Select Committee on Public Accounts Seventeenth Report


ANNEX

1  Examples of Reports on the need for proper preparation and project implementation

7th Report, Home Office: The Immigration and Nationality Directorate's Casework Programme (HC 130, Session 1999-00)

  • We note that the Home Office consider that the original scope and goals of the project remain valid but they now recognise that the timetable for completion of the entire project had been much too ambitious. The business requirement took longer to finalise than either they or Siemens expected. As Siemens had started to develop the IT system before the business requirement was finalised, the two strands had diverged over time and this was a major factor in the delay to the entire project.
  • We are concerned that, during the selection process, the Home Office underestimated the difficulty of scaling up existing applications, developed by Siemens in other fields, to the relatively large processing volumes needed for the Directorate's workload. We agree with the Home Office that careful phasing of the implementation of the separate elements of such projects is something that should be examined very carefully in the future.

43rd Report, Ministry of Defence: Major Projects Report (HC 383, Session 2003-04)

  • In a number of cases, such as the Astute submarine and the Support Vehicle, the Department and industry made poor decisions and committed to unrealistic programmes. The Department is in a long lasting relationship with many of its suppliers where success will only be achieved by establishing programmes which hold the prospect of securing a fair risk and reward balance. The Department and industry should explore how better to share information on costs, risks and potential opportunities for mutual gain to help both partners to structure deals appropriate to the circumstances of individual programmes.
  • Smart Acquisition principles were not fully applied to the Support Vehicle which is currently predicted to be a year late entering service. The Department decided to proceed without a formal Assessment Phase on the basis of three years work done to examine the suitability of the project for a Private Finance Initiative solution and because potential solutions were already available in the commercial sector. In retrospect, the Department accepts that it made a mistake in omitting the Assessment Phase and that both its and industry's understanding of the requirement was immature.

23rd Report, Reducing Crime - The Home Office Working with Crime and Disorder Reduction Partnerships (HC 147, Session 2004-05)

  • Motivated by a desire to make sure that annual allocations were spent by the year end, Home Office regional crime reduction teams had encouraged Partnerships to implement projects quickly. Such a policy, based on end of year considerations had inevitably led to inefficiencies. The Home Office had allocated, for example, funding for a CCTV and automatic number plate recognition system to the Portsmouth Partnership in December 2002. It had then required the Partnership to spend the funds by March 2003. The rushed procurement led to the acquisition of a system which was not fully operational until August 2003. By making use of existing government flexibility for funding non-government organisations, the Home Office could have rolled forward funding for Partnerships from one year to the next, provided the programme money had not been spent and was still available for that project.

62nd Report, The purchase of the Read Codes and the management of the NHS Centre for Coding and Classification (HC 657, Session 1997-98)

  • It is axiomatic that sound project appraisal includes a rigorous assessment of costs and benefits and a realistic assessment of any risks. In their purchase and development of the Read Codes, the NHS Executive failed to undertake such an appraisal and they did not produce a business case for a project on which they have now spent £32 million. It will cost much more to implement the project in full. This failure reinforces our concerns on other NHS information technology projects, such as the development of hospital information systems.

C&AG's Report, The cancellation of the Benefits Payment Card Project (HC 857, Session 1999-2000)

  • Inadequate time was allocated for specifying the requirement and piloting. To save time and money, insufficient work went into specifying the project and for demonstrations by bidders. The result of skimping at the start was vast delay and as it turned out, wasted money. A key lesson is that allowing realistic timescales for early planning and detailed specification will pay dividends in time, cost and quality.

16th Report, Improving public services through innovation: the Invest to Save Budget (HC 170, Session 2002-03)

  • The Department for Work and Pensions ONE project—by far the largest ISB project to-date—had, as one of its main objectives, the aim of increasing levels of employment by piloting new and innovative ways of getting benefit recipients into work. The Department's February 2003 evaluation of the project indicated, however, that it had made no difference to the chances of benefit recipients securing employment. While this is a disappointing outcome for an innovative project the Department did recognise from the outset the risks inherent in such a scheme, given the often difficult task of getting those on welfare back to work. It took steps to address these risks by regularly monitoring the progress of the pilot and candidly evaluating its impact, so that clear lessons could be drawn as the initiative went forward. In this respect, the Department managed the project and its inherent risks well.

C&AG's Report, Innovation in PFI financing: the Treasury Building Project (HC 328, 2001-02)

  • One of the risks in running a funding competition is that the procurement process will be lengthened, delaying the realisation of project benefits. This is because the funding competition represents a separate procurement at the end of the main contractual negotiations where a third party, that has not previously been involved in the negotiations, is required to sign up to the project agreement. However, the Treasury building competition showed that this risk can be negated if the competition is planned in advance and the process is well managed. By running the funding competition at the same time that the project was receiving planning and listed building permission, financial close was reached only two weeks later than if there had been no competition.

10th Report, Individual Learning Accounts (HC 544, Session 2002-03)

  • The Department had 5 years to put in place arrangements to implement the Government's commitment to have 1 million individual learning accounts by March 2002. While the Department undertook extensive piloting to test innovative schemes, these did not provide workable solutions, and the scheme implemented was not well thought through or tested and was implemented in too short a time. While the tight timetable was of the Department's own making, after the pilots did not work it should have re-planned the project and ensured full testing before implementation, rather than over-ride sound project and risk management.

