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Nhs Deficits


Nhs Deficits
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Nhs Deficits


Nhs Deficits
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Author : Great Britain: Parliament: House of Commons: Health Committee
language : en
Publisher: The Stationery Office
Release Date : 2006-07-03

Nhs Deficits written by Great Britain: Parliament: House of Commons: Health Committee 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 2006-07-03 with Political Science categories.


NHS Deficits : Sixth report of session 2005-06, Vol. 2: Written Evidence



The Government S Response To Health Select Committee S Report On Nhs Deficits


The Government S Response To Health Select Committee S Report On Nhs Deficits
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Author : Great Britain: Department of Health
language : en
Publisher: The Stationery Office
Release Date : 2007-02-20

The Government S Response To Health Select Committee S Report On Nhs Deficits written by Great Britain: Department of Health 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 2007-02-20 with Medical categories.


This is the Government's response to the Health Committee's report, (HCP 73-I, session 2006-07 - NHS Deficits - ISBN 9780215031747), which highlighted the role of: the funding formula; poor central management; and poor local management in the National Health Service as being the root cause of deficit problems, alongside large inherited debts. The Committee also notes that the reductions in workforce budget and training and education have been the main contribution to reducing deficits, and see that as having adverse effects on staff morale and development, and this could affect the quality of the workforce. The Government accepts that many of the recommendations resonate with the Department of Health's objectives on financial management in the NHS, and accepts that some of areas, as highlighted by the Committee, such as poor local management has contributed to the NHS deficit, also that higher standards in financial management is required, with the Department appointing a Financial Controller, who can challenge the financial performance of individual organisations. The NHS will receive an estimated funding of £84.4 billion in the 2006-07 period, and it is the Government's view this has led to a service transformation and improved patient care. The Government does not accept that ring-fencing budgets and micro-management of the NHS will produce better financial health. The Secretary of State for Health has set out three clear financial objectives, which is reported on a quarterly basis in the NHS finance reports: (i) deliver net financial balance across the NHS; (ii) see improvement in financial performance to all organizations reporting a deficit in 2005-06; (iii) achieve a recurrent monthly rate balance across as many NHS organizations as possible by 31st March 2007. The latest quarterly report is available on the Department of Health website: http://www.dh.gov.uk/assetRoot/04/14/31/57/04143157.pdf. Also for a related publication Explaining NHS Deficits, 2003/04 and 2005/06, see: http://www.dh.gov.uk/assetRoot/04/14/31/58/04143158.pdf.



Nhs Deficits


Nhs Deficits
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Author : Great Britain. Parliament. House of Commons. Health Committee
language : en
Publisher:
Release Date : 2006

Nhs Deficits written by Great Britain. Parliament. House of Commons. Health Committee and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2006 with Medical care, Cost of categories.




Securing The Future Financial Sustainability Of The Nhs


Securing The Future Financial Sustainability Of The Nhs
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Author : Great Britain: National Audit Office
language : en
Publisher: The Stationery Office
Release Date : 2012-07-05

Securing The Future Financial Sustainability Of 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 2012-07-05 with Medical categories.


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



Nhs Deficits


Nhs Deficits
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Author : Great Britain. Parliament. House of Commons. Health Committee
language : en
Publisher: Stationery Office/Tso
Release Date : 2006-12-13

Nhs Deficits written by Great Britain. Parliament. House of Commons. Health Committee and has been published by Stationery Office/Tso this book supported file pdf, txt, epub, kindle and other format this book has been release on 2006-12-13 with Law categories.


