | Tags: , , |

National Health Service Landscape Review: Review of the new arrangements for the NHS proposed in the Health White Paper – National Audit Office – 20 January 2011

“This review, published today by the National Audit Office, summarizes the new arrangements for the NHS proposed in the Health White Paper. The review’s purpose is to inform the Public Accounts Committee so that it can take stock of the proposals as they currently stand and discuss their implementation with the Department of Health and NHS.”

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[UK] Department of Health: Progress in improving stroke care – National Audit Office – 3 February 2010

Posted on February 9, 2010. Filed under: Health Systems Improvement, Neurology | Tags: , , |

UK] Department of Health: Progress in improving stroke care – National Audit Office – 3 February 2010

HC: 291, 2009-10
ISBN: 9780102963441

* Executive summary (PDF – 139KB)
* Full report (PDF – 958KB)
* Press notice (HTML)
* Methodology (PDF – 69KB)
* Progress In Improving Stroke Care: A Good Practice Guide (PDF – 516KB)

“Care for people who have had a stroke has significantly improved since we reported in 2005. The publication and early implementation of the stroke strategy have begun to make a real difference and have helped to put in place the right mechanisms to bring about these improvements. There is still work to be done though: the poorer performers must be dragged up to the same standard as the best, so that the gains that have been made are sustained and value for money improved further. The Department should focus on ensuring that health, social care and employment services are working together much more effectively.”

Amyas Morse, Head of the National Audit Office, 3 February 2010

“The Department of Health’s strategy for stroke care has increased the priority and awareness of the condition and started to improve patients’ care and outcomes, concludes a report by the National Audit Office published today. Actions taken since 2006 have improved the value for money of stroke care; but improvements have not been universal and improvements in follow-up care have not matched those of acute care services.

The National Stroke Strategy is a comprehensive response to the concerns raised by the NAO in its 2005 report on stroke. The strategy has been underpinned by strong national leadership and performance indicators as well as £59 million of central funding over the first two years, £30 million of which was allocated to local authorities specifically to provide support services to stroke patients and their carers. With this clear focus from Ministers and the Department, the NHS is now starting to deliver better care from stroke services, and outcomes for patients are also improving. The NAO estimates that stroke patients’ chances of dying within ten years have reduced from 71 to 67 per cent since 2006.

Patients treated in a specialist stroke unit are more likely to survive, have fewer complications and regain their independence, and all relevant hospitals in England now have such a unit, although the services provided and time spent in the unit vary. Stroke patients should be immediately admitted to a specialist stroke unit; however in 2008 only 17 per cent of stroke patients reached the stroke unit within four hours of arrival at hospital. Brain imaging is also very important for stroke patients but many patients are not given a scan quickly enough and access at weekends and evenings is significantly more limited.

There is better awareness of the symptoms of stroke, and that it is a medical emergency, following the Department’s ‘Stroke: Act FAST’ advertising campaign, launched in February 2009. The number of calls categorised as being a suspected stroke during April to June 2009 increased by 54 per cent in comparison with the same period in 2008.

However, health and social care services are not working as well together as they could. A third of patients are not getting a follow-up appointment within six weeks and only a half of stroke survivors in the NAO’s survey said that they were given advice on further stroke prevention when leaving hospital.”

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Major trauma care in England – National Audit Office – 5 February 2010

Posted on February 9, 2010. Filed under: Emergency Medicine | Tags: , , |

Major trauma care in England – National Audit Office – 5 February 2010
HC: 213, 2009-10
ISBN: 9780102963472

* Executive summary (PDF – 85KB)
* Full report (PDF – 478KB)
* Press notice (HTML)
* Methodology (PDF – 87KB)

“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.”
Amyas Morse, head of the National Audit Office, 5 February 2010

“There is unacceptable variation in major trauma care in England depending upon where and when people are treated, according to a National Audit Office report published today. Care for patients who have suffered major trauma, for example following a road accident or a fall, has not significantly improved in the last 20 years despite numerous reports identifying poor practice, and services are not being delivered efficiently or effectively.

Survival rates vary significantly from hospital to hospital, with a range from five unexpected survivors to eight unexpected deaths per 100 trauma patients, reflecting the variable quality of care. The NAO estimates that 450 to 600 lives could be saved each year in England if major trauma care was managed more effectively.

For best outcomes care should be led by consultants experienced in major trauma; but major trauma is most likely to occur at night and at weekends, when consultants are not normally in the emergency department. Only one hospital has 24-hour consultant care, seven days a week.

Major trauma care is not coordinated and there are no formal arrangements for taking patients directly for specialist treatment or transferring them between hospitals. CT scanning is very important for major trauma patients; however, a significant number of patients that need a scan do not receive one. Not enough patients who need a critical care bed are given one.

Access to rehabilitation services, which can improve patients’ recovery, quality of life and reduce the length of hospital stay, varies across the country and patients are not always receiving the care that they need. The costs of major trauma care are not well understood. The estimated annual lost economic output from deaths and serious injuries from major trauma is between £3.3 billion and £3.7 billion.

