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CONTENTS
3 Background
3 Internal audit progress
5 Follow up
6 Appendix A: Internal audit work in 2024/25
9 Appendix B: Current priorities for internal audit work
13 Appendix C: Summary of key issues from finalised audits
15 Appendix D: Audit opinions and finding priorities
16 Appendix E: Follow up of agreed actions
BACKGROUND
1 Internal audit provides independent and objective assurance and advice about the council’s operations. It helps the organisation to achieve its overall objectives by bringing a systematic, disciplined approach to the evaluation and improvement of the effectiveness of risk management, control, and governance processes.
2 The work of internal audit is governed by the Accounts and Audit Regulations 2015 and relevant professional standards. These include the Public Sector Internal Audit Standards (PSIAS), CIPFA guidance on the application of those standards in Local Government, and the CIPFA Statement on the role of the Head of Internal Audit.
3 In accordance with the PSIAS the Head of Internal Audit is required to report progress against the internal audit plan (the work programme) agreed by the Audit & Governance Committee, and to identify any emerging issues which need to be brought to the attention of the committee.
4 The internal audit work programme was agreed by this committee in May 2024.
5 Veritau has adopted a flexible approach to work programme development and delivery. Work to be undertaken during the year is kept under review to ensure that audit resources are deployed to the areas of greatest risk and importance to the council.
6 The purpose of this report is to update the committee on internal activity up to 17 January 2025.
INTERNAL AUDIT PROGRESS
7 A summary of internal audit work currently underway, as well as work finalised in the year to date, is included in appendix A. Appendix A also details other work completed by internal audit during the year.
8 Since our last report to this committee, two audits have been finalised. These are the audits of officer declarations of interest and gifts and hospitality and of VAT accounting. A further four internal audit engagements have reached draft report stage. These will be finalised over the coming weeks.
9 A total of 16 audits are underway at the time of reporting. A further nine audits are at the background planning stage, in preparation for commencement during the final quarter of 2024/25.
Contract management audit: Audit & Governance Committee request
10 In our last report to this committee in November, we introduced the second audit of contract management which was added to the 2024/25 work programme at the request of the committee. Since then, we have issued a specification and begun work, with the following areas in scope:
· Objective 1: suitable contract terms are included within contracts,
· Objective 2: contract management procedures are in place and have been communicated,
· Objective 3: training is provided in respect of the contract management procedures.
11 Taking objectives two and three first, our provisional conclusions are that improvements can be made to strengthen the council’s procedures and guidance on contract management. While we understand that the Commercial Procurement Team is working on material in preparation for the new Procurement Act and Regulations (which introduce more detailed contract management and performance requirements), none are currently available. With the council not currently having defined procedures or guidance it follows that there is also no corporate training offer. Instead, reliance is placed on the experience and ability of the named contract manager to manage the contract effectively.
12 Objective one is where most of our work will be focused. To date, we have identified several key criteria against which sampled contracts will be assessed. These include contractual provisions for performance, dispute resolution, variation, extension, and termination, among others. We have also selected a sample of 10 contracts (including the expired Salvation Army contract) for review against these criteria. Fieldwork is currently underway and, in addition to the review of criteria, will also involve testing to confirm that contract management meetings are being held and performance data provided where applicable.
13 We expect to conclude the audit in February 2025. The final outcomes from this audit will, as usual, be shared with members of the committee on conclusion of the audit. They will also be presented as part of the Head of Internal Audit annual report scheduled for the 14 May 2025 meeting.
14 In addition to the audits noted above, we have also continued to support the council by certifying central government grants, undertaking consultative engagements in a number of areas, and providing support and advice on risk- and control-related matters.
15 The 2024/25 work programme, showing current priorities for internal audit work, is included in appendix B. All work is now categorised as either ‘do now’ or ‘do later’.
16 Audits categorised as ‘do now’ will be undertaken over the remainder of 2024/25 and, once completed, will mark the conclusion of the current year’s work programme.
17 Audits categorised as ‘do later’, of which there are 19, will be considered for inclusion in the 2025/26 internal audit work programme alongside other audit priorities that emerge during ongoing consultation. The internal audit work programme is designed to include all potential areas that should be considered for audit in the short to medium term, recognising that not all of these will be carried out during the current year (work is deliberately over-programmed). The 2025/26 programme is currently being developed and will be presented to the committee for its approval at the 26 March 2025 meeting.
