Author: Great Britain: Parliament: House of Commons: Committee of Public Accounts
Publisher: The Stationery Office
ISBN: 9780215068873
Category : Medical
Languages : en
Pages : 48
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Nearly one fifth of consultant posts in emergency departments were either vacant or filled by locums in 2012. Neither the Department nor NHS England have a clear strategy to tackle the shortage of A&E consultants and there is too much reliance on temporary staff to fill gaps. The Committee raised the possibility of paying consultants more to work at struggling hospitals. Greater use in A&E of consultants from other departments could also be made, or mandate that all trainee consultants spend time in A&E, or make A&E positions more attractive through improved terms and conditions. The slow introduction of round-the-clock consultant cover in hospitals - which will not be in place before the end of 2016-17 - is also having a negative impact. More people die as a result of being admitted at the weekend when fewer consultants are in A&E. Changing this relies on the British Medical Association and NHS Employers negotiating a more flexible consultants' contract, and neither the Department nor NHS England has direct control over the timescale or details of these negotiations. Hospitals, GPs and community health services all have a role to play in reducing emergency admissions - but financial incentives to make this happen are not in place. While hospitals get no money if patients are readmitted within 30 days, there are no financial incentives for community and social care services to reduce emergency admissions. Both the Department of Health and NHS England struggled to explain to us who is ultimately accountable for the efficient delivery of local A&E services
Author: Great Britain. Parliament. House of Commons. Committee of Public Accounts
Publisher: The Stationery Office
ISBN: 0215085779
Category : Political Science
Languages : en
Pages : 41
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This report summarises the key areas of the Committee's work over the past five years. It draws out the areas where progress has been made and where their successors might wish to press in future. The Committee has assiduously followed the taxpayer's pound wherever it was spent. Since 2010 they held 276 evidence sessions and published 244 unanimous reports to hold government to account for its performance. 88% of their recommendations were accepted by departments. In many cases they successfully secured substantial changes, for example with the once secret tax avoidance industry. They secured consensus from government and from industry that private providers of public services do have a duty of care to the taxpayer, and in pushing the protection of whistleblowers further up the agenda of all government departments. By drawing attention to mistakes in the Department for Transport's procurement of the West Coast Mainline, more recent procurements for Crossrail, Thameslink and Intercity Express have all benefited from more expert advice and a more appropriate level of challenge from senior staff. After discovery in 2012-13 that 63% of calls to government call centres were to higher rate telephone numbers, the Government accepted our recommendation that telephone lines serving vulnerable and low income groups never be charged above the geographic rate and that 03 numbers should be available for all government telephone lines. They also secured a commitment to close large mental health hospitals.
Author: Great Britain: Parliament: House of Commons: Committee of Public Accounts
Publisher: The Stationery Office
ISBN: 0215071719
Category : Medical
Languages : en
Pages : 24
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NHS patients have the right to receive elective pre-planned consultant-led care within 18 weeks of being referred for treatment. In 2012-13, there were 19.1 million referrals to hospitals in England, with hospital-related costs of around £16 billion. The standards are that 90% of patients admitted to hospital, and 95% of other patients, should have started treatment within 18 weeks of being referred. In April 2013, NHS England introduced zero tolerance of any patient waiting more than 52 weeks. The Department of Health cannot be sure that the waiting time data NHS England publishes, based on information from NHS trust, is accurate. Trusts are struggling with a hotchpotch of IT and paper based systems that are not easily pulled together, which makes it difficult for them to track and collate the patient information needed to manage and record patients' waiting time. The National Audit Office (NAO) found that waiting times for nearly a third of cases it reviewed at seven trusts were not supported by documented evidence, and that a further 26% were simply wrong. Multiple organisations have a quality assurance role. However the external audit provided in the past by the Audit Commission has yet to be replaced and the Department acknowledged the need to do so, with regular spot checks being undertaken to ensure accuracy. But responsibilities have not been clearly defined.