24th Report, The passport delays of summer 1999 (HC 208, Session 1999-2000)

  • The origin of the crisis was the introduction in late 1998 of a new computerised system for processing passports. The Agency assumed that their new system, involving substantial changes in working methods, could be implemented over a few months without detriment to services. That assumption was far too optimistic. The flawed implementation of the Agency's new system had a major impact on productivity, which resulted in the lost production of 400,000 passports. The Agency should have been more realistic about the time, resources and management effort needed to secure the successful introduction of information technology and, just as importantly, the associated changes to operating procedures.
  • There was a four month delay before testing of the new system was started, and testing of the new system's impact on productivity was not completed before it went live in late 1998. In addition, testing and initial implementation raised questions about the new system's effect on productivity, which were not adequately resolved. We found little evidence of any systematic evaluation of the risks of going ahead once these problems had emerged, or of timely consideration of alternatives. We emphasise the importance of sound risk-management arrangements, especially for projects where mistakes could lead to major costs or disruption for the public.
  • The Agency took the risk of launching the new system in their largest offices, at Liverpool and Newport, which together accounted for half of the Agency's normal processing capacity. The problems at these two pilot sites resulted in the lost production of 400,000 passports in late 1998 and the first half of 1999, and the Agency were never able to make up for this significant loss in processing capacity. The decision to continue the roll-out of the new system to a second office, at Newport, was crucial because it further diminished the Agency's processing capacity when they already needed to make up for shortfalls in production in Liverpool. The Committee emphasises the need for pilot testing of new computer systems should wherever possible begin on a small scale and be rolled-out for testing at larger volumes only when initial tests prove satisfactory.

2  Examples of Reports highlighting the need to strengthen project management

28th Report, Sale of DTELS (HC 151, Session 1995-96)

  • We are surprised that, in October 1991, at a time when DTELS was being considered for privatisation, the Home Office entered into a legally binding commitment to a 25 year lease on a new headquarters building for DTELS which, in the event, was not required by the new owners and so remained a charge on the Home Office.
  • We strongly urge that, where departments are considering selling a business or part of their operations, they should carry out a risk analysis of the likely costs and benefits to the taxpayer from a major relocation, on a range of assumptions, which include the possible timing of a sale and the possibility that a new owner might not require the premises concerned.

46th Report, The contract to develop and update the replacement National Insurance Recording System (HC 472, Session 1997-98)

  • In May 1995, the Contributions Agency, an Executive Agency of the Department of Social Security, let a contract to Andersen Consulting to develop by February 1997 a replacement for the existing National Insurance Recording system (NIRS1). The successful development of the new system (NIRS2) is critical to provide necessary support for new pensions provisions which came into effect in April 1997. Under the original deal, Andersen Consulting were to develop the new system and operate it for a period of seven years from February 1997 and provide further enhancements by April 1999.
  • Departments should ensure that they understand fully the potential impact of delay on their business and customers. The Agency were not able to transfer to Andersen Consulting the business risk of not having the new system fully operational by the date it was required. In those circumstances it was clearly the Agency's responsibility to draw up contingency plans to cover the risk that delivery of the system would be delayed. Yet, only two and a half months before the delivery date, the Agency had not made any firm contingency plans for this eventuality. And, in the face of the delay having actually occurred, the Agency have had to develop and operate contingency plans at the same time as managing their relationship with their contractor.

1st Report, Improving the delivery of government IT projects (HC 65, Session 1999-2000)

  • The management and oversight of IT projects by skilled project managers is essential for ensuring that projects are delivered to time and budget. But the successful implementation of IT systems calls for imagination and well-conceived risk management, as well as sound project management methodologies.
  • The increasing use of complex external contracts for the delivery of major public sector IT projects and the supply of strategic IT services has highlighted the need for a high degree of professionalism in the definition, negotiation and management of IT contracts. It is essential that public sector bodies get the right contracts in place. With large sums of public money at stake, any lack of clarity, or debatable interpretation in a contract can lead to expensive misunderstandings that might have to be resolved in the courts.

44th Report, New IT systems for Magistrates Courts: the LIBRA project (HC 434, Session 2002-03)

  • The contract was renegotiated twice, each time ICL asking for more money. As a result of the first re-negotiation, a revised contract for 14.5 years at a price of £319 million was signed in May 2000. Within ten months ICL informed the Department it was in financial difficulties even at the price negotiated a year before. Negotiations for ICL to continue with the whole contract failed, and the Department reached agreement for ICL to deliver only the infrastructure at a cost of £232 million over 8.5 years. The Department has signed a separate contract with STL to provide the core software application. A systems integrator will be appointed towards the end of 2003 to roll out and run the application. The total cost of the project is now estimated at £390 million for just 8.5 years of service, rather than the original 10.5 years

32nd Report, The implementation of the National Probation Service Information Systems Strategy (HC 357, Session 2001-02)

  • The full economic cost of the NPSISS programme, including CRAMS, was expected to be at least £118 million by the end of 2001 (£105 million at 1994-95 prices), 70% at constant prices above the expenditure forecast in the Home Office's original business case.
  • The project management team assigned to the NPSISS programme was, however, badly under-resources; lacked the skills and capacity necessary to perform effectively; and, with seven programme directors in seven years, suffered from frequent changes of leadership. If future projects are to succeed, the Home Office needs to strike a better balance between developing and rewarding people for their breadth of knowledge, and developing people with specialist project management and other information technology skills.

