The use of operating theatres in Northern Ireland Health and Personal Social Services

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Author :
Publisher : Stationery Office
ISBN 13 : 9780215025777
Total Pages : 39 pages
Book Rating : 4.0/5 (257 download)

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Book Synopsis The use of operating theatres in Northern Ireland Health and Personal Social Services by : Great Britain: Parliament: House of Commons: Committee of Public Accounts

Download or read book The use of operating theatres in Northern Ireland Health and Personal Social Services written by Great Britain: Parliament: House of Commons: Committee of Public Accounts and published by Stationery Office. This book was released on 2005-10-04 with total page 39 pages. Available in PDF, EPUB and Kindle. Book excerpt: Despite some improvement in theatre utilisation, waiting lists and the length of time which patients have to wait for treatment in Northern Ireland remain the worst in the UK. Using operating theatres to their optimum could directly contribute to their reduction. Following on from a Northern Ireland Audit Office report (HCP 552, session 2002-03; ISBN 0102924333) published in April 2003, the Committee's report examines options for maximising operating theatre capacity and reducing waiting lists; better theatre management and control; and the shortage of theatre staff and the limited availability of beds.

The Use of Operating Theatres in the Northern Ireland Health and Personal Social Services

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Author :
Publisher : Stationery Office Books (TSO)
ISBN 13 : 9780102924336
Total Pages : 108 pages
Book Rating : 4.9/5 (243 download)

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Book Synopsis The Use of Operating Theatres in the Northern Ireland Health and Personal Social Services by :

Download or read book The Use of Operating Theatres in the Northern Ireland Health and Personal Social Services written by and published by Stationery Office Books (TSO). This book was released on 2003 with total page 108 pages. Available in PDF, EPUB and Kindle. Book excerpt: 13 acute hospital Trusts, incorporating 21 hospitals and using 102 operating theatres, provide surgical and medical services in Northern Ireland. Waiting lists and the length of time which patients have to wait for treatment in Northern Ireland are currently the worst in the United Kingdom. Using operating theatres to their optimum could directly contribute to their reduction. In this light the NIAO examined the use made of operating theatres, and particularly, issues relating to the management and control of theatres, resources and planning.

Further Report on the Use of Operating Theatres in Northern Ireland Health and Personal Social Services

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Author :
Publisher :
ISBN 13 : 9780339602243
Total Pages : 54 pages
Book Rating : 4.6/5 (22 download)

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Book Synopsis Further Report on the Use of Operating Theatres in Northern Ireland Health and Personal Social Services by : Northern Ireland. Assembly. Public Accounts Committee

Download or read book Further Report on the Use of Operating Theatres in Northern Ireland Health and Personal Social Services written by Northern Ireland. Assembly. Public Accounts Committee and published by . This book was released on 2008-04-24 with total page 54 pages. Available in PDF, EPUB and Kindle. Book excerpt: This report follows up the DFP(NI) response (Cm. 6699, ISBN 9780102939354) to the Westminster Committee of Public Accounts earlier report on this subject (HC 414, session 2005-06, ISBN 9780215025777). The Committee welcomes the significant improvement in waiting times, which has been brought about by a range of measures, including robust monitoring and performance management arrangements and the introduction of sanctions for poor performance. Operating theatre capacity is programmed for 64 per cent use each week and over 95 per cent of these sessions are used. While there has been some use of theatres in the evening and at weekends, principally through the use of contracts with the private sector to help reduce waiting lists, providers are still not maximising the use of the facilities. The Department has required Trusts to reduce the rate of cancellation of operations to 5 per cent or less, and this has been achieved through a range of measures, including minimum notice for taking leave, the introduction of partial booking systems and the greater use of preoperative assessments. Even so, the 2005-06, the cancellation rate of 4.5 per cent is estimated to have cost the health service £6.4 million of resources which were wasted or not used to best effect. A new computerised management information system was planned to be in place by the end of 2006. Although it is in place in some areas, it is not expected to be fully implemented until the end of 2008. The Committee believes that this should have been completed earlier.

Practical Operating Theatre Management

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Author :
Publisher : Cambridge University Press
ISBN 13 : 1316646831
Total Pages : 209 pages
Book Rating : 4.3/5 (166 download)

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Book Synopsis Practical Operating Theatre Management by : Jaideep J. Pandit

Download or read book Practical Operating Theatre Management written by Jaideep J. Pandit and published by Cambridge University Press. This book was released on 2018-11-29 with total page 209 pages. Available in PDF, EPUB and Kindle. Book excerpt: A practical manual that focuses on theatre efficiency and time measurement, providing scheduling toolkits and problem solving approaches.

