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Securing The Future Financial Sustainability Of The Nhs
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Book Synopsis Securing the future financial sustainability of the NHS by : Great Britain: National Audit Office
Download or read book Securing the future financial sustainability of the NHS written by Great Britain: National Audit Office and published by The Stationery Office. This book was released on 2012-07-05 with total page 48 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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. 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. Currently, some organisations have relied on additional financial support from within the NHS. 10 NHS trusts, 21 NHS foundation trusts, and three Primary Care Trusts (PCTs) have reported a combined deficit of £356 million. There are four foundation trusts and 17 NHS trusts which between 2006-07 and 2011-12 needed injections of working capital from the Department of Health totalling £1 billion. The Department anticipates that NHS trusts and NHS foundation trusts are likely to need around £300 million more public dividend capital in 2012-13. 51 per cent of PCTs reported concern about the financial sustainability of their healthcare providers. Previously, PCTs and Strategic Health Authorities (SHAs) have been able to support otherwise weak providers. It is not yet clear whether clinical commissioning groups and the NHS Commissioning Board will agree to provide financial support to providers in this way. The NAO concludes that it is hard to see how continuing to give financial support to organisations in difficulty will be a sustainable way of reconciling growing demand for healthcare with the size of efficiency gains required within the NHS
Book Synopsis Progress in Making NHS Efficiency Savings by : Great Britain: National Audit Office
Download or read book Progress in Making NHS Efficiency Savings written by Great Britain: National Audit Office and published by The Stationery Office. This book was released on 2012-12-13 with total page 52 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Department of Health has reported that the NHS achieved £5.8 billion of savings in 2011-12, virtually all of the forecast total of £5.9 billion. Most of the savings were generated through the pay freeze for public sector staff, and reductions in the prices primary care trusts pay for healthcare. NHS bodies also made savings by cutting back-office costs. However, there is limited assurance that all the reported savings were achieved. The NAO substantiated a total of £3.4 billion of NHS efficiency savings. Although the savings made by NHS providers as a percentage of operating costs are increasing, it is not clear what level of savings is sustainable over time. Changes to transform services take time to implement and the Department has always expected that these savings will predominantly come in the latter half of the four-year period. The NHS is seeking to maintain the quality of, and access to, healthcare at the same time as making efficiency savings. In 2011-12, the NHS performed well against headline indicators of quality, including waiting times and healthcare associated infection rates. The indicators focus mainly on hospital care and the Department faces a significant challenge in monitoring quality across the NHS as a whole. The Department does not know whether the demand for healthcare is being managed in ways that inappropriately restrict patients' access to care. Reducing demand and redesigning care pathways to treat patients in the most appropriate setting are key ways of generating savings
Book Synopsis Treasury Minutes on the Fifth, the Eleventh to the Thirteenth and the Fifteenth to the Sixteenth Reports from the Committee of Public Accounts Session: 2012-13 by : Great Britain. Treasury
Download or read book Treasury Minutes on the Fifth, the Eleventh to the Thirteenth and the Fifteenth to the Sixteenth Reports from the Committee of Public Accounts Session: 2012-13 written by Great Britain. Treasury and published by The Stationery Office. This book was released on 2013-01-21 with total page 40 pages. Available in PDF, EPUB and Kindle. Book excerpt: Dated January 2013. The reports published as HC 104 (ISBN 9780215047670), HC 288 (ISBN 9780215047632), HC 532 (ISBN 9780215048684), HC 388 (ISBN 9780215048691), HC 103 (ISBN 9780215048653); HC 389 (ISBN 9780215049704)
Book Synopsis 2012-13 update on indicators of the financial sustainability in the NHS by : Great Britain: National Audit Office
Download or read book 2012-13 update on indicators of the financial sustainability in the NHS written by Great Britain: National Audit Office and published by Stationery Office. This book was released on 2013-07-18 with total page 64 pages. Available in PDF, EPUB and Kindle. Book excerpt: This update finds that there was a surplus of £2.1 billion across the NHS as a whole in 2012-13, matching that in 2011-12. The financial performance of NHS trusts and foundation trusts should be considered in the context of a period of little to zero growth in funding for NHS services over the last two years and during a period of significant structural change across the NHS. Measured by the total surplus or deficit of hospital trusts, financial performance for the NHS appears stronger in 2012-13 than it did in 2011-12. However, there are signs of increasing pressure. As last year, there was a substantial gap between the trusts with the largest surpluses and those with the largest deficits. When primary care trusts (PCTs) and strategic health authorities are also included, there is a similar variation between local health economies. NHS trusts in difficulty rely on cash support from the Department of Health or non-recurrent local revenue support from strategic health authorities and primary care trusts but this is not a sustainable way of reconciling growing demand with the scale of efficiency gains required within the NHS. At the end of 2012-13, there were still 100 NHS trusts that had not achieved foundation trust status. The risk that NHS trusts will not maintain their planned trajectory to foundation trust status increased substantially in 2012-13. This is a period of major transition for the NHS, as clinical commissioning groups take over from strategic health authorities and PCTs the responsibility for commissioning health services.
