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Bridging the accountability gap - Audit Commission

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Governing partnerships | Governing partnerships for better <strong>accountability</strong> 51<br />

memorandum is important precisely because <strong>accountability</strong> remains with organisations<br />

that are not in charge of <strong>the</strong> day-to-day management of <strong>the</strong> budget.<br />

Figure 9<br />

Pooled budgets in health<br />

There has been a marked growth in use of pooled budgets in <strong>the</strong> NHS, albeit from a<br />

lower base than in local government.<br />

Percentage<br />

100<br />

90<br />

80<br />

70<br />

66<br />

60<br />

50<br />

40<br />

40<br />

30<br />

20<br />

10<br />

12<br />

7<br />

7<br />

0<br />

0<br />

Primary care trust NHS trust Strategic health<br />

authority<br />

2002/03<br />

2003/04<br />

Source: <strong>Audit</strong> <strong>Commission</strong>, 2004<br />

116 Governance needs to be robust, but auditors report problems with reaching agreement<br />

on <strong>the</strong> memorandum in a substantial proportion of local authorities and NHS bodies.

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