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Category Archives: National Audit Office
Care Funding Omitted From Autumn Statement (BBC News / NAO)
Summary The chancellor has offered no additional resources for the NHS or for social care in the Autumn Statement, much to the surprise of many commentators. Existing departmental spending plans announced last year hold firm, meaning now has to be … Continue reading
Posted in Acute Hospitals, BBC News, Commissioning, Community Care, Department of Health, For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), In the News, Integrated Care, National, National Audit Office, NHS, NHS England, Quick Insights, Standards, UK, Universal Interest
Tagged Ageing Population, Andrew Lansley (Former Health Secretary), Association of Directors of Adult Social Services (ADASS), Autumn Statement (2016), Chancellor’s Autumn Statement (2016), Delayed Transfers of Care, Ed Humpherson: UK Statistics Authority, Financial Constraints, Financial Context, Financial Difficulties, Financial Performance, Financial Pressure in the NHS, Financial Pressure on Hospitals, Financial Pressures, Financial Resilience, Financial Sustainability in the NHS, Financial Sustainability of NHS Bodies, Funding Challenges, Funding Deficits, Interdependencies, Jeremy Corbyn (Labour Party Leader), Lady Ros Altmann, LGA: Local Government Association, Local Government Association, Lord Lansley, Making Our Care and Health Systems Fit for An Ageing Population, National Audit Office (NAO), NHS Expenditure, NHS Financial Leadership, NHS Funding, NHS Funding and Rationing, NHS Funding Gap, NHS Overspends, NHS Performance, NHS Performance Indicators, NHS Sustainability, Open Letter From Sarah Wollaston of Commons Health Select Committee to Rt Hon Philip Hammond MP (October 2016), Prime Minster: Rt Hon Theresa May MP, Professor Jane Dacre: President of Royal College of Physicians, Rt. Hon. John McDonnell: Shadow Chancellor, Siva Anandaciva: Head of Analysis at NHS Providers, Submissions Ahead of Chancellor Philip Hammond's Autumn Statement (2016) - Ignored, Sustainability, Sustainable Care, Sustainable Funding, Sustainable Health and Care Services, Sustainable Local Funding, Sustainable Social Care Programme, Thinking Like a Patient and Acting Like a Taxpayer, Upward Spending Pressures
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More On the Costs and Harms of Delays in Discharging Older Patients From Hospital (BBC News / NAO)
Summary The National Audit Office (NAO)’s report on delayed discharges from hospital clarifies the extent to which such delays cause unnecessary harm to older patients and waste NHS money. Delays in discharging older patients cost an estimated £820 million per … Continue reading
Posted in Acute Hospitals, BBC News, Commissioning, Department of Health, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), In the News, Integrated Care, Management of Condition, Models of Dementia Care, National, National Audit Office, NHS, NHS England, Patient Care Pathway, Person-Centred Care, Quick Insights, Standards, Statistics, UK, Universal Interest
Tagged Acute Care, Acute Hospital Care, Adult Social Care, Adult Social Care Services, Ageing and Society, Ageing Population, Avoidable Harm, BBC Health News, Bed Days, Bed-Blockers, Care for Vulnerable Older People, Community-Based Care, Community-Based Services, Community-Based Support, Costs and Harms of Delays in Discharging Older Patients From Hospital, Delayed Discharges, Delayed Transfers of Care, Dementia Care in Acute District General Hospitals, Dementia Care in Acute Settings, Dementia Care in General Hospitals, Discharge Coordination, Discharge Planning, Discharge Support, Health and Social Care, Health and Social Care Integration, Hospital Beds, Hospital Discharge, Inpatient Beds, Integrated and Community-Based Care, Integrated Home and Community Care Services, Integration, Integration of Health and Social Care, Integration of Primary Secondary and Community Care, Length of Stay (LoS), Long Hospital Stays, Loss of Mobility During Long Hospital Stays, Loss of Older Patients' Muscle Strength Per Day of Hospital Treatment, Multi-Agency Integration, Multi-Agency Working, Multi-Disciplinary Working, National Audit Office (NAO), Patient Care, Patient Discharge, Patient Flows, Patient Safety, Post-Discharge Support, Reducing Bed Days, Reducing Waste in the NHS, Social Care Delays (Impact on Hospital Bed-Days and LoS), Sustainability, Sustainable Health and Social Care, Thinking Like a Patient and Acting Like a Taxpayer, Vulnerable Older People, Wasted Resources, Whole System Patient Flows
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Escalating NHS Trust Deficits: Not Unexpected (BBC News / Monitor)
Summary NHS Trusts in England have run-up a £930 million “worst for a generation” deficit in the first three months of this financial year. Regulators have also noted that performance measures on waiting times for access to hospital treatment and … Continue reading