Book Synopsis The New Politics of the NHS, Seventh Edition by : Rudolf Klein
Download or read book The New Politics of the NHS, Seventh Edition written by Rudolf Klein and published by CRC Press. This book was released on 2019-05-20 with total page 407 pages. Available in PDF, EPUB and Kindle. Book excerpt: The New Politics of the NHS has become established over 30 years as the key overview of the NHS, its processes and paths of influence. The seventh edition remains a clear, easy-to-read guide to often complex debates. It encompasses both the background of the evolution of the NHS since its foundation, and a completely up-to-date picture of its prese
Book Synopsis Oxford Handbook of Critical Care Nursing by : Fiona Creed
Download or read book Oxford Handbook of Critical Care Nursing written by Fiona Creed and published by Oxford University Press. This book was released on 2016 with total page 565 pages. Available in PDF, EPUB and Kindle. Book excerpt: A practical, concise, easily accessible and evidence-based guide for all levels of nursing staff working in critical care environments.
Author :Great Britain: Parliament: House of Commons: Committee of Public Accounts Publisher :The Stationery Office ISBN 13 :9780215055231 Total Pages :36 pages Book Rating :4.0/5 (552 download)
Book Synopsis HMRC by : Great Britain: Parliament: House of Commons: Committee of Public Accounts
Download or read book HMRC written by Great Britain: Parliament: House of Commons: Committee of Public Accounts and published by The Stationery Office. This book was released on 2013-03-18 with total page 36 pages. Available in PDF, EPUB and Kindle. Book excerpt: In 2011-12, 20 million phone calls to HMRC were not answered. It cost the callers £136 million while they waited to speak to an adviser. And, against its target of responding to 80% of letters within 15 days, the department managed to reply to just 66%. Officials are beginning to realize that good customer service lies at the heart of any strategy to maximize revenues while cutting costs. Callers will no longer be forced to use the more expensive 0845 numbers. Other planned changes include the resolution of more queries first time and a call-back service where this is not possible. However, HMRC's new target of answering 80% of calls within five minutes is still woefully short of the industry standard of answering 80% of calls within 20 seconds. Just how the department is going to improve standards of customer service, given the prospect of its having fewer staff and receiving a higher volume of calls, is open to question. HMRC plans to cut the number of customer-facing staff by a third by 2015. At the same time, the stresses associated with introducing the Real Time Information System, Universal Credit and changes to child benefit are likely to drive up the number of phone calls to the department. HMRC is also to close all of its 281 enquiry centres which give face-to-face advice to customers. HMRC considers that it will be able to improve service standards by using its staff more flexibly. It may need to put in additional resources, though, to avoid the kind of plummeting performance we have seen in the past
Author :Great Britain: Parliament: House of Commons: Committee of Public Accounts Publisher :The Stationery Office ISBN 13 :9780215054531 Total Pages :40 pages Book Rating :4.0/5 (545 download)
Book Synopsis Restructuring of the National Offender Management Service by : Great Britain: Parliament: House of Commons: Committee of Public Accounts
Download or read book Restructuring of the National Offender Management Service written by Great Britain: Parliament: House of Commons: Committee of Public Accounts and published by The Stationery Office. This book was released on 2013-03-05 with total page 40 pages. Available in PDF, EPUB and Kindle. Book excerpt: The National Offender Management Service directly manages 117 public prisons, manages the contracts of 14 private prisons, and is responsible for a prisoner population of around 86,000. It commissions and funds services from 35 probation trusts, which oversee approximately 165,000 offenders serving community sentences. For 2012-13, the Agency's budget is £3,401 million. The Agency achieved its savings targets of £230 million in 2011-12 and maintained its overall performance, despite an increase in the prison population. However, the Agency's savings targets of £246 million in 2012-13, £262 million in 2013-14 and £145 million in 2014-15 are challenging. The Agency believes it has scope to make the prison estate more efficient by closing older, more expensive prisons and investing in new ones. These plans, however, assume the prison population will stay at its current level. Furthermore, the Agency has not yet secured the up-front funding for the voluntary redundancies needed to bring down prison staffing costs. Unless overcrowding is addressed and staff continue to carry out offender management work it is increasingly likely that rehabilitation work needed to reduce the risk of prisoners reoffending will not be provided. The Agency has not done enough to address the risks to safety, decency and standards in prisons and in community services arising from staffing cuts implemented to meet financial targets. The Agency plans to increase the role of private firms and the third sector in probation but the probation trusts don't appear to have the infrastructure and skills they need to commission probation services from these providers effectively
Download or read book NHS SOS written by Raymond Tallis and published by Simon and Schuster. This book was released on 2013-07-01 with total page 287 pages. Available in PDF, EPUB and Kindle. Book excerpt: An exposé of the back-door deals and negligence that threaten to destroy the NHS – and a 10-step manifesto for saving it The Coalition Government passed into law an unprecedented assault on the NHS. Doctors, unions, the media, even politicians who claimed to be stalwart defenders failed to protect it. Now the effect of those devastating reforms are beginning to be felt by patients – but we can still save our country’s most valued institution if we take lessons from this terrible betrayal and act on them. Contributors to this eye-opening dissection include Dr Jacky Davis, Oliver Huitson, Dr John Lister, Stewart Player, Prof. Allyson Pollock, David Price, Prof. Raymond Tallis, Dr Charled West and Dr David Wrigley. Proceeds from the profits of this book will go to Keep Our NHS Public (www.keepournhspublic.com).
