Brecon Beacons National Park Authority Internal Audit ... Apri… · Brecon Beacons National Park...

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4 Brecon Beacons National Park Authority Internal Audit Report Block 2 2015/16

Transcript of Brecon Beacons National Park Authority Internal Audit ... Apri… · Brecon Beacons National Park...

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Brecon Beacons National Park Authority Internal Audit Report Block 2 2015/16

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Brecon Beacons National Park Authority – Internal Audit Report Block 2 2015/16

CONTENTS

INTRODUCTION ...................................................................................................................... 3

EXECUTIVE SUMMARY .......................................................................................................... 5

APPENDIX A1 – GW 04/16 CORPORATE GOVERNANCE ................................................... 9

APPENDIX A2 – GW 05/16 DEPARTMENTAL REVIEW – INCOME GENERATION ........... 11

APPENDIX A3 – GW 06/16 INFORMATION GOVERNANCE HEALTH CHECK .................. 14

APPENDIX A4 – FOLLOW UP ............................................................................................... 16

APPENDIX B – SUMMARY OF OPINIONS & RECOMMENDATIONS ................................. 19

APPENDIX C – OPERATIONAL PLAN 2015/16 .................................................................... 20

APPENDIX D – PERFORMANCE INDICATORS YTD .......................................................... 21

APPENDIX E – NOTES .......................................................................................................... 22

CONTACT DETAILS – MANAGEMENT TEAM

Team Member Role Mobile Email

Robin Pritchard Head of Internal Audit

This report has been prepared for our client and should not be disclosed to any third parties, including in response to requests for information under the Freedom of Information Act, without the prior written consent of Gateway Assure Ltd. Whilst every care has been taken to ensure that the information provided in this report is as accurate as possible, it is based upon the documentation reviewed and information provided to us during the course of our work. Thus, no guarantee or warranty can be given with regard to the advice and information contained herein. © 2015 Gateway Assure Ltd

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INTRODUCTION

OPERATIONAL AUDIT PLAN 1.1 This report summarises the outcome of work completed to date against the operational audit plan

approved by the Authority’s Audit and Scrutiny Committee and incorporates cumulative data in support of internal audit performance and how our work during the year feeds in to our annual opinion.

1.2 The sequence and timing of individual reviews has been discussed and agreed with management to ensure the completion of all audits within the agreed Internal Audit Strategy 2015/16; the current planned schedule is shown in Appendix C.

1.3 In brief the areas subject to audit on this occasion and the result of those audits are as follows:

Recommendations

Audit Area Opinion F S MA Total Agreed

Corporate Governance Substantial 0 2 0 2 2

Departmental Review - Income Generation Substantial 0 1 3 4 4

Information Governance Adequate 0 2 2 4 4

1.4 We would like to take this opportunity to thank all members of staff for their co-operation and assistance during the course of our visit.

1.5 The results of each audit are reported through the Executive Summary and agreed Action Plan

contained within Appendix A. A Summary of Opinions and Recommendations is shown as Appendix B and progress against the Operational Plan is detailed at Appendix C.

STANDARDS 1.6 We have performed our work in accordance with the principles of the Institute of Internal Auditors

(IIA) International Professional Practice Framework (IPPF) and the Public Sector Internal Audit Standards (PSIAS) in so far as they are applicable to you our client. Our working papers are available for inspection.

QUERIES 1.7 Should any recipient of this report have any queries over its interpretation or content they should

contact the client engagement director either directly or through the client contact as appropriate and we shall be happy to discuss the assignments and provide any detail or explanations necessary.

SCOPE & BACKGROUND 1.8 We have reviewed each area in accordance with the scope and objectives agreed with

management prior to our visit. Appendix A provides detail of the scope of our work; our conclusions regarding the level of assurance that can be provided and where appropriate the agreed Action Plan to be implemented by management to remedy potential control weaknesses.

1.9 Our approach was to document and evaluate the adequacy of controls operating within each

system. For each system the key controls operated by management were assessed against the controls we would expect to find in place if best practice in relation to the effective management of risk, the delivery of good governance and the attainment of management objectives is to be achieved. Where applicable, selected and targeted testing has been used to support the findings and conclusions reached.

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1.10 We report by exception and only highlight those matters that we believe merit acknowledgement in terms of good practice or undermine a system’s control environment and which require attention by management.