Health Surveys and Related Studies

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Author :
Publisher : Elsevier
ISBN 13 : 1483285502
Total Pages : 356 pages
Book Rating : 4.4/5 (832 download)

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Book Synopsis Health Surveys and Related Studies by : M. Alderson

Download or read book Health Surveys and Related Studies written by M. Alderson and published by Elsevier. This book was released on 2013-10-22 with total page 356 pages. Available in PDF, EPUB and Kindle. Book excerpt: This review describes the statistics of health care derived from non-routine sources. The chapter on need describes local and national population studies and general morbidity surveys as well as covering a range of specific problem studies. Statistics reflecting unmet demand are described as they relate to the various stages of medical care from primary medical to patient care. Resources are described in statistics of facilities as well as the various classes of manpower employed, and the uses of services chapter covers all community and hospital services. Studies which evaluate medical care are divided into those which reflect accessibility and acceptability as well as outcome of care and satisfaction of patients, families and staff. An introduction contains a discussion on the application of statistics and the concluding chapter looks towards a future unified health information system.

Crown Prosecution Service

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Publisher : The Stationery Office
ISBN 13 : 0215030672
Total Pages : 48 pages
Book Rating : 4.2/5 (15 download)

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Book Synopsis Crown Prosecution Service by : Great Britain. Parliament. House of Commons. Committee of Public Accounts

Download or read book Crown Prosecution Service written by Great Britain. Parliament. House of Commons. Committee of Public Accounts and published by The Stationery Office. This book was released on 2006 with total page 48 pages. Available in PDF, EPUB and Kindle. Book excerpt: Following on from a NAO report (HCP 798, session 2005-06, ISBN 0102936978) published in February 2006, the Committee's report concludes that the handling of cases in magistrates' courts has in recent years become complex and protracted to the extent that it no longer amounts to summary justice. 55 per cent of the £173 million cost of delay in the magistrates' courts is attributable to the defence, but the police and the Crown Prosecution Service (CPS) account for another 14 per cent (£24 million) each. The CPS needs to review its organisational structure, revise its system for preparing for magistrates' court cases by adopting current best practice, and address the cultural resistance within the organisation to more modern working practices.

Consular Services to British Nationals

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Publisher : The Stationery Office
ISBN 13 : 9780215028389
Total Pages : 60 pages
Book Rating : 4.0/5 (283 download)

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Book Synopsis Consular Services to British Nationals by : Great Britain: Parliament: House of Commons: Committee of Public Accounts

Download or read book Consular Services to British Nationals written by Great Britain: Parliament: House of Commons: Committee of Public Accounts and published by The Stationery Office. This book was released on 2006-04-20 with total page 60 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Foreign and Commonwealth Office (the Department) provides a wide range of consular services from over 200 Embassies, High Commissions and Consulates ("Posts") worldwide. On the basis of a report by the Comptroller and Auditor General (HC 594, session 2005-06, ISBN 010293617X), the Committee examined three main issues: their progress in influencing British nationals travelling overseas; developing consular services as a responsive service; and reacting to consular crises. The Department has made some significant innovations, such as working with operators like EasyJet and publishing the Rough Guide to Safer Travel, to increase its influence on those travelling overseas. But consular staff are increasingly called to help the irresponsible minority whose problems may have been avoided by greater awareness and planning before travelling, or by sensible behaviour once abroad. The Department used its existing powers to charge for consular services in just 323 out of 84,000 assistance cases. In 2001, the Department procured a casework management system at a cost to date of £3.3 million, but this has not been successfully embedded across the organisation, and has not produced the management information the Department needs to manage its consular business effectively. Issuing passports at over 100 Posts is inefficient and exposes the Department to increasing risks from fraudulent applications. The Department has improved its crisis management capabilities since 2001, although there has been slow progress in updating and testing emergency plans at Posts. The Indian Ocean Tsunami presented an extreme challenge for consular services; their call centres were overwhelmed and they were unable to assist British nationals as quickly as they would have wished.