7th Report, The Hospital Information Support Systems Initiative (HC 97, Session 1996-97)

  • By the late 1980s, many acute hospitals in the National Health Service (NHS) had developed their own computer systems. These systems were based in hospital departments and were not linked together. As a result, the recording of information was slow and inefficient. During 1988, the NHS Executive concluded that NHS hospital trusts would need new, integrated, computer systems to support the reforms which were to be introduced in the 1989 White Paper "Working for Patients". The Executive launched the Hospital Information Support Systems Initiative (the Initiative) in 1988 to explore the costs and issues involved in implementing integrated systems in NHS hospitals in England.
  • The purpose of this Initiative was to learn lessons which would inform the development of integrated computer systems across the rest of the NHS. We are therefore concerned that there were delays in implementation in all six of the projects examined by the National Audit Office, ranging from eight months to more than three years.
  • We are concerned that the Executive did not make the best use of the experience from the projects already in place before embarking on high risk and expensive pilot schemes. We note that by the time the Executive established the first three pilot projects, for which contracts were signed in 1990 and 1992, four hospitals including Winchester and the Wirral were already implementing integrated systems at their own initiative.

28th Report, Department of Health: Cost over-runs, funding problems and delays on Guy's Hospital Phase III Development (HC 289, Session 1998-99)

  • What is clear from our examination is that the Guy's Hospital Phase III development was very poorly managed. The NHS Executive accept that the first sense of realism in controlling the costs of the development came in 1994, when costs had risen to £147 million. It is unacceptable that a project of this magnitude should have spiralled out of control without effective management for nine years. The net effect of this incompetence is that the cost to the taxpayer rose by over £98 million, at the expense of other expenditure on NHS services.
  • The Guy's Hospital Phase III project cost £115 million more than the original estimate of £35.5 million and was delivered over three years late. It is a disgrace that the original estimate was so inadequate, and was approved by both the Department of Health and the Treasury quickly, even though both had strong reservations about it.
  • The design was not finalised until 5 years after the initial estimate was approved, and by leaving key aspects—such as atria, mental health and asthma and allergy services—open, significant extra costs were incurred in client and design team variations. We are concerned that although they recognised the value of freezing the design as soon as possible, the NHS Executive failed to do so and allowed this uncontrolled situation to develop against the interests of the taxpayer.
  • In addition to failing to control the costs of the project, and delivery on time, those responsible for Guy's Phase III also proceeded at various stages without full funding for the project. This was reckless. The net outcome was that the public sector contribution rose from £19.5 million to £117.9 million including a £25.3 million funding gap; a total cost increase to the taxpayer of £98.4 million. While it is not possible to link this extra cost to specific delays to other patient services and projects elsewhere, it is clear that there must have been a considerable adverse impact in other parts of the country. The NHS Executive put the impact of financing the funding gap as equivalent to each NHS trust receiving a one off reduction of about £58,000, or a large capital project being delayed by one year.

3  Examples of Reports highlighting the need to reduce complexity and bureaucracy

26th Report, Difficult forms: how government departments interact with citizens (HC 255, Session 2003-04)

  • It costs the Department for Work and Pensions, for example, just over £40 to deal with each application for Attendance Allowance. If forms are well designed and easy to handle, then errors will be fewer and the administrative load reduced, leading to considerable efficiency gains.
  • Departments should determine the administrative costs of processing forms. For example, the Inland Revenue's introduction of the short tax return to three customer segments offers considerable benefits in reducing citizens' compliance costs and improving administrative efficiency. Yet at present the Inland Revenue does not know the relative costs of processing the short form as against the standard one.
  • Provision of a premium service should not become a substitute for improving basic forms and processes. For example, the difference in error rates between people paying £5 for the Post Office to check their passport application form against those submitted directly by customers (1% and 15% respectively) show that people do have difficulties with this form. The Passport Service should devise ways of improving its form and business processes to reduce this differential.

55th Report, Fraud and error in Income Support (HC 595, Session 2001-02)

  • The Department for Work and Pensions pays some £100 billion a year in benefits. In broad terms across all benefits, there is likely to be fraud of around £2 billion and customer and official error of £1 billion. The Department have more reliable figures for some benefits, notably Income Support and Jobseeker's Allowance, where some £1.2 billion was lost through fraud and error in 2000-01.
  • PAC conclusion (iii) Many of those receiving benefits find it difficult to understand complex system and rules. Our predecessors have recommended simplification on a number of occasions, but limited progress has been made. The Department should undertake analytical work designed to identify options for change, based on the needs of specific client groups.

5th Report, The Draft Social Security (Inherited SERPS) Regulations (HC 243, Session 2000-01)

  • The Department have estimated the cost of the new proposals to be £12 billion to 2050. The assumptions made in the costings, and the costs of alternative options, such as varying the taper arrangements, have not yet been published. In their response to our earlier Report the Department did however agree that this Committee and Parliament would be provided with all available information before being asked to approve the scheme

1st Report, Child Support Agency (HC 31, Session 1995-96)

  • We are gravely disturbed that 40% of the child maintenance assessments made on absent parents in 1993-94 contained errors. We severely criticise the Department and the Agency for allowing this state of affairs to arise. While recognising the difficulty the Agency face in getting accurate information from up to four parties, not all of whom may wish to be cooperative, achieving accuracy in maintenance assessment is essential if the Agency are to provide a fair and efficient service in the interests of children. We therefore urge the Agency to continue their efforts to explain to parents why the law requires the information concerned and to pursue non compliance tactfully but firmly

4th Report, Inland Revenue: Getting tax right first time, and dealing with more complex postal queries (HC 105, Session 1994-95)

  • We are concerned that the Department is not yet meeting its main objective of getting tax right first time, particularly for Schedule D taxpayers. The Department's broad estimates are that errors are resulting in a net undercharge to taxpayers of about £100 million and a consequent loss of revenue to the Exchequer.
  • We note that the complexity of tax legislation causes problems for taxpayers and Inland Revenue staff. We recommend that the Department continues to use every opportunity to simplify the tax system to make it easier for taxpayers to comply with the rules, reduce taxpayer compliance costs and limit the scope for costly errors. We recognise, however, that a balance needs to be drawn between legislating to promote equity and to reduce tax avoidance, and keeping the system simple and easy to use.

