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Health

The Audit Commission's work in health

The Audit Commission appoints auditors who carry out audits of NHS trusts, primary care trusts and strategic health authorities.

We publish independent reports highlighting the risks and good practice to improve the quality of financial management in the health service and encourage continual improvement in public services, including public health and health inequalities.

Audit

We appoint auditors who carry out audits of NHS trusts, primary care trusts and strategic health authorities and report annually on their findings. Information about our approach to audit and annual audit letters can be found in our audit regime pages.

Payment by results (PbR)

Payment by Results (PbR) aims to support NHS modernisation by paying hospitals for the work they do, rewarding efficiency and quality. It also carries risks that need to be managed effectively both locally and nationally.

Since 2007 the Audit Commission has delivered a programme of data assurance audits on the data that supports the payments made under PbR. The Audit Commission has also developed the award winning National Benchmarker which allows PCTs and trusts to review and identify not only data quality issues but also to review efficiency and productivity.

Reports and studies

Our research focuses on financial and other management issues in the NHS. It draws on analysis of local and national data and aims to NHS bodies and their partners challenge their current arrangements and performance. Our reports are based on independent, authoritative analysis of national evidence and local practice and help to improve the economy, efficiency and effectiveness of local public services. We publish reports on:

Auditors' Local Evaluation and Use of Resources

From 2005/06, appointed auditors carried out annual assessments of primary care trusts and NHS trusts using the Auditors' Local Evaluation (ALE). ALE assessed how well NHS organisations managed and used their financial resources and highlighted areas for improvement.

In 2008/09, ALE for primary care trusts was replaced by a use of resources (UoR) assessment. Auditors continued to carry out ALE assessments for NHS Trusts.

Auditors carried out use of resources and ALE assessments for the final time in 2009/10.

Latest reports and studies

 
 
19 January 2012
The Audit Commission and Monitor have jointly published a guide called ‘Delivering sustainable cost improvement programmes’ aimed at acute, ambulance, mental health and specialist NHS trusts and foundation trusts.
NHS quality accounts 2010/11
Providing external assurance: Findings from auditors' work at NHS trusts and foundation trusts
5 January 2012
The Commission has published a briefing summarising the findings from its appointed auditors' reviews of quality accounts at 91 NHS acute and mental health trusts.
Improving coding, costing and commissioning
Annual report on the PbR data assurance programme 2010/11
22 September 2011
The Commission has published 'Improving coding, costing and commissioning: Annual report on the Payment by Results (PbR) data assurance programme 2010/11.
NHS Financial Year 2010/11
A summary of auditors' work
11 August 2011
The recently launched 'NHS Financial Year 2010/11: A summary of auditors' work' provides a view of the overall financial performance of the NHS in 2010/11
16 May 2011
This briefing finds that care pathways are altered, and commissioning decisions made, with the intention of benefitting patients, but often without fully understanding the cost implications.

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