Ey health challenges_externalauditperspective

Health challenges – external audit perspectiveSouth Central – Audit Committee Chairs Meeting

3 October 2013

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


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


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


Current issues and challenges – Accounting and governance

► Auditing the accounts 2012-13

► Data assurance framework: Mental health

► National Fraud initiative

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

Additional Services► Yes, but have to consider

► Independence► Fee


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


Implications for audit committees

► Assurance framework

► Internal reporting

► Joint working ► Influence and control

► Management information and external assurance s

► Continued scrutiny and accountability


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


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


Discussion and questions

“The only stupid question is the one left unasked”

Thank you

Ey health challenges_externalauditperspective

Health & Medicine

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