Source · Select Committees · Public Accounts Committee
Recommendation 2
2
The Department’s failure to ensure clear and transparent governance arrangements for digital transformation is putting...
Conclusion
The Department’s failure to ensure clear and transparent governance arrangements for digital transformation is putting the successful delivery of the Vision for digital, data and technology at risk. There are many organisations working at both national and local levels to deliver the digital transformation of the NHS. Yet governance arrangements are complex and confused. The Department, NHSX, NHS Digital and other stakeholders recognise that there is a lack of clarity over the roles of NHSX and NHS Digital and the overlaps in their work. The new Chair of NHS Digital is due to review the approach that has been taken to digital transformation, including the operating models being used across NHS Digital, NHSX and NHSE&I. However, we are concerned that governance arrangements for NHSX have still not been finalised over a year after it was set up. NHSX is not a statutory body and does not prepare financial statements for audit, and so there is little transparency over its spending and activity. It has spent an estimated £11 million on the first phase of the delayed contact-tracing app, and expects to spend another £25 million on the second stage. Given the taxpayers’ money involved, transparency is important to allow Parliament and the public to hold it to account. Recommendation: To improve clarity and transparency, the Department should: • Write to the Committee by spring 2021 clearly setting out the responsibilities for digital transformation of each national organisation, and communicate 6 Digital transformation in the NHS this to local organisations. • Publish an annual report of NHSX’s activity and the spending it controls and/or directs.
Government Response
Acknowledged
HM Government
Acknowledged
2020. Funding offered is determined by an objective formula, based on assessment of the Town Investment Plan. Feedback is provided on request. 2.4 In relation to funding decisions on the Towns Fund and similar local growth programmes, the department will provide: where relevant, a record of Ministerial recusal from decisions affecting the constituencies of Ministers; a statement of the criteria that have been used to make decisions; and the details of scores or other assessments that have been used as part of the decision-making. 2.5 This will be provided to the Committee when all decision making is complete. On the Towns Fund, this will be when all 101 Towns have submitted Town Investment Plans and funding decisions have been made. 2.6 When Heads of Terms are agreed between the department and Towns, the department plans to publish these on GOV.UK. 2.7 The Levelling Up Fund announced at Spending Review 2020 includes £300 million previously set aside for a Towns Fund competition. This element of the Levelling Up fund will continue to support towns, and the department will set out the processes around it in due course.