National Trust (Great Britain)'s Books

Financial Management in the NHS

NHS (England) Summarised Accounts 2004-05

By: Great Britain: National Audit Office,Audit Commission

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Financial Management in the NHS

NHS (England) Summarised Accounts 2004-05

By: Great Britain: National Audit Office,Audit Commission

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.

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The Stationery Office

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ISBN 10

0102938156

ISBN 13

9780102938159

Reducing healthcare associated infections in hospitals in England

By: Great Britain: National Audit Office

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Reducing healthcare associated infections in hospitals in England

By: Great Britain: National Audit Office

The Department of Health introduced a target to reduce MRSA across all NHS trusts by 50 per cent by 2008 and C. difficile by 30 per cent by 2010-11. MRSA had been reduced by 57 per cent by the end of March 2008 and C. difficile by 41 per cent. While a quarter of trusts have reduced MRSA by more than 80 per cent, in 12 per cent of trusts there has been an increase in MRSA infections. Twenty-nine per cent of trusts have reduced C. difficile by more than 50 per cent, but in 19 per cent of hospital trusts the numbers of C. difficile infections have increased. Since the introduction of the targets, the Department has spent some £120 million tackling healthcare associated infections. There have also been unquantifiable administrative costs and local expenditure on the drive to reduce infection rates. These initiatives have led to savings on treatment of between £141 million and £263 million, as well as reducing discomfort, disability and, for some, death that might have been caused by these avoidable infections. There has also been a perceptible change in trust leadership on tackling infections. The impact has not, however, been the same in all trusts or for other infections. Following the Department's intervention to improve recording on death certificates where MRSA or C. difficile was the underlying cause or a contributory factor, in 2007 around 9,000 people were reported as having died in such circumstances. There is still no national information on deaths from other healthcare associated infections such as urinary tract infections and pneumonia and blood stream infections due to other causes may be increasing.

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The Stationery Office

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ISBN 10

0102955042

ISBN 13

9780102955040

Alcohol Use Disorders

The NICE Guideline on the Diagnosis, Assessment and Management of Harmful Drinking and Alcohol Dependence

By: National Collaborating Centre for Mental Health (Great Britain)

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Alcohol Use Disorders

The NICE Guideline on the Diagnosis, Assessment and Management of Harmful Drinking and Alcohol Dependence

By: National Collaborating Centre for Mental Health (Great Britain)

This clinical guideline, commissioned by the National Institute for Health and Clinical Excellence (NICE) sets out clear recommendations, based on the best available evidence, for health care professionals on how to work with people with alcohol use disorders, in order to improve their treatment and care. About a quarter of the UK population drink alcohol at a level that is harmful and over 4% are dependent. Alcohol use disorders are also increasing in children and young people. This new guideline reviews the evidence for the diagnosis and assessment of alcohol use disorders, organisation and delivery of care, assisted alcohol withdrawal, and psychological and pharmacological interventions, and includes a chapter on experience of care. It comes with a free CD-ROM that contains all the data used as evidence, including: included and excluded studies, profile tables that summarise both the quality of the evidence and the results of the evidence synthesis, all meta-analytical data, presented as forest plots and detailed information about how to use and interpret forest plots.

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616

Publisher

RCPsych Publications

Published Date

ISBN 10

1904671268

ISBN 13

9781904671268

National Audit Office - Department of Health: Maternity Services in England - HC 794

Department of Health

By: Great Britain: National Audit Office

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National Audit Office - Department of Health: Maternity Services in England - HC 794

Department of Health

By: Great Britain: National Audit 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

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The Stationery Office

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ISBN 10

0102987017

ISBN 13

9780102987010

Educating the next generation of scientists

Department for Education

By: Great Britain: National Audit Office

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Educating the next generation of scientists

Department for Education

By: Great Britain: National Audit Office

The Department for Education has made good progress in improving take-up and achievement in areas such as A-Level maths and GCSE Triple Science. However, there has been less success in increasing the number of science teachers, improving take-up of A-Level physics and raising the standards of school science facilities. There is evidence that pupils taking Triple Science GCSE are more likely than those studying combined science to choose science subjects at A-Level and to achieve higher grades. While starting from a low base, pupil take-up of the three individual sciences has increased by almost 150 per cent in the last five years. However, by June 2009, almost half of secondary schools still did not offer Triple Science. Take-up of chemistry and maths A-Level has already exceeded the targets for 2014 set by the Department, but take-up of physics A-Level has increased only slightly since 2005-06. Achievement increased across all science subjects and maths at A-Level between 2002-03 and 2009-10. Until recently, the Department had a target to ensure that all school laboratories were up to a good or excellent standard by 2010. However, it did not collect routine data to measure progress against this target, and the most recent research available found that science facilities were inadequate in around a quarter of secondary schools. Although recruitment of science graduates to train as specialist teachers has increased, the Department is not on course to meet the targets set by the previous Government for recruiting more mathematics and physics teachers by 2014.