29th Report, Inland Revenue: Tax Credits and Tax Debt Management (HC 332, Session 2002-03)

  • The new Tax Credit schemes operating from April 2003 are very different in scale and scope from the previous schemes and the systems developed by the Department have been informed to an extent by the lessons of past schemes, including deficiencies pointed out by the C&AG. The Department are relying on more sophisticated risk management structures to minimise the errors and fraud that have characterised comparable benefit schemes in the past, and will need to demonstrate their effectiveness.

14th Report, Inland Revenue: Tax Credits (HC 89, Session 2003-04)

  • The Department estimated the level of overpayments at between 10% and 14% by value, equivalent to between £510 and £710 million for a full year. The Department did not disclose these results until August 2003. As the procedures were not changed significantly in subsequent years, it is reasonable to assume overpayments continued on broadly the same scale

51st Report, Success in the regions (HC 592, Session 2003-04)

  • ODPM should further streamline the array of funding sources available to support regional development. South East England Development Agency had to devise an initiative to help applicants deal with problems created by over 40 different relevant funding streams with separate monitoring and evaluation criteria. ODPM agreed with us that there are still far too many individual funding streams. The need to make repeated applications and to satisfy a range of monitoring regimes, often with different requirements, creates a bureaucratic burden and is highly wasteful.
  • ODPM should adopt a presumption against establishing new organisations unless its policy objectives are not achievable though existing bodies. In the Thames Gateway strategic area, three RDAs have to work with two new urban development corporations as well as partnerships of local authorities, three Government Offices and the Ministerial Committee on Housing Growth and Sustainable Communities.

34th Report, Strategic Rail Authority: improving passenger rail services through new trains (HC 408, Session 2003-04)

  • Bringing a new train into service is a complex process, involving more than 60 key stages and at least nine organisations. This complexity has contributed to delays in bringing new passenger trains into service.
  • The SRA should work with the rail industry to streamline the complex process for introducing new trains. The industry does not share a common understanding of the process and this, together with its complexity, brings delays and contributes to the poor reliability of new trains. The Government should use the opportunity of its review of the industry to reduce the number of organisations involved in introducing new trains.

33rd Report, Crown Prosecution Service (HC 526, Session 1997-98)

  • In 1990 our predecessors reported on the establishment and early performance of the CPS. Their report highlighted considerable scope for improvements in collaboration between the CPS and the police. The Committee endorsed the CPS's intentions to reduce dependence on lawyer agents to present cases in the magistrates' courts and to improve its performance indicators, and expected the CPS to give priority to installing its new computer system. In February 1998 we took evidence from the CPS on the basis of a follow-up report by the Comptroller and Auditor General.
  • We are struck by the extent to which the performance of other agencies, and the interdependence of different parts of the criminal justice system affect the performance of the CPS. The CPS and police, for example, are working closely together, but only one third of police files meet both timeliness and quality guidelines. And the time taken to process cases (some 20 weeks for magistrates' courts' cases) is unacceptably long.
  • Examples of Reports highlighting the need to improve public service productivity

C&AG's Report, Managing resources to deliver better public services (HC 61, Session 2003-04)

  • A key focus of departments' resource management should be delivering better services but it can also help to identify and realise opportunities to improve efficiency - just a one% efficiency improvement in the utilisation of the £1,447 billion of resources allocated to departments over the next three years would release just under £14.5 billion to redeploy to front line services.

33rd Report, Managing sickness absence in the Prison Service (HC 453, Session 1998-99)

  • Where staff, particularly prison officers, are unavailable for duty, the prison's ability to maintain a safe environment and to ensure that prisoners spend time on purposeful activity can be affected. The estimated cost of sickness absence in the Prison Service is at least £56 million a year. The additional cost of medical retirements—525 in 1997-98—is not known.
  • In 1997-98 Prison Service staff recorded on average 12.6 working days sickness, and prison officers 13.8 working days. Although sickness absence has been at these high levels for a long time, we found that the Prison Service had not in the past given sufficient attention to tackling it. Drawing on the work of the National Audit Office's team, the Prison Service has more recently been developing a strategy for managing sickness absence and now sees sickness reduction as a key management priority. There are three weak areas which we consider require particular attention.

50th Report, The management of sickness absence in the Metropolitan Police Service (HC 594, Session 1997-98)

  • The Metropolitan Police Service (the MPS) employs some 27,000 officers and 16,000 civil staff to police the Greater London area at around £1.6 billion a year. Managing sickness absence in the police service is important because high levels of absence can reduce police efficiency, morale and the number of "feet on the beat". Sickness absence costs an estimated £96 million a year in the MPS, and a further £26 million is spent on medical retirements.
  • The MPS has only recently set targets for reductions in sickness absence despite the fact that such absences have been a problem for some years. The targets are aimed at generating savings of nearly £10 million in 1998-99, and show a commitment to managing sickness absence more effectively. We expect the MPS to monitor the achievement of these savings and to set challenging targets for future years.

