Financial Management in the NHS

Financial Management in the NHS

Author: Great Britain: National Audit Office

Publisher: The Stationery Office

Published: 2005-06-24

Total Pages: 288

ISBN-13: 9780103285177

DOWNLOAD EBOOK

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.


OHE Compendium of Health Statistics 2009

OHE Compendium of Health Statistics 2009

Author: Emma Hawe

Publisher: Radcliffe Publishing

Published: 2008-12-31

Total Pages: 308

ISBN-13: 1846193184

DOWNLOAD EBOOK

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.


Compendium of Health Statistics

Compendium of Health Statistics

Author: Emma Hawe

Publisher: CRC Press

Published: 2018-04-19

Total Pages: 425

ISBN-13: 1315346788

DOWNLOAD EBOOK

"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.


Compendium of Health Statistics 2005-2006

Compendium of Health Statistics 2005-2006

Author: Peter Yuen

Publisher: Radcliffe Publishing

Published: 2005

Total Pages: 320

ISBN-13: 1846190029

DOWNLOAD EBOOK

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.


High Quality Care for All

High Quality Care for All

Author: Secretary of State for Health

Publisher: The Stationery Office

Published: 2008

Total Pages: 92

ISBN-13: 9780101743228

DOWNLOAD EBOOK

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.


Follow the Money

Follow the Money

Author: Duncan Campbell-Smith

Publisher: Penguin UK

Published: 2008-03-27

Total Pages: 629

ISBN-13: 0141918179

DOWNLOAD EBOOK

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

NHS Deficits

Author: Great Britain: Parliament: House of Commons: Health Committee

Publisher: The Stationery Office

Published: 2006-07-03

Total Pages: 204

ISBN-13: 9780215029577

DOWNLOAD EBOOK

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


Unhealthy Profits

Unhealthy Profits

Author: John Lister

Publisher: Lulu.com

Published: 2018-11-19

Total Pages: 290

ISBN-13: 0244734429

DOWNLOAD EBOOK

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.