Download or read book HC 971 An Update on Hinchingbrooke Health Care NHS Trust written by Great Britain. Parliament. House of Commons. Committee of Public Accounts and published by The Stationery Office. This book was released on 2015 with total page 25 pages. Available in PDF, EPUB and Kindle. Book excerpt: The taxpayer has been left exposed by the failure of the Hinchingbrooke franchise according to the Public Accounts Committee's report. In February 2012, Circle took operational control of Hinchingbrooke Health Care NHS Trust, becoming the first private company to run an NHS hospital. In January 2013, the Committee expressed concerns that Circle's bid to run Hinchingbrooke had not been properly risk assessed and was based on overly optimistic and unachievable savings projections. The Department of Health responded that the NHS Trust Development Authority would monitor progress and take action if the Trust was failing to deliver on its plans to make the hospital financially sustainable. In the event, Circle was not able to make the Trust sustainable and the NHS Trust Development Authority did not take effective action to protect the taxpayer. In January 2015, Circle announced that it intended to withdraw from the contract, just three years into the 10-year franchise. It was clear at the time the franchise was let that the Trust would only survive if it secured substantial savings. The Comptroller and Auditor General's 2012 report highlighted that the savings projected in Circle's bid were unprecedented as a percentage of annual turnover in the NHS.
Download or read book HC 973 Care Services for People with Learning Disabilities and Challenging Behaviour written by Great Britain. Parliament. House of Commons. Committee of Public Accounts and published by The Stationery Office. This book was released on 2015 with total page 25 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Winterbourne View scandal in 2011 exposed the horrific abuse of people with learning difficulties and challenging behaviour in a private mental health hospital. Concerns were also raised about a number of other institutions. As a result, the Government committed to discharging those individuals for whom it was appropriate back into their homes and communities. However, since then, too many children and adults have continued to go into mental health hospitals, and to stay there unnecessarily, because of the lack of community alternatives. The number of people with learning disabilities remaining in hospital has not fallen, and has remained broadly the same at around 3,200. It was refreshing that NHS England took responsibility for this lack of progress and has now committed to develop a closure programme for large NHS mental health hospitals, along with a transition plan for the people with learning disabilities within these hospitals, from 2016-17. Discharges from hospital are being delayed because funding does not follow the individual when they are discharged into the community. This acts as a financial disincentive for local commissioners who have to bear the costs and responsibility for planning and commissioning community services. Delaying discharge has the effect of institutionalising people, making their reintegration into the community more difficult. Some local authorities' reluctance to accept and fund individuals in the community will be exacerbated by current financial constraints. The Department should set out its proposals for 'dowry-type' payments from NHS England to meet the costs of supporting people discharged from hospital.
Download or read book HC 737 Strategic Flood Risk Management written by Great Britain. Parliament. House of Commons. Committee of Public Accounts and published by The Stationery Office. This book was released on 2015 with total page 21 pages. Available in PDF, EPUB and Kindle. Book excerpt: Given financial constraints, the Department for Environment, Food and Rural Affairs and the Environment Agency have done a good job in improving the cost effectiveness of their approach to flood risk management. They have adopted rational methods to prioritise spending on both new capital flood defences and maintaining existing ones. However, risks remain to the sustainability of current levels of flood protection. The Agency will need to make difficult decisions about how it prioritises its maintenance budget, including some defences where it will need to reduce or stop maintenance. In these cases, there is a risk that lack of maintenance will mean that capital costs are incurred sooner, when defences require replacement earlier. Since our evidence session, the Agency has published a long term investment strategy, which presents a number of flooding scenarios and outlines how much funding would be needed to protect against these.
Download or read book HC 892 The Effective Management of Tax Reliefs written by Great Britain. Parliament. House of Commons. Committee of Public Accounts and published by The Stationery Office. This book was released on 2015 with total page 21 pages. Available in PDF, EPUB and Kindle. Book excerpt: Tax and tax reliefs are plainly different and require different accountability arrangements. Put simply tax is where you get money in through taxation and a tax relief is where you make a conscious decision to forgo that income. Some reliefs are structural parts of the system to ensure a more progressive system or avoid double taxation. But other reliefs, costing some £100 billion a year, are designed to deliver a policy objective that could be met instead through spending programmes. HM Treasury and HM Revenue and Customs (HMRC) do not keep track of those tax reliefs intended to influence behaviour. They do not adequately report to Parliament or the public on whether reliefs are working as intended and what they cost and whether they represent good value for money. While HMRC is accountable for implementing and monitoring all tax reliefs, its statements about the extent of its responsibilities are inconsistent with its actual practices. HMRC accepts it has a role to assess, evaluate and monitor reliefs, but is unable or unwilling to define or to categorise reliefs by their purpose. While HMRC accepts the need for reporting the costs of tax reliefs, it does not see the merit in assessing the economy, efficiency and effectiveness of reliefs, or considering their cost effectiveness alongside that of alternative policy instruments such as spending programmes. HMRC does not generally assess the effectiveness of reliefs with specific objectives although in a few instances it does consider their impact on taxpayer behaviour. HMRC's failure to articulate a set of principles to guide its management and reporting of tax reliefs is a serious omission which it now needs to rectify.
