National Audit Office Department Of Health And Nhs England
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Nhs Waiting Times For Elective Care In England
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Author : Great Britain: National Audit Office
language : en
Publisher: Stationery Office
Release Date : 2014-01-23
Nhs Waiting Times For Elective Care In England written by Great Britain: National Audit Office and has been published by Stationery Office this book supported file pdf, txt, epub, kindle and other format this book has been release on 2014-01-23 with Medical categories.
In this report the National Audit Office highlights 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. 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. Published waiting time figures need to be treated with a degree of caution. The NAO has identified inconsistencies in the way trusts measure waiting time and errors in the waiting time recorded. Although the rules for applying the waiting times standards are set at a national level, the performances of individual trusts are not directly comparable owing to local variations in how and when each patient's waiting time 'clock' is started, paused or stopped. Sample investigations found some errors and misrecording in various trusts. But NHS England does not have sufficient assurance about how trusts are performing. The system of checks that NHS England uses should spot some errors and inconsistencies, as well as discrepancies between trusts' current and past reported performance. It will not, however, detect errors of the kind identified by the National Audit Office without independent validation of trusts' data. The report recommends therefore, that NHS England should seek additional assurance, possibly through a regime of test checking.
Financial Management In The Nhs
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Author : Great Britain: National Audit Office
language : en
Publisher: The Stationery Office
Release Date : 2006-06-07
Financial Management In The Nhs written by Great Britain: National Audit Office and has been published by The Stationery Office this book supported file pdf, txt, epub, kindle and other format this book has been release on 2006-06-07 with Medical categories.
This report examines in detail the 2004-05 revenue situation of NHS organisations and considers key financial management and reporting issues facing the NHS both currently and in the future. Jointly prepared by the National Audit Office and the Audit Commission, the report incorporates the findings of their audit work on the NHS summarised accounts, the consolidated account of NHS foundation trusts, the Department of Health's resource account and the accounts of individual NHS organisations, as well as the unaudited NHS revenue out-turn for 2005-06 as reported by the Department of Health and Monitor. Findings include that in 2004-05, the Department reported a deficit across the NHS as a whole for the first time since 1999-2000, with an aggregate overspend for all NHS bodies of £251.2 million, with 171 out of 615 bodies recording a deficit or overspend, with 68 out of 259 NHS trusts failing to break even, and with 90 out of 303 primary care trusts exceeding their revenue resource limits.
Health And Social Care Interface
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Author : NATIONAL AUDIT OFFICE.
language : en
Publisher:
Release Date : 2018
Health And Social Care Interface written by NATIONAL AUDIT OFFICE. and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2018 with categories.
National Audit Office Department Of Health Social Care Nhs England Nhs Improvement Nhs Digital
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Author : Great Britain. National Audit Office
language : en
Publisher:
Release Date : 2020
National Audit Office Department Of Health Social Care Nhs England Nhs Improvement Nhs Digital written by Great Britain. National Audit Office and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2020 with categories.
National Health Service Landscape Review
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Author : Great Britain: National Audit Office
language : en
Publisher: The Stationery Office
Release Date : 2011-01-20
National Health Service Landscape Review written by Great Britain: National Audit Office and has been published by The Stationery Office this book supported file pdf, txt, epub, kindle and other format this book has been release on 2011-01-20 with Medical categories.
This review summarizes the new arrangements for the NHS proposed in the Health White Paper (Cm. 7881, ISBN 9780101788120). In that paper the Government proposed a number of reforms to the structure and operation of the NHS, which have since been refined and developed in 'Liberating the NHS: legislative framework and next steps' (Cm. 7993 ISBN 9780101799324). The Health and Social Care Bill is designed to create the necessary legislative change. 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.
Investigation Into Penalty Charge Notices In Healthcare
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Author : NATIONAL AUDIT OFFICE.
language : en
Publisher:
Release Date : 2019
Investigation Into Penalty Charge Notices In Healthcare written by NATIONAL AUDIT OFFICE. and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2019 with Medical care categories.
Readying The Nhs And Adult Social Care In England For Covid 19
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Author : Great Britain. National Audit Office
language : en
Publisher:
Release Date : 2020
Readying The Nhs And Adult Social Care In England For Covid 19 written by Great Britain. National Audit Office and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2020 with categories.
