The Commons public accounts committee (PAC) report on accountability has been published, noting quite rightly that the government's policies on localism raise "fundamental points about the current model of accountability".
The MPs are somewhat sceptical about the consumer-based model of accountability in public services, suggesting that this will not do the same job as Parliament or the PAC in ensuring value for money.
The committee gives the example of devolving decisions over NHS funding to GPs, describing the model of accountability as "rudimentary".
"For example, defining how patients will hold their local GPs to account when GPs are put in charge of commissioning services remains unclear and uncertain.
"In our view accountability systems need to be much more strongly developed to enable effective transfer of responsibility for cost and value for money to the local level. Relying on local groups and individuals to hold local service providers to account may highlight quality of service issues but is less likely to focus on cost and value for money as funds will be provided centrally.
"Currently, patients have little or no access to information on the cost, quality or value for money of their care and are unable to make clinical or value for money judgements between alternative treatments.
"Even if they could, the quality of care would be the overriding priority; cost and value for money would be secondary considerations in making choices."
The committee also noted the difficulties which could arise from having to distinguish between failing public bodies and failing policy structures.
"The Cabinet Office and the Treasury distinguished between Accounting Officers' accountability for systemic issues which result in poor value for money across all local bodies, and accountability to the local community or service user for the performance of local bodies. For example, the Accounting Officer should not be held to account for the performance of an individual academy.
"While we reserve the right to hold departmental Accounting Officers to account for systemic performance issues and individual public bodies to account for their use of taxpayers' money, we are concerned that it would be difficult for this committee to exercise parliamentary accountability by holding innumerable local delivery bodies to account for their use of public resources."
The MPs said that "new policy initiatives which involve the devolution of resources to local service providers should not be launched without establishing a clear mechanism which will ensure proper accountability to Parliament".
PAC conclusions and recommendations
1. We welcome the Government's acceptance of the need to reconcile the policy intention of its reform and localism agenda with the legitimate demands of parliamentary accountability. We urge the Government to consider the fundamentals of effective accountability set out in this Report and consult fully with Parliament on how accountability will be delivered within the context of its reform agenda.
2. Local accountability and reformed structures do not absolve departmental Accounting Officers of their personal responsibility to gain assurance on the way funds voted to their departments are spent. The Cabinet Office and the Treasury distinguished between Accounting Officers' accountability for system-wide issues and accountability to the local community or service user for the performance of local bodies. Our interest is in the financial management and value for money secured from all departmental spending and we expect Accounting Officers to put in place arrangements to provide us with the assurances we need. Parliament needs to be able to assure the public that value for money is obtained and Government must put in place arrangements to enable Parliament to do its job.
3. The accountability arrangements supporting the localism agenda are unclear. The National Audit Office estimates that 37% of central government tax receipts are devolved to local bodies. We support the aim of enhancing local accountability and user accountability, but thinking on how local communities and users hold bodies accountable in practice is rudimentary. The Government's review of accountability needs to consider the extent to which local accountability will act as an effective pressure to secure service improvements without due regard to value for money, particularly where there is no local financial incentive to keep costs down.
4. The reform agenda anticipates a plethora of delivery and accountability models, some of which are untested. Responsibility for delivering public services will be devolved to established entities such as local authorities with a strong record of managing public funds but also to new and untested bodies, for example GP consortia or free schools. The Government's accountability review should map out the landscape of the different delivery models and proposed accountability arrangements for each form of reform and ensure they comply with the fundamentals we have outlined.
5. Accountability regimes must be underpinned by sound information systems, yet our experience suggests this is an area of systemic weakness. Whether to aid the 'armchair auditor' and the users of local services, or to provide the assurance that Accounting Officers need to fulfil their responsibilities to Parliament, information about local delivery needs to be comparable and robust. The Government acknowledged that where resources are devolved to local providers, performance is likely to vary. Currently, users of local services have little or no access to information on the cost, quality or value for money of the services and this limits their ability to make informed judgements between alternative providers. Even if they did have access to the necessary information, service quality would be likely to prove the overriding priority for service users; cost and value for money would be secondary considerations in selecting the appropriate service. Government should specify what performance, financial and outcome information is needed to enable effective transfer of responsibility to local service providers.
6. Accountability for the delivery of major projects and programmes must be clear so those responsible for delivery can be held to account. There are weaknesses in personal responsibility and accountability for major projects due to the high turnover and lack of central oversight of Senior Responsible Owners. Government acknowledges that there is a shortage in project management expertise. This dilutes control over major projects, has led to cost overruns and delays and further weakens accountability to Parliament. The Cabinet Office is updating its current approach to enhancing project management expertise. At a project level, Senior Responsible Owners should be held accountable for delivering projects within an agreed budget and timeframe and should have authority to direct those involved in delivering the project. For all major projects and programmes, the Accounting Officer should nominate a Senior Responsible Owner who is accountable to Parliament alongside the departmental Accounting Officer. Steps should be taken to reduce the present turnover of staff, which undermines efficiency and effectiveness and makes a nonsense of personal responsibility and accountability.


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