18 The two audits that have been finalised since the last report to this committee are included in appendix C. The appendix summarises the key findings from these audits, and includes actions agreed with officers to address identified control weaknesses. The finalised reports in appendix C are also included as exempt annexes to this report.
19 Appendix D provides the definitions for our audit opinions and finding ratings.
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20 All actions agreed with services as a result of internal audit work are followed up to ensure that issues are addressed. As a result of this work, we are generally satisfied that sufficient progress is being made to address the control weaknesses identified in previous audits. A summary of the current status of follow up activity is included at appendix E.
APPENDIX A: INTERNAL AUDIT WORK IN 2024/25
Audits in progress
Status |
|
Draft |
|
Housing benefits |
Draft |
Contract management (major projects) |
Draft |
NHS DSP Toolkit: accountable suppliers |
Draft |
Contract management (inc. Salvation Army) |
In progress |
Commercial asset performance |
In progress |
Savings plans |
In progress |
Travel and subsistence |
In progress |
Carbon reduction and climate adaptation |
In progress |
Physical information security (satellite sites) |
In progress |
Main accounting system |
In progress |
Safety Valve |
In progress |
Clifton Green Primary School |
In progress |
School themed audit: purchasing and best value |
In progress |
Residential care: Beehive / Wenlock Terrace |
In progress |
Unaccompanied asylum seeker children |
In progress |
Continuing healthcare |
In progress |
Payments to care providers and contract management (ASC&I) |
In progress |
Public protection |
In progress |
ICT disaster recovery |
In progress |
FOI and EIR improvement plan |
Planning |
Performance management framework |
Planning |
Risk management |
Planning |
Funded early education |
Planning |
Schools themed audit: pupil premium |
Planning |
Children’s direct payments |
Planning |
Green waste subscription service |
Planning |
Public EV charging strategy |
Planning |
Project management |
Planning |
Final reports issued
Audit |
Reported to Committee |
Opinion |
Officer declarations of interest and gifts & hospitality |
January 2025 |
Substantial Assurance |
VAT accounting |
January 2025 |
Substantial Assurance |
Ordering and creditor payments |
November 2024 |
Substantial Assurance |
Highways maintenance scheme development |
November 2024 |
Reasonable Assurance |
November 2024 |
Reasonable Assurance |
|
Asset management (TEPHC) |
November 2024 |
Reasonable Assurance |
Adult safeguarding |
November 2024 |
Reasonable Assurance |
Health and safety (TEPHC) |
November 2024 |
Limited Assurance |
ICT procurement and contract management |
November 2024 |
Reasonable Assurance |
Wigginton Primary School |
November 2024 |
Reasonable Assurance |
Procurement Act: preparedness assessment |
November 2024 |
Substantial Assurance |
Physical information security compliance |
July 2024 |
Reasonable Assurance |
Absence management |
July 2024 |
Reasonable Assurance |
Project management |
July 2024 |
Substantial Assurance |
Agency staff (C&E and ASC&I) |
July 2024 |
Reasonable Assurance |
NHS Data Security and Protection Toolkit (thematic review) |
July 2024 |
No Opinion Given |
Adult education (York Learning) |
July 2024 |
Substantial Assurance |
Foster carer payments |
July 2024 |
Limited Assurance |
Business continuity |
July 2024 |
Reasonable Assurance |
Payroll control |
July 2024 |
Substantial Assurance |
Other work in 2024/25
Internal audit work has been undertaken in a range of other areas during the year, including those listed below. |
|
Audit / Engagement |
|
Rationale |
Strategic / corporate & cross cutting |
||
Do now |
|
|
Member induction programme |
Provides assurance on system development, following work with the LGA. |
|
Contract management (major projects) |
Provides coverage of more than one key assurance area. |
|
Contract management (inc. Salvation Army) |
Being undertaken in response to known issues, and at the request of A&G. |
|
Physical information security (satellite sites) |
Forms part of a rolling programme of assurance. |
|
NHS DSP Toolkit: accountable suppliers |
Forms part of a rolling programme of assurance. |
|
Commercial asset performance |
Provides coverage of more than one key assurance area. |
|
Savings plans |
Linked to a key corporate risk. Provides broader assurance. |
|
Carbon reduction and adaptation |
Emerging risk area. |
|
Travel and subsistence |
Identified in consultation with officers. |
|
FOI and EIR improvement plan |
Being undertaken in response to known issues previously reported to A&G. |