Healthcare Across The Uk
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Author : Great Britain. National Audit Office
language : en
Publisher: The Stationery Office
Release Date : 2012
Healthcare Across The Uk written by Great Britain. National Audit Office and has been published by The Stationery Office this book supported file pdf, txt, epub, kindle and other format this book has been release on 2012 with Medical care categories.
This report highlights key trends and variations in the delivery of healthcare across the four nations of the UK. Life expectancy varies significantly across the UK - from 75.9 in Scotland to 78.6 in England for men, and from 80.4 in Scotland to 82.6 in England for women. Spending on health services in the UK more than doubled in cash terms in the last decade. In 2010-11, despite devoting a higher proportion of total public spending to health, England spent the least on health per person. NHS staff has also increased over the last decade. Scotland has the most GPs per person (80 per 100,000 people in 2009 compared with 70 in England and 65 per 100,000 in both Wales and Northern Ireland). Scotland also has the most medical hospital staff and nursing, midwifery and health visiting staff per person. Comparable data on the efficiency and quality of healthcare are patchy. In 2008-09, average hospital lengths of stay varied from 4.3 days in England to 6.3 days in Wales. Hospital waiting times have fallen in all four nations in recent years, although there are notable variations in how long patients wait for common procedures. In 2009-10 waiting times tended to be lower in England and Wales. There have been significant improvements in levels of healthcare associated infections with rates of MRSA infection dropping by a third or more in all nations. The NAO considers that there would be value in the health departments in the four nations carrying out further work to investigate the variations in performance and identify how they can learn from each other
National Audit Office Nao Department Of Health Emergency Admissions To Hospital Managing The Demand Hc 739
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Author : Great Britain: National Audit Office
language : en
Publisher: The Stationery Office
Release Date : 2013-10-31
National Audit Office Nao Department Of Health Emergency Admissions To Hospital Managing The Demand Hc 739 written by Great Britain: National Audit Office and has been published by The Stationery Office this book supported file pdf, txt, epub, kindle and other format this book has been release on 2013-10-31 with Medical categories.
Many emergency admissions to hospital are avoidable and many patients stay in hospital longer than is necessary. Improving the flow of patients through the system will be critical to the NHS's ability to cope with future winter pressures on urgent and emergency care services. At a time when NHS budgets are under significant pressure, the number of emergency admissions to hospitals is continuing to rise, albeit at a slower rate than in the past. More patients attending major A&E departments are now being admitted to hospital. In 2012-13, over a quarter of all patients attending major A&E departments were admitted, up from 19 per cent in 2003-04. The rise in emergency admissions is dominated by patients who stay less than two days (short-stay) in hospital. The main factors behind the increase in emergency admissions include the slowness with which the NHS has developed effective alternatives to admission to hospital. There are many local initiatives to prevent avoidable emergency admissions but limited evidence on what works. A lack of alignment between hospitals and community and local services in the hours they are open compromises efforts to avoid out-of- hours hospital admissions and prolongs the length of stay of inpatients. Among the NAO's recommendations is the need for both short-and long-term strategies to address staffing shortages in A&E. The Department and NHS England should also address barriers to seven-day working in hospitals, such as the consultants' contract, which gives consultants the right to refuse to work outside 7am to 7pm, Monday to Friday
Law And Ethics For Midwifery
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Author : Elinor Clarke
language : en
Publisher: Routledge
Release Date : 2015-07-24
Law And Ethics For Midwifery written by Elinor Clarke and has been published by Routledge this book supported file pdf, txt, epub, kindle and other format this book has been release on 2015-07-24 with Medical categories.
Legal and ethical competence is a cornerstone of professional midwifery practice and an essential part of midwifery training. Law and Ethics for Midwifery is a unique and practical resource for student midwives. Written by an experienced midwifery lecturer, this text draws on a wide variety of real life case studies and focuses particularly on the core areas of accountability, autonomy and advocacy. Opening with two chapters providing overviews respectively of ethical theories and legislation, the book is then arranged thematically. These chapters have a common structure which includes case studies, relevant legislation, reflective activities and a summary, and they run across areas of concern from negligence through safeguarding to record-keeping. Grounded in midwifery practice, the text enables student midwives to consider and prepare for ethical and legal dilemmas they may face as midwives in clinical practice.