NHS cost-cutting Capita contract put ‘patients at serious risk of harm’, find auditors.
Capita, which has been contracted to provide various support services across England including a role in the NHS cervical cancer screening programme, wrongly told dozens of women they were no longer a part of the cervical screening programme, according to a new National Audit Office (NAO) report.
As part of a wide array of services, Capita has been contracted by NHS England to provide lists of patients eligible for screening to GPs and send out invitation and recall letters and test results to patients. This involves sending out millions of documents.
But the NAO report states that service failures led to 87 women being incorrectly notified that they were no longer part of the cervical screening programme. The report adds that “no actual harm has been identified”.
It comes after a major blunder in the NHS breast screening programme which saw hundreds of thousands of women not sent their final screening invitation.
It has been estimated that as many as 270 lives could have been lost as a result.
Meanwhile, the NAO report was also critical of other aspects of the service provided by Capita.
It said that patients could potentially have been put at risk due to problems with the “performers list” – a list of GPs, dentists and opticians practising in the NHS, including whether they are suitably qualified and have passed other relevant checks.
“The failure to update performers lists may have compromised patient safety in cases where practitioners should have been removed,” the authors said.
Problems with the list also led to hundreds of health workers being unable to work. In 2016, delays in processing new applications for the lists resulted in around 1,000 GPs, dentists and opticians being unable to work.
As well as keeping these health workers away from the front line, it also meant that NHS England has been forced to pay out for “lost earnings” due to the delays.
As part of its contract, Capita also organises GP and pharmacy payments and GP pensions, the moving of medical records – for example if someone changes GP practice – payments to opticians and providing NHS stationery, pre-printed forms, and needles and syringes for primary care.
The NAO report states the estimated value of NHS England’s seven-year contract with Capita for nine primary care support services is worth £330 million.
The contract was agreed in 2015 with the aim of reducing primary care support service costs by 35%, with a view to modernising the service.
But the service has suffered a number of setbacks, including doctors reporting problems with the transfer of medical documents, and problems caused by shortages of stock in the NHS supply chain.
The NAO report concludes that NHS England has largely secured the financial savings it expected – in the first two years of the contract, NHS England made savings of £60 million.
But the authors of the report wrote: “NHS England has not yet secured the transformation that it wanted.
“The service to primary care practitioners, including Capita’s delivery of PCSE, has fallen a long way below an acceptable standard.
“This had an impact on the delivery of primary care services and had the potential to seriously harm patients, although no actual harm to patients has been identified.”
The authors acknowledge that Capita’s self-reported performance against the contract has improved.
But they questioned whether some of the services should be taken “in-house” by NHS England.