Making a whistleblowing policy work – National Audit Office – March 2014

Posted on March 21, 2014. Filed under: Workforce | Tags: , |

Making a whistleblowing policy work – National Audit Office – March 2014

“The National Audit Office has today published its second report on whistleblowing. The NAO’s first report reviewed whistleblowing policies from 39 bodies, including its own, against good practice.”

ISBN: 9781904219101

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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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Managing NHS hospital consultants – National Audit Office [UK] – 6 February 2013

Posted on February 19, 2013. Filed under: Medicine, Workforce | Tags: |

Managing NHS hospital consultants – National Audit Office [UK] – 6 February 2013

“The 2003 contract for hospital consultants delivered many expected benefits, but there is room for improvement in how trusts manage their consultants.”

“This report examines: how far the expected benefits of the contract have been realised (Part One); whether consultants are managed effectively and consistently across NHS trusts (Part Two); and how far the Committee of Public Accounts’ recommendations of 2007, designed to improve the management of consultants, have been implemented (Part Three).”

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Governance for Agile delivery – National Audit Office [UK] – July 2012

Posted on August 1, 2012. Filed under: Health Informatics | Tags: |

Governance for Agile delivery – National Audit Office [UK] – July 2012

“This is the first report on Agile delivery in which we aim to provide practical support to those in publicly funded bodies who are using or considering using the approach in business change programmes.

Government is interested in Agile delivery to combat waste and reduce the risk of project failure. It will use Agile delivery:

in half of major ICT-enabled change programmes by April 2013; and
to reduce the average delivery time in these programmes by 20 per cent by 2014.

Effective governance and accountability structures are vital if teams are to use an Agile approach to deliver successful projects.”

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Memorandum: An update on the [English] government’s approach to tackling obesity – July 2012

Posted on July 20, 2012. Filed under: Health Economics, Public Hlth & Hlth Promotion | Tags: , |

Memorandum: An update on the [English] government’s approach to tackling obesity – July 2012

National Audit Office

“This update was prepared for the Public Accounts Committee. It outlines the government’s approach to tackling obesity in England.

The total cost to the economy of being overweight or obese was estimated as some £16 billion in 2007, and is forecast to rise to £50 billion per year by 2050 if the problem is left unchecked. The government outlined its ambitions in October 2011, to tackle excess weight in adults by 2020. Current trends suggest that achieving these ambitions will be challenging.”

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Securing the future financial sustainability of the NHS – National Audit Office – 5 July 2012

Posted on July 5, 2012. Filed under: Health Economics | Tags: |

Securing the future financial sustainabiliety of the NHS – National Audit Office – 5 July 2012

“A report published today by the National Audit Office has found that, although in 2011-12 there was a surplus of £2.1 billion across the NHS as a whole, there is also some financial distress, particularly in some hospital trusts.

According to today’s report, in 2011-12 there was a large gap between the strongest and weakest NHS organisations. The difference was particularly marked in London.

In the long term, achieving financially sustainable healthcare is likely to mean changes to how and where people access services, and some local commissioners are already consulting on and developing plans to do this. At the moment, however, in order to break even, some organisations have relied on additional financial support from within the NHS. According to today’s report, 10 NHS trusts, 21 NHS foundation trusts, and three Primary Care Trusts (PCTs) reported a combined deficit of £356 million. The NAO estimates, based on a census of PCTs, that without direct financial support, a further 15 NHS trusts and seven PCTs may have reported deficits.”

… continues on the site

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Equity investment in privately financed projects – National Audit Office [UK] – 10 February 2012

Posted on February 10, 2012. Filed under: Health Economics | Tags: |

Equity investment in privately financed projects – National Audit Office [UK] – 10 February 2012

“Equity investors have helped to deliver many public sector infrastructure projects via the Private Finance Initiative and have managed them in ways from which the public sector can learn. Against a background of limited information, evidence gathered by the National Audit Office raises concern that the public sector is paying more than it should for equity investment.”

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Services for people with neurological conditions – National Audit Office [UK] – 16 December 2011

Posted on December 16, 2011. Filed under: Neurology | Tags: |

Services for people with neurological conditions – National Audit Office [UK] – 16 December 2011

“Since 2005, when the Department of Health introduced its National Service Framework for Long-term Conditions, people with neurological conditions have had better access to health services; but key indicators of quality – such as the rate of emergency hospital readmissions – have worsened. The Department does not know what the Framework and additional spending of nearly 40 per cent over four years have achieved.