AUDIT OBJECTIVE & OPINION 1.11 The objective of our audit was to evaluate the auditable area with a view to delivering reasonable

assurance as to the adequacy of the design of the internal control system and its application in practice. The control system is put in place to ensure that risks to the achievement of the organisation’s objectives are managed effectively.

1.12 Our opinion is based upon the control framework (as currently laid down and operated) and its ability to adequately manage and control those risks material to the achievement of the organisation’s objectives for this area. We provide our opinion taking account of the issues identified in the Executive Summary and Action Plan.

Overall Opinion 1.13 Each Executive Summary provides an overall assessment of our findings for each system reviewed

and provides an opinion on the extent to which management may rely on the adequacy and application of the internal control system to manage and mitigate against risks material to the achievement of the organisation’s objectives for each area.

Conclusion on the Adequacy of Control Framework 1.14 Based on the evidence obtained, we conclude for each area upon the design of the system of

control, and whether if complied with, it is sufficiently robust to provide assurance that the activities and procedures in place will achieve the objectives for the system.

Conclusion on the Application of Controls 1.15 Based on the evidence obtained from our testing, we conclude for each area upon the application

of established controls.

Recommendation Grading 1.16 Recommendations are graded on a scale of Fundamental, Significant or Merits Attention;

Appendix E provides further explanation.

VALUE FOR MONEY 1.17 Where value for money issues are identified as a result of our work the corresponding

recommendation will be annotated with VFM in the bottom right hand corner. This is used to identify recommendations which have potential value for money implications for the organisation or which indicated instances of over control.

PREVIOUS AUDIT RECOMMENDATIONS (FOLLOW UP) 1.18 Where a previously updated audit recommendation remains outstanding at the time of our review

and the original implementation date has passed the corresponding recommendation within Appendix A will be annotated with PAR in the bottom right hand corner.

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EXECUTIVE SUMMARY

FINDINGS & CONCLUSIONS 2.1 The results of our visit to Brecon Beacons National Park Authority are summarised in this section of

the report and are considered in relation to each area reviewed.

2.2 The extent of comment in relation to each audit area is restricted deliberately so as to highlight the key issues that we believe need to be drawn to the attention of the Audit and Scrutiny Committee and management and are supported by a more detailed analysis of each review that is contained as Appendix A to this report.

Corporate Governance

2.3 The scope and objective of the review as agreed with management is summarised in Appendix A.

2.4 The Authority’s Annual Governance Statement includes a statement confirming compliance with the

CIPFA SOLACE recommended framework of governance for local government and associated organisations such as National Park Authorities. There is no structured formal self-assessment in place against the SOLACE requirements to evidence how the Authority considers itself and demonstrates compliance; in our experience such a process complimented by annual review is beneficial to support statements of compliance, as a tool to prompt how changes (internal and external) may impact upon compliance and to use as a basis for ensuring ongoing compliance as and when requirements change and avoid making inaccurate statements. SOLACE was originally issued in 2007 and subsequently updated in 2012.

2.5 An appropriate committee structure is in place; with calendar, agendas, papers and minutes

published and easily accessible.

2.6 Membership of the Authority comprises of appointed members from constituent councils and Welsh Assembly Government; as such the Authority has little control over the skills and experience of its membership. Whilst we appreciate that it is not within the Authority’s control we recommend that it determine a ‘wish list’ of skills which it feels necessary to effectively govern its operations; this can then be matched against the skills possessed by members to identify any skill gaps and influence the appointing bodies to provide members whose skills and experience it is felt would positively improve governance arrangements and support the Authority going forward.

2.7 In our comparative review at Pembrokeshire Coast National Park Authority (PCNPA) similar issues to those above have been raised; differences surround the complexity of membership to BBNPA due to its constituent members, the real time broadcast of Authority and Committee meetings and the use of modern.gov as a document management system. We noted that BBNPA holds an additional Audit and Scrutiny Committee meeting to the equivalent PCNPA Committee; the meetings also last longer.

Departmental Review – Income Generation

2.8 The scope and objective of the review as agreed with management is summarised in Appendix A.

2.9 In addition to the head office the Authority has four visitor centres (one with tea rooms) which are

Taking account of the issues identified above and the recommendations contained within Appendix A, in our opinion the control framework for the area under review, as currently laid down and operated, provides substantial assurance that risks material to the achievement of the organisation’s objectives for this area are adequately managed and controlled.