Download or read book HC 1141 The Work of the Committee of Public Accounts 2010 15 written by Great Britain. Parliament. House of Commons. Committee of Public Accounts and published by The Stationery Office. This book was released on 2015 with total page 41 pages. Available in PDF, EPUB and Kindle. Book excerpt: This report summarises the key areas of the Committee's work over the past five years. It draws out the areas where progress has been made and where their successors might wish to press in future. The Committee has assiduously followed the taxpayer's pound wherever it was spent. Since 2010 they held 276 evidence sessions and published 244 unanimous reports to hold government to account for its performance. 88% of their recommendations were accepted by departments. In many cases they successfully secured substantial changes, for example with the once secret tax avoidance industry. They secured consensus from government and from industry that private providers of public services do have a duty of care to the taxpayer, and in pushing the protection of whistleblowers further up the agenda of all government departments. By drawing attention to mistakes in the Department for Transport's procurement of the West Coast Mainline, more recent procurements for Crossrail, Thameslink and Intercity Express have all benefited from more expert advice and a more appropriate level of challenge from senior staff. After discovery in 2012-13 that 63% of calls to government call centres were to higher rate telephone numbers, the Government accepted our recommendation that telephone lines serving vulnerable and low income groups never be charged above the geographic rate and that 03 numbers should be available for all government telephone lines. They also secured a commitment to close large mental health hospitals.
Download or read book HC 1045 Major Projects Report 2014 and the Equipment Plan 2014 to 2024 and Reforming Defence Acquisition written by Great Britain. Parliament. House of Commons. Committee of Public Accounts and published by The Stationery Office. This book was released on 2015 with total page 21 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Committee welcomes the progress made by the Ministry of Defence in getting to grips with its budget and military equipment costs. The affordability of the Department's 10-year plan for buying and supporting equipment is, however, dependent on it: continuing to control cost increases in existing equipment projects; delivering ambitious project cost savings over the next 10 years in order to balance its budget; and having the right skills in place to ensure that the assumptions made in its plans are robust and deliverable. Failure to improve the skills of Defence Equipment and Support (DEandS), which buys and maintains military equipment, will undermine the Department's efforts to improve control over its finances. The Department agrees that DEandS is over-reliant on expensive contractors and DEandS is spending a further £250 million on contractors over the next three and a half years to determine how it will address this and secure the skills needed to deliver the Equipment Plan within the assumed budget and to time. There remain risks to the success of the Department's Army 2020 programme designed to reduce the size of the regular Army and increase the number of trained Army reserves. The Department has not yet addressed the Committee's previous recommendations to develop credible contingency plans in the event that it cannot recruit the number of regular and reserve soldiers it requires. While the Department is reporting progress against its recruitment targets, it does acknowledge that targets beyond 2016 will be challenging and require significant improvements in performance.
Download or read book Delivering Social Welfare written by Derek Birrell and published by Policy Press. This book was released on 2016-12-14 with total page 304 pages. Available in PDF, EPUB and Kindle. Book excerpt: As the system of governance and delivery of social welfare in the UK radically changes, this important new book argues that the extent of this change is such that it could be considered a fundamental transformation or even a revolution. It shows how a new public governance perspective has replaced the dominance of new public management, reflecting the increasingly plural and fragmented nature of public policy implementation. Drawing on examples across a range of policy areas it assesses how changes in social policy and governance interact in the delivery of the main areas of social policy and social welfare. The book will be essential reading for researches, students and policy makers.