The NHS has been in overall defict for the last two years, and there has been an increase in the number of NHS organisations with a deficit. This report highlights the role of: the funding formula; poor central management; and poor local management. Some of the worst deficits can be explained by exceptionally difficult circumstances such as large inherited debts. The funding formula allocates considerably more money per head to some Primary Care Trusts (PCTs) than others. This may be related to the scale of health inequalities but it can make financial balance harder to achieve. Poor central management has included the Government's unrealistic estimates of the costs of the Agenda for Change and the new GP and consultant contracts. Some targets have also been expensive to meet. At the local level, there is much evidence of poor financial management, exacerbated by Government repeated policy changes and emphasis on meeting targets at short notice. Whilst overall the NHS is expected to be in surplus by the end of March 2007, many recovery plans that have been put in place by trusts in debt are unsatisfactory, and it is unlikely that the trusts with the biggest deficits will be able to repay their accumulated debts within five years. The Committee also notes that the reductions in workforce budget and training and education have been the main contribution to reducing deficits, and see that as having adverse effects on staff morale and development, and this could affect the quality of the workforce. The report draws a number of lessons relating to the accounting regime, financial management in local NHS organisations, and the Department of Health.



Report On The Nhs Summarised Accounts 2006 07


Report On The Nhs Summarised Accounts 2006 07
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Author : Great Britain. Parliament. House of Commons. Public Accounts Committee
language : en
Publisher: The Stationery Office
Release Date : 2008

Report On The Nhs Summarised Accounts 2006 07 written by Great Britain. Parliament. House of Commons. Public Accounts Committee 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 2008 with Medical categories.


The Department of Health (the 'Department') and the NHS achieved a surplus of £515 million in 2006-07, representing 0.6 per cent of total available resources. This followed two years of rising deficits, and the Department, working with the NHS, has done well in restoring overall financial balance. While the national picture is one of financial surplus there remain variations in financial performance. The surplus is concentrated in Strategic Health Authorities, whilst overall Primary Care Trusts and NHS Trusts remain in deficit Of the 372 NHS organisations, 82 recorded a deficit of £917 million, with 80 per cent of this being reported by just 10 per cent of NHS organisations. There are also regional variations, with the East of England Strategic Health Authority area having a deficit of £153 million and the North West achieving a £189 million surplus. Financial recovery is therefore inconsistent and more needs to be done so that all parts of the NHS achieve financial balance. The Committee concludes that the return to financial balance is the result of the Department's tighter performance management of NHS finances in the way funding flowed through the NHS together with a programme of support for local organisations with particular financial difficulties. In the short term, this largely centralist approach was appropriate. For the future if the NHS is to remain in financial balance more health organisations locally need to improve their financial management. Failure to keep a tight grip on financial performance will undermine health care for patients.



Report On The Nhs Summarised Accounts 2006 07


Report On The Nhs Summarised Accounts 2006 07
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Author : Great Britain: National Audit Office
language : en
Publisher: The Stationery Office
Release Date : 2007-12-11

Report On The Nhs Summarised Accounts 2006 07 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 2007-12-11 with Medical categories.


In the last financial year the Department of Health made financial recovery priority and managed to turn the deficits of 2005-06 to a surplus of £505 million in 2006-07. The Comptroller and Auditor General is the statutory auditor of the financial accounts of the NHS and has the duty to certify and report to Parliament on them. This report is published alongside in the NHS Summarised Accounts to provide more detail on the financial performance of the NHS, how it moved into balance and the challenges that face it in the future.



2012 13 Update On Indicators Of The Financial Sustainability In The Nhs


2012 13 Update On Indicators Of The Financial Sustainability In The Nhs
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Author : Great Britain: National Audit Office
language : en
Publisher: Stationery Office
Release Date : 2013-07-18

2012 13 Update On Indicators Of The Financial Sustainability In The Nhs 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 2013-07-18 with Medical categories.


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.



Government S Response To The Health Select Committee S Report On Nhs Deficits


Government S Response To The Health Select Committee S Report On Nhs Deficits
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Author :
language : en
Publisher:
Release Date : 2007

Government S Response To The Health Select Committee S Report On Nhs Deficits written by and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2007 with categories.




Deficits In The Nhs


Deficits In The Nhs
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Author : Great Britain. National Health Service
language : en
Publisher:
Release Date : 2006

Deficits In The Nhs written by Great Britain. National Health Service and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2006 with categories.