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income generating. Each site has a specific site manager. We visited the visitor centre with tea rooms as part of the review.

2.10 We reviewed the Authority’s web presence at a high level, as this is generally accepted as one of the most popular methods of researching an area prior to a visit; we found: There are a number of sites relating to Brecon as a Destination, the National Park and the local

area. The Authority itself has two websites which have different URLs and different roles – one – www.beacons-npa.gov.uk is the Authority site aimed at providing information about corporate services available from the Authority and the other (www.breconbeacons.org ) is aimed at promoting the National Park as a destination. The latter is run as a joint venture with Brecon Beacons Tourism; as this website is in partnership it is not appropriate to promote the services offered by the Brecon Beacons National Park Authority ahead of other local businesses. As such references to the visitor’s centres and the conference facilities are held in a section of the site labelled Visitor Centres but are not on the front page.

In line with Authority expectations the Authority’s website (www.beacons-npa.gov.uk ) appears as the second result when you Google ‘Brecon Beacons’; with the partnership site placed first, since the majority of those searching are looking for visitor facing information.

2.11 The Authority should consider greater social media presence to physical visitors to the Park and

seek email addresses from visitors to ‘push’ messages and promotions. Facebook and Twitter facilities are available, albeit the use of Twitter is not universal. Such local use to advertise activity is likely also to benefit the online shop through generating sales once visitors have left the Park.

2.12 At the main visitor centre and tea rooms space is available to potentially generate further income; there is also a tenant occupied flat attached to the centre. We have recommended that the Authority perform a review of its properties considering alternative uses to maximise the income potential; such uses should be aligned with the Authority’s marketing and web presence to promote these to potential users.

2.13 Given the range of locations and activities we have also recommended the introduction of local risk registers; as risks relating to catering at the visitors centre would require a different knowledge to the risks associated with general health and safety of information centres. With significant risks promoted to the corporate risk register as and when appropriate.

2.14 We found free wi-fi available at all sites which could be used to attract visitors in a relatively poor mobile signal area. The Authority also operates picocells allowing mobile phones to connect to the phone network via Internet connections. This has important benefits, not least in respect of public safety. The use of Facebook is deliberately restricted in that all items to be posted have to go through the central communications department; clearly there needs to be effective planning and co-ordination by those outside of the Comms Team in order to ensure appropriate presence is given to events and activities. Twitter is also available as a more flexible communication tool, albeit its use is not universal and therefore further encouragement could be given to the use, co-ordination and frequency of postings to the benefit of BBNPA and particular areas of activity. In increasing activity, BBNPA will need to ensure that the specified criteria within which managers are allowed to post on non-sensitive issues are clearly understood and that ‘tweets’ are monitored. – the holding of the account and the information tweeted are the subject of agreement between Comms and the account holder. Any use of social media in this way also needs to recognise the impact of the Welsh Language Standards which require equal prominence to be given to the Welsh Language and so require all content to be translated.

2.15 There is no recording of waste at the tea rooms; we were advised all food was prepared on demand with an immaterial amount discarded at the end of each day. As a matter of good practice we would recommend monitoring waste to inform general management, purchasing and stock.

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2.17 In our comparative review at PCNPA we found that PCNPA benefits from a larger number of more significant building assets from which to generate income; however BBNPA benefits from a greater sense of ‘destination’ and the ability to sell marketing to local businesses. It is acknowledged that BBNPA regularly review the potential income streams through the Income Generation and Working Centre Group, and also has an online shop which generates a small income. Both authorities would benefit from greater prominence of website publicity in respect of their facilities.

2.18 Neither Authority currently delivers additional activities for visitors such as mountain bikes and water sport hire (or sale) given the close proximity to the sea or River Usk respectively there may be opportunities which could be further explored although we understand the potential has already been considered; these are pursued by other Authorities such as the Peak District and the Lake District.

Information Governance

2.19 The scope and objective of the review as agreed with management is summarised in Appendix A.

2.20 The Authority has a number of policies which cover the handling of data including the Data Protection Policy, Records Management Policy, and Acceptable Use of Email. We recommend that the policy format is standardised and review date detailed.

2.21 During the course of our review we noted that the Authority has a draft Data Security Policy which

has been in development for over 12 months; we recommend that the Policy is reviewed and submitted to the Authority for approval as there is a risk that staff may be unaware of their responsibilities in relation to IT security leading to breaches in data.