Book Synopsis The Double Crisis of the Welfare State and What We Can Do About It by : P. Taylor-Gooby
Download or read book The Double Crisis of the Welfare State and What We Can Do About It written by P. Taylor-Gooby and published by Springer. This book was released on 2013-04-10 with total page 152 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book analyses the immediate challenges from headlong cuts, root-and-branch restructuring and the longer-term pressures from population ageing. It demonstrates that a more humane and generous welfare state that will build social inclusiveness is possible and shows how it can be achieved.
Book Synopsis Public–Private Partnerships and the Law by : Yseult Marique
Download or read book Public–Private Partnerships and the Law written by Yseult Marique and published by Edward Elgar Publishing. This book was released on 2014-08-30 with total page 329 pages. Available in PDF, EPUB and Kindle. Book excerpt: This timely book examines the legal regulation of Public_Private Partnerships (PPPs) and provides a systematic overview of PPPs and their functions. It covers both the contractual relationships between public and private actors and the relationships be
Book Synopsis The Politics of Public Sector Reform by : M. Burton
Download or read book The Politics of Public Sector Reform written by M. Burton and published by Springer. This book was released on 2015-12-11 with total page 276 pages. Available in PDF, EPUB and Kindle. Book excerpt: The first comprehensive 'bird's eye' account of public sector reform supported by references from over 400 official sources, this book is an invaluable guide to all those in the public, private and voluntary sectors grappling with the twin challenges of managing public spending austerity and the pressure in response to transform public services.
Book Synopsis Peterborough and Stamford Hospitals NHS Foundation Trust by : Great Britain: National Audit Office
Download or read book Peterborough and Stamford Hospitals NHS Foundation Trust written by Great Britain: National Audit Office and published by The Stationery Office. This book was released on 2012-11-29 with total page 48 pages. Available in PDF, EPUB and Kindle. Book excerpt: The board of Peterborough and Stamford NHS Trust failed to recognize in 2007 that a PFI scheme to build a new hospital, Peterborough City Hospital, would place considerable strain on its finances for years to come. The then board compounded the decision to proceed with the scheme, which it could not afford, with a failure to monitor other changes affecting its income and costs between 2007 and 2011. In 2011-12, the in-year deficit was £46 million and the Trust is predicting an in-year deficit of more than £50 million in 2012-13. Monitor, the regulator of foundation trusts, raised well-founded concerns about the scheme's affordability with the Trust Board and the Department, however neither addressed these concerns fully before approval of the business case. Despite its earlier views, the regulator rated the Trust as a very low financial risk, reflecting its reported financial position but this risk rating did not reflect the future impact of the PFI development. Monitor had a number of opportunities to intervene before finally placing the Trust in breach of its terms in October 2011 but concluded that an intervention would not necessarily improve or change the outcome positively. The level of healthcare undertaken by the Trust is also greater than envisaged in the PFI business case, which assumed a 14 per cent drop in outpatient activity whereas this increased by 21 per cent. In addition, NHS Peterborough, the Trust's main commissioner, which has been in financial difficulty itself, has used national and local performance indicators to withhold payments for activity undertaken by the Trust
Author :Great Britain: Parliament: House of Commons: Committee of Public Accounts Publisher :The Stationery Office ISBN 13 :9780215049704 Total Pages :52 pages Book Rating :4.0/5 (497 download)
Book Synopsis Department of Health by : Great Britain: Parliament: House of Commons: Committee of Public Accounts
Download or read book Department of Health written by Great Britain: Parliament: House of Commons: Committee of Public Accounts and published by The Stationery Office. This book was released on 2012-10-30 with total page 52 pages. Available in PDF, EPUB and Kindle. Book excerpt: Ensuring a viable financial future for healthcare providers is vital if the public are to have confidence in the delivery of their local services. In 2011-12 NHS organisations in England reported a combined overall surplus of £2.1 billion. There were, however, significant variations in performance between NHS bodies. 377 NHS organisations reported a surplus in the year, but 10 NHS trusts, 21 NHS foundation trusts and three Primary Care Trusts (PCTs) reported a combined deficit of £356 million. Eleven NHS foundation trusts would not have made foundation trust status today given their financial performance, and there is a real concern that some organisations will fail. The very difficult financial situation of some NHS bodies is particularly marked in London, where two trusts reported a combined deficit of £115 million. The Department placed one of these, South London Healthcare NHS Trust, in special administration in July 2012. Also a number of trusts in financial difficulty have PFI contracts with fixed annual charges that are so high the trusts cannot break even. The Department was unable to spell out to the Committee a clear plan to achieve financial sustainability and a clear strategy for dealing with financial failure in individual trusts. The Department could not provide adequate reassurances that financial problems would not damage either the quality of care or equality of access to all citizens, wherever they live.
