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Health challenges – external audit perspectiveSouth Central – Audit Committee Chairs Meeting
3 October 2013
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9 April 2023 [Presentation title]
Agenda
► Current issues and challenges► Sector developments and the wider economy► Developments in regulation► Accounting and governance
► External audit challenges
► Implications for audit committees
► Questions and discussion
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9 April 2023 [Presentation title]
Current issues and challenges – Sector developments and the wider economy
► Spending review 2015-16
► Health and social care performance
► A&E funding
► 2012/13 FT performance
► Sir Bruce Keogh and Cavendish reviews
► Improving care for vulnerable older people
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9 April 2023 [Presentation title]
Current issues and challenges – Developments in regulation
► NHS England and Monitor working together
► Consultation on the mandate to NHS England
► CQC – thematic review of mental health care and new inspection plans
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9 April 2023 [Presentation title]
Current issues and challenges – Accounting and governance
► Auditing the accounts 2012-13
► Data assurance framework: Mental health
► National Fraud initiative
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Introduction to External Audit
External audit challenges - a reminder of what we do
Mandated► Code of Audit
► Opinion► Value for Money conclusion► Regularity opinion► Remuneration report► Annual report► Consolidation schedules
► Specific reporting powers► Section 19 referrals► Public interest reports
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Additional Services► Yes, but have to consider
► Independence► Fee
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9 April 2023 [Presentation title]
External audit challenges- key risks 2013/14 and beyond
► Increasing financial pressures
► Joint working
► Relationship between CCGs and CSUs
► Continued uncertainty from change
► CCG opening balance sheet
► More financial statements to produce and audit
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9 April 2023 [Presentation title]
Implications for audit committees
► Assurance framework
► Internal reporting
► Joint working ► Influence and control
► Management information and external assurance s
► Continued scrutiny and accountability
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9 April 2023 [Presentation title]
Implications for audit committees
How should you go about meeting your responsibilities?
► Use audit (internal and external) and counter fraud
► Meet with the auditors
► Consider clinical governance
► Obtain management assurances
► Consider third party assurances – shared services and partnership
working
► Strong admin support and preparation – clear reports in advance
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Introduction to External Audit
Other services available
EY can help organisations manage change in many ways► Act as critical friend► Provide performance and improvement consultancy services► Carry out benchmarking exercises► Advise on out sourcing of services or new ways of service delivery► Advise on risk management ► Advise on IT risk and assurance ► Provide Tax, pensions, IA services and accountancy services
BUT
Must comply with ethical standards and report any conflicts of interests between our audit and advisory work
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Introduction to External Audit
Discussion and questions
“The only stupid question is the one left unasked”
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Thank you