1. Homerton university hospital NHS Foundation Trust
INNOVATIVE | INSIGHTFUL | INTERNAL AUDIT
Homerton university hospital NHS Foundation Trust
Council of Governors
28 September 2017

2. RSM
One of the largest providers of internal audit services to the UK public sector
Over 15% of our business is in the not-for-profit sector - in excess of £45.0m
Over 250 specialist internal audit staff
Over 600 internal audit clients including 90 plus NHS Bodies & 28 FTs and wide range of corporate and financial Services experience
Large Central London Office
RSM is a leading provider of audit, tax and consulting services to middle market leaders, globally. We empower clients to move forward with confidence and realise their full potential. With around 3,500 partners and staff in the UK and access to more than 37,500 people in over 110 countries across the RSM network, we can meet our clients’ needs wherever in the world they operate. (On 26 October 2015, all RSM International member firms united under a single global brand. Our name changed from Baker Tilly to RSM and we have adopted a new logo and visual identity.)

3. What is Internal Audit?
Definition: The role of internal audit is to provide independent assurance that an organisation's risk management, governance and internal control processes are operating effectively.
Internal Audit
Provide opinion on Trust’s systems for managing risk to the achievement of the Trust’s objectives
Appointed by Management, overseen by Audit Committee
Work across all areas of Trust’s operations
Head of IA Opinion links to Annual Governance Statement
External Audit
Provide opinion on the Accounts
Appointed by Council of Governors
Primary focus on Financial Accounts and Quality Accounts
Opinion on Accounts and Value for Money

4. OUTPUT OF INTERNAL AUDIT’S WORK
PROVIDE AN OPINION ON THE SYSTEMS FOR RISK MANAGEMENT AND INTERNAL CONTROL
Internal Audit Plan – discussed at Executive team and approved by the Audit Committee – linked to areas of risk – considers Regulatory requirements etc – broadly within 6 areas:
Plan links to the Board Assurance Framework and provides assurance as to the reliance management can place on the controls in operation to mitigate its principal risks.
Patient Safety / Quality
Patient Experience
Transformation
Finance
Workforce
Risk and Governance

5. Planning the Audit (Cont.)
HEAD OF INTERNAL AUDIT OPINION 2016/17
The Organisation has an adequate and effective framework for risk management, governance and internal control. However, our work has identified some weaknesses in the application of some internal controls. Management actions to address these weaknesses have been agreed with the Trust.
Temporary Staffing
Procurement
Financial Planning & Budgetary Control
Cyber Security
Action plans in place and Audit Committee track the process to implement the actions agreed.

6. 2017/18 INTERNAL AUDIT PROGRAMME
Safeguarding Adults
Ward Rounds
Divisional Governance
Mandatory Training
Financial Accountability & Reporting
Data Quality
Cost Improvement Programme
Accounts Receivables & Cash Management
Payroll
Lessons Learnt
Soft Facilities – Contract Management
Board Assurance & Risk Management
Data Protection
Information Governance Toolkit
Audit Committee Chair to feed back on key issues in November.

7. Internal Audit
ANY QUESTIONS?