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Audit Commission (audit + commission)

Distribution by Scientific Domains

Medical Sciences	33%
Business, Economics, Finance and Accounting	33%

Selected Abstracts

The Audit Commission review of diabetes services in England and Wales, 1998,2001

DIABETIC MEDICINE, Issue 2002
B. Fitzsimons
Abstract Aims of the Audit Commission The Audit Commission has a statutory duty to promote the best use of public money. It does this through value for money studies, such as that reported in Testing Times[1]. This work has been followed with a review of innovative practice in commissioning. These initiatives aim to support the implementation of the diabetes national service framework. The Audit Commission also appoints external auditors to NHS organizations who assess probity and value for money in the NHS; the latter by applying national studies locally and by carrying out local studies. Methods Research for Testing Times consisted of structured visits to nine acute trusts, a telephone survey of 26 health authorities and a postal survey of 1400 people with diabetes and 250 general practitioners. Local audits used a subset of the original research tools. Case studies were identified through a cascade approach to contacts established during Testing Times and through self-nomination. Results Rising numbers of people with diabetes are placing increasing pressure on hospital services. Some health authorities and primary care organizations have reviewed patterns of service provision in the light of the increasing demands. These reviews show wide variations in patterns of routine care. In addition, there is a widespread lack of data on the delivery of structured care to people with diabetes. People with diabetes report delays in gaining access to services, and insufficient time with staff. There are insufficient arrangements in place for providing information and learning opportunities to support self-management. Conclusion As the number of people with diabetes continues to rise, the potential for providing more care in a primary care setting needs to be explored. This will enable specialist services to focus more effectively on those with the most complex needs. [source]

An Empirical Investigation of Price Competition and Industry Specialisation in NHS Audit Services

FINANCIAL ACCOUNTABILITY & MANAGEMENT, Issue 2 2005
Ilias G. Basioudis
The NHS audit market is regulated by the Audit Commission (AC) and has unique features. We develop a model for audit fees that includes rigorous analysis of the type of auditor. Poor financial standing does not give rise to higher audit fees. Despite regulation the study supports the existence of a Big Five price premium on the audit fee, but only one firm has a premium. We found no premium due to industry specialisation. The removal of performance audit from AC regulation will require improved audit fee reporting and control. [source]

Immediate follow-up after ICU discharge: establishment of a service and initial experiences

NURSING IN CRITICAL CARE, Issue 2 2003
Eunice Strahan
Summary ,Follow-up of patients discharged from the intensive care unit (ICU) is recommended as a means of service evaluation (Department of Health (2000). Comprehensive Critical Care: a Review of Adult Critical Care Services), in order to monitor the quality of the services provided ,Without patient follow-up, ICU staff have only ,death' or ,discharge alive from hospital' as clinical outcomes from which to judge practice performance, and limited evidence exists on which to base decisions about improvements to critical care practice (Audit Commission (1999). Critical to Success , the Place of Efficient and Effective Critical Care Services Within the Acute Hospital ) ,To address these issues the Regional Intensive Care Unit (RICU) obtained information from patient assessment/interview on problems experienced by patients within 8,9 days (mean), following discharge from RICU ,A nurse-administered questionnaire was used to identify functional outcomes, nutrition and psychological issues such as anxiety and sleep disturbances ,Benefits of patient follow-up introduced and planned include: ,patient diaries for long-term patients ,input from clinical psychologist ,review of sedation used in RICU [source]

The Audit Commission: guiding, steering and regulating local government

PUBLIC ADMINISTRATION, Issue 3 2003
Josie Kelly
How does the non-executant state ensure that its agents are fulfilling their obligations to deliver nationally determined policies? In the case of elected local government in England and Wales, this function is carried out by the Audit Commission (AC) for Local Authorities and the Health Service for England and Wales. Since being established in 1983, it is the means by which local authorities are held to account by central government, both for its own purposes and on behalf of other interested stakeholders. Although the primary function of the AC is to ensure that local authorities are fulfilling their obligations, it does so by using different methods. By acting as a regulator, an independent expert, an opinion former and a mediator, the AC steers local authorities to ensure that they are compliant with the regulatory regime and are implementing legislation properly. [source]

Young People, Crime and School Exclusion: A Case of Some Surprises

THE HOWARD JOURNAL OF CRIMINAL JUSTICE, Issue 1 2005
Philip Hodgson
Coinciding with this rise was a resurgence of the debate centring on lawless and delinquent youth. With the publication of Young People and Crime (Graham and Bowling 1995) and Misspent Youth (Audit Commission 1996) the ,common sense assumption' that exclusion from school inexorably promoted crime received wide support, with the school excludee portrayed as another latter day ,folk devil'. This article explores the link between school exclusion and juvenile crime, and offers some key findings from a research study undertaken with 56 young people who had experience of being excluded from school. Self-report interview questions reveal that whilst 40 of the young people had offended, 90% (36) reported that the onset of their offending commenced prior to their first exclusion. Moreover, 50 (89.2% of the total number of young people in the sample), stated that they were no more likely to offend subsequent to being excluded and 31 (55.4%) stated that they were less likely to offend during their exclusion period. Often, this was because on being excluded, they were ,grounded' by their parents. [source]

In Need of Review?

BRITISH JOURNAL OF SPECIAL EDUCATION, Issue 3 2002
Statements of Special Educational Needs, The Audit Commission's Report on Statutory Assessment
Since spring 2001, the Audit Commission has been carrying out research into provision for children with special educational needs. In this article, Anne Pinney, Project Manager with the Public Services Research section at the Audit Commission, summarises the findings presented in an interim report published in June 2002. She reveals widespread dissatisfaction with current approaches to assessment; the process of developing a Statement; the allocation of resources to support children with special educational needs; and the procedures used by schools and LEAs to ensure that SEN provision is effective. Anne Pinney goes on to set out the recommendations made by the Audit Commission in its interim report. These include a collaborative approach to review involving schools and LEAs; increased delegation of resources to schools; and the development of more effective inter,agency approaches to assessment and intervention. This article concludes with a call for a high level independent review of SEN policy and practice focused on resolving the tensions in the current system. Anne Pinney also looks forward to a number of other outcomes from the Audit Commission's work in relation to children with special educational needs. BJSE will be bringing you news of these developments in future issues. [source]