Download or read book The Baldwin genealogy from 1500 to 1881 written by C.C. Baldwin and published by Рипол Классик. This book was released on 1991 with total page 989 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Dairy Ingredients for Food Processing written by Ramesh C. Chandan and published by John Wiley & Sons. This book was released on 2011-03-15 with total page 604 pages. Available in PDF, EPUB and Kindle. Book excerpt: The objective of this book is to provide a single reference source for those working with dairy-based ingredients, offering a comprehensive and practical account of the various dairy ingredients commonly used in food processing operations. The Editors have assembled a team of 25 authors from the United States, Australia, New Zealand, and the United Kingdom, representing a full range of international expertise from academic, industrial, and government research backgrounds. After introductory chapters which present the chemical, physical, functional and microbiological characteristics of dairy ingredients, the book addresses the technology associated with the manufacture of the major dairy ingredients, focusing on those parameters that affect their performance and functionality in food systems. The popular applications of dairy ingredients in the manufacture of food products such as dairy foods, bakery products, processed cheeses, processed meats, chocolate as well as confectionery products, functional foods, and infant and adult nutritional products, are covered in some detail in subsequent chapters. Topics are presented in a logical and accessible style in order to enhance the usefulness of the book as a reference volume. It is hoped that Dairy Ingredients for Food Processing will be a valuable resource for members of academia engaged in teaching and research in food science; regulatory personnel; food equipment manufacturers; and technical specialists engaged in the manufacture and use of dairy ingredients. Special features: Contemporary description of dairy ingredients commonly used in food processing operations Focus on applications of dairy ingredients in various food products Aimed at food professionals in R&D, QA/QC, manufacturing and management World-wide expertise from over 20 noted experts in academe and industry
Download or read book Atkins Physical Chemistry 11e written by Peter Atkins and published by . This book was released on 2019-09-06 with total page 471 pages. Available in PDF, EPUB and Kindle. Book excerpt: Atkins' Physical Chemistry: Molecular Thermodynamics and Kinetics is designed for use on the second semester of a quantum-first physical chemistry course. Based on the hugely popular Atkins' Physical Chemistry, this volume approaches molecular thermodynamics with the assumption that students will have studied quantum mechanics in their first semester. The exceptional quality of previous editions has been built upon to make this new edition of Atkins' Physical Chemistry even more closely suited to the needs of both lecturers and students. Re-organised into discrete 'topics', the text is more flexible to teach from and more readable for students. Now in its eleventh edition, the text has been enhanced with additional learning features and maths support to demonstrate the absolute centrality of mathematics to physical chemistry. Increasing the digestibility of the text in this new approach, the reader is brought to a question, then the math is used to show how it can be answered and progress made. The expanded and redistributed maths support also includes new 'Chemist's toolkits' which provide students with succinct reminders of mathematical concepts and techniques right where they need them. Checklists of key concepts at the end of each topic add to the extensive learning support provided throughout the book, to reinforce the main take-home messages in each section. The coupling of the broad coverage of the subject with a structure and use of pedagogy that is even more innovative will ensure Atkins' Physical Chemistry remains the textbook of choice for studying physical chemistry.
Download or read book Reducing Birth Defects written by Institute of Medicine and published by National Academies Press. This book was released on 2003-10-27 with total page 270 pages. Available in PDF, EPUB and Kindle. Book excerpt: Each year more than 4 million children are born with birth defects. This book highlights the unprecedented opportunity to improve the lives of children and families in developing countries by preventing some birth defects and reducing the consequences of others. A number of developing countries with more comprehensive health care systems are making significant progress in the prevention and care of birth defects. In many other developing countries, however, policymakers have limited knowledge of the negative impact of birth defects and are largely unaware of the affordable and effective interventions available to reduce the impact of certain conditions. Reducing Birth Defects: Meeting the Challenge in the Developing World includes descriptions of successful programs and presents a plan of action to address critical gaps in the understanding, prevention, and treatment of birth defects in developing countries. This study also recommends capacity building, priority research, and institutional and global efforts to reduce the incidence and impact of birth defects in developing countries.
Download or read book Landscapes of Pilgrimage in Medieval Britain written by Martin Locker and published by Archaeopress Publishing Ltd. This book was released on 2015-02-28 with total page 298 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book seeks to address the journeying context of pilgrimage within the landscapes of Medieval Britain. Using four case studies, an interdisciplinary methodology developed by the author is applied to four different geographical and cultural areas of Britain to investigate the practicalities of travel along the Medieval road network.
