Managing High Value Capital Equipment in the NHS in England

Managing High Value Capital Equipment in the NHS in England

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The Commons Public Accounts Committee publishes it fifty third report of Session 2010-12, on the basis of evidence from the Department of Health. In the past three years, NHS trusts in England have spent around Ap50 million annually on buying three specific types of high value capital equipment - Magnetic Resonance Imaging (MRI) and Computed Tomography (CT) scanners, used mainly for diagnosis, and Linear Accelerator (Linac) machines for cancer treatment. The current value of these three types of machines in the NHS is around Ap1 billion. Patient demand for services from these machines has increased significantly in the last decade and continues to grow. Since 2007, the Department of Health has devolved responsibility for procuring and managing these machines to individual trusts but this structure is not conducive to delivering value for money. The committee is concerned that the NHS is failing to optimise its purchasing power, crucial at this time when Ap20 billion of savings in the NHS are required by 2015. The NHS needs to make high quality, comparable data available on machine use and cost. The procurement and management of high value equipment is fragmented and uncoordinated, leading to wasted resources and variable standards of services. Trusts have three main ways to purchase high value equipment: by dealing directly with suppliers; through framework agreements, managed by NHS Supply Chain; or by joining up with other trusts in collaborative purchasing arrangements. The Committee believes there is a lost opportunity to use collective buying power to get lower prices and the committee expects NHS Supply Chain and other collaborative procurement bodies to work with trusts to share plans on future needs and get better prices and value for money by exploiting the joint buying power.You have a challenging financial target to meet in terms of the NHS budget, and yet you cannot get people to work together to ... Sir David Nicholson: I do not think we are being complacent. ... Q55 Chair: A 17% cut and central funding gone .

Title:Managing High Value Capital Equipment in the NHS in England
Author:Great Britain: Parliament: House of Commons: Committee of Public Accounts
Publisher:The Stationery Office - 2011-10-25


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