Author :Great Britain: Parliament: House of Commons Publisher :The Stationery Office ISBN 13 :9780215062277 Total Pages :350 pages Book Rating :4.0/5 (622 download)
Book Synopsis House of Commons: Sessional Returns - HC 1 by : Great Britain: Parliament: House of Commons
Download or read book House of Commons: Sessional Returns - HC 1 written by Great Britain: Parliament: House of Commons and published by The Stationery Office. This book was released on 2013-09-13 with total page 350 pages. Available in PDF, EPUB and Kindle. Book excerpt: On cover and title page: House, committees of the whole House, general committees and select committees. On title page: Returns to orders of the House of Commons dated 14 May 2013 (the Chairman of Ways and Means)
Author :Great Britain: Parliament: House of Commons: Committee of Public Accounts Publisher :The Stationery Office ISBN 13 :9780215056993 Total Pages :44 pages Book Rating :4.0/5 (569 download)
Book Synopsis HM Treasury by : Great Britain: Parliament: House of Commons: Committee of Public Accounts
Download or read book HM Treasury written by Great Britain: Parliament: House of Commons: Committee of Public Accounts and published by The Stationery Office. This book was released on 2013-04-29 with total page 44 pages. Available in PDF, EPUB and Kindle. Book excerpt: Infrastructure UK, an advisory unit within the Treasury, was established in 2010 with a remit to specify what economic infrastructure is needed in the UK, to identify the key barriers to achieving that investment and to mobilise systems and resources, both public and private to make it happen. The first National Infrastructure Plan was published in 2010. The latest update of the plan, published in December 2012, comprised over 500 prospective programmes and projects for new economic infrastructure expected to cost £310 billion. Some 64% of this amount is expected to be spent on infrastructure that will be wholly owned and financed by the private sector with households bearing the costs through higher bills or fares. Many of the investment proposals impact on energy supply and are therefore particularly time critical. The Committee believes that this will lead to higher costs which will be borne by consumers and are particularly concerned at the impact of higher energy bills on those with low incomes. Many of the programmes are broad categories and in total they include more than 200 individual projects. This does not suggest a properly targeted and prioritised infrastructure plan. Furthermore, the statutory framework provided by the Energy Bill is coming rather late in the day when the energy crunch is fast approaching. It is likely that the UK will buy ever more energy from overseas and at a higher price due to the failure to secure investment. In these circumstances greater transparency is needed over investors' costs, risks and rewards
Author :Great Britain: Parliament: House of Commons: Health Committee Publisher :The Stationery Office ISBN 13 :9780215055279 Total Pages :166 pages Book Rating :4.0/5 (552 download)
Book Synopsis Public Expenditure on Health and Care Services by : Great Britain: Parliament: House of Commons: Health Committee
Download or read book Public Expenditure on Health and Care Services written by Great Britain: Parliament: House of Commons: Health Committee and published by The Stationery Office. This book was released on 2013-03-19 with total page 166 pages. Available in PDF, EPUB and Kindle. Book excerpt: This report states that the values of the NHS will only be reflected in practice if NHS and social care services are 're-imagined'. The care provided by the health and social care system will break down if quicker progress is not made to develop more integrated health and social care services which focus on meeting the needs of individual patients. It is unlikely that public expenditure on health and social care services will increase significantly in the foreseeable future. This means that the only way to sustain or improve present service levels in the NHS will be to focus on a transformation of care through genuine and sustained service integration. There must be a much more joined up approach to commissioning health and care services. On other issues the Health Committee also concludes: measures currently being used to respond to the Nicholson Challenge too often represent short-term fixes rather than the sustainable long-term service transformations; changes in tariff payments within the NHS do not constitute ’efficiency savings' - they are simply internal transfers; under-spending against budget of money allocated to the NHS has attracted adverse comment and the MPs call for a general review of the operation of Treasury rules; the NHS will not be able to rely on the present rate of paybill savings once the present restraints on public sector pay are relaxed in April 2013