National Offender Management Service

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Author :
Publisher : The Stationery Office
ISBN 13 : 9780215029164
Total Pages : 48 pages
Book Rating : 4.0/5 (291 download)

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Book Synopsis National Offender Management Service by : Great Britain: Parliament: House of Commons: Committee of Public Accounts

Download or read book 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 2006-06-06 with total page 48 pages. Available in PDF, EPUB and Kindle. Book excerpt: The prison population in England and Wales has been increasing since the 1990s and by November 2005 it reached a record level of 77,800, resulting in increased levels of overcrowding and stretched resources. Following on from a NAO report (HC 458, session 2005-06 (ISBN 0102935696) published in October 2005, the Committee's report examines how the Home Office, the Prison Service and the National Offender Management Service (which has responsibility for managing and accommodating prisoners) are dealing with the challenges involved in accommodating this record number of prisoners, the construction and use of temporary accommodation and the impact on the delivery of education and other training for prisoners. The Committee makes a number of conclusions and recommendations including in relation to: the deportation of foreign nationals, the use of alternatives to remand such as electronic tagging, contingency planning to ensure greater flexibility in accommodation plans including pilot testing new accommodation to identify possible problems early on, the application of best practice in anti-suicide monitoring measures, and the impact of moving prisoners around the prison estate on their training needs.

Outpatients

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Publisher : The Stationery Office
ISBN 13 : 9780102948134
Total Pages : 40 pages
Book Rating : 4.9/5 (481 download)

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Book Synopsis Outpatients by : Northern Ireland Audit Office

Download or read book Outpatients written by Northern Ireland Audit Office and published by The Stationery Office. This book was released on 2007-04-19 with total page 40 pages. Available in PDF, EPUB and Kindle. Book excerpt: In 2005-06 some £259 million was spent on outpatient services in Northern Ireland. A perennial cause of inefficiency in the provision of these services has been patients' failure to attend appointments and the cancellation of clinics by Trusts. In September 2006 almost 15,000 consultant-led clinic sessions were cancelled and there were 200,000 cases of patients not attending. A survey found that some 10 per cent of outpatients are "not seen" through cancellation or non-attendance, an opportunity cost of £11.6 million. Health service managers and clinicians need to monitor non-attendance/cancellation rates closely, in order to clarify the factors influencing them, and to allow planning of effective strategies aimed at minimising any loss of time and resources. The report also notes that outpatient services run by healthcare professionals other than consultants are not covered in the weekly statistical management information currently collected: if these are included outpatient activity levels are twice that officially reported. Changes to the way in which patients and general practitioners access outpatient services are being implemented and they should reduce waiting times and have an impact on cancelled clinics and missed appointments.

Tackling the Complexity of the Benefits System

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Author :
Publisher : The Stationery Office
ISBN 13 : 9780215028440
Total Pages : 44 pages
Book Rating : 4.0/5 (284 download)

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Book Synopsis Tackling the Complexity of the Benefits System by : Great Britain: Parliament: House of Commons: Committee of Public Accounts

Download or read book Tackling the Complexity of the Benefits System written by Great Britain: Parliament: House of Commons: Committee of Public Accounts and published by The Stationery Office. This book was released on 2006-04-27 with total page 44 pages. Available in PDF, EPUB and Kindle. Book excerpt: The complexity of the benefit system is a key factor affecting the performance of the Department for Work and Pensions. Although this complexity is often necessary in order to administer the system cost-effectively and protect public funds against abuse, it can also result in high levels of error by staff, confusion for customers and help create a climate where fraud can more easily take place. The Committee's report finds that although the DWP has taken steps to address this problem (for example, in the design of Pension Credit, simplifying claim processes for several benefits and better sharing of information with local authorities), these are rather piecemeal developments and it is difficult to tell whether the system as a whole has become more or less complex as there is currently no objective way of measuring it. Some of the steps taken to simplify processes for customers are a way of managing complexity, rather than eliminating it. Managing complexity requires well-trained staff supported by accessible guidance and assistance and efficient information technology systems, and the DWP should also improve its written communications with customers.

Environment Agency

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Publisher : The Stationery Office
ISBN 13 : 0215028708
Total Pages : 32 pages
Book Rating : 4.2/5 (15 download)

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Book Synopsis Environment Agency by : Great Britain: Parliament: House of Commons: Committee of Public Accounts

Download or read book Environment Agency written by Great Britain: Parliament: House of Commons: Committee of Public Accounts and published by The Stationery Office. This book was released on 2006-05-09 with total page 32 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Environment Agency spent £114 million in 2003-04 on water resources management in England and Wales, in order to ensure sufficient water is available to meet the needs of people and the environment. It recovers the costs through abstraction charges levied on its licence holders, and efficiency improvements helps to reduce the licence fee and, ultimately, could result in lower costs to consumers. Following on from a NAO report (HC 73, session 2005-06; ISBN 012932972) published in June 2005, the Committee's report examines the performance of the Agency in managing water resources across England and the scope for minimising the charges levied on abstractors. The report finds that the Agency has kept the annual increase in the licence fee below the rate of inflation each year, but improvements in efficiency depend upon better cost management data. Although this problem was identified by the Agency in 2001, progress has been slow, and full activity-based costing data are unlikely to be available until 2007-08. The weaknesses in management information have meant that between £650,000 and £1.7 million has been incorrectly allocated between water resource and flood management activities.

