Nhs Local Improvement Finance Trusts
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Author | : Great Britain: Parliament: House of Commons: Committee of Public Accounts |
Publisher | : The Stationery Office |
Total Pages | : 56 |
Release | : 2006-07-04 |
Genre | : Medical |
ISBN | : 9780215029508 |
The Department of Health launched the Local Improvement Finance Trust (LIFT) in 2000 to address long-standing under-investment in primary care facilities. It is a form of Public-Private Partnership with a national joint venture, Partnerships in Health, that oversees and invests in it. The total capital value of the first tranche of buildings was £711 million and the average cost of a building was £5 million. 90% of the capital is provided by debt and the properties are owned by the LIFTCo, with income being generated by rent payments from tenants such as GPs, Primary Care Trust, pharmacies and the local authority. This report examines whether the programme has been implemented effectively.
Author | : Great Britain: Parliament: House of Commons: Health Committee |
Publisher | : The Stationery Office |
Total Pages | : 260 |
Release | : 2006-01-11 |
Genre | : Medical |
ISBN | : 021502687X |
NHS Primary Care Trusts (PCTs) were created in 2002 to commission health services for their local populations, and are currently responsible for controlling about 80 per cent of the £76 billion NHS annual budget. In addition, PCTs have responsibility for public health, and many also provide community-based health services such as district nursing and community hospitals. The Committee's report examines the Government's proposals (set out in the Department of Health paper 'Commissioning a Patient-led NHS' published in July 2005, which can be downloaded at http://www.dh.gov.uk/assetRoot/04/11/67/17/04116717.pdf) to cut the number of PCTs and to contract out community health services by the end of 2008. The report raises a number of serious concerns about the proposals, including in relation to: failings in the consultation process; the impact of PCT restructuring and divestment of provider services; and the likelihood that the estimated financial savings of £250 million will be achieved.
Author | : Duncan P. Cartlidge |
Publisher | : Elsevier |
Total Pages | : 323 |
Release | : 2006 |
Genre | : Technology & Engineering |
ISBN | : 0750668415 |
The construction industry and the quantity surveying profession have undergone rapid changes and this text explores the evolving market, examining the new construction culture, procurement strategies, e-practice and the QS, delivering added value, supply chain management and partnering.
Author | : Alison Talbot-Smith |
Publisher | : Routledge |
Total Pages | : 221 |
Release | : 2006-09-27 |
Genre | : Business & Economics |
ISBN | : 1134334508 |
Do you understand the 'New NHS'? This new text is an indispensable guide to how health care is delivered in Britain today.
Author | : Michael Mandelstam |
Publisher | : Jessica Kingsley Publishers |
Total Pages | : 321 |
Release | : 2007 |
Genre | : Medical |
ISBN | : 1843104822 |
Based on his experiences of helping to fight cuts and closures in Suffolk, Michael Mandelstam delivers a damning verdict on the mismanagement of the NHS at national, regional and local level. He charts the widespread cutbacks and closures, both rural and urban, to clinics, A&E services, beds, wards and scores of community hospitals. He outlines how humane care, particularly for older people, is compromised by the ruthless determination of NHS management to increase patient throughput and hit government-set targets. The author highlights how the chaotic change to the NHS is being driven by concealed agendas - including privatisation of the NHS, obsessive interference from central government as well as selective use, if not abandonment, of evidence-based practice. Seriously flawed and damaging decisions are the result, affecting the population at large as well as those most vulnerable - older people with chronic and complex needs, people with physical or learning disabilities and people with mental health problems. Above all, he exposes the scandalous lack of transparency and accountability behind changes that threaten to destroy the NHS.