2.22 Discussions with the IT & Systems Manager identified that the risk assessment of general data

security has been carried out and is covered within the Business Continuity Plan; there is a hierarchy based on the level of information held by each department. However a data map is not in place within the Authority and we would recommend that a data mapping exercise is undertaken to establish the movement of data within and external to the Authority to ensure controls are appropriate to risk.

2.23 Of those aspects we reviewed we found suitable control over the exchange of data with third parties

with formal contracts in place. Suitable procedures exist for data destruction in line with the retention policy and all personal data kept on Planning and Education is destroyed and responses to Freedom of Information (FoI) requests suitably redacted.

2.24 Procedures relating to FOI requests are in place; staff acknowledge receipt of requests, log and forward these to the Legal Secretary who also has a Monitoring Officer providing arrangements for cover.

2.25 Data loss in itself is not a breach of the Data Protection Act, however failure to review risk, implement process to mitigate risk, promote and review compliance with process leads to organisations being prosecuted for failing to take suitable steps to prevent data loss. BBNPA should therefore ensure that appropriate transparent consideration is given to potential data loss within risk management systems.

Taking account of the issues identified above and the recommendations contained within Appendix A, in our opinion the control framework for the area under review, as currently laid down and operated, provides substantial assurance that risks material to the achievement of the organisation’s objectives for this area are adequately managed and controlled.

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2.26 There was no comparative review at PCNPA in 2015/16.

This report has been prepared for our client and should not be disclosed to any third parties, including in response to requests for information under the Freedom of Information Act, without the prior written consent of Gateway Assure Ltd. Whilst every care has been taken to ensure that the information provided in this report is as accurate as possible, it is based upon the documentation reviewed and information provided to us during the course of our work. Thus, no guarantee or warranty can be given with regard to the advice and information contained herein. © 2015 Gateway Assure Ltd

Taking account of the issues identified above and the recommendations contained within Appendix A, in our opinion the control framework for the area under review, as currently laid down and operated, provides adequate assurance that risks material to the achievement of the organisation’s objectives for this area are adequately managed and controlled.

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APPENDIX A1 – GW 04/16 CORPORATE GOVERNANCE

Management Objective: To ensure there is an adequate framework of controls with regard to the Authority, and the way it discharges its responsibilities, committees, delegated authorities, planning, and accountability.

Responsible Officer: Julia Gruffydd - Democratic Services Manager

Areas for consideration: 1. The Authority has suitably self-assessed itself against CIPFA SOLACE requirements and made suitable statements in respect of compliance with or

deviation to within its published annual Governance Statement. 2. Any aspect of non-compliance identified and reported in respect of the Welsh Audit Office’s assessment of compliance with the Local Government

Measures (Wales) 2009 is suitably reported within the Authority and suitably disclosed. 3. Aspects of non-compliance are suitably reviewed and action plans put in place to monitor steps required to fully comply (if intended). 4. A member code of practice is in place and suitably promoted within the Authority. 5. There is a suitable structure of formal Committees in place, operating to formal approved terms of reference, to assist the Authority in discharging its

responsibilities in an efficient and effective manner; Committee business is suitably scheduled and reported to the Authority to ensure the benefits of delegated responsibilities are realised.

6. Suitable arrangements exist and are evidenced surrounding openness, confidentiality, declaration of interests / perceived conflicts of interest and gifts/hospitality.

7. Formal arrangements are in place regarding the conduct of meetings including Distribution of Papers, Covering Reports, Quoracy and Minutes. 8. Suitable arrangements are in place to ensure the suitability of skills and experience of those on the Authority and Committees (within the confines of its

nominating structure); including Skills Audit and Gap Analysis. 9. Arrangements are in place for succession planning, recruitment, induction, and development of members (where applicable). 10. Suitable Authority and Committee appraisal and training arrangements are in place to ensure that individuals and the collective are well prepared to

discharge the responsibilities of the Authority.

Limitations to scope:

The review will concentrate upon management controls in place to ensure that the Authority meets its corporate governance responsibilities and minimises the risk of not complying with recognised good practice. The review will not provide opinion over strict or legal compliance with all governance requirements.