Collecting information on care is essential for monitoring and improving services, but only 60 per cent of hospitals delivering major trauma care contribute to the Trauma Audit and Research Network (TARN). The performance of the 40 per cent of hospitals that do not submit data to TARN cannot be measured. “

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Improving dementia services in England – an interim report – National Audit Office – 14 January 2010

Posted on January 15, 2010. Filed under: Aged Care / Geriatrics | Tags: , |

Improving dementia services in England – an interim report – National Audit Office – 14 January 2010

Short URL: http://bit.ly/78icRV

“The Department of Health stated in October 2007 that dementia was a national priority and brought forward a widely supported strategy in February 2009 to transform the lives of people with dementia. The action however, has not so far matched the rhetoric in terms of urgency. At the moment this strategy lacks the mechanisms needed to bring about large scale improvements and without these mechanisms it is unlikely that the intended and much needed transformation of services will be delivered within the strategy’s five year timeframe”

Amyas Morse, head of the National Audit Office, 14 January 2010

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Services for people with rheumatoid arthritis – UK National Audit Office report – 15 July 2009

Posted on July 20, 2009. Filed under: Rheumatology | Tags: , |

Services for people with rheumatoid arthritis – UK National Audit Office report – 15 July 2009

* Publication date: 15 July 2009
* HC: 823 2008-2009
* ISBN: 9780102955071

Extract from the press release:
“Too many people with rheumatoid arthritis are not being diagnosed or treated quickly enough, and some services for people with the disease are not coordinated enough, according to a report published today by the National Audit Office. Delay in treatment is detrimental to patients’ health, their quality of life and, with three quarters of people of working age when diagnosed, the economy. The estimated cost to the economy of sick leave and work-related disability for people with rheumatoid arthritis is £1.8 billion a year.”

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Reducing healthcare associated infections in hospitals in England – National Audit Office – 12 June 2009

Posted on June 19, 2009. Filed under: Infection Control | Tags: , |

Reducing healthcare associated infections in hospitals in England – National Audit Office – 12 June 2009

This report examines the extent and impact of healthcare associated infections; the effectiveness, sustainability and cost of the Department of Health’s approach; and the effectiveness of action taken in hospitals to prevent and control infections. It also looks at the barriers to improvement and recommends the steps that the NHS should take to sustain and make further progress.
68p.

National Audit Office – publications

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Innovation across central government – UK Audit Office Report 26 March 2009

Posted on April 29, 2009. Filed under: Health Systems Improvement | Tags: , |

Innovation across central government – UK Audit Office Report 26 March 2009 (pdf)

This report describes the innovation agenda, including government’s track record of innovating and how this compares with the private sector. It describes some of the key challenges which require innovation as well as the responsibilities of the bodies involved in increasing the innovative capacity of government. Case examples of innovation are also included. (National Audit Office – publications)

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Clinicians and finance: improving patient care [UK] 6 February 2009

Posted on April 8, 2009. Filed under: Health Economics, Health Mgmt Policy Planning | Tags: |

Clinicians and finance: Improving patient care
Date: 6 Feb 2009

Abstract:  This is a joint statement by the Audit Commission, Academy of Medical Royal Colleges, Department of Health, the Healthcare Financial Management Association, NHS Institute for Innovation and Improvement and the Royal College of Nursing, highlighting the importance of clinicians’ involvement in financial management to further improve the quality of care for patients. It outlines the work of these organisations in supporting this ongoing campaign.

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Comprehensive Area Assessment (CAA): Framework document – [UK] National Audit Office

Posted on April 8, 2009. Filed under: Health Mgmt Policy Planning, Health Policy | Tags: |

Comprehensive Area Assessment:  Inspectorates unveil revolutionary assessment framework

The Audit Commission and five partner inspectorates have announced plans for a radical shake-up of the way public services in England are inspected and reported on.

The plans are set out in ‘Comprehensive Area Assessment (CAA): Framework document’.

The framework sets out how, from 1 April, the six independent inspectorates – which also includes the new Care Quality Commission, HM Inspectorates of Constabulary, Prisons and Probation, and Ofsted – will be working to gather information and make joint assessments about public services in every area of England. These will be published on a new website to be launched by the end of the year.

The assessments will describe how the health, wealth, well-being and safety of people in every area in the country is progressing against agreed local priorities, highlighting particular successes, and flagging up where things are not on track.

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Building the capacity of the third sector [UK]

Posted on April 8, 2009. Filed under: NGOs / Third Sector | Tags: |

This report from the National Audit Office examines ChangeUp and Futurebuilders, two Cabinet Office programmes designed to build the capacity of the third sector’s ability to contribute to the delivery of public services. The report examines the impact of these programmes on frontline third sector organisations, and looked at whether they are likely to meet the Government’s capacity building objectives.

6 February 2009

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