34th Report, Her Majesty's Land Registry: the management of sickness absence (HC 307, Session 1995-96)

  • We note that sickness absence cost the Civil Service as a whole £491 million in 1994. Better management of staff leading to a reduction in such absences could therefore lead to worthwhile gains. We accept the Registry's evidence that the great majority of people are way from work for reasons of genuine illness. Within the Civil Service sickness absence in 1994 averaged 9.2 working days per staff year.

C&AG's Report, Managing attendance in the Department for Work and Pensions (HC 18, Session 2004-05)

  • Across the civil service, rates of sickness absence have been a concern for some time. Annual surveys by the Chartered Institute of Personnel and Development and the Confederation of British Industry consistently show public services have higher than average rates of sickness absence. In 1998, the Cabinet Office set a target to achieve a reduction in the overall average Civil Service sickness absence rate of 20% by 2001, rising to 30% in 2003. They recommended this be measured in terms of the number of days lost out of the number of days employees were expected to work, or average working days lost. For the then Department of Social Security, this translated into sickness absence targets of 9.3 days for 2001 and 8.0 days for 2003. The Department did not meet these targets and the average for 2003-04 was 12.6 days.

14th Report, Ministry of Defence: Managing reductions in the number of vacant family quarters (HC 391, Session 2000-01)

  • The proportion of quarters that are vacant is disturbingly high, at 24% of the estate. The cost to the taxpayer of vacant quarters is £41 million annually. This proportion has risen in recent years, and while there are signs that the Department are on course to reduce the scale of the problem, their track record in hitting their targets on vacant housing is poor. We have asked for quarterly monitoring Reports so that we can monitor their progress on reducing vacancy levels.

20th Report, NHS Executive: The management of medical equipment in NHS acute Trusts in England (HC 173, Session 1999-2000)

  • We recognise that unexplained variations in trusts' holdings of medical equipment, and in maintenance costs, identified by the Comptroller and Auditor General, do not necessarily match the scope for savings in costs. However, there is strong evidence that by adopting good practice, and learning from the successes some trusts have achieved, trusts can deliver major savings, which can then be used to improve healthcare.

26th Report, Vacant office property (HC 395, Session 1997-98)

  • In April 1996 the newly formed executive agency, Property Advisers to the Civil Estate (PACE), assumed responsibility for disposing of some 830,000 square metres of surplus leasehold and freehold accommodation in 384 Government properties. This surplus accommodation, largely offices, and over one and a half times the size of the Canary Wharf office development, cost the Exchequer about £132 million in 1996-97.

21st Report, The management of space in higher education institutions in Wales (HC 159, Session 1996-97)

  • The Higher Education Funding Council for Wales (the Funding Council) was created by statute in the Further and Higher Education Act 1992. From 1 April 1993 the Funding Council assumed responsibility for the funding, oversight, and assessment of quality in the country's higher education institutions. Since August 1996 there have been 13 institutions within the sector. Funding Council grants provided £232 million of the Welsh higher education sector's total income of £490 million in the year ending 31 July 1995. Of these grants, approximately £13 million represented capital allocations dedicated for estates purposes. In addition, institutions themselves spent some £29 million on providing, maintaining and running their non-residential estate in 1994-95. The way in which institutions manage their space is a key factor in the efficient application of the resources at their disposal.
  • We note that the Funding Council consider that a target of at least 30% utilisation of space is achievable in the next four years, which compares with achieved utilisation rates of 19 to 22% found by the National Audit Office. We recommend that the Funding Council should encourage institutions to set themselves challenging targets for improving utilisation of space and that the Funding Council should monitor performance against those targets

33rd Report, Ensuring the effective discharge of older patients from NHS acute hospitals (HC 459, Session 2002-03)

  • On any given day, some 3,500 older patients remain in National Health Service (NHS) acute hospitals after medical staff have declared them fit and safe to be discharged, because arrangements are not complete for them to move on. Many delays are for a few days, but about one-third are for more than 28 days. The Department of Health estimate that delayed discharges cost the National Health Service around 170 million a year (or around 0.5 million for every day of the year), and account for 1.7 million lost bed days annually. Reducing delays has become a Government priority, and was the subject of legislation during the winter of 2002-03.

1st Report, NHS Supplies in England (HC 349, Session 1997-98)

  • In October 1991 the Committee of Public Accounts reported the outcome of their examination of National Health Service supplies in England. They recommended, in particular, that the NHS Executive needed better information about their main suppliers and about the lines they purchased, so that they could tighten their grip on supplies activities and get better value for money from the enormous expenditure involved. They also expected the NHS to attain a position where the price levels they achieved stood comparison with the very best of purchasing organisations, and that action taken on supplies should be related to financial or service targets and closely monitored.

21st Report, Better value for money from professional services (HC 309, Session 2001-02)

  • Departments spend over £600 million each year purchasing from external suppliers financial support and advice, legal services, management consultancy and human resource advice and assistance. In 1994 a Cabinet Office Efficiency Scrutiny into departments' use of external consultants recommended how their procurement and management could be improved to achieve savings, mainly in consultancy fees, of £65 million. Many of the Efficiency Scrutiny's recommendations were, however, not implemented and nobody knows to what extent the savings of £65 million were achieved.

