The Department for Work and Pensions (DWP) provides services to some 28 million people. Despite the development of new technology, printed materials, in particular leaflets, play an important role in ensuring that customers are informed of services and entitlements. This NAO report examines how effectively the DWP manages the provision of accurate information in its leaflets issued to customers, as well as communicating clearly and effectively about benefits and services. It focuses on how the DWP manages the risks associated with producing and issuing inaccurate leaflets; whether it can ensure that the information in leaflets is accurate and accessible; and whether leaflets are easily available for customers. Findings include that although the DWP has made progress in improving the design of some leaflets, it could go further to make them easier for the public to understand and get hold of, as well as improving checks on the accuracy of leaflets and its supply and printing arrangements so that the most recent versions are widely available.

The second edition of this important text reviews policy developments since 1997. The chapters have been extensively updated and there are new chapters on social security reform, inequalities and social security, and the new 'welfare market'.

The Department for Work and Pensions has made progress in reducing the number of leaflets that it produces for its customers and in making application forms simpler and shorter. The Department has significantly changed the way in which it provides information in recent years with a growth in telephone enquiries and in online provision. The Department has reduced the quantity of leaflets that it produces for customers, from 208 different leaflets in 2005 at a cost of �10.3 million to 53 leaflets in 2008 costing �1.7 million. It has also reduced the length of most of its forms, though some are unnecessarily long and guidance notes are complicated and the Department's computer generated letters are overly long and confusing for customers. The Department has put telephone calls at the centre of its application process. It is also increasingly using the internet to communicate with customers. In response to the rise in applications for the Jobseeker's Allowance, up by 81 per cent in the six months to January 2009, the Department plans to implement systems giving customers the option of full online applications for contributory Jobseeker's Allowance from summer 2009, rather than February 2010 as originally planned. Cost efficiencies from online provision have still to be realised fully. Though forms can be downloaded from the internet it is not yet possible to apply for most benefits online, meaning that staff and customer time is taken up handling claims over the telephone or face to face.

This NAO report examines the role and cost effectiveness of contact services for customers from the Department for Work and Pensions. During the 2004-05 period the Department spent £190 million on running contact centres. The centres themselves answered more than 33 million incoming calls, and made 7 million outgoing calls, as well as handling 300,000 e-mails, 30,000 faxes and 4 million incoming letters and application forms. The Department serves a wide range of customers, including 28 million pensioners and benefit recipients, paying out £112 billion a year in benefits and pensions. This report sets out a number of recommendations: that the Department should develop its understanding of customer demand and improve its forecasting processes; that the Department should aim to offer a seamless service, by reducing the number of telephone contact points, as well as sharing good practice techniques across such areas as forecasting and training; that contractual arrangements for staff should match the demand needs of customers, and that contact centre targets should therefore focus on customer need; that the Department should advance initiatives to improve its information on costs.

The Department for Work and Pensions (DWP) provides services to some 28 million people and, despite the development of new technology, printed materials such as leaflets play an important role in ensuring that customers are informed of services and entitlements. Following on from a NAO report (HC 797, session 2005-06; ISBN 9780102936728) published in January 2006, the Committee's report focuses on three issues: managing the process for producing accurate leaflets; accessibility of information for a diverse range of customers; and making information available to the public. Findings include: i) the DWP has reduced its total number of published leaflets from 245 to 178 and is committed to making an overall reduction of 100; ii) the DWP is unable to determine the exact cost of producing leaflets, which has been estimated at £31 million in 2004-05; iii) around 40 per cent of the 27 different leaflets tested by the NAO across the country were out of date, and all 13 of the Department's key leaflets tested required a reading age higher than the national average; and iv) leaflets are not easily accessible to groups such as those with disabilities or non-English speakers, and copies of four core departmental leaflets examined were available at only 11 per cent of key non-departmental locations such as libraries and Citizens' Advice offices visited by the NAO.

The Government proposed a significant reform of the pensions system in the White Paper 'Security in retirement: towards a new pensions system' (ISBN 0101684126). This report sets out the Committee's response to the proposals. It looks at: personal accounts; existing occupational and private pensions; state pension reform; the state second pension; whether the state pension should remain two-tier; means-testing; how much it will cost; increasing the state pension age; working longer; and public engagement with pensions. Their conclusion is that on the whole the Government's measures are the right way forward.

Following serious concerns about clinical and organisational failures in the NHS during the 1990s (such as Alder Hey, the Bristol Royal Infirmary and Shipman), the Government identified the need for a more systematic approach to improving quality and safety in healthcare. The Department of Health introduced clinical governance, a framework through which NHS organisations are accountable for continuously improving the quality of their services and safeguarding high standards of care. Primary Care Trusts (PCTs) are responsible for providing primary care services and commissioning services on behalf of their local health economy. This report examines the Department's progress in implementing clinical governance in primary care; the lessons learned; and the risks that will need to be managed if quality and safety are to be embedded in the new PCTs. that clinical governance is not as well established in primary care as in secondary care, largely because of the complexity of PCTs role in both commissioning and providing care; and the independence of contractors delivering healthcare, particularly General Practitioners (GPs). Primary care has also been slower in adopting a structured approach to quality and safety, evident for example in the lack of compliance with national systems reporting of clinical incidents. There is a lack of clarity between PCTs and their contractors as regards accountability for ensuring quality and safety, and scope for greater involvement of patients and the public in ensuring that primary care services are safe and of high quality.

Incorporating HC 983-i-iv, session 2007-08

In 1999 the European Union introduced a Directive that require the UK to reduce the amount of biodegradable waste disposed of in landfill. By 2010 we have to landfill 75% of the amount landfilled in 1995. This figure reduces to 50% by 2013 and 35% by 2020. If the target is not met then the UK could be fined for non-compliance. So far DEFRA has spent £336 million on initiatives to reduce the amount of landfill, but reductions have been offset by growth in the amount of waste produced and there is a risk that the targets will not be met. An emphasis on recycling alone is not enough. DEFRA needs to focus on helping the 25 authorities that send most to landfill and help develop alternative waste facilities, as well as encouraging more households to recycle and compost. This examination of the problem is in four parts: 1) England needs to reduce the amount of biodegradable municipal waste disposed through landfill; 2) earlier delays I taking action made European Union targets more difficult to achieve; 3) without a step change in existing local authority plans, England will not achieve its share of the reductions in landfill the European Union requires by 2010 and 2013; 4) recycling and minimisation need to contribute more to reducing the amount of biodegradable municipal waste sent to landfill.