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The Stationery Office

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ISBN 10

0102965536

ISBN 13

9780102965537

Common Mental Health Disorders

Identification and Pathways to Care

By: National Collaborating Centre for Mental Health (Great Britain)

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Common Mental Health Disorders

Identification and Pathways to Care

By: National Collaborating Centre for Mental Health (Great Britain)

Bringing together treatment and referral advice from existing guidelines, this text aims to improve access to services and recognition of common mental health disorders in adults and provide advice on the principles that need to be adopted to develop appropriate referral and local care pathways.

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316

Publisher

RCPsych Publications

Published Date

ISBN 10

1908020318

ISBN 13

9781908020314

A Safer Place for Patients

Learning to Improve Patient Safety; Department of Health

By: Great Britain: National Audit Office

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A Safer Place for Patients

Learning to Improve Patient Safety; Department of Health

By: Great Britain: National Audit Office

The Department of Health estimates that one in ten patients admitted to NHS hospitals will be unintentionally harmed (a rate similar to other developed countries), due to incidents such as an injury from a fall, medication errors, equipment related incidents, record documentation errors and hospital acquired infections. About half of such incidents could have been avoided, if lessons from previous incidents had been learned. This NAO report examines the progress being made in the NHS to improve the patient safety culture, to encourage incident reporting and to learn lessons for the future. The report finds that most trusts have developed a predominantly open and fair reporting culture at the local level, driven largely by the Department of Health's clinical governance initiative and more effective risk management systems. However, a 'blame culture' still exists in some trusts, and there have been delays in establishing an effective national reporting system. There is scope for improving strategies for sharing good practice and for monitoring that lessons are learned.

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100

Publisher

The Stationery Office

Published Date

ISBN 10

0102933448

ISBN 13

9780102933444

Improving the Efficiency of Postal Services Procurement in the Public Sector

By: Great Britain: National Audit Office

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Improving the Efficiency of Postal Services Procurement in the Public Sector

By: Great Britain: National Audit Office

All public sector organisations rely to varying degrees on postal services, costing nearly £650 million annually of which £250 million is spent by central government departments. The two biggest spenders are the Department for Work and Pensions and HM Revenue and Customs which account for over half this amount, with ten organisations accounting for 95 per cent of the total. Despite the growth in the use of internet and email, at least for the foreseeable future conventional mail will remain essential to the way public bodies communicate with the public. This NAO report examines how public sector organisations can become more effective in their procurement and management of postal services, and identifies six main areas where further improvements can be made in order to realise an estimated £31 million a year in savings by 2008-09. Two accompanying documents are available separately: case studies which examine the use of postal services in five organisations (HCP 946-II, ISBN 0102937354); and a guide which sets out examples of good practice across public and private sectors (HCP 946-III, ISBN 0102937362).

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The Stationery Office

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ISBN 10

0102937303

ISBN 13

9780102937305

NHS Pay Modernisation in England

Agenda for Change : Report

By: Great Britain. National Audit Office

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NHS Pay Modernisation in England

Agenda for Change : Report

By: Great Britain. National Audit Office

The NHS has successfully transferred 1.1 million NHS employees on to a new simplified pay system. This was a substantial task which the NHS, in partnership with the trade unions, achieved in a short timescale. There are some examples of NHS trusts using Agenda for Change to help introduce new roles. But the Department of Health did not put enough emphasis on getting trusts to develop these new ways of working to secure the full benefits from the new pay system, so the programme is not yet achieving the intended value for money. Agenda for Change has reduced pay administration in the NHS, simplified pay negotiations and made it easier to estimate staff costs and monitor budgets. The NAO estimates that for 2007-08 the £28 billion NHS paybill is broadly similar to what it might have been if the programme had not been implemented. The Department predicted that Agenda for Change would save at least £1.3 billion by 2008-09 and productivity would increase, but it did not put in place any central monitoring arrangements to show what impact the new contract has had on productivity. The only productivity measure available for the NHS as a whole shows that productivity continued to fall when Agenda for Change was introduced, though the rate has since slowed. A key element of Agenda for Change, the Knowledge and Skills Framework, which defines the skills needed for a certain role and provides a tool for reviewing their use in the workplace, has not yet been fully implemented by many trusts. Effective use of the Framework is fundamental to achieving the full benefits of Agenda for Change.

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The Stationery Office

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ISBN 10

0102954569

ISBN 13

9780102954562

Improving the Use of Temporary Nursing Staff in NHS Acute and Foundation Trusts

By: Great Britain: National Audit Office

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Improving the Use of Temporary Nursing Staff in NHS Acute and Foundation Trusts

By: Great Britain: National Audit Office

Includes booklet 'Good practice in managing the use of temporary nursing staff' (39 p., 21 cm) on inside back cover.