Overall opinion: Substantial Adequacy of control framework: Good

Application of control: Good

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Main Recommendations Priority Management Response Implementation Plan

1. SOLACE Self-Assessment We recommend that the Authority maps itself against the CIPFA SOLACE requirements to demonstrate how it complies and how it can evidence compliance with SOLACE; this will provide assurance over the accuracy of the Authority’s statement on compliance within its Annual Governance Statement. The self-assessment should be reviewed annually to ensure it continues to reflect practice and updated whenever the SOLACE framework is refreshed.

S

The current Annual Governance Statement format uses the CIPFA SOLACE requirements but the addendum published in 2012 will be used to review the format for 2016 and the AGS will continue to be used as tool to check compliance

Responsibility: Julia Gruffydd (Democratic Services Manager) Target date: 31 March 2016

2. Member Skills We recommend that the Authority undertake a member skills audit; identifying desirable skills and experience of members and assessing the actual skills and experience of members to identify any ‘skill gaps’ which may be used to influence the future appointment of members. The process should be regularly reviewed and particularly when there is significant change of Strategy / Business Plans, remit, regulation, risk and membership.

S

Information on member skills is sought from all new members and kept on file. While an informal process is in place to identify skills needed, we can put in place a template to be completed prior to local government elections or recruitment of Welsh Government appointed members. However, to reiterate, the Authority has little or no influence on appointments from its constituent authorities A regular review of skills can be built into the ongoing role of the Governance and Member Development Working Group

Responsibility: Julia Gruffydd (Democratic Services Manager) Target date: 31 March 2016

The Executive Summary may also contain comment in relation to minor issues of non-compliance or improvement to process.

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APPENDIX A2 – GW 05/16 DEPARTMENTAL REVIEW – INCOME GENERATION

Management Objective:

Structure of departmental planning, resourcing and monitoring activities enables the delivery services and achievement of the organisation’s objectives for the area subject to review. The area subject to review on this occasion will be the Authority’s Visitor Centre and Tea Rooms; given reductions in core funding the Authority is seeking to maximise revenue generation.

Responsible Officer: Wayne Lewis – Commercial ManagerManager.is – Commercial Manager

Areas for consideration: 1. Business plans are established for delivering the services / objectives in line with overall surplus / contribution defined within the Authority’s financial

budget 2015/16. 2. Budgets are established for both income and expenditure within the operational area which are suitably monitored and managed throughout the year at

both a local and Authority level; particular focus upon delivering the identified surplus through increasing income and managing expenditure. 3. The key risks facing the centres are being appropriately monitored and managed and if necessary escalated to ensure that the Authority is able to take

appropriate and timely action. 4. Management information is sufficient, accurate and timely to enable the Authority to monitor overall performance in both financial, non-financial terms

(service standards / satisfaction etc.) and feed other elements of control. 5. Goods or services are suitably costed based upon inputs and priced in accordance with clear pricing policy/principles. 6. Wastage of perishable goods is suitably monitored and recorded to inform management. 7. Reorder points are suitably established (balancing stock-out and excess) and suitable controls in place over the ordering, receipt and payment of goods

and services. 8. Variable hour staff are suitably controlled, hours worked recorded, approved and accurate payment monitored. 9. Cash handling procedures are in place and regularly reviewed to ensure they remain appropriate to operations; including the range of payment options for

convenience. 10. All sales are suitably recorded and reconciled to cash collected (cashing up) with investigation of any overs and unders. 11. Cash collection and banking arrangements are in place with cash suitably secured and protected in the interim period. 12. Security arrangements reasonably manage the risk of theft or loss.

Limitations to scope: This assignment will not consider the processes and controls in operation throughout other departments; other than in relation to their impact upon the work and objectives of the department subject to review on this occasion. The review is based upon examination of the framework and application of controls surrounding the management of the department. The review will not provide opinion over the likelihood of achieving the required year-end financial surplus.

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Overall opinion: Substantial Adequacy of control framework: Good

Application of control: Good

Main Recommendations Priority Management Response Implementation Plan

1. Web Presence & Social Media We recommend that the Authority: Capture email addresses from visitors to facilities to ‘push’

future messages and promotions. Further develop Social Media criteria, particularly Twitter

and its use by managers to assist in promoting events.

S

The current communications strategy and responsibilities of the communications team covers these points.

Responsibility: Communications Manager Target date: n/a

2. Income Generation – Strategy

We recommend that the Authority continue to review potential income generation activities within the Income Generation and Centre working group, with a view to developing a strategy going forward; ideas identified from the review which may benefit from further exploration include:

Consideration on expanding the provision of goods for sale on a commission basis.