Download or read book Studies of Cave Sediments written by Ira D. Sasowsky and published by Springer Science & Business Media. This book was released on 2012-12-06 with total page 346 pages. Available in PDF, EPUB and Kindle. Book excerpt: John E. Mylroie and Ira D. Sasowsky' Caves occupy incongruous positions in both our culture and our science. The oldest records of modem human culture are the vivid cave paintings from southern France and northern Spain, which are in some cases more than 30,000 years old (Chauvet, et ai, 1996). Yet, to call someone a "caveman" is to declare them primitive and ignorant. Caves, being cryptic and mysterious, occupied important roles in many cultures. For example, Greece, a country with abundant karst, had the oracle at Delphi and Hades the god of death working from caves. People are both drawn to and mortified by caves. Written records ofcave exploration exist from as early as 852 BC (Shaw, 1992). In the decade of the 1920's, which was rich in news events, the second biggest story (as measured by column inches of newsprint) was the entrapment of Floyd Collins in Sand Cave, Kentucky, USA. This was surpassed only by Lindbergh's flight across the Atlantic (Murray and Brucker, 1979).
Download or read book Childhood Glaucoma written by R.N. Weinreb and published by Kugler Publications. This book was released on 2013-11-07 with total page 290 pages. Available in PDF, EPUB and Kindle. Book excerpt: Preface Childhood is the topic of the ninth World Glaucoma Association Consensus. There has been only sparse attention to the diagnosis and treatment of childhood glaucoma. Both pediatric ophthalmologists and glaucoma specialists provide care for such children. In some instances, they manage these individuals alone and, in others, the management is shared. For this consensus, the participation of both groups was solicited. The global faculty, consisting of leading authorities on the clinical and scientific aspects of childhood glaucoma, met in Vancouver on July 16, 2013, just prior to the World Glaucoma Congress, to discuss the reports and refine the consensus statements. As with prior meetings, it was a daunting task to seek and obtain consensus on such a complicated and nuanced subject. It is unclear how each of us decides how we practice, and evidence to guide us often is sparse. It is remarkable how few high level studies have been conducted on the management of childhood glaucoma. Hence, this consensus, as with the others, is based not only on the published literature, but also on expert opinion. Although consensus does not replace and is not a surrogate for scientific investigation, it does provide considerable value, especially when the desired evidence is lacking. The goal of this consensus was to provide a foundation for diagnosing and treating childhood glaucoma and how it can be best done in clinical practice. Identification of those areas for which we have little evidence and, therefore, the need for additional research also was a high priority. We hope that this consensus report will serve as a benchmark of our understanding. However, this consensus report, as with each of the others, is intended to be just a beginning. It is expected that it will be revised and improved with the emergence of new evidence. Robert N. Weinreb, Chair
Download or read book National Biennial RCRA Hazardous Waste Report based on 1989 Data written by and published by . This book was released on 1993 with total page 690 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Museum microclimates written by Tim Padfield and published by . This book was released on 2007 with total page 283 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book The Global Casino written by Nick Middleton and published by Routledge. This book was released on 2013-07-18 with total page 639 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Global Casino is an introduction to environmental issues which deals both with the workings of the physical environment and the political, economic and social frameworks in which the issues occur. Using examples from all over the world, the book highlights the underlying causes behind environmental problems, the human actions which have made them issues, and the hopes for solutions. It is a book about the human impact on the environment and the ways in which the natural environment impacts human society. The fifth edition has been fully revised and updated throughout, with new case studies, figures, and online resources such as downloadable figures and tables from the text and multiple choice questions for students, accessible at: www.routledge.com/cw/middleton. New topics covered in extended boxed case studies include payment for environmental services, ocean acidification, biofuels in Brazil, waste reduction through industrial symbiosis, and the long-term impact of natural disasters on vulnerable groups. Other approaches and concepts covered for the first time in this new edition include traditional ecological knowledge, environmental justice, the ‘resource curse’, and urban biodiversity. Eighteen chapters on key issues follow three initial chapters which outline the background contexts of the physical and human environments and the concept of sustainable development. Each chapter provides historical context for key issues, outlines why they have arisen, and highlights areas of controversy and uncertainty to appraise how issues can be resolved both technically and in political and economic frameworks. Each chapter also contains an updated critical guide to further reading and websites, as well as discussion points and essay questions. The text can be read in its entirety or individual chapters adopted as standalone reading. The Global Casino is an essential resource for students of the environment, geography, earth sciences and development studies. It provides comprehensive and inspirational coverage of all the major global environmental issues of the day in a style that is clear and critical.