The Framework was designed to improve care for people with neurological conditions but progress in implementing it has been poor.”  … continues

HC: 1586, 2010-2012
ISBN: 9780102977042

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The Care Quality Commission: Regulating the quality and safety of health and adult social care – National Audit Office – 2 December 2011

Posted on December 7, 2011. Filed under: Clin Governance / Risk Mgmt / Quality | Tags: , |

The Care Quality Commission: Regulating the quality and safety of health and adult social care – National Audit Office – 2 December 2011

“The Care Quality Commission had a difficult task in establishing itself and has not so far achieved value for money in regulating the quality and safety of health and adult social care in England, according to a report by the National Audit Office today. The Commission missed deadlines for registering health and social care providers, other than NHS trusts, at the same time as levels of compliance and inspection activity were falling significantly.

The Commission, formed in 2009, had to merge three existing regulators to establish a new organisation and implement a new regulatory approach, which for the first time integrates health and social care. The Commission’s budget is less than the combined budget of its predecessor bodies, even though it has more responsibilities. Even so, it underspent against budget in both 2009-10 and 2010-11. This was partly because it had a significant number of staff vacancies. At the end of September 2011, 14 per cent of staff positions were vacant. The Commission was unable to fill vacancies as quickly as it might, because of government-wide recruitment constraints.”

… continues

 

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Shared services in the Research Councils – National Audit Office [UK] – 21 October 2011

Posted on October 21, 2011. Filed under: Health Economics, Research | Tags: |

Shared services in the Research Councils – National Audit Office [UK] – 21 October 2011
HC: 1459, 2010-2012    ISBN: 9780102976731

Executive summary (PDF – 77KB) 

Full report (PDF – 362KB) 

Press notice (HTML)  

Methodology (PDF – 145KB)  

“The implementation of a project to create a centre to streamline back-office functions for the seven research councils has so far not been good value for money and there is a risk that the councils may not recover their investment.”

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Identifying and meeting central government’s skills requirements – National Audit Office [UK] – 13 July 2011

Posted on August 4, 2011. Filed under: Educ for Hlth Professions, Workforce | Tags: |

Identifying and meeting central government’s skills requirements – National Audit Office [UK] – 13 July 2011

“Despite major expenditure by central government departments,weaknesses in departmental strategies and governance arrangements have limited the effectiveness of skills development activities.”

HC: 1276, 2010-2012

ISBN: 9780102969863

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Establishing social enterprises under the Right to Request Programme – National Audit Office [UK] – 24 June 2011

Posted on June 30, 2011. Filed under: Health Mgmt Policy Planning | Tags: |

Establishing social enterprises under the Right to Request Programme – National Audit Office [UK] – 24 June 2011

“This report highlights risks to value for money associated with the Department of Health’s programme aimed at enabling its staff to take the lead in leaving the NHS to set up health social enterprises. These are independent bodies delivering services, previously provided in-house, under contract to PCTs.”

HC: 1088, 2010-2012
ISBN: 9780102969726

Is the partnership model right for public services? Mutuals may be the new buzz word in the public sector halls but a new report and two giants from the retail world say projects will take a huge amount of support – from the Guardian

Third sector partnerships for service delivery: an evidence review and research project, Dr James Rees, Professor David Mullins and Professor Tony Bovaird – TSRC – Third Sector Research Centre – June 2011

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Transforming NHS ambulance services – National Audit Office [UK] – 10 June 2011

Posted on June 28, 2011. Filed under: Health Mgmt Policy Planning | Tags: |

Transforming NHS ambulance services – National Audit Office [UK] – 10 June 2011

“The Department of Health has until recently been focusing on speed of response as a measure of performance of the ambulance service, rather than on clinical outcomes. The service achieves high levels of public satisfaction but there are wide variations in ambulance trusts’ efficiency. The system has not delivered the best value for money to date.”

HC: 1086, 2010-2012

ISBN: 9780102969719

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The National Programme for IT in the NHS: an update on the delivery of detailed care records systems – National Audit Office – 18 May 2011

Posted on May 19, 2011. Filed under: Health Informatics | Tags: |

The National Programme for IT in the NHS: an update on the delivery of detailed care records systems – National Audit Office – 18 May 2011

“The rate at which electronic care records systems are being put in place across the NHS under the National Programme for IT is falling far below expectations and the core aim that every patient should have an electronic care record under the Programme will not now be achieved.”

ISBN: 9780102969689

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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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The Efficiency and Reform Group’s role in improving public sector value for money [UK] – National Audit Office – 25 March 2011

Posted on March 29, 2011. Filed under: Health Economics, Health Mgmt Policy Planning | Tags: |

The Efficiency and Reform Group’s role in improving public sector value for money [UK] – National Audit Office – 25 March 2011

“In May 2010, the Government announced the formation of the Efficiency and Reform Group within the Cabinet Office. The Group brings many of the functions of a typical corporate headquarters together in one place in the centre of government. Its priorities are improving efficiency in central government, and wider reform of the way public services are provided, in order to make the spending reductions required by the 2010 Spending Review.

The Group is responsible for various new initiatives which are designed to increase efficiency, make savings and improve value for money. These include renegotiating contracts with major suppliers; implementation of a centralised procurement process; a review of major government projects; and a new Property Unit.