Posted in Acute Hospitals, BBC News, Commissioning, Department of Health, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), Health Foundation, In the News, National, National Audit Office, NHS, Quick Insights, Standards, Statistics, UK, Universal Interest
Tagged Achieving Better Value, Acute Care, Acute Hospital Care, Ageing Population, Ageing Society, Agency Overheads, Agency Staff, Agency Staff (Exorbitant Waste of NHS Funding), Agency Staff Spending Capped, Ambulance Response Times, Ambulance Response Times: NHS Performance Indicators, Bailouts and Rewards for Failure, Bank And Agency Staff, BBC Health News, Better Value in the NHS, Cancer Waiting Times, Chorley and South Ribble Hospital, Comparisons of NHS Spending With Health Spending Internationally (King's Fund 2016), Contract and Agency Staff, Cost-Effectiveness, Daily Mail, Diagnostic Waiting Times, EBITDA, EBITDA: Earnings Before Interest Tax Depreciation and Amortisation, Elective Waiting Times, EU Referendum Debate: BBC News Reality Check, European Union Referendum, European Union Referendum Debate: BBC Reality Check, Faustian Pact: Trading £8 Billion in Extra Funding For £22 Billion in Efficiency Savings, Financial Constraints, Financial Context, Financial Difficulties, Financial Performance, Financial Planning, Financial Position of NHS Trusts, Financial Pressure in the NHS, Financial Pressure on Hospitals, Financial Pressures, Financial Resilience, Financial Sustainability in the NHS, Funding Challenges, Funding Deficits, General Hospitals, Incentives Rewards and Sanctions, Key Performance Indicators, Management Consultants, Monitor, National Audit Office (NAO), NHS Expenditure, NHS Financial Leadership, NHS Foundation Trust Performance, NHS Foundation Trusts, NHS Foundation Trusts (NHSFTs), NHS Funding, NHS Funding Gap, NHS Performance, NHS Performance Indicators, NHS Productivity, NHS Safe Staffing, NHS Spending, NHS Timebomb [sic], NHS Trust Development Authority, NHS Trust Development Authority (NHS TDA), NHS Trust Financial Deficits, NHS Trusts’ and Foundation Trusts’ Income and Expenditure, NHS Waiting Times, Operational Performance, Operational Performance: Accident and Emergency, Operational Performance: Infection Control, Operational Performance: Mental Health, Performance Indicators, Performance Targets, Policy, Policy Context, Preparations for Winter, Productivity, Productivity in the NHS, RDEL, Reducing Drains on the NHS, Reducing Waste in the NHS, Reward Systems, Rewarding Failure, Rising Expectations, Safe Staffing, Seven-Day NHS Services, Seven-Day Opening, Seven-Day Services in Hospital, Staffing (Hospitals), Stevens Challenge, Taxpayers’ Alliance, Thinking Like a Patient and Acting Like a Taxpayer, Upward Spending Pressures, Waiting Time Standards, Waiting Time Target Breaches, Waiting Time Targets in the NHS in England, Waiting Times for Planned Treatments, Winter Pressures
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Reviewing the Current – and Likely Future – State of the NHS (NAO / Dods)
Summary The National Audit Office (NAO) has published a “Short Guide to the Department of Health” as one of their collection of short guides about different government departments. This guide includes a wealth of statistical information in summary form, concerning … Continue reading
Posted in Commissioning, CQC: Care Quality Commission, Department of Health, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), In the News, Integrated Care, Local Interest, Mental Health, National, National Audit Office, NHS, NHS England, Public Health England, Quick Insights, Standards, Statistics, UK, Universal Interest
Tagged 5YFV: NHS Five Year Forward View, A&E Attendances and Emergency Admissions, A&E Four-Hour Wait Standard, A&E Quality Indicators, A&E Waiting Times and Activity, Access Targets, Access Times for Planned Treatments, Access to Hospital Care, Access to Mental Health Services, Access to Urgent and Emergency Care, Accident & Emergency, Accident and Emergency, Accident and Emergency Attendances, Accident and Emergency Departments, Accident and Emergency: NHS Performance Indicators, Acute Care, Acute Hospital Care, Adult Social Care, Adult Social Care for People with Complex Needs, Adult Social Care Funding, Adult Social Care in England, Adult Social Care Services, Ageing and Society, Ageing Population, Arm’s Length Bodies (Department of Health's ALBs), Avoidable Mortality, Bed Availability and Occupancy: NHS Performance Indicators, Bed Days, Bed Occupancy, Better Care Fund (BCF), Cancelled Elective Operations, Cancelled Operations: NHS Performance Indicators, Care Act 2014, Care Quality Commission (CQC), Costs and Cost Pressures, Delayed Discharges, Delayed Transfers of Care, Delayed Transfers of Care: NHS