Books by "Great Britain: National Audit Office"
12 books found
National Audit Office (NAO): Government Contracting: The Role of Major Contractors in the Delivery of Public Services - HC 810
by Great Britain: National Audit Office
2013 · The Stationery Office
In the memorandum 'The role of major contractors in the delivery of public services' the NAO sets out some of the benefits that can be achieved through contracting but highlights three issues that deserve greater public scrutiny. First, it raises questions about the way public service markets operate. This includes the need for scrutiny over whether public service contracts are sufficiently competitive and whether the rise of a few major contractors is in the public interest. Secondly, it highlights the issue of whether contractors' profits reflect a fair return. Understanding contractors' profits is important to ensure that their interests are aligned properly with that of the taxpayer. But transparency over rewards that contractors make is at present limited. Thirdly, the report asks how we know that contractors are delivering services to the high standards expected. In particular, government needs to ensure that large companies with sprawling structures are not paying 'lip-service' to control and that they have the right culture and control environment across their group. This requires transparency over contractors' performance and the use of contractual entitlement to information, audit and inspection. This should be backed up by the threat of financial penalties and being barred from future competitions if things are found to be wrong. A related report 'Managing government suppliers' (HC 811, session 2013-14, ISBN 9780102987034) examines the way the Cabinet Office is working to improve government's management of strategic suppliers.
National Audit Office - Department of Health: Maternity Services in England - HC 794
by Great Britain: National Audit Office
2013 · The Stationery Office
Since the Department's 2007 Maternity Matters strategy, there has been improvement in maternity services. However, there is wide variation between trusts in performance. The Department did not fully consider the implications of delivering its ambitions and has failed to demonstrate that it satisfactorily considered the achievability and affordability of implementing the strategy. Nor has it monitored national progress against it. In 2011, one in 133 babies was stillborn or died within several days of birth. The mortality rate has fallen over time, but comparisons with the other UK nations suggest scope for further improvement. Trusts paid £482 million for maternity clinical negligence cover in 2012-13, equating to around a fifth of spending on maternity services. The level of consultant presence has substantially improved but over half of maternity units (including all of the largest units) do not meet recommended levels. The NHS is also not meeting a widely recognised benchmark of one midwife to 29.5 births. The government has commissioned more places to study midwifery, but it is unclear whether these will be enough. Meeting the benchmark would require around 2,300 additional midwives nationally. In terms of choice of place of birth, 79 per cent of women are currently within a 30-minute drive of both an obstetric and midwifery-led unit, compared with 59 per cent in 2007. However, choice is restricted where units have to close because of a lack of physical capacity or midwives. Over a quarter of units closed for half a day or more between April and September 2012
National Audit Office - Department of Business, Innovation and Skills - HM Treasury: Improving Access to Finance for Small and Medium-Sized Enterprises - HC 724
by Great Britain: National Audit Office
2013 · The Stationery Office
Despite a renewed focus by government on the financing challenges facing small and medium-sized enterprises (SMEs), there is scope for the range of funding initiatives currently in place to work as a more unified programme, according to the National Audit Office. Preparations for the Business Bank, which was publicly launched in October 2013 but will start operating as an independent entity in 2014, prompted the Department for Business, Innovation & Skills (BIS) to re-examine the nature of the finance problems facing SMEs. These include a possible need by SMEs by 2017 for an additional £22 billion over and above the finance available to them. BIS and HM Treasury are able to draw on an increasingly strong body of data to inform decision-making, including Bank of England reports on credit conditions, the SME business barometer and aggregated information from the British Bankers' Association on loan applications and approvals. At present, although BIS and HM Treasury both have teams dealing with 'enterprise' policy, there is no formal research programme joining the Departments with other departments, such as HMRC, with an interest in SMEs. One of the Treasury's priorities is to support the development of new routes to finance for SMEs, while BIS schemes target specific parts of the market. To date, the Departments have not articulated clearly enough what the various schemes are expected to deliver as a programme. The NAO found that BIS-led schemes such as the Enterprise Finance Guarantee and Start-Up Loans provided direct support to around 5,900 firms in 2012-13, and the current schemes are generally performing positively in terms of meeting the largely activity-based success measures set for them. BIS has also taken steps to provide better explanations to SMEs on the options available to them for financing their business, but raising the profile of the help available will be a challenge for the Business Bank.
National Audit Office (NAO) - Cross-Government: Infrastructure Investment: The Impact on Consumer Bills - HC 812-I
by Great Britain: National Audit Office
2013 · The Stationery Office
Government and regulators do not know by how much overall expected new investment by the private sector in infrastructure will increase household utility bills and whether bills will be affordable. The National Audit Office has recommended that the Treasury ensure there are mechanisms to assess the cumulative impact of infrastructure investment on consumer bills. This report, which focuses on the energy, water and, to a lesser extent, telecoms sectors, recognizes that the UK requires significant investment in new infrastructure. The Treasury expects that over two-thirds of the £310 billion worth of the planned infrastructure it has identified will be privately financed, owned and operated but paid for by consumers through their utility bills. High levels of expected new investment in infrastructure mean that energy and water bills may rise significantly from current levels. The available projections suggest that increases in both energy and water bills will continue to outstrip inflation, on average, up to 2030. This is particularly concerning, given that energy and water bills have increased significantly in recent years, while incomes have not. The affordability of utility bills can be assessed only in the context of wider pressures on household expenditure, including an understanding of all household bills as well as potential trends in household incomes. There is a range of schemes to support vulnerable consumers but without a fuller understanding of affordability in the round, government and regulators cannot assess the adequacy of these schemes, now or in the future
Contains the 4th session of the 28th Parliament through the session of the Parliament.