Hire activities such as Mountain Biking and Water Sports such as canoeing on the River Usk.

Promotion of wi-fi at all BBNPA sites to attract visitors.

MA

The Income Generation and Centres Working Group (a joint officer-member group meeting quarterly to review performance and increase income to the authority) covers this area and the options identified have already been explored.

3. Waste Recording We recommend that the tea rooms introduce waste recording to inform general management, purchasing and stock.

MA

Waste from the Tea Room will be recorded

Responsibility: Commercial Manager/Tea Room Manager Target date: 31/3/2016

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The Executive Summary may also contain comment in relation to minor issues of non-compliance or improvement to process.

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APPENDIX A3 – GW 06/16 INFORMATION GOVERNANCE HEALTH CHECK

Management Objective: Controls over the Authority’s data handling are appropriate to ensure the safety and security of data and ensure compliance with relevant legislation.

Responsible Officer: Paul Funnel – IT and Systems Manager - IT & Systems Manager

Areas for consideration: 1. The Authority has an appropriate suite of policies to communicate its legal responsibility when handling data, to protect the Authority’s data assets from

staff misuse and to protect data assets from external sources; including those relating to the IT environment (including Bring Your Own) and Social Media. 2. Policies and procedures are suitably reviewed to ensure they remain appropriate and effective. 3. The Authority provides suitable training and updates to staff and contractors regarding the expectations upon them in respect of the handling of sensitive,

personal and commercial data assets. 4. Responsibility for overall Data Security is suitably allocated and promoted across the Authority. 5. The Authority has risk assessed its data assets; identifying assets, mapping flow (internal and external), retention, sensitivity and the controls in place to

protect those assets within appetite including environmental, physical and logical access controls. 6. Basic good practice principles are promoted across the Authority in respect of handling data; such as clear desk policy, locked cabinets, screen locks etc. 7. Suitable controls and assurance exist over the handling of data by third party providers; formal contracts are in place with all third parties (as applicable). 8. Suitable ID / right to access checks are performed before disclosing any personal information to enquiries received from external parties. 9. Freedom of Information Act requests are suitably directed, recorded, logged and handled in accordance with the Authority’s Freedom of Information Policy. 10. Data loss and near misses are suitably communicated and investigated internally to identify lessons to be learnt. Loss is reported to the ICO as

appropriate. 11. Data destruction of hard and soft data is undertaken in a suitably secure manner and in accordance with Authority’s retention periods and policy.

Limitations to scope: The review is intended to deliver reasonable assurance as to the adequacy of the design of the internal control system and its application in practice at an organisational level by management. The review considers processes and procedures in accordance with good practice principles. It is intended to assist in ensuring compliance with current legislation but will not confirm compliance with all aspects of the DPA, FOI and forthcoming EU GDPR 2016. The review does not constitute or replace the need for organisations to seek legal advice when querying their legal responsibilities.

Overall opinion: Adequate Adequacy of control framework: Adequate

Application of control: Good

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Main Recommendations Priority Management Response Implementation Plan

1. Data Security Policy We recommend that the Policy is reviewed and approved as it has been in draft for over 12 months.

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Agreed Responsibility: PF

Target date: 31 March 2016

2. Data Mapping We recommend the Authority produce an Information Asset Register and undertake a Data Mapping exercise to fully establish its key information risks to inform the management of data. We have provided some example documentation to management.

VFM

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Officers do not believe this represents effective use of resources at the current time given the overall risk profile of the organisation’s information assets. However, this will be discussed further at risk management training for officers.

Responsibility: PF

Target date: 31 March 2016

3. Policy Format & Reviews We recommend that where Policy review dates are noted these are adhered to and format standardised. MA

Agreed Responsibility: various

Target date: ongoing

4. Training We recommend that Information Governance training is provided to staff as appropriate. There has been no training in the past 18 months for either staff or new starters.

MA

Agreed. Two sessions of information governance training have been delivered since the audit and this will be followed up annually.

Responsibility: PF

Target date: 31 March 2016

The Executive Summary may also contain comment in relation to minor issues of non-compliance or improvement to process.

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APPENDIX A4 – FOLLOW UP

Management Objective: Management take timely and appropriate action to implement accepted recommendations and accurately report progress to Audit and Scrutiny Committee.