4  Examples of Reports highlighting the need for departments to be more commercially astute

43rd Report, Ministry of Defence: Major Projects Report 2003 (HC 383, Session 2003-04)

  • In the past, the relationship between the Department and its contractors has too often been characterised by an emphasis on what to do in case of failure and a culture based on the apportionment of blame. In agreeing future programmes the Department and industry should define commercial arrangements which provide a financial incentive to both parties to improve on cost, time and performance estimates, without setting targets which are easy to beat and so provide a false impression of success.

45th Report, Ministry of Defence: Acceptance of the Chinook Mk2 helicopter (HC 975, Session 1999-2000)

  • The Chinook Mark 2 helicopter is the product of a programme to upgrade 32 Mark 1 helicopters which was undertaken by Boeing Helicopters under a contract worth £143 million placed by the Department in 1990. The upgrade encompassed various structural and mechanical modifications including fitting new engines with a computerised fuel control system, known as the Full Authority Digital Electronic Control (FADEC) system. There were significant problems accepting the Chinook Mark 2 into Service which centred on the FADEC system software, which the Department's test and evaluation agency—Boscombe Down—found to be "unverifiable".

13th Report, Ministry of Defence: Progress in reducing stocks (HC 566, Session 2002-03)

  • The Department still needs to take radical action to tackle its long-standing inventory management problems. Some 19 years after the first fire at Donnington, the C&AG's Report shows that the Department's inventory still contains large amounts of obsolete and very slow moving stock. Yet other Reports from the National Audit Office have revealed shortages of key items on exercises and deployed operations and instances where the stock issued has been of poor quality. The Department needs to get a grip on its inventory, ensuring that it holds what it genuinely needs and gets rid of what it does not.

27th Report, Disposal by sale of Defence surplus equipment and stores (HC 194, Session 1993-94)

  • Sales of ships in operational condition are potentially the most profitable disposals. We are concerned, therefore, that the Department have achieved this in relatively few cases. We note that the ships now becoming available for sale are newer than in the past and, with useful life left, have better prospects for sale as operational vessels. There should therefore be an increase in the number of such sales, and it will be important to take measures aimed at maximising sales proceeds in a highly competitive market.
  • We are concerned that the sale values of ships and aircraft have often been reduced by removing items for use as spares to meet the Services' operational requirements. Spares are often then put on the market later than the equipment to which they relate. We emphasise the importance of ensuring that decisions to remove items for spares have regard to the potential sales value of the main equipment. This is especially important now that newer and more valuable ships and aircraft are becoming available for disposal.

41st Report, Improving procurement: Progress by the Office of Government Commerce in improving departments' capability to procure cost effectively (HC 541, Session 2003-04)

  • Against the backdrop of the need to achieve a further £3 billion savings by 2006, together with a drive towards improved efficiency across the public sector, there is a greater need than ever for departments to measure their existing procurement practices against OGC good practice guidance to see where improvements can be made. There will for example be the scope for significantly reduced transaction costs, greater use of e-commerce solutions, increased collaboration between departments and the wider public sector, and greater use of framework agreements.

2nd Report, Improving construction performance (HC 337, Session 2001-02 )

  • Business generated by the UK construction industry is worth some £65 billion a year, of which direct expenditure by government departments and their agencies accounts for £7.5 billion. Government departments and agencies can have a major influence on the construction industry as sponsors, regulators and purchasers of building and repair and maintenance projects.
  • A recurring feature in traditional construction projects is the acceptance by departments of lowest price tenders, following which contractors seek to recoup their profit margins through variations and claims for additional work. This often results in poor performance, made evident by confrontation, delay and substantial cost overruns. Better value for money may therefore be found by looking beyond the lowest price, as long as the improvements to be secured are clearly identified and closely monitored.

68th Report, Collection of fines and other financial penalties in the criminal justice system (HC 999, Session 2001-02)

  • In 2001-02, financial penalties imposed totalled £387 million and collections amounted to £228 million, some of which related to impositions made in previous years. In the same year, penalties totalling £58 million were written off, largely because the offender could not be traced, and a further £90 million was cancelled because, for example, the defendant had successfully appealed against the imposition or because the offender's circumstances had changed to such an extent that there was no prospect of the penalty being collected. These figures suggest therefore that around 59% of impositions are collected.

49th Report, The recovery of debt by the Inland Revenue (HC 584, Session 2003-04)

  • The longer a debt remains outstanding the more costly and difficult it becomes to collect. The Department may reach a point where it has to write off a debt because there is no longer any prospect of recovery. Around £0.7 billion is lost in write-offs each year. Preventing the accumulation of debt is therefore important in securing earlier receipt of taxes owed and keeping collection costs to a minimum.

35th Report, Public Trust Office: Protecting the financial wealth of people with mental incapacity (HC 278, Session 1998-99)

  • The Public Trust Office did not obtain accounts of how patients' income has been used from 40% of private receivers for 1996-97, and around 90% of the accounts received were late. And it reviewed less than one third of accounts within its four-week target in 1997-98. It must do better than this if it is to fulfil its responsibility to protect patients' money from misuse. The Public Trust Office also needs to improve its supervision of patients' investments by introducing more comprehensive and rigorous measures to assess brokers' performance in handling patients' funds.

