Dear Department of Health and Social Care,
The Commons Health Select Committee report summary published on 18 March 2010 states,
" Whatever the benefits of the purchaser/provider split, it has led to an increase in transaction costs, notably management and administration costs. Research commissioned by the DH but not published by it estimated these to be as high as 14% of total NHS costs. We are dismayed that the Department has not provided us with clear and consistent data on transaction costs; the suspicion must remain that the DH does not want the full story to be revealed. We were appalled that four of the most senior civil servants in the Department of Health were unable to give us accurate figures for staffing levels and costs dedicated to commissioning and billing in PCTs and provider NHS trusts. We recommend that this deficiency be addressed immediately. The Department must agree definitions of staff, such as management and administrative overheads, and stick to them so that comparisons can be made over time."

The, "Full Fact" organisation, (('The UK's independent fact checking charity'), claimed on 27 February 2018 it has a copy of the unpublished DH report on NHS administration costs referred to in the Select Committee report published 18 March 2010 provided to the charity by the report's authors.

I request the unpublished report.

Yours faithfully,

Roger Gartland.