13 Accepted

NHSX is not a statutory body and does not prepare financial statements for audit.

Conclusion
NHSX is not a statutory body and does not prepare financial statements for audit. We asked how the Department was tracking the performance of NHSX and ensuring that money was being well used given that NHSX was not audited. The Department explained that NHSX’s funding came from the budgets of the Department and NHSE&I, and would therefore follow the normal funding allocations processes within each of these organisations. The Department accepted that the budgetary arrangements for digital transformation were not straightforward and this was an area it should keep under review. It said that it would be worthwhile to get “the money tidied up” so that there was greater accountability over how NHSX prioritised its spending.22
Government Response Summary
The government agrees with the committee's findings and commits to addressing them through a new digital strategy (Spring 2021), which will establish baselines, track digital maturity, collect cost/benefit data, and publish a full economic assessment of digital transformation value.
Government Response
Accepted
HM Government Accepted
4.1 The government agrees with the Committee’s recommendation. Target implementation date: Spring 2021 4.2 DHSC and NHSX fully recognise the importance of having a clear understanding of the whole-life costs and benefits of digital transformation across the health and social care system. This is crucial for effective decision making and to ensure value for money for the taxpayer. The new digital strategy will therefore set out how we plan to achieve this, at both national and local level. 4.3 The strategy will detail how we will: establish a clear baseline and track the digital maturity of organisations; collect robust cost and benefit data from local systems; and develop the relevant tools and guidance to support local systems in making confident investment decisions. It will also outline how we will track and assess the impact of digital transformation on patients, clinicians and services. 4.4 DHSC and NHSX have already commissioned a full economic assessment of the value of digital transformation across the NHS, which is due to be published as part of the new digital strategy in Spring 2021. This will consider the whole-life costs and benefits of different approaches and will provide a clear evidence base to drive future investment.
Addressee Bodies
HM Treasury
Timeline
Recommendation age 5.7 yrs
Report published 06 Nov 2020