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102

Publisher

The Stationery Office

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ISBN 10

0102939314

ISBN 13

9780102939316

2012-13 update on indicators of the financial sustainability in the NHS

Department of Health

By: Great Britain: National Audit Office

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2012-13 update on indicators of the financial sustainability in the NHS

Department of Health

By: Great Britain: National Audit Office

This update finds that there was a surplus of £2.1 billion across the NHS as a whole in 2012-13, matching that in 2011-12. The financial performance of NHS trusts and foundation trusts should be considered in the context of a period of little to zero growth in funding for NHS services over the last two years and during a period of significant structural change across the NHS. Measured by the total surplus or deficit of hospital trusts, financial performance for the NHS appears stronger in 2012-13 than it did in 2011-12. However, there are signs of increasing pressure. As last year, there was a substantial gap between the trusts with the largest surpluses and those with the largest deficits. When primary care trusts (PCTs) and strategic health authorities are also included, there is a similar variation between local health economies. NHS trusts in difficulty rely on cash support from the Department of Health or non-recurrent local revenue support from strategic health authorities and primary care trusts but this is not a sustainable way of reconciling growing demand with the scale of efficiency gains required within the NHS. At the end of 2012-13, there were still 100 NHS trusts that had not achieved foundation trust status. The risk that NHS trusts will not maintain their planned trajectory to foundation trust status increased substantially in 2012-13. This is a period of major transition for the NHS, as clinical commissioning groups take over from strategic health authorities and PCTs the responsibility for commissioning health services.

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Stationery Office

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ISBN 10

0102986118

ISBN 13

9780102986112

End of Life Care

By: Great Britain. National Audit Office

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End of Life Care

By: Great Britain. National Audit Office

This National Audit Office report finds that some people approaching the end of their life receive a high quality service, but that there is room for improved coordination between health and social care services in planning and delivering end of life care. The provision of end of life care is becoming increasingly complex, with people living longer and the incidence of frailty and multiple conditions in older people rising. Information on peoples' wishes is often not captured or shared and a lack of services to support them at home may lead to unplanned and unwanted admissions to hospital. In 2006-07, estimated expenditure on specialist palliative care varied considerably between PCTs from £154 to £1,684 per person who died. While there are no complete data on the total cost of end of life care, NAO estimate the cost of caring for the 27 per cent of people who die from cancer is £1.8 billion in the last year of their life. The majority of people approaching the end of their life wish to be cared for outside of hospital, so reducing the amount of time they spend there unnecessarily could make resources available to support these people more effectively in their preferred place of care. Frontline staff often lack training in delivering basic end of life care. Only 29 per cent of doctors and 18 per cent of nurses received pre-registration training in end of life care, and there is a lack of formal training for staff working in care homes. Positive experiences of care were often linked to being treated by staff who understood, appreciated and empathised with the end of life situation.

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The Stationery Office

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ISBN 10

0102954437

ISBN 13

9780102954432

Britain 1998

An Official Handbook

By: Office for National Statistics

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Britain 1998

An Official Handbook

By: Office for National Statistics

Britain: An Official Handbook is one of the best-known and most respected reference works on Great Britain. It is the only publication that gathers together in a single volume a complete range of official information about Britain's people, government, and environment, as well as its economic, social, and cultural affairs.The 1998 Edition presents comprehensive chapters on every major aspect of British society. Special features in this edition include an 8-page color section on the Government Art Collection, which celebrates its 100th anniversary in 1998, and new maps showing the revised local authority boundaries in England, Northern Ireland, Scotland, and Wales. Tables, maps, diagrams, and photographs are included throughout.

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616

Publisher

Bernan Press(PA)

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ISBN 10

0116209410

ISBN 13

9780116209412

National Trust Handbook 2007

By: National Trust (Great Britain),Lucy Peel

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National Trust Handbook 2007

By: National Trust (Great Britain),Lucy Peel

The National Trust Handbook' is a concise, up-to-date guide for anyone interested in places of historic or natural interest. Short descriptions are given of each property or location, along with opening times, facilities, directions and maps.

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404

Publisher

National Trust

Published Date

ISBN 10

0707804043

ISBN 13

9780707804040

Book's by National Trust (Great Britain)

Financial Management in the NHS

Financial Management in the NHS

Reducing healthcare associated infections in hospitals in England

Reducing healthcare associated infections in hospitals in England

Alcohol Use Disorders

Alcohol Use Disorders

National Audit Office - Department of Health: Maternity Services in England - HC 794

National Audit Office - Department of Health: Maternity Services in England - HC 794

Educating the next generation of scientists

Educating the next generation of scientists

Common Mental Health Disorders

Common Mental Health Disorders

A Safer Place for Patients

A Safer Place for Patients

Improving the Efficiency of Postal Services Procurement in the Public Sector

Improving the Efficiency of Postal Services Procurement in the Public Sector

NHS Pay Modernisation in England

NHS Pay Modernisation in England

Improving the Use of Temporary Nursing Staff in NHS Acute and Foundation Trusts

Improving the Use of Temporary Nursing Staff in NHS Acute and Foundation Trusts

2012-13 update on indicators of the financial sustainability in the NHS

2012-13 update on indicators of the financial sustainability in the NHS

End of Life Care

End of Life Care

Britain 1998

Britain 1998

National Trust Handbook 2007

National Trust Handbook 2007

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