The NAO’s review details various challenges that the Group faces. It is too soon for the NAO to reach a judgment on its success in improving the value for money of government overall. The review is intended to provide an objective baseline against which progress made by the Group can be assessed by the NAO and the Public Accounts Committee.”

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Information and Communications Technology in government. Landscape Review – National Audit Office (UK) – 17 February 2011

Posted on February 21, 2011. Filed under: Health Informatics | Tags: |

Information and Communications Technology in government. Landscape Review – National Audit Office (UK) – 17 February 2011

This review looks at how government uses Information and Communications Technology (ICT) to deliver public services. The review, the purpose of which is to inform the debate about government’s new use of ICT, gives an overview of existing uses, as well as initiatives and changes underway.

ISBN: 9780102969481

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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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Management of NHS hospital productivity – National Audit Office (UK) – December 2010

Posted on January 14, 2011. Filed under: Health Economics, Health Mgmt Policy Planning | Tags: |

Management of NHS hospital productivity – National Audit Office (UK) – December 2010

“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.”

HC: 491, 2010-2011

ISBN: 9780102970029

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A framework for managing staff costs in a period of spending reduction – National Audit Office (UK) – August 2010

Posted on August 23, 2010. Filed under: Health Economics, Workforce | Tags: |

A framework for managing staff costs in a period of spending reduction – National Audit Office (UK) – August 2010

“This paper sets out a framework for effective management of staff costs in a challenging environment of cost reduction in public services. It builds on the high level principles set out in the NAO’s short guide to structured cost reduction.”

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Tackling inequalities in life expectancy in areas with the worst health and deprivation – UK – National Audit Office – 2 July 2010

Posted on July 8, 2010. Filed under: Health Status, Public Hlth & Hlth Promotion | Tags: , |

Tackling inequalities in life expectancy in areas with the worst health and deprivation – UK – National Audit Office – 2 July 2010

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A review of collaborative procurement across the public sector [UK] – Audit Commission – 21 May 2010

Posted on May 21, 2010. Filed under: Health Economics | Tags: , |

A review of collaborative procurement across the public sector 
Released  21 May 2010

“The National Audit Office and the Audit Commission have jointly produced this review. It draws on Audit Commission research in local government, carried out during the autumn of 2009.

The review finds that although collaborative procurement has the potential to improve value for money, the public sector procurement landscape is fragmented, with no overall governance. Consequently, public bodies are incurring unnecessary administration costs by duplicating procurement activity, and they are paying a wide range of prices for the same commodities, even within existing collaborative arrangements.

It recommends that, given the size of public sector procurement spend and the potential to significantly improve value for money, public bodies should work together much more effectively than they currently do. And there should be a clear framework to coordinate public sector procurement activity.”

Download A review of collaborative procurement across the public sector from the National Audit Office website.”

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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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Intelligent Monitoring: New guidance to help cut red tape for charitable, voluntary and community organisations – UK National Audit Office – June 2009

Posted on July 1, 2009. Filed under: Clin Governance / Risk Mgmt / Quality, NGOs / Third Sector | Tags: , , , |

Intelligent Monitoring: New guidance to help cut red tape for charitable, voluntary and community organisations – UK National Audit Office – June 2009

“The National Audit Office has published some practical guidance. This will help Government reduce the red tape involved in monitoring the £12 billion it gives to charities and other voluntary and community organisations each year.

Charities that receive public funding have to account to government funders for how they have spent this money. They also need to show the impact they achieve with it.  But the burden and cost of this must be appropriate to the risks and benefits involved.

Cutting unnecessary red tape can free up time and money that would be better spent focusing on the key services that these organisations provide. The term we use for achieving this balance and avoiding poor practice is ‘intelligent monitoring’.

Our guidance: Intelligent Monitoring is part of ‘Financial relationships with third sector organisations – a decision support tool for public bodies in England‘.

It is designed to:

  • be a step by step guide that will help Government to apply the ‘Principles of proportionate monitoring and reporting’ produced by the Office of the Third Sector.
  • encourage Government to think about monitoring as early as possible in a funding relationship and not simply as an add-on.
  • highlight the importance of monitoring for the providers of services as well as funders.
  • include practical case studies to illustrate the guidance and how the principles can be applied.

The National Audit Office plans to expand on these practical examples of intelligent monitoring with the help of users of the guidance as best practice emerges.  If you would like to contribute to, or comment on, the guidance please email better_funding@nao.gsi.gov.uk.

Intelligent Monitoring builds on the existing National Audit Office decision support tool ‘Financial Relationships with Third Sector Organisations: a Decision Support Tool‘. This is an online toolkit designed to help Government funders work through the key considerations and issues involved in funding third sector organisations such as charities and voluntary and community organisations.

The guidance has the support of HM Treasury, the Office of the Third Sector  and the Commission for the Compact.”

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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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