National Audit Office: NHS Reports

8. What plans he has to consider National Audit Office reports on the NHS.

The majority of National Audit Office reports are considered by the Public Accounts Committee. Earlier this month, the Committee took evidence on the NAO’s recent report “Introducing Integrated Care Systems” and will report on that in due course. My hon. Friend may be interested to know that, today, the National Audit Office has published a report on “Managing NHS backlogs and waiting times in England”. The PAC expects to take evidence on that on 28 November.

In 2019-20, the NHS England budget was £124 billion, which has increased this year by 23% to £152 billion. Yet, despite that record extra funding, so far this year the NHS has treated 656,000 fewer patients than during the same period in pre-pandemic 2019—a drop of 5%. Is it the National Audit Office’s view that the NHS has a productivity problem?

Yes, it is. Indeed, the report published by the NAO today states:

“The NHS now has a problem with reduced productivity.”

NHS England has estimated that, in 2021, the NHS was about 16% less productive than before the pandemic. Some of that, of course, relates directly to the pandemic, but NHS England is also examining other potential causes, including reduced willingness to work overtime. Some of NHS England’s new initiatives such as surgical hubs and the transformation of out-patient services are intended to produce greater productivity. No doubt the National Audit Office will want to examine that in due course.