39th Report, Looking after the financial affairs of people with mental incapacity (HC 278, Session 1993-94)

  • We are seriously concerned that the Public Trust Office has failed to keep up-to-date in reviewing receivership accounts, since this check is vital to protect patients' funds and help prevent fraud and abuse. It is particularly unsatisfactory that such a large backlog of unreviewed accounts has been allowed to build up in cases where the Public Trustee is receiver, and that over the last twelve months no progress at all has been made to clear it. We note that the rate at which the Office reviewed private receivership accounts even deteriorated in 1993-94

18th Report, Reaping the rewards of agricultural research (HC 414, Session 2002-03)

  • The Department's income from commercialisation is less than 1% of its expenditure on research, suggesting that the Department lacks the leadership and enthusiasm to promote commercialisation. The Department needs to specify the outcomes expected from commercialisation, drawing for example on achievements by research bodies, other departments and universities. It should monitor trends in commercialisation activity to help determine whether enough is being done to identify opportunities for exploitation of research.

5  Examples of Reports highlighting the need to tackle fraud

27th Report, Measures to combat housing benefit fraud (HC 366, Session 1997-98)

  • It is totally unacceptable that seven years after we last looked at this issue, Housing Benefit fraud should exceed £900 million, and the Department still do not have information to show whether fraud is increasing, or all the information they need on the types of fraud, including landlord fraud, and variations at regional and local level. The absence of reliable information must cast doubt over the decisions the Department have taken to invest in anti-fraud work and over the achievements they have claimed

55th Report, Fraud and error in Income Support (HC 595, Session 2001-02)

  • The Department have developed annual estimates of the level of fraud and error in Income Support and Jobseeker's Allowance, which underpin Government targets for a progressive reduction in fraud and error by 2006. The Department are undertaking work to develop robust estimates for Housing Benefit. On other benefits, their estimates are out of date. Until they have robust estimates for all benefits, it is difficult to measure their performance in reducing this substantial drain on public funds - in the order of £2 billion in fraud alone.

31st Report, Tackling benefit fraud (HC 488, Session 2001-02)

  • The Department's best estimate of the level of fraud on Housing Benefit was in the region of £500 million, based on data collected in 1997-98. Since April 2001 they had been seeking to measure the level of fraud and error, using the same techniques as those used on Income Support and Jobseeker's Allowance. Because of the failure of the pilot, however, the results of the 2001-02 exercise, which cost £3.2 million, were not sufficiently accurate to be published.

36th Report, Tackling VAT fraud (HC 512, Session 2003-04)

  • Customs' work to measure the losses from fraud and error on VAT is an important first step in determining the size and nature of the problem, as well as providing a benchmark for judging progress. Customs produces annual estimates for missing trader fraud but only has one-off estimates, made in 2001-02, for the other main areas of loss. It should regularly updates these estimates, so that it can assess progress in tackling the different types of loss, alongside progress in meeting its overall target.

1st Report, Tackling fraud against the Inland Revenue (HC 62, Session 2003-04)

  • The low number of fraud investigations and prosecutions is not commensurate with the potential sums at stake in lost revenue. Nor has the overall scale of work kept pace with the expansion in the Revenue's business. Investigation work on tax fraud appears to have reduced as work on tax credit fraud has increased, despite additional resources being provided. The financial returns on investigations suggest that it would be cost-effective to do many more. The Revenue should increase the level of investigations and prosecutions sufficiently to permit a meaningful evaluation of the effects of doing so. They should also seek to increase the effectiveness of such work by greater publicity to heighten public awareness about the risk of detection and punishment for those who commit fraud.

54th Report, HM Customs Appropriation Accounts (HC 717, Session 1997-98)

  • The large amount of revenue lost suggests that there remains considerable scope for cost-effective deployment of resources to bring cross-channel smuggling and other excise fraud under better control. In addition, we would encourage the Department to continue to:
    • increase the use of criminal prosecution of smugglers;
    • supplement fines and penalties with other sanctions such as the removal of driving and haulage licences, which may have a greater impact on some offenders; and
    • seek further tightening of controls and procedures, both within the United Kingdom and the European Union, to combat fraudulent abuse of warehousing and transit arrangements.

1st Report, Tackling fraud against the Inland Revenue (HC 62, Session 2003-04)

  • In 2001-02 the Revenue spent £428 million on activities to tackle non-compliance and achieved an overall yield to cost ratio of 8.3:1. This ratio was lower than in previous years but the Revenue expected recent initiatives to result in increased yield in future years. Over 80% of these resources are deployed on compliance work by local tax offices which carry out targeted enquiries on tax returns. These activities generate a yield: cost ratio of 3.6:1 in additional settlements and penalties. The remainder is spent on compliance activities by the Revenue's Specialist Offices, which deal with enquiry work on large and specialist businesses and on tax credits, and the Special Compliance Office whose main role is to investigate serious fraud and complex non-compliance.

6  Examples of Reports on the need for better and more timely implementation of programmes and policies

42nd Report, The management and control of hospital acquired infection in acute NHS Trusts in England (HC 306, Session 1999-2000)

  • Hospital acquired infections are those that are neither present nor incubating when a patient enters hospital. Their effects vary from discomfort for the patient, to prolonged or permanent disability and even death. This is a very serious subject in terms of the impact on patients and costs to the National Health Service. The best estimates we have suggest that each year there are at least 100,000 cases of hospital acquired infection in England causing around 5,000 deaths, and the cost of the NHS may be as much as £1 billion a year.
  • The NHS do not have a grip on the extent of hospital acquired infection and the costs involved and are unlikely to have the information they need for a further 3 to 4 years.