Author: Great Britain: Parliament: House of Commons: Committee of Public Accounts
Publisher: The Stationery Office
ISBN: 0215071921
Category : Education
Languages : en
Pages : 64
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Recent high-profile failures demonstrate that the Department for Education and the Education Funding Agency's oversight arrangements for free schools are not yet working effectively. The Department and Agency have set up an approach to oversight which emphasises schools' autonomy, but standards of financial management and governance in some free schools are clearly not up to scratch. The Agency relies on high levels of compliance by schools, yet fewer than half of free schools submitted their required financial returns for 2011-12 to the Agency on time. Whistleblowers played a major role in uncovering recent scandals when problems should have been identified through the Agency's monitoring processes. There is also concern that applications for new free schools are not emerging from areas of greatest forecast need for more and better school places. The Department needs to set out how, and by when, it will encourage applications from areas with a high or severe forecast need for extra schools places, working with local authorities where appropriate. The Department should also be more open about the reasons for making decisions. Capital costs of the free school programme are escalating. The most recent round of approved free schools had a greater proportion of more expensive types, such as secondaries, special and alternative provision, located in more expensive regions such as London, the South East and South West. If this mix of approved free schools continues, there is a risk of costs exceeding available funding.
Author: Great Britain: Parliament: House of Commons: Committee of Public Accounts
Publisher: The Stationery Office
ISBN: 0215070607
Category : Social Science
Languages : en
Pages : 118
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In this report the Public Accounts Committee examines DCLG and DWP's programmes to help families facing multiple challenges. In 2006, the Government estimated that there were 120,000 families in England facing multiple challenges, such as unemployment and poor housing, crime and antisocial behaviour. The estimated cost to the taxpayer of providing services to support these families is £9 billion a year, of which £8 billion is spent reacting to issues and £1 billion in trying to tackle them. In 2012, DCLG and DWP each introduced separate programmes to help these families. DCLG's Troubled Families programme, with a central government budget of £448 million, aims to 'turn around' all 120,000 families by May 2015. DWP's Families with Multiple Problems programme, with a budget of £200 million, seeks to move 22% of those joining the programme into employment by March 2015. There was no clear rationale for the simultaneous introduction of two separate programmes, which focused on addressing similar issues. The integration of the programmes at the design phase was poor, leading to confusion, and contributing to the low number of referrals to the DWP's programme. But the good practice evident in DCLG's Troubled Families programme, demonstrates how central and local government agencies can work together effectively. Data sharing is critical to identifying the families most in need of the support available. Both departments should publish, alongside details of the programmes' progress against their respective targets, details of the wider benefits and financial savings that they have identified.
Author: Great Britain: Parliament: House of Commons: Committee of Public Accounts
Publisher: The Stationery Office
ISBN: 0215071689
Category : Political Science
Languages : en
Pages : 24
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At any one time the Home Office (the Department) provides accommodation for around 23,000 destitute asylum seekers awaiting the outcome of their application to remain in the UK. The cost of providing this accommodation in 2011-12 was £150 million. In March 2012 the Department decided to introduce a new delivery model involving fewer and bigger housing providers than under previous contracts. There are now six regional contracts (known collectively as COMPASS), delivered by three prime contractors (G4S, Serco and Clearel, each of which has two contracts): these replaced 22 separate contracts with 13 different suppliers from across the private and voluntary sectors and local authorities. Savings of £140 million over seven years are forecast. The decision to rely on fewer, larger contractors was risky and has so far led to delays in providing suitable accommodation. The Department expected this to result in economies of scale. However, it is inconsistent with the Government's wider approach of encouraging more small and medium size enterprises (SMEs) to supply services to government. The transition to the new contracts was poorly managed: the three month mobilisation period for the contracts was very challenging. The Department has incurred additional costs and so is less likely to achieve the expected savings. The standard of the accommodation provided has often been unacceptably poor for a very fragile group of individuals and families and the companies failed to improve quality in a timely manner.
Author: Great Britain: Parliament: House of Commons: Committee of Public Accounts
Publisher: The Stationery Office
ISBN: 0215071700
Category : Law
Languages : en
Pages : 24
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The National Offender Management Service (the Agency) is responsible for the prison system in England and Wales which holds around 84,000 prisoners. The prison estate consists of some 130 prisons of varying layout, geographical location, age and state of repair. The main factor behind the Agency's estate strategy, of closing small costly prisons and building new accommodation that is cheaper to run, is the need to make recurring savings. Under the strategy, the Agency had by the end of 2013, closed 13 prisons and built two new prisons. The estate strategy's objectives are to reduce resource costs; create durable, good standard accommodation and provide an estate that better meets offenders' needs, allowing more of them to work and be kept closer to their homes. Against these objectives, the Agency has built new, good quality, accommodation to time and within budget; is on track to achieve cost reductions of £70 million a year; and is starting to match better the geographical spread of prisons to the prison population. Key factors behind this good performance are that senior staff in the Agency have experience and knowledge and have remained in post throughout this period of change. However, the performance of the two new prisons, HMP Oakwood and HMP Thameside, has been poor and disappointing since they opened. They do not give sufficient priority to meeting offenders' rehabilitation needs, nor do they provide enough quality purposeful activity for prisoners. The Agency has also closed some prisons that were performing well.
