HEALTHCARE. Annual Audit Letter 2007-08. The Shrewsbury and Telford Hospital NHS Trust 28 August 2008. AUDIT. Content. The contacts at KPMG in connection with this report are: Andrew Bostock Director KPMG LLP (UK) Tel: 0121 232 3308 email@example.com Helen Dempsey
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The contacts at KPMG in connection with this report are:
DirectorKPMG LLP (UK)Tel: 0121 232 3308 firstname.lastname@example.org
Senior ManagerKPMG LLP (UK)Tel:0121 232 3901
ManagerKPMG LLP (UK)Tel:0121 232 3694
Assistant ManagerKPMG LLP (UK)Tel:0121 232 3694
This report is addressed to the Trust and has been prepared for the sole use of the Trust. We take no responsibility to any member of staff acting in their individual capacities, or to third parties. The Audit Commission has issued a document entitled Statement of Responsibilities of Auditors and Audited Bodies. This summarises where the responsibilities of auditors begin and end and what is expected from the audited body. We draw your attention to this document.
External auditors do not act as a substitute for the audited body’s own responsibility for putting in place proper arrangements to ensure that public business is conducted in accordance with the law and proper standards, and that public money is safeguarded and properly accounted for, and used economically, efficiently and effectively.
If you have any concerns or are dissatisfied with any part of KPMG’s work, in the first instance you should contact Andrew Bostock who is the engagement lead to the Trust or Trevor Rees, the national contact partner for all of KPMG’s work with the Audit CommissionAfter this, if you still dissatisfied with how your complaint has been handled you can access the Audit Commission’s complaints procedure. You can contact the Complaints Unit by: Phone: 0844 798 3131 [Local rate call] Email: email@example.com Website: www.audit-commission.gov.uk/aboutus/contactus
Textphone (minicom): 020 7630 0421Post:Pauline Painter, Complaints Unit Manager, Audit Commission
Westward House, Lime Kiln Close, Stoke Gifford, Bristol, BS34 8SR.
This Annual Audit Letter (the letter) summarises the key issues arising from the work that we have carried out during 2007-08 at The Shrewsbury and Telford Hospital NHS Trust. Although this letter is addressed to the directors of the Trust, it is also intended to communicate those key issues to key external stakeholders, including members of the public. The letter will be published on the Audit Commission website at www.audit-commission.gov.uk. It is the responsibility of the Trust to publish the letter on the Trust website at www.sath.nhs.uk. A summary of our key recommendations drawn from our reports is summarised in Appendix 1. We have reported all the issues in this letter to you throughout the year and a list of all reports we have issued is provided in Appendix 2.
Scope of our audit
The statutory responsibilities and powers of appointed auditors are set out in the Audit Commission Act 1998. Our main responsibility is to carry out an audit that meets the requirements of the Audit Commission’s Code of Audit Practice (the Code). Under the Code we are required to review and report on your:
The key areas which we wish to draw your attention are as follows;
The Trust continues to face a number of challenging financial pressures, including the delivery of a Cost Improvement Programme of £6.9m, in order that the budgeted surplus of £4.1m can be met for 2008-09.Increased non pay costs on energy and other consumables are contributing to these financial pressures. The Trust cumulative financial performance for the first quarter of 2008-09 is a deficit of £0.326m against a planned surplus of £0.842m. The Trust must, not only control the financial impact of these costs pressures, but also the ongoing delivery of challenging CIP targets to ensure that the budgeted year end surplus of £4.1m is met.
Other ongoing financial challenges for the Trust during the year include the implementation of IFRS across the NHS in 2009/10 with 2008/09 comparatives being restated in the Summer of 2009. In addition, there is continued pressure on NHS organisations for a more streamlined year end process. As a result, the accounts submission date for the 2008/09 annual accounts has been moved forward to 23rd April 2009 with a deadline for audit opinions to be issued of 12th June 2009. Finally, the Trust must consider the capacity and capability of the Finance Directorate to meet these challenges whilst also ensuring that the Directorate is fit to face the ongoing challenges associated with the future Foundation Trust application.
In addition to the financial challenges facing the Trust, there is continued pressure to meet national targets i.e. 18 week waits and hospital acquired infection reduction targets. There is significant scrutiny on performance against these targets from regulatory bodies and the Trust must ensure that, in order to progress with its Foundation Trust application, progress against the national targets is being met along with the ongoing achievement of financial plans and targets.
This appendix summarises the main recommendations i.e. high priority, that we have identified during 2007-08, along with your response to them.