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In continuation of HC no. 742 of session 2006-07
The compendium aims to provide in a single volume a wide range of statistical information on health and health care in the UK and its four constituent countries, including long time series and comparisons with other economically developed nations.
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.
"The OHE Compendium of Health Statistics" is the one-stop statistical source specially designed for easy use by anyone interested in the UK health care sector and the NHS. It contains over 300 simple, easy-to-read tables and charts and provides a wide range of information on UK health and healthcare, demography, expenditure and major illness in a single volume. It also includes long time series and comparisons with other economically developed nations. The UK data are broken down into England, Northern Ireland, Scotland and Wales and contain annual figures from as far back as 1949 (the first full year of the NHS). An on-line version of the "OHE Compendium" is also available.
The OHE Compendium of Health Statistics is the one-stop statistical source specially designed for easy use by anyone interested in the UK health care sector and the NHS. It contains over 300 simple easy-to-read tables and charts and provides a wide range of information on UK health and healthcare demography expenditure and major illness in a single volume. It also includes long time series and comparisons with other economically developed nations. The UK data are broken down into England Northern Ireland Scotland and Wales and contain annual figures from as far back as 1949 (the first full year of the NHS). An on-line version of the OHE Compendium is also available. For further information go to www.ohecompendium.org.
This review incorporates the views and visions of 2,000 clinicians and other health and social care professionals from every NHS region in England, and has been developed in discussion with patients, carers and the general public. The changes proposed are locally-led, patient-centred and clinically driven. Chapter 2 identifies the challenges facing the NHS in the 21st century: ever higher expectations; demand driven by demographics as people live longer; health in an age of information and connectivity; the changing nature of disease; advances in treatment; a changing health workplace. Chapter 3 outlines the proposals to deliver high quality care for patients and the public, with an emphasis on helping people to stay healthy, empowering patients, providing the most effective treatments, and keeping patients as safe as possible in healthcare environments. The importance of quality in all aspects of the NHS is reinforced in chapter 4, and must be understood from the perspective of the patient's safety, experience in care received and the effectiveness of that care. Best practice will be widely promoted, with a central role for the National Institute for Health and Clinical Excellence (NICE) in expanding national standards. This will bring clarity to the high standards expected and quality performance will be measured and published. The review outlines the need to put frontline staff in control of this drive for quality (chapter 5), with greater freedom to use their expertise and skill and decision-making to find innovative ways to improve care for patients. Clinical and managerial leadership skills at the local level need further development, and all levels of staff will receive support through education and training (chapter 6). The review recommends the introduction of an NHS Constitution (chapter 7). The final chapter sets out the means of implementation.
Most books on politics and government take a view from the top down. They focus on the individuals and institutions that set policies in place and make the laws. But how are these policies and laws translated into action on the ground, where their success or failure helps determine the day to day running of schools and hospitals, police forces and councils? This is the much less familiar territory explored by Follow The Money. It tells the story of the men and women responsible for keeping track of the money spent locally on public services since the early 1980s. What emerges is a rare behind-the-scenes account of the political world in which central government edicts come up against the reality of how things are made to happen at the grass roots. Follow The Money shows how the Commission has helped over 25 years to transform the management of public services, including the NHS, while mediating in an often tense relationship between central and local government from the Thatcher era to the years of New Labour. The result, encompassing a string of scandals and battles between town hall and Whitehall, is a compelling narrative for which an accounting qualification is most certainly not required.
NHS Deficits : Sixth report of session 2005-06, Vol. 2: Written Evidence
The Private Finance Initiative (PFI) - the use of private funds to build public sector infrastructure - began in 1992. Since then it has been one of the most contentious policies advocated by both Conservative and Labour governments. After 25 years of costly failure the policy has now been abandoned by Labour and Tory parties. 125 British PFIs are NHS projects, which will cost over £80 billion for buildings built for £12bn. Many PFI companies are now owned offshore, paying no tax on profits, while the extra costs of PFI hang like a millstone dragging down NHS trusts. Unhealthy Profits explores the theory and practice, costs and consequences of PFI, how it has spread world-wide, and what can be done about it. And as a unique case study, it tells the story of the UNISON Branch in Mid Yorkshire Hospitals Trust that has commissioned the book - and fought PFI all the way.