Author: Great Britain: Parliament: House of Commons: Committee of Public Accounts
Publisher: The Stationery Office
ISBN: 021507274X
Category : Business & Economics
Languages : en
Pages : 36
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Despite the large sums available for promoting economic growth locally, little money has actually reached businesses. Of the £3.9 billion that has been allocated in total to these initiatives, only nearly £400 million had made it to local projects by the end of 2012-13. Under the Regional Growth Fund, the largest of the schemes, the Departments will need to spend £1.4 billion this year, compared to the £1.2 billion spent over the previous three years. Some £1 billion of the remaining £3.5 billion allocated to initiatives is currently parked with intermediary bodies such as local authorities, Local Enterprise Partnerships and banks - and the rest with the Departments. The Departments should introduce binding milestones for distributing funds and move quickly to claw back money not being spent - or spent disproportionately on administration - and redistribute it to better performers. Progress in creating jobs is falling well short of the Departments' initial expectations. The Departments' estimate of the cost per job created has also risen from £30,400 in Round One to £52,300 in Round Four - a 72% increase. The Departments also agreed that there is a risk of double-counting, with the same jobs scored more than once to different initiatives. The local growth initiatives have not been managed as a coordinated programme with a common strategy, objectives or plan. The recent creation by the Departments of a single growth directorate and a programme board is welcomed. Concern remains however that the Departments are not yet using the new oversight arrangements effectively.
Author: Great Britain: Parliament: House of Commons: Committee of Public Accounts
Publisher: The Stationery Office
ISBN: 0215070488
Category : Broadband communication systems
Languages : en
Pages : 20
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The Government has failed to deliver meaningful competition in the procurement of its £1.2 billion rural broadband programme, leaving BT effectively in a monopoly position. Despite warnings the Department for Culture, Media and Sport has allowed poor cost transparency and the lack of detailed broadband rollout plans to create conditions whereby alternative suppliers may be crowded out. Whilst BT claims it is making further concessions, this is not impacting on rural communities. Local authorities are still contractually prevented from sharing information to see if they are securing best terms for the public money they spend. Communities can still not access the detailed data they need to understand whether they will be covered by BT's scheme in their area. The lack of transparency on costs and BT's insistence on non-disclosure agreements is symptomatic of BT's exploiting its monopoly position. The Department needs to work urgently with all local authorities to publish detailed mapping of their implementation plans, down to full (7-digit) postcode level. The information should include speed of service, as soon as that is available. The Department should collect, analyse and publish data on deployment costs in the current programme, to inform its consideration of bids from suppliers under the next round of fundingMargaret Hodge was speaking as the Committee published its 50th Report of this Session which, on the basis of evidence from the Department for Culture, Media and Sport and BT, examined the roll out of the rural broadband programme
Author: Great Britain: Parliament: House of Commons: Committee of Public Accounts
Publisher: The Stationery Office
ISBN: 0215072790
Category : Law
Languages : en
Pages : 24
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The Ministry of Justice is implementing wholesale changes to how rehabilitation services for offenders are delivered in England and Wales on a highly ambitious timescale. It intends to introduce new private and voluntary providers, bring in a payment by results system, create a new National Probation Service and extend the service to short-term prisoners in a very short time period. This is very challenging and this report sets out a number of risks that need to be managed. The probation service in England and Wales supervised 225,000 offenders in our communities during 2012-13, at a cost of £853 million. The service is currently delivered by 35 Probation Trusts which are independent Non-Departmental Public Bodies, reporting directly to the National Offender Management Service. As part of the Ministry's Transforming Rehabilitation reforms, the Trusts will cease to operate from 31 May 2014 and will be abolished shortly afterwards, to be replaced by a National Probation Service and 21 Community Rehabilitation Companies. The scale, complexity and pace of the reforms give rise to risks around value for money which need to be carefully managed. The Committee welcomes the Accounting Officer's assurances that the Ministry will not proceed with the arrangements unless it is safe to do so. The Ministry expects the new National Probation Service and the 21 Community Rehabilitation Companies to begin operating from 1 June 2014 with only a limited opportunity for parallel running of the new arrangements during April and May 2014. The movement of staff, records and implementation of the arrangements required to make the new structures operate are ongoing. Initially the Community Rehabilitation Companies will be in public ownership pending a share sale, expected in time to launch a payment by results mechanism in 2015.
