BHRUT annual report 2009 - Barking Havering and Redbridge ...

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Annual Report & Accounts 2009-2010 33 Basis of audit opinion I conducted my audit in accordance with the Audit Commission Act 1998, the Code of Audit Practice issued by the Audit Commission and International Standards on Auditing (UK and Ireland) issued by the Auditing Practices Board. An audit includes examination, on a test basis, of evidence relevant to the amounts and disclosures in the financial statements and the part of the Remuneration Report to be audited. It also includes an assessment of the significant estimates and judgments made by the directors in the preparation of the financial statements, and of whether the accounting policies are appropriate to the Trust’s circumstances, consistently applied and adequately disclosed. I planned and performed my audit so as to obtain all the information and explanations which I considered necessary in order to provide me with sufficient evidence to give reasonable assurance that: the financial statements are free from material misstatement, whether caused by fraud or other irregularity or error; and the financial statements and the part of the Remuneration Report to be audited have been properly prepared. In forming my opinion I also evaluated the overall adequacy of the presentation of information in the financial statements and the part of the Remuneration Report to be audited. Opinion In my opinion: the financial statements give a true and fair view, in accordance with the accounting policies directed by the Secretary of State as being relevant to the National Health Service in England, of the state of the Trust’s affairs as at 31 March 2010 and of its income and expenditure for the year then ended; the financial statements and the part of the Remuneration Report to be audited have been properly prepared in accordance with the accounting policies directed by the Secretary of State as being relevant to the National Health Service in England; and information which comprises the commentary on the financial performance for 2009/10 included within the Operating and Financial Review included in the Annual Report is consistent with the financial statements. Conclusion on arrangements for securing economy, efficiency and effectiveness in the use of resources Directors’ Responsibilities The directors are responsible for putting in place proper arrangements to secure economy, efficiency and effectiveness in the Trust’s use of resources, to ensure proper stewardship and governance and regularly to review the adequacy and effectiveness of these arrangements. Annual Accounts
34 Barking, Havering & Redbridge University Hospitals NHS Trust Auditor’s Responsibilities I am required by the Audit Commission Act 1998 to be satisfied that proper arrangements have been made by the Trust for securing economy, efficiency and effectiveness in its use of resources. The Code of Audit Practice issued by the Audit Commission requires me to report to you my conclusion in relation to proper arrangements, having regard to the criteria for NHS bodies specified by the Audit Commission. I report if significant matters have come to my attention which prevent me from concluding that the Trust has made such proper arrangements. I am not required to consider, nor have I considered, whether all aspects of the Trust’s arrangements for securing economy, efficiency and effectiveness in its use of resources are operating effectively. Adverse Conclusion I have undertaken my audit in accordance with the Code of Audit Practice. In so doing, I identified the following: the Trust set a deficit budget for 2009/10 and incurred a deficit for the year of £22.3m and has yet to agree a plan to recover its historic deficit; the Trust has failed to meet its statutory breakeven duty under Paragraph 2(1) of Schedule 5 to the National Health Service Act 2006 for the five years ended 31 March 2010; weaknesses in clinical engagement with service line reporting and in realising the benefits from revised employment contracts; and the Care Quality Commission set conditions on the Trust's registration relating to appraisal, discharge planning and staffing levels. For the reasons set out above, and having regard to the criteria for NHS bodies specified by the Audit Commission and published in December 2006, I am not satisfied that, in all significant respects, Barking, Havering and Redbridge University Hospitals NHS Trust made proper arrangements to secure economy, efficiency and effectiveness in its use of resources for the year ending 31 March 2010, in that it did not put in place: a medium-term financial strategy, budgets and a capital programme that was soundly based and designed to deliver its strategic priorities; adequate arrangements to ensure that its spending matched its available resources; and adequate arrangements for managing its financial and other resources which demonstrate value for money is being managed and achieved. Certificate I certify that I have completed the audit of the accounts in accordance with the requirements of the Audit Commission Act 1998 and the Code of Audit Practice issued by the Audit Commission. Jon Hayes District Auditor Audit Commission 1 Annual Accounts
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