Audit Commission Review of the NHS Financial Management and Accounting Regime

Audit Commission Review of the NHS Financial Management and Accounting Regime PDF Author: Audit Commission for Local Authorities and the National Health Service in England
Publisher:
ISBN:
Category : Medical audit
Languages : en
Pages : 0

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Audit Commission Review of the NHS Financial Management and Accounting Regime

Audit Commission Review of the NHS Financial Management and Accounting Regime PDF Author: Audit Commission for Local Authorities and the National Health Service in England
Publisher:
ISBN:
Category : Medical audit
Languages : en
Pages : 0

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Book Description


Audit Commission Review of the NHS Financial Management and Accounting Regime

Audit Commission Review of the NHS Financial Management and Accounting Regime PDF Author:
Publisher:
ISBN:
Category : Finance, Public
Languages : en
Pages : 91

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Three main developments have demonstrated both the weaknesses in the current financial system in the NHS and also the need for change. This review recommends ways in which the NHS can respond to these developments and operate on a sound and sustainable financial footing.

Audit Commission Review of the NHS Financial Management and Accounting Regime

Audit Commission Review of the NHS Financial Management and Accounting Regime PDF Author: Audit Commission for Local Authorities and the National Health Service in England and Wales
Publisher:
ISBN: 9781862405264
Category : National health services
Languages : en
Pages : 91

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Financial Management in the NHS

Financial Management in the NHS PDF Author: Great Britain. National Audit Office
Publisher: The Stationery Office
ISBN: 9780102954418
Category : Finance, Public
Languages : en
Pages : 44

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Book Description
This National Audit Office report (HCP 63-I, session 2008-09, ISBN 9780102954418), looks at the financial performance of, and financial management in, the NHS during 2007-08. It also explains some of the issues which are likely to provide financial challenges for the NHS in 2008-09 and beyond. Where the report refers to performance of the NHS it covers the performance of Strategic Health Authorities, Primary Care Trusts and NHS Trusts, as reported in the NHS Summarised Accounts (ISBN 9780103288079). The report also contains an analysis of the financial performance of NHS foundation trusts.

Financial Management in the NHS

Financial Management in the NHS PDF Author: Great Britain: National Audit Office
Publisher: The Stationery Office
ISBN: 0102938156
Category : Medical
Languages : en
Pages : 96

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Book Description
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.

Financial Management in the NHS

Financial Management in the NHS PDF Author: Great Britain: National Audit Office
Publisher: The Stationery Office
ISBN: 9780103285177
Category : Medical
Languages : en
Pages : 288

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Book Description
This joint report was prepared by the National Audit Office and the Audit Commission, and contains the findings from the NAO's audit of the NHS summarized accounts and the Audit Commission's appointed auditors' work on the 2003-04 accounts of individual NHS organizations. The report outlines the financial issues facing individual NHS organizations, with an overview of the effects of these issues at national level and how this will affect the national health economy. In 2003-04 the NHS spent a total of £63 billion, with expenditure costs in the NHS rising by 7.3 per cent each year. This will increase the costs to £76 billion for the 2005-06, and £93 billion for 2007-08 periods. Alongside this increasing expenditure, the Government has set out various reform plans, including the establishment of the NHS Foundation Trusts, new staffing contracts, the development of the information technology infrastructure, and the way hospitals are funded. In the Summary of the financial performance for 2003-04 period, the number of bodies failing to achieve a financial balance had increased, along with an increase in the number of bodies with significant financial deficits. In all, 106 NHS bodies failed to achieve an in-year financial balance, and 14% of the Primary Care Trusts failed to keep expenditure within their resource limit, also a small number of NHS bodies are struggling to manage large deficits. The report advocates four key themes for the improvement of financial management: the role of the Board - who should display better oversight and improve their financial acumen; forecasting - NHS bodies should continually test whether cost savings programmes are realistic, and take account more effectively for risk factors in their financial planning, as well as set realistic budgets at the beginning of the year; earlier preparation of accounts - improvements in financial reporting, and the provision of financial information throughout the year should closely reflect the standard and range of information required in the annual accounts; transparency - that boards, managers, stakeholders would benefit from clarity in the way the accounts are organized, and that the amount of financial support received by the trusts should be clearly stated. With the introduction of Payment by Results and the use of independent healthcare providers the income received by NHS Trusts is no longer certain. So overall improvements in their financial forecasting and modeling, with NHS Trusts in particular developing their commercial financial skills, would be beneficial especially if they intend to become foundation trusts.

Report on the NHS summarised accounts 2006-07

Report on the NHS summarised accounts 2006-07 PDF Author: Great Britain: National Audit Office
Publisher: The Stationery Office
ISBN: 9780102951653
Category : Medical
Languages : en
Pages : 50

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Book Description
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.

Achieving First-class Financial Management in the NHS

Achieving First-class Financial Management in the NHS PDF Author: Audit Commission for Local Authorities and the National Health Service in England and Wales
Publisher:
ISBN: 9781862404922
Category : Medical audit
Languages : en
Pages : 56

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Financial management in the NHS

Financial management in the NHS PDF Author: Great Britain: Parliament: House of Commons: Committee of Public Accounts
Publisher: The Stationery Office
ISBN: 9780215033062
Category : Medical
Languages : en
Pages : 62

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Book Description
Spending on the NHS is the fastest growing area of public expenditure, with a budget for 2004-05 of £69.7 billion, rising to £76.4 billion in 2005-06 and £92.6 billion in 2007-08. Despite the increased resources, the NHS reported an overall deficit of £251 million (including Foundation Trusts) in 2004-05, the first time since 1999-2000 that the NHS as a whole had overspent. In 2005-06, the overall deficit increased to £570 million, with a rise in both the number of NHS organisations (Strategic Health Authorities, Primary Care Trusts, NHS Trusts and NHS Foundation Trusts) reporting a deficit and the proportion of those bodies reporting a deficit. Following on from a report (HC 1059-I, session 2005-06; ISBN 9780102938159) published in June 2006, jointly prepared by the National Audit Office and the Audit Commission, the Committee's report examines three main issues: the factors that led to the deficits, the impact on the organisations involved, and the steps taken to recover the deficits. Amongst its findings, the Committee concludes that there are a number of reasons why NHS bodies are in deficit, with most organisations in deficit tending to have had a deficit the previous year. Bodies already in deficit looking to turn their financial position around can be disadvantaged as they are expected to recover that deficit in the next financial period. The NHS has been under significant financial pressure to meet the costs of national pay initiatives which the Department of Health had not fully costed, and as some NHS bodies have coped better than others in managing these cost pressures, this indicates that the standard of financial management expertise varies across the NHS, as does the level of clinical engagement in financial matters.

Report on the NHS Summarised Accounts

Report on the NHS Summarised Accounts PDF Author: Great Britain. National Audit Office
Publisher:
ISBN:
Category : National health services
Languages : en
Pages : 50

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Book Description