Performance Indicators, Delayed Transfers of Care: NHS Statistical Trends, Dementia Risk Prevention, Dementia Risk Reduction, Diagnostic Waiting Times, Diagnostics Waiting Times And Activity, Dods Research, Dr Martin McShane: NHS England’s Director for People With Long Term Conditions, Economic Sustainability, Efficiency Savings, Emergency Admissions, Emergency and Urgent Care Services, Emergency Attendances, Emergency Bed Use, Emergency Care, Emergency Departments, Emergency Services, Financial Constraints, Financial Context, Financial Difficulties, Financial Performance, Financial Planning, Financial Position of NHS Trusts, Financial Pressure in the NHS, Financial Pressures, Financial Resilience, Financial Sustainability in the NHS, Five Year Forward View (NHS England), Four-Hour A&E Waiting Time Target, Funding Deficits, Funding Gap (NHS), General Hospitals, Health and Social Care, Health and Social Care Delivery Models, Health and Social Care Information Centre (HSCIC), Health and Social Care Integration, Health Education England (HEE), HEE: Health Education England, Hospital Activity and Capacity, Hospital Emergency Departments, Hospital Productivity, Hospital Waiting Times, HSCIC: Health and Social Care Information Centre, Human Fertilisation and Embryology Authority, Human Tissue Authority, Integration of Health and Social Care, Integration of Health and Social Care for Older People, Key Performance Indicators, Local Education and Training Boards (LETBs), Low Morale, Mandate from the Government to NHS England, Market Oversight, Medicines and Healthcare Products Regulatory Agency, Medicines and Healthcare Products Regulatory Agency (MHRA), Monitor, National Audit Office (NAO), National Clinical Assessment Service (NCAS), National Institute for Biological Standards and Control, National Institute for Health and Care Excellence (NICE), National Institute for Health Care Excellence, New Architecture of the NHS, New Models of Care, New Models of Service, NHS Blood and Transplant, NHS Blood and Transplant (NHSBT), NHS Business Services Authority, NHS Challenges and New Solutions, NHS Efficiency Savings, NHS England (Formerly the NHS Commissioning Board), NHS Five Year Forward View, NHS Foundation Trust Performance, NHS Foundation Trusts, NHS Foundation Trusts (NHSFTs), NHS Funding, NHS Funding Gap, NHS Health and Social Care Act (2012), NHS Health and Social Care Information Centre, NHS Health Research Authority, NHS Litigation Authority (NHSLA), NHS Performance, NHS Performance Indicators, NHS Reform, NHS Services, NHS Sustainability, NHS TDA: NHS Trust Development Authority, NHS Trust Development Authority, NHS Trust Development Authority (NHS TDA), NHS Trust Financial Deficits, NHS Waiting Times, Obesity, Obesity and Diabetes, Obesity Epidemic, Obesity in the UK, Obesity is the New Smoking, Obesity Risk Factor, Obesity the New Smoking, Obesity Time-Bomb, Organisational Challenges, Oversight and Monitoring, Performance Statistics, PHE: Public Health England, Potential Years of Life Lost (PYLL), Public Health, Public Health England (PHE), Public Health Funding, Quality of Health Care, Quality Standards, Regulation, Seven-Day Consultant-Delivered Care, Seven-Day GP Access, Seven-Day Hospital Services, Seven-Day NHS Services, Seven-Day Opening, Seven-Day Working, Short Guide to Department of Health (NAO), Social Care Funding, Special Measures, Standardised Years of Life Lost (SYLL), Sustainability, Sustainable Care, Sustainable Health and Social Care, Type 2 Diabetes: Prevention, UK NHS Performance, Urgent and Emergency Care, Urgent and Emergency Care Services, Waiting Times and Access Standards, Waiting Times for Cancer Services, Waiting Times for Diagnostic Tests, Waiting Times for Referral to Treatment for Consultant-Led Elective Care
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Making Best Use of Data and Technology: Promises of Success and Some Failures (BBC News / NIB / NAO / NHS England)
Summary The National Audit Office has criticised the General Practice Extraction Service (GPES), i.e. the GP IT system intended to improve quality and planning in the NHS, for running over budget and behind schedule. The big idea behind the GPES … Continue reading
Posted in BBC News, Commissioning, Community Care, Department of Health, Diagnosis, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), In the News, Integrated Care, National, National Audit Office, NHS, NHS England, Quick Insights, Statistics, Telecare, Telehealth, UK, Universal Interest
