tailieunhanh - Annual Report & Accounts 2010-11_part2

Công việc của chúng tôi trong năm nay Sức khỏe làm việc địa phương Công việc vào Bệnh viện Dịch vụ ăn uống và dinh dưỡng bệnh nhân đề cập ở trên là một phần của một chương trình đầy đủ các địa phương thực hiện kiểm toán làm việc tại các Ban y tế và NHS tin tưởng ở xứ Wales. | Our work this year Local health work The work on Hospital Catering and Patient Nutrition mentioned earlier was part of a full programme of local performance audit work at health boards and NHS trusts in Wales. During 2010 auditors carried out structured assessments of NHS bodies arrangements to secure efficient effective and economical use of resources. We examined key aspects of NHS bodies governance and financial management and key activities such as the development of strategic plans workforce planning partnership working and user engagement. We acknowledged the good progress most NHS bodies had made in developing their corporate governance arrangements following NHS re-organisation. We also highlighted the areas where more work was needed most notably in developing robust service workforce and financial plans to underpin their overarching five-year strategic plan. Our work in 2011 will review the progress that is being made linking explicitly with NHS bodies self-assessments of governance and accountability as part of the new standards for healthcare. Another significant performance audit examined the impact of amendments made in 2003 to consultants contracts in Wales. We reviewed job planning arrangements for consultants and in most NHS organisations we were able to highlight significant opportunities for improvement. We will follow up progress and later in 2011 we will examine NHS bodies approaches to developing sound models of clinical leadership and engagement. We also examined how effectively NHS bodies were using their operating theatre capacity and whether progress was being made in increasing day surgery rates. This work was undertaken in partnership with the Audit Commission allowing us to compare performance in Wales with NHS trusts in England. At each NHS body auditors also examined risks specific to the NHS bodies in question. A good example is our review of the arrangements to manage prescribing in Hywel Dda Health Board. This work highlighted the