Responsible Officer: Elaine Standen – Finance Manager.

Areas for consideration: Our Internal Audit Strategy includes provision for the follow up of previously accepted recommendations to assess the level of implementation and provide assurance over management’s own recommendation tracking and subsequent reporting. The audit areas subject to follow up on this occasion were: Purchasing Payments 2014-15 Procurement: Record and Documentation of Procurement Activities 2014-15 Follow Up 2014 Regulatory Compliance 2014 Human Resources -Staff Performance Management 2014 Staff members responsible for the implementation of recommendations were interviewed to determine the current status of each point. Audit testing has been completed, where appropriate, to assess the level of compliance with this status and the controls in place. We report the detail of our follow up work by exception where previously agreed recommendations have not been fully implemented. The recommendations listed in the following table remained outstanding at the time of our review and require continued monitoring through to completion.

Limitations to scope: The review was limited to the follow up of internal audit recommendations. The review did not include recommendations made in previous years where an audit of the area is included within the audit plan for 2015/16 and recommendations are planned to be followed up as part of that review. Any such outstanding recommendations are included in the applicable Appendix A and annotated by the PAR indicator.

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Audit Area: General Ledger

Audit Date: 2014

Recommendation Priority Status Latest Update Required Action(s) / Recommendations

Review of General Ledger Account Codes It is recommended that the Authority completes a review of general ledger account codes to identify those that are not needed and can therefore be deleted.

MA

Agreed

Some codes are only used at the end of the financial year and others are required in relation to records for previous years or capital budgets. It is not felt that there are excess account codes currently in the ledger but this will be kept under review.

Audit and Scrutiny Committee to consider and if satisfied remove from the Follow Up Schedule.

Audit Area: Follow Up

Audit Date: 2014

Recommendation Priority Status Latest Update Required Action(s) / Recommendations

Tagging of items in Asset Register It is recommended that items included in the fixed asset register are marked with an asset barcode and the asset barcode number be included on the fixed asset register. If this was considered impractical for certain types of assets, the fixed asset register should be updated with more detailed descriptions and location information to support identification of the assets. Inventory listings should include information to help make items uniquely identifiable, such as including the serial numbers for electronic equipment.

S

Agreed Directors have been requested to update the inventories for their departments and keep these under review. More detailed information to enable identification of items of equipment will be recorded. Barcoding is not practicable. Further details of assets held on the register have been requested. This will be followed up as part of the annual impairment review. A meeting has been held in relation to land, buildings and infrastructure assets. Mapping records and the finance records for all appropriate assets will be linked. This should enable identification of all assets currently included on the balance sheet. The Director of Countryside, The Conservation Manager and the Finance Manager are leading on this project, with input

Audit and Scrutiny Committee to consider and if satisfied remove from the Follow Up Schedule.

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from Access and Wardens staff and the GIS Officer who has already carried out work on linking the relevant databases.

Fixed Asset Register Update It is recommended that the fixed asset register is updated to clearly show whether assets within the fixed assets register have been disposed of.

S

Agreed Disposal information will be included on the asset register held in Finance for all future disposals All Inventory records will include the disposal date of property and equipment disposed of since the previous update.

Audit and Scrutiny Committee to consider and if satisfied remove from the Follow Up Schedule. Can only be evidenced at time of disposal.

Verification of all Fixed Assets It is recommended that fixed asset verification is carried out for all assets included on the fixed asset register, including checking to ensure the assets are in good working order.

S

Agreed This appears to cover the same areas as items above. Covered in the above responses.

Audit and Scrutiny Committee to consider and if satisfied remove from the Follow Up Schedule.

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APPENDIX B – SUMMARY OF OPINIONS & RECOMMENDATIONS Reports being considered at this Audit and Scrutiny Committee meeting are shown in italics. The definitions with regard to the levels of assurance given and the classification of recommendations can be found in the Notes section at the end of this report.

Audit Progress

Opinion Recommendations Made

F S MA Total Agreed

1. Risk Management Final Report Adequate 0 2 1 3 3

2. Key Financial Controls – Budgetary Control Final Report Substantial 0 0 0 0 0

3. Health & Safety Final Report Substantial 0 0 0 0 0

4. Corporate Governance Final Report Adequate 0 2 0 2 2

5. Departmental Review Final Report Adequate 0 1 3 4 4

6. Information Governance Final Report Adequate 0 2 2 4 4

Total 0 7 6 13 13

At the moment there is nothing that impacts negatively upon our annual opinion.