Tagged 5YFV: NHS Five Year Forward View, Access to Secondary Care, Acute and Hospital Services, Asset Tracking, Automation of System Transactions, Back Office Transactions, BBC Health News, Big Data, Business Support / Back Office, Care Accounts, Commercial Extraction Systems: Apollo, Data and Technology Revolution, Data Extraction, Data Extraction and Linkage, Data for Outcomes and Research, Data Interoperability, Data Sharing, Dementia Data Extraction Processes, Digital 111, Digital Applications Library, Digital Challenge, Digital Diagnostics, Digital Health, Digital Health for Care in the Community, Digital Inclusion, Digital Maturity, Digital Opportunity, Digital Primary Care Services, Digital Technology, Digital Technology and Innovation, Digitised Patient Data, Efficiency Savings, Egton Medical Information Services (EMIS), eHospitals, Electronic Health Records, Electronic Medicines Supply Chain, Emerging Technology, Enabling Technology, ePharmacy, ePrescribing, Five Year Forward View (NHS England), General Practice Extraction Service (GPES), General Practice Systems of Choice (GPSoC), General Practice [Data] Extraction Service, Genomics, Genomics in the NHS, Go Paperless by 2018, Government Digital Strategy, GP Data Extraction, GP Extraction Service (GPES), GP Extractions, GP IT, GP2GP, Health and Care 2020 Report, Health and Care Innovation Expo 2015, Health and Social Care Information Centre (HSCIC), Health Information Technology, HSCIC: Health and Social Care Information Centre, In Practice Systems (INPS), Information Sharing, Information Technology, Integration of Health and Social Care, Integration With Social Care Online, Interoperability, Interoperability Standards, Leveraging Big Data, Local Authorities, Microtest, Mobile Applications, Mobile Health, Mobile Healthcare, Mobile Technology, Monitor, My NHS (MyNHS), National Audit Office (NAO), National Information Board, National Information Board (Initially Known as the Informatics Services Commissioning Group), National Information Board (NIB), National Information Board’s Framework for Action: Personalised Health and Care 2020, National Information Board’s Plans to Improve Digital Services in Health and Care, National Information Board’s Plans to Improve Digital Services in Health and Care: Work Stream 1.1: Enable Me To Make The Right Health And Care Choices, National Information Board’s Plans to Improve Digital Services in Health and Care: Work Stream 1.2: Enable Me To Make The Right Health And Care Choices, National Information Board’s Plans to Improve Digital Services in Health and Care: Work Stream 2.1: Give Care Professionals And Carers Access To All The Data They Need, National Information Board’s Plans to Improve Digital Services in Health and Care: Work Stream 2.2: Give Care Professional And Carer Access To All The Data They Need, National Information Board’s Plans to Improve Digital Services in Health and Care: Work Stream 3: Make The Quality Of Care Transparent, National Information Board’s Plans to Improve Digital Services in Health and Care: Work Stream 4: Build And Sustain Public Trust, National Information Board’s Plans to Improve Digital Services in Health and Care: Work Stream 5: Bring Forward Life-Saving Treatments And Support Innovation And Growth, National Information Board’s Plans to Improve Digital Services in Health and Care: Work Stream 6: Support Care Professionals To Make The Best Use Of Data And Technology, National Information Board’s Plans to Improve Digital Services in Health and Care: Work Stream 8: Enabling Information Standards, NHS Approved Digital Tools Resources and Apps, NHS as Digital Pioneer, NHS Efficiency Savings, NHS England’s Five Year Forward View, NHS Five Year Forward View (5YFV), NHS-Led Non-Proprietary Extraction Systems: MIQUEST CPRD and QMAS, NIB Framework, Open Data and Big Data, Out-of-Hospital Care, Overweening Ambition in NHS Big IT Projects, Paper-Free Healthcare, Paper-Free System Transactions, Paperless Systems, Personalised Health and Care 2020, Personalised Health and Care 2020 Domains, Personalised Health and Care 2020 Report, Personalised Health and Care 2020: Framework For Action, Power of Information, Prime Minister’s Challenge Fund (PMCF), Promoting Business Opportunities, Public Health Informatics, Public Trust, QResearch, Reducing Need to Submit Repeat Important Information Each Time Patients Interact With NHS, Repeat Prescriptions, ResearchOne, Summary Care Record (SCR), Summary Care Records, Summary Care Records: Extended to Cover Dementia and Learning Disabilities, Supplier Side Efficiencies, Support for Digital Inclusion, Support for Self-Care, Supporting Self-Care, System-Wide Consistency of Data Capture at Point of Care, Technology Enabled Care Services (TECS), Telehealth and Self Care, Telemedicine, The Phoenix Partnership (TPP), THIN, Tim Kelsey: National Informatics Director, Tim Kelsey: NHS England’s National Director for Patients and Information, Timeline of NIB Framework Milestones, Transforming General Practice, Transparency, Transparency and Public Trust, Urgent and Emergency Care, Use of Data and Technology to Transform Outcomes for Patients and Citizens, Wider System Access
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