|
Performance management framework |
No recent coverage. Provides assurance on key assurance area. |
|
Risk management |
Key area of corporate governance. Provides broader assurance. |
|
Do later |
|
|
Data quality |
|
|
Use of CCTV and investigatory powers |
|
|
York 2032: partnership governance |
|
|
Public health: procurement and contract management |
|
|
Financial systems |
||
Do now |
|
|
Housing benefits |
Key material system, with risk of error and fraud. |
|
Main accounting system |
No recent coverage. Provides coverage of a key assurance area. |
|
Do later |
|
|
Sundry debtors |
|
|
Housing rents |
|
|
Service areas |
||
Do now |
|
|
Safety Valve |
Emerging risk area. |
|
Clifton Green Primary School |
Provides assurance on organisational and financial governance at this setting. |
|
School themed audit: purchasing and best value |
Emerging risk area. Provides broader assurance coverage. |
|
Unaccompanied asylum seeker children |
Emerging risk area. |
|
Residential care: Beehive / Wenlock Terrace |
Being undertaken in response to known areas for improvement. |
|
Continuing healthcare |
Risks / controls are changing. |
|
Payments to care providers and contract management (ASC&I) |
Provides coverage of more than one key assurance area. |
|
Public protection |
Risks / controls are changing. |
|
Funded early education |
Risks / controls are changing due changes being implemented by the DfE. |
|
Schools themed audit: pupil premium |
Provides broader assurance coverage. |
|
Children’s direct payments |
Risks / controls are changing. |
|
Green waste subscription service |
Risks / controls are changing with the implementation of this new service. |
|
Public EV charging strategy (tariff management) |
Risks / controls are changing. Linked to council priorities. |
|
Do later |
|
|
Alternative provision |
Emerging risk area. |
|
Section 17 payments |
Being undertaken in response to known areas for improvement. |
|
Danesgate Community School |
|
|
Managing customer finances (ASC&I) |
Identified in consultation with officers. |
|
Referrals and care assessments (ASC&I) |
|
|
Care and support planning (ASC&I) |
|
|
Landlord regulatory standards |
|
|
Council house repairs |
|
|
Locality working / ward committee model |
|
|
Community safety strategy |
|
|
Technical / projects |
||
Do now |
|
|
ICT disaster recovery |
Provides broader assurance. Linked to key corporate risk. |
|
Project management |
Provides coverage of key assurance area. |
|
Do later |
|
|
ICT applications / database security |
Key attack vector for threat actors. Provides assurance on security controls. |
|
Cybersecurity: user awareness |
|
|
IT projects / systems development |
|
APPENDIX C: SUMMARY OF KEY ISSUES FROM AUDITS FINALISED SINCE THE LAST REPORT TO THE COMMITTEE
System/area (month issued) |
Opinion |
Area reviewed |
Comments / Issues identified |
Management actions agreed |
Officer declarations of interest and gifts and hospitality (January 2025) |
Substantial Assurance |
The audit reviewed arrangements for administering the council’s officer declaration of interests and gifts and hospitality processes, including associated recordkeeping. It also reviewed the availability and accuracy of policy and procedure documents and uptake of code of conduct training. |
Processes for administering officer declarations and gifts and hospitality were found to be operating effectively. One weakness was observed. This related to uptake of the council’s code of code of conduct training, which was 60% across the sample of officers tested. New starters must complete the training within two months of commencing employment. All officers are expected to complete the training annually. Other minor improvement opportunities were identified, including making declarations and gifts and hospitality data easier to locate on the council’s website and improving the consistency with which gift and hospitality information is submitted and retained. |
Officers will be reminded of the requirement to complete the code of conduct training within two months of commencing employment and annually thereafter. The MyLO learning platform has been configured to send automated reminders. Web Services will add a link from the Corporate Management Team page on the council’s website to officers’ declarations of interests on York Open Data. The gifts and hospitality submission methods will be reviewed to ensure that there is consistency in the information supplied, particularly the reasons for accepting gifts and hospitality. |
VAT accounting (January 2025) |
Substantial Assurance |
The purpose of this audit was to review the effectiveness of the council’s arrangements for VAT accounting. |
