House of Commons - Committee of Public Accounts: Emergency Admissions to Hospital - HC 885

House of Commons - Committee of Public Accounts: Emergency Admissions to Hospital - HC 885 PDF

Author: Great Britain: Parliament: House of Commons: Committee of Public Accounts

Publisher: The Stationery Office

Published: 2014-03-04

Total Pages: 48

ISBN-13: 9780215068873

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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

HC 1141 - The Work of the Committee of Public Accounts 2010-15

HC 1141 - The Work of the Committee of Public Accounts 2010-15 PDF

Author: Great Britain. Parliament. House of Commons. Committee of Public Accounts

Publisher: The Stationery Office

Published: 2015

Total Pages: 41

ISBN-13: 0215085779

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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.

Estimating and monitoring the costs of building roads in England

Estimating and monitoring the costs of building roads in England PDF

Author: Great Britain: Parliament: House of Commons: Committee of Public Accounts

Publisher: The Stationery Office

Published: 2007-11-08

Total Pages: 52

ISBN-13: 9780215037084

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The Department for Transport has approved expenditure of over £11 billion between 1998 and 2021 for the development of new and existing trunk roads and motorways by the Highways Agency, and just under £1.7 billion on major road schemes proposed and developed by local authorities in five year Local Transport Plans. Following on from a NAO report on this topic (HCP 321, session 2006-07; ISBN 9780102944600) published in March 2007, the Committee's report examines the steps taken by the Department for Transport and the Highways Agency to improve value for money and oversight of the roads programme and contracting methods and project management capability. By September 2006, the Agency's 36 completed schemes in the Targeted Programme of Improvement cost 40 per cent more than estimated initially, and for schemes still to be completed, latest forecasts indicate that final costs could be 27 per cent more than original estimates. The main causes for costs exceeding estimates are increases in construction costs, higher than forecast land prices and compensation to landowners, inflation and changes in the scope of the project. The report finds that the DfT has not been rigorous enough in its oversight of the Agency's delivery of major road schemes, allowing it too much latitude on delivery and cost plans, and has failed to monitor in-year expenditure against progress and delivery milestones. The Agency is overly reliant on consultants for project management expertise and needs to develop its in-house capability.

The delays in administering the 2005 Single Payment Scheme in England

The delays in administering the 2005 Single Payment Scheme in England PDF

Author: Great Britain: Parliament: House of Commons: Committee of Public Accounts

Publisher: The Stationery Office

Published: 2007-09-06

Total Pages: 70

ISBN-13: 9780215036179

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The EU Single Payment Scheme replaced 11 previous subsidies to farmers based on agricultural production with one payment for land management. The European Commission gave some discretion to Member States over how to implement the scheme, and the Rural Payments Agency, which is responsible for administering the scheme in England, opted for the dynamic hybrid model which incorporates elements of previous entitlement and new regionalised area payments based on a flat rate per hectare. The Agency and Defra encountered severe problems in the implementation of the scheme in England, and by the end of March 2006, it had paid farmers only 15 per cent of the £1,515 million due, compared with its target of 96 per cent. This caused significant hardship to farmers and taxpayers will have to pay extra implementation costs. Defra has had to secure an extra £300 million to meet the potential cost of disallowance of expenditure by the European Commission arising on the problems in administering the scheme. Following on from a NAO report on this topic (HCP 1631, session 2005-06; ISBN 9780102943399 published in October 2006, as well as a report from the Environment, Food and Rural Affairs Select Committee (HCP 107-I, session 2006-07, ISBN 9780215033383) published in March 2007, this report by the Public Accounts Committee examines the impact of the payment delays on the farming sector, why implementation failed, the role of Defra and the changes being put in place to rectify the mistakes made. Lessons highlighted include: the Department made the scheme unnecessarily complex by choosing to adopt the most demanding implementation option; the Rural Payments Agency shed too many experienced staff at a key time; implementation of the project started before the scheme specification was finalised; and the IT system was introduced without adequate testing, a failure often seen with government IT projects.

House of Commons Procedure and Practice

House of Commons Procedure and Practice PDF

Author: Canada. Parliament. House of Commons

Publisher:

Published: 2000

Total Pages: 1216

ISBN-13:

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This reference book is primarily a procedural work which examines the many forms, customs, and practices which have been developed and established for the House of Commons since Confederation in 1867. It provides a distinctive Canadian perspective in describing procedure in the House up to the end of the first session of the 36th Parliament in Sept. 1999. The material is presented with full commentary on the historical circumstances which have shaped the current approach to parliamentary business. Key Speaker's rulings and statements are also documented and the considerable body of practice, interpretation, and precedents unique to the Canadian House of Commons is amply illustrated. Chapters of the book cover the following: parliamentary institutions; parliaments and ministries; privileges and immunities; the House and its Members; parliamentary procedure; the physical & administrative setting; the Speaker & other presiding officers; the parliamentary cycle; sittings of the House; the daily program; oral & written questions; the process of debate; rules of order & decorum; the curtailment of debate; special debates; the legislative process; delegated legislation; financial procedures; committees of the whole House; committees; private Members' business; public petitions; private bills practice; and the parliamentary record. Includes index.

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