Working with the Voluntary Sector

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Author :
Publisher : The Stationery Office
ISBN 13 : 9780215027665
Total Pages : 48 pages
Book Rating : 4.0/5 (276 download)

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Book Synopsis Working with the Voluntary Sector by : Great Britain: Parliament: House of Commons: Committee of Public Accounts

Download or read book Working with the Voluntary Sector written by Great Britain: Parliament: House of Commons: Committee of Public Accounts and published by The Stationery Office. This book was released on 2006-03-02 with total page 48 pages. Available in PDF, EPUB and Kindle. Book excerpt: The term third sector describes a range of voluntary and community sector organisations including small local community groups, registered charities, foundations, trusts and co-operatives. Following on from the NAO report (HCP 75, session 2005-06; ISBN 0102933243) published in June 2005, the Committees report examines the progress made by central government departments and other funders to improve the way they work with the third sector to achieve value for money in the provision of public services. Findings include that voluntary sector funding represents less than one per cent of central government spending and only limited progress has been made to increase the sectors involvement in delivering government programmes. Voluntary sector organisations are often subject to greater scrutiny and monitoring than private sector providers, and fairer funding practices need to be applied by departments. The Public Service Agreement target to achieve a five per cent increase in voluntary sector participation in public service delivery by 2006 is likely to be met, but the Home Office and the Treasury need to set revised targets beyond 2006 to provide a real incentive to departments to increase their engagement with the sector.

The South Eastern Passenger Rail Franchise

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Author :
Publisher : The Stationery Office
ISBN 13 : 0215028740
Total Pages : 44 pages
Book Rating : 4.2/5 (15 download)

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Book Synopsis The South Eastern Passenger Rail Franchise by : Great Britain: Parliament: House of Commons: Committee of Public Accounts

Download or read book The South Eastern Passenger Rail Franchise written by Great Britain: Parliament: House of Commons: Committee of Public Accounts and published by The Stationery Office. This book was released on 2006-05-11 with total page 44 pages. Available in PDF, EPUB and Kindle. Book excerpt: In June 2003 the Strategic Rail Authority announced that it would be terminating the Connex South Eastern franchise for passenger rail services in Kent, parts of Sussex and South East London; the first, and so far only, instance where a train operating company's franchise has been terminated early. Following on from a National Audit Office report (HCP 457, session 2005-06; ISBN 0102936498) published in December 2005, the Committee's report examines why the franchise experienced difficulties; why the contract was terminated, and the impact on the interests of the taxpayer. The report sets out a number of conclusions and recommendations on the lessons to be learned in order to reduce the risk of future franchise failures.

Improving Poorly Performing Schools in England

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Author :
Publisher : The Stationery Office
ISBN 13 : 0215030680
Total Pages : 60 pages
Book Rating : 4.2/5 (15 download)

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Book Synopsis Improving Poorly Performing Schools in England by : Great Britain. Parliament. House of Commons. Committee of Public Accounts

Download or read book Improving Poorly Performing Schools in England written by Great Britain. Parliament. House of Commons. Committee of Public Accounts and published by The Stationery Office. This book was released on 2006 with total page 60 pages. Available in PDF, EPUB and Kindle. Book excerpt: In 2004-05, approximately £837 million was spent in England on a range of national programmes to help address problems in schools that were failing or at risk of failing to provide an acceptable standard of education for their pupils. Following on from a NAO report (HC 679, session 2005-06; ISBN 0102936633) published in January 2006, the Committee's report examines the activities of the DfES and Ofsted to identify and deal with poorly performing schools, to strengthen school leadership and to develop simpler relationships with schools. Findings include that, although the number of poorly performing schools has been reducing, there are still around 1,500 in England that are under-performing. Improvements in data on secondary school performance has helped to identify schools in decline at an earlier stage so that they can benefit from increased support, and similar improvement needs to be done at primary school level. The system of shorter Ofsted inspections, based on school self-evaluation of performance, may be appropriate for the majority of schools, but some schools are not evaluating themselves effectively and incentives needs to be created to help achieve this. School leadership is essential to achieving and maintaining improvements, and Ofsted reports need to diagnose any leadership problems in failing schools explicitly. Local authorities and other schools are important sources of support for struggling schools and there should be greater opportunities for schools to collaborate and share good practice.