The council’s VAT accounting processes were found to be operating effectively. VAT reconciliations are completed regularly and accurately, with any errors or miscoding corrected on Civica. Working papers were available to support the council’s calculation of VAT exemptions. A small number of minor issues were identified arising from use of procurement cards. Not all invoices named the council, and some invoices did not record a VAT registration number (yet VAT had been applied). There were also some instances of VAT being claimed without a VAT invoice or receipt being available. |
The VAT policy for procurement cards will be updated on the intranet site. Finance will send regular reminders to procurement card users to reinforce VAT requirements. |
APPENDIX D: ASSURANCE AUDIT OPINIONS AND FINDING PRIORITIES
Audit opinions |
|
Audit work is based on sampling transactions to test the operation of systems. It cannot guarantee the elimination of fraud or error. Our opinion is based on the risks we identify at the time of the audit. Our overall audit opinion is based on four grades of opinion, as set out below. |
|
Opinion |
Assessment of internal control |
Substantial assurance |
Overall, good management of risk with few weaknesses identified. An effective control environment is in operation but there is scope for further improvement in the areas identified. |
Reasonable assurance |
Overall, satisfactory management of risk with a number of weaknesses identified. An acceptable control environment is in operation but there are a number of improvements that could be made. |
Limited assurance |
Overall, poor management of risk with significant control weaknesses in key areas and major improvements required before an effective control environment will be in operation. |
Overall, there is a fundamental failure in control and risks are not being effectively managed. A number of key areas require substantial improvement to protect the system from error and abuse. |
Finding ratings |
|
Critical |
A fundamental system weakness, which presents unacceptable risk to the system objectives and requires urgent attention by management. |
Significant |
A significant system weakness, whose impact or frequency presents risks to the system objectives, which needs to be addressed by management. |
Moderate |
The system objectives are not exposed to significant risk, but the issue merits attention by management. |
Opportunity |
There is an opportunity for improvement in efficiency or outcomes but the system objectives are not exposed to risk. |
APPENDIX E: FOLLOW UP OF AGREED AUDIT ACTIONS
Where weaknesses in systems are found by internal audit, the auditors agree actions with the responsible manager to address the issues. Agreed actions include target dates and internal audit carry out follow up work to check that the issue has been resolved once these target dates are reached. Follow up work is carried out through a combination of questionnaires completed by responsible managers, risk assessment, and by further detailed review by the auditors where necessary. Where managers have not taken the action they agreed to, issues are escalated to more senior managers, and ultimately may be referred to the Audit and Governance Committee.
To simplify the presentation of follow-up information, all agreed actions which had previously been reported to this committee on the priority 1-3 scale have been converted to reflect their equivalent rating under Veritau’s new rating system of critical, significant, moderate. This is required now that internal audit reports have begun being presented in Veritau’s new format.
To remind the committee, Veritau is no longer attaching priorities to agreed actions. Instead, ratings of ‘critical’, ‘significant’, ‘moderate’ and ‘opportunity’ are given to each detailed finding raised in our reports. These ratings reflect the severity of the issue identified. Agreed actions then inherit the rating of the finding to which they are attached.
A total of 112 actions have been followed up so far during 2024/25, up to 31 December 2024. A summary of the priority of these actions and the outcome from the follow up activity is below. Actions are marked as superseded if circumstances have changed sufficiently that the action is no longer required. Revised dates are agreed where the delay in addressing an issue will not lead to unacceptable exposure to risk and where, for example, the delays are unavoidable.
Actions followed up |
|
Results of follow up of agreed actions |
|||
Priority of actions |
Number of actions followed up |
|
Action implemented |
Revised date agreed |
Superseded |
Critical |
0 |
|
0 |
0 |
0 |
Significant |
70 |
|
47 |
22 |
1 |
Moderate |
42 |
|
35 |
5 |
2 |
Total |
112 |
|
82 |
27 |
3 |