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APPENDIX C – OPERATIONAL PLAN 2015/16

Following discussions with management the following schedule has been agreed:

Block 1 Audit & Scrutiny Committee Resource (Days) Comments

Audit Planned Actual Planned Actual

1. Risk Management Oct 15 Oct 15 3 3

2. Key Financial Controls – Budgetary Control Oct 15 Oct 15 3 3

3. Health & Safety Oct 15 Oct 15 3 3

Follow Up Oct 15 2 2 Transferred to Block 2

Management 2 2

Total 13 13

Block 2 Audit & Scrutiny Committee Resource (Days) Comments

Audit Planned Actual Planned Actual

4. Corporate Governance Jan/May 16 Mar 16 3 3

5. Departmental Review Jan/May 16 Mar 16 4 4

6. Information Governance Jan/May 16 Mar 16 3 3

Management 2 2

Total 12 12

Total 2015/16 25 25

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APPENDIX D – PERFORMANCE INDICATORS YTD Report Turnaround

Performance Indicator Target Actual Comments

Draft report turnaround (average working days) 10 days 9.5 days

Final report turnaround (average working days) 5 days 4 days

Resources

Performance Indicator Annual Actual Comments

Number of Audit Days 25 25

Audit Fee Within Budget Within Budget

Head of Internal Audit 14% 22%

Specialist / IT Auditor Input 12% 0%

Audit Supervisor 44% 48%

Auditor 30% 30%

Recommendations

Made, Accepted & Implemented Analysis of Priority

0

1

2

3

4

5

6

7

Fundamental Significant Merits Attention

Made

Accepted

Implemented

Fundamental Significant Merits Attention

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APPENDIX E – NOTES KEY FOR RECOMMENDATIONS

Fundamental (F) - The organisation is subject to levels of fundamental risk where immediate action should be taken to implement an agreed action plan. In the Authority’s Risk Management Policy this approximates to the Risk Grading - TBC policy does not currently contain criteria.

Significant (S) - Attention to be given to resolving the position as the organisation may be subject to significant risks. In the Authority’s Risk Management Policy this approximates to the Risk Grading - TBC policy does not currently contain criteria.

Merits Attention (MA) - Desirable improvements to be made to improve the control, risk management or governance framework or strengthen its effectiveness In the Authority’s Risk Management Policy this approximates to the Risk Grading - TBC policy does not currently contain criteria.

ASSURANCE LEVELS

OVERALL OPINION (ASSURANCE)

FRAMEWORK OF CONTROL

APPLICATION OF CONTROL

EXPLANATION TYPICAL INDICATORS

Substantial (Positive opinion)

Good Good The control framework is robust, well documented and consistently applied therefore managing the business critical risks to which the system is subject.

There are no fundamental or significant recommendations attributable to either the Framework or Application of Control.

Adequate (Positive opinion)

Good

Adequate As above however the audit identified areas of non-compliance which detract from the overall assurance which can be provided and expose areas of risk.

There are no fundamental recommendations surrounding the Framework of Control; coupled with no fundamental and no more than two significant recommendations attributable to the Application of those controls.

Adequate Good The control framework was generally considered sound but with areas of improvement identified to further manage the significant risk exposure; controls were consistently applied.

There are no fundamental recommendations attributable to the Framework of Control.

Adequate Adequate As above however the audit identified areas of non-compliance which expose the organisation to increased levels of risk.

There are no fundamental recommendations attributable to the Framework and Application of Control.

Limited (Negative opinion)

Good / Adequate Weak As above however the extent of non-compliance identified prevents the Framework of Control from achieving its objectives and suitably managing the risks to which the organisation is exposed.

There are more than two significant recommendations attributable to the Application of Controls.

Weak Good / Adequate The control framework despite being suitably applied is insufficient to manage the risks identified.

There are more than two significant recommendations attributable to the Framework of Controls.

No (Negative opinion)

Weak Weak Both the Framework of Control and its Application are poorly implemented and therefore fail to mitigate the business critical risks to which the organisation is exposed.

There are fundamental recommendation(s) attributable to either or both the Framework and Application of Controls which if not resolved are likely to have an impact on the organisations sustainability.

The above is for guidance only; professional judgement is exercised in all instances.