Author | : Great Britain. Parliament. House of Commons. Committee of Public Accounts |
Publisher | : The Stationery Office |
Total Pages | : 60 |
Release | : 2006 |
Genre | : School improvement programs |
ISBN | : 0215030680 |
In 2004-05, approximately £837 million was spent in England on a range of national programmes to help address problems in schools that were failing or at risk of failing to provide an acceptable standard of education for their pupils. Following on from a NAO report (HC 679, session 2005-06; ISBN 0102936633) published in January 2006, the Committee's report examines the activities of the DfES and Ofsted to identify and deal with poorly performing schools, to strengthen school leadership and to develop simpler relationships with schools. Findings include that, although the number of poorly performing schools has been reducing, there are still around 1,500 in England that are under-performing. Improvements in data on secondary school performance has helped to identify schools in decline at an earlier stage so that they can benefit from increased support, and similar improvement needs to be done at primary school level. The system of shorter Ofsted inspections, based on school self-evaluation of performance, may be appropriate for the majority of schools, but some schools are not evaluating themselves effectively and incentives needs to be created to help achieve this. School leadership is essential to achieving and maintaining improvements, and Ofsted reports need to diagnose any leadership problems in failing schools explicitly. Local authorities and other schools are important sources of support for struggling schools and there should be greater opportunities for schools to collaborate and share good practice.
Author | : Tony White |
Publisher | : Radcliffe Publishing |
Total Pages | : 333 |
Release | : 2010 |
Genre | : Medical |
ISBN | : 1846194598 |
Previously published as The Specialist Registrar and New Consultant Handbook, these completely revised and reconfigured volumes reflect the changing everyday work of specialist trainees, registrars and consultants. The two volumes of The Doctors Handbook are an essential reference for all doctors, from specialist trainees to consultants.
Author | : Matthew Flinders |
Publisher | : Oxford University Press, USA |
Total Pages | : 383 |
Release | : 2008-08-21 |
Genre | : Business & Economics |
ISBN | : 0199271607 |
A wide-ranging and provocative new interpretation of the increasingly important role of delegated public bodies in British political life.
Author | : Great Britain: National Audit Office |
Publisher | : The Stationery Office |
Total Pages | : 44 |
Release | : 2006-07-21 |
Genre | : Social Science |
ISBN | : 0102942315 |
The 2002 report Tackling pensioner poverty: encouraging take-up of entitlements (ISBN 0102919577) examined efforts by the Department for Work and Pensions to increase the take-up of benefits by pensioners. It was followed by a report from the Committee of Public Accounts (ISBN 0215009347) that made a number of recommendations. This report looks at the changes the Department have made against those recommendations and the challenges that remain. The overall conclusion is that the Pension Service has made substantial progress in helping pensioners secure their entitlements, using new and thought through approaches. However there is more to be done. This report is accompanied by a technical report that describes the methodology and findings in greater detail.
Author | : Great Britain: National Audit Office |
Publisher | : The Stationery Office |
Total Pages | : 92 |
Release | : 2006-07-20 |
Genre | : Law |
ISBN | : 0102942293 |
The report, based on research carried out by RAND Europe and commissioned by the National Audit Office, presents the results of a benchmarking exercise investigating the issue of fraud and error in the social security systems of eight European and non-European countries (covering Australia, Canada, France, Ireland, Netherlands, New Zealand, Sweden and the United States). The study describes the different systems studied, assesses the scale and prominence of the problem in a national context, outlines approaches taken to measure and to reduce fraud and error, and draws out the principal themes emerging from the comparisons of relevance for the Department for Work and Pensions (DWP). Findings include that the availability of data and methodologies for measuring fraud and error at national level vary considerably, but the DWP is at the forefront in developing estimates of losses arising from fraud and error in social security expenditure. The high levels of estimated fraud and error in expenditure on benefits, £2.6 billion in 2004-05, have led to the NAO qualifying the DWP's accounts and those of the former Department of Social Security for 16 years in a row. The rates of fraud at the DWP appear comparable to those of other countries, such as USA, Ireland, Canada and New Zealand, and it compares favourably in terms of awareness of the problem and activities to combat the problem.