C&AG's Report, Improving patient care by reducing the risk of hospital acquired infection: A progress report (HC 876, Session 2003-04)

  • Implementation of our and the Committee's recommendations has been patchy. There has been notable progress at trust level in putting the systems and processes in place and in strengthening infection control teams, but wider factors continue to impede good infection control practice and there has been limited progress in improving information on the extent and costs of hospital acquired infections. Progress in preventing and reducing the number of infections acquired whilst in hospital is dependent on changing staff behaviour, but change continues to be constrained by the lack of data, limited progress in implementing a national mandatory surveillance programme that meets the needs of the NHS, and a lack of evidence of the impact of different intervention strategies.

69th Report, The performance of the NHS Cervical Screening Programme in England (HC 757, Session 1997-98)

  • There are considerable variations in deaths from cervical screening across regions, and research indicates that women in the lower socio-economic groups and ethnic minorities are under-screened. While the NHS Executive are taking action to address these inequalities, the fact remains that the NHS is failing many of the most vulnerable in our society. We are therefore looking for new initiatives and renewed vigour in tackling these issues.

21st Report, Government on the Web (HC 331, Session 1999-2000)

  • Government Web sites make feasible new forms of service provision for the benefit of citizens and businesses. Realising these benefits requires departments to be innovative and look afresh at existing ways of doing things to determine if by delivering services electronically they can improve for example, the speed of service delivery; provide services at times more convenient to citizens; reduce the cost of services by streamlining the number of forms which citizens have to complete and reducing other unnecessary procedures; or provide services in completely new and innovative ways. While some departments are making good progress in using the Web to improve service delivery in others however it is not possible for citizens to down load simple forms, submit returns electronically or for citizens to interrogate Web sites to access basic information.

54th Report, Improving public services through e-government (HC 845, Session 2001-02)

  • Government departments currently have underway 100 major IT projects with a total value of £10 billion. This expenditure is part of the Government's strategy to make the full range of services which departments and their agencies provide for citizens and businesses accessible electronically. To achieve this the Government has set the target that 100 percent of services should be available on-line by 31 December 2005. Harnessing new technology is also intended to enable departments to improve their operational efficiency by replacing labour intensive processes with electronic systems.
  • Achieving such a change in the way in which departments deliver services involves risks which need to be carefully managed. Previous Reports by this Committee have stressed the need for departments to improve the management of their IT projects which have often experienced significant implementation problems with an adverse impact on the quality of services for citizens. There is also the risk, however, that departments provide services on-line but the public do not use them because they see no benefit in doing so. Should this happen the significant investment in e-government would be wasted.

66th Report, Progress in achieving Government on the Web (HC 936, Session 2001-02)

  • Many of the recommendations in our previous Report on Government on the Web published in June 2000, which were accepted by the Government, have yet to be fully implemented. In particular the Office of the e-Envoy has made limited progress in collecting and publishing systematic information on the development of government Web traffic, the take-up of electronic services by the public, and the condition of government Web sites, and in developing a methodology for justifying expenditure on Web provision.
  • Departments need to consider how information technology can be used to streamline current ways of working, reduce time consuming procedures and improve productivity. Simply converting conventional processes to Internet-based applications will not realise the significant improvements in efficiency which IT can make possible.

3rd Report, The cancellation of the Benefits Payment Card Project (HC 358, Session 2001-02)

  • Successful delivery of innovative and complex projects involves risks that need to be identified and managed. This project had special features that added to its risks; notably its status as a pioneering PFI project and the need to join up the systems of two purchasers with differing business objectives. While various parties identified many of the risks at various stages, they underestimated the difficulty of attempting to tackle a huge and complex project, at the heart of improving benefit delivery and Post Office automation, in one exercise using relatively untried PFI arrangements. There were also many basic project management failures, which mirror those referred to in our Report in January 2000.

31st Report, Tackling benefit fraud (HC 488, Session 2002-03)

  • The Department's inadequate information technology systems are a further constraint in tackling fraud. Benefit data are held in 20 separate systems with no common access point to all the systems. Consequently staff cannot readily detect incorrect information supplied by customers. The systems also rely on clerical interventions in the calculation of benefits.

18th Report, Ministry of Defence: Appropriation Accounts 1997-98 (HC 207, Session 1998-99)

  • When procuring computer systems it is essential that the complexity of the requirement is properly recognised at the outset. The Committee conclude that the Department failed to do this in the case of Trawlerman, and that this was a key factor in the eventual decision to abandon the project and write off some £40 million.
  • We note that the Trawlerman project was affected by rapid technological progress as regards the security and interconnectivity of commercial off-the-shelf systems. By failing to phase the introduction of the system the Department did not position themselves to take advantage of technological advances.

46th Report, Ministry of Defence: Building an air manoeuvre capability: the introduction of the Apache helicopter (HC 533, Session 2002-03)

  • The introduction of the Apache into full military service has been delayed by problems with the separate weapons and training contracts, despite reasonable progress being made with delivery of the basic helicopter. As a result 40 of the helicopters, worth over £1.2 billion, will have to be stored at considerable expense, and the Armed Forces will not benefit from the enhanced operational capability that the helicopter will provide. If the Department had met its original timetable the Apache would now be in service. Under current plans, Full Operating Capability will not be delivered until August 2006.

23rd Report, Government Communications Headquarters: new accommodation programme (HC 65, Session 2003-04)

  • Independently of the PFI deal, GCHQ retained responsibility for moving its technical capability into the new building, largely for security reasons. In 1997 GCHQ estimated the costs for this technical transition, that are additional to the PFI deal, at £41 million. By 1999 GCHQ's estimate had risen to £450 million.



 
previous page contents next page

House of Commons home page Parliament home page House of Lords home page search page enquiries index

© Parliamentary copyright 2005
Prepared 6 December 2005