Inland Revenue Standard Report

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Author :
Publisher : The Stationery Office
ISBN 13 : 9780215028457
Total Pages : 48 pages
Book Rating : 4.0/5 (284 download)

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Book Synopsis Inland Revenue Standard Report by : Great Britain: Parliament: House of Commons: Committee of Public Accounts

Download or read book Inland Revenue Standard Report written by Great Britain: Parliament: House of Commons: Committee of Public Accounts and published by The Stationery Office. This book was released on 2006-04-25 with total page 48 pages. Available in PDF, EPUB and Kindle. Book excerpt: In 2004-05 HM Revenue and Customs paid £15.8 billion of Tax Credits. The Department recalculates each award annually and has identified that for 2003-04 it overpaid some £2.2 billion to 1.9 million families. It believes that 2004-05 will see a similar level of overpayment. This is partly due to the nature of the scheme where awards are provisionally based on previous income whilst the final award is based on actual income. However the level of overpayment has been higher than was initial estimated and repayments have caused distress to some families. This report looks at measures being taken to reduce overpayments; claimant error and fraud; and the settlement with EDS over problems with the computer system. The Committee attaches great importance to this subject and wish to return to it in the future.

Reducing Brain Damage

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Author :
Publisher : The Stationery Office
ISBN 13 : 9780215029683
Total Pages : 52 pages
Book Rating : 4.0/5 (296 download)

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Book Synopsis Reducing Brain Damage by : Great Britain: Parliament: House of Commons: Committee of Public Accounts

Download or read book Reducing Brain Damage written by Great Britain: Parliament: House of Commons: Committee of Public Accounts and published by The Stationery Office. This book was released on 2006-07-11 with total page 52 pages. Available in PDF, EPUB and Kindle. Book excerpt: Strokes are one of the top three causes of death in England and a leading cause of adult disability. There are 110,000 strokes each year in England, with a quarter occurring to people under 65 years. Some 300,000 people in England are living with moderate to severe disabilities as a result of a stroke. As the NAO report on this subject pointed out (HCP 452, session 05/06 NAO ISBN 010293570X), it costs the economy in total about £7 billion a year, with the direct cost to the NHS about £2.8 billion. This Committee of Public Accounts report takes evidence from the Department of Health and sets out a number of recommendations. The cost of stroke, in both economic and human terms, could be reduced by re-organizing existing services more effectively. Brain scans of many stroke patients are being delayed, everyone who suffers a stroke should be scanned as soon as possible after arrival in hospital, and should not wait more than 24 hours. Stroke patients should spend longer in hospital on a stroke unit, this could reduce the number of deaths. There needs to be an increase in the number of consultants who have training in dealing with strokes, as well as therapists and other specialist staff with expertise in stroke care across the primary and secondary healthcare sectors. The Department of Health should improve provision of information to stroke survivors and carers, so they are made more aware of the support services available. The Department should run an awareness campaign to improve public knowledge about strokes

Corporation Tax

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Publisher : The Stationery Office
ISBN 13 : 9780215029416
Total Pages : 44 pages
Book Rating : 4.0/5 (294 download)

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Book Synopsis Corporation Tax by : Great Britain: Parliament: House of Commons: Committee of Public Accounts

Download or read book Corporation Tax written by Great Britain: Parliament: House of Commons: Committee of Public Accounts and published by The Stationery Office. This book was released on 2006-06-29 with total page 44 pages. Available in PDF, EPUB and Kindle. Book excerpt: Companies resident or conducting business in the UK are liable to pay corporation tax on their profits, and since 1999 corporation tax is a self-assessed tax. Companies are required to submit tax returns each year along with any tax due, and these tax returns are then checked for non-compliance. In 2004-05, HM Revenue and Customs collected about £33 billion in corporation tax, and it expects receipts to increase to £42 billion in 2005-06. Following on from a National Audit Office report (HC 678, session 2005-06; ISBN 0102936641) published in January 2006, the Committee's report examines the management of Corporation Tax and sets out a number of conclusions and recommendations. Given an estimated 40 per cent error rate in tax returns, the Department should improve its targeting of enquiries into tax returns for non-compliance and its use of risk assessment techniques in order to increase the tax yield. Plans to restructure the local area office network should help reduce local variations in performance and improve efficiency in enquiry work. All companies will be required to file their tax returns electronically by 2010, and this system should realise a number of benefits, including greater convenience for companies and a reduction in Department's costs and errors in keying-in data.