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 and 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 April 2022. The number of agreed days is 1,095 and the programme is high-level and flexible in nature.
5 In 2021/22 Veritau introduced a fully flexible approach to work programme development and delivery, to keep pace with developments in the internal audit profession and to ensure that we can continue to deliver a responsive service. In line with this approach, work is being 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 22 November 2022.
INTERNAL AUDIT PROGRESS
7 In the period to 22 November 2022, two of three remaining audits from the 2021/22 work programme have been concluded. This includes the contract management – GLL Community Stadium & Leisure audit and an audit of Poppleton Road Primary School. The one remaining audit from 2021/22, ICT asset management, has been issued in draft form and we expect it to be finalised in early December.
8 Other 2021/22 work that has been completed during the reporting period relates to health and safety, records management and payroll. A brief outline of the work undertaken in each area is included below:
· Health and safety – Covid-19 (premises): this work was concluded with a presentation to Council Management Team in July 2022. A formal report was not produced as it represented our assessment, at a point in time, during the pandemic under significantly different circumstances that are no longer reflective of the current control environment. However, the work has resulted in the inclusion of a new 2022/23 audit, covering the same area, which will focus on how controls are currently operating across the council’s premises.
· Records management: from its inception as a routine internal audit review, in consultation with the DPO and SIRO, this work transformed into a general records management health check, facilitated by a council-wide survey which was completed by more than 700 staff (20% of the workforce). Summarised results and key observations were fed back to the DPO in September. As a result of this, the 2022/23 work programme has been updated to reflect potential control weaknesses or areas of risk, including physical information security and data security incident management.
· Payroll: this work involved a review of the updated and digitalised controls and workflows introduced in response to increased homeworking. It did not include all of the key controls that would be tested in a typical payroll audit. However, it was able to confirm that there are robust processes in place to authorise the monthly payroll. Through data analysis performed on a range system-generated reports, aimed at identifying exceptions and duplication, it was also able to provide assurance that the data held within iTrent is free from significant error. A small number of process and data-capture improvements were communicated to the Head of HR in November 2022.
9 Following a slower than anticipated start to delivery of the 2022/23 work programme, we have completed work on the council tax support and housing benefit audit, and work is also now well underway on a number of other audits. Audits of complaints, concerns, comments and compliments (one audit relating to all corporate feedback), commercial waste, and 100-hour short breaks have all been reported in draft form and will be finalised by the time of the next progress report to this committee.
10 A number of other audits that are currently ongoing are a good way through the fieldwork stage. We expect to be able to report on findings from several of these audits at the next meeting of this committee. These include:
· Savings plans
· Direct payments
· Physical information security compliance (West Offices and Hazel Court)
· ICT remote access
· Main accounting system
· Ordering and creditor payments
· Debtors
· Council tax and NNDR
· Jewson managed stores contract
· Payroll (schools)
· Absence management (schools)
· Food and fuel voucher scheme
11 In addition, we have either begun background planning or are at an early stage of fieldwork for a further 13 audits. These audits will continue into the early part of quarter 4 2022/23.
12 A summary of internal audit work currently underway, as well as work finalised in the year to date, is included in appendix A.
13 The work programme showing current priorities for internal audit work is included at appendix B.
14 A total of 18 audits are shown in the ‘do next’ category where we expect work to begin during the final quarter of 2022/23. Some of these audits already have agreed start dates. Start dates for the remaining audits will be determined through liaison with responsible officers across the directorates.
15 The programme also includes 21 audits in the ‘do later’ category. 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).
16 In determining which audits will actually be undertaken, the priority and relative risk of each area will continue to be considered throughout the remainder of the year, and as part of audit planning for 2023/24. Consideration will also be given to the coverage of each of the 11 key assurance areas we use when prioritising any remaining work during 2022/23.
17 The three full audits that have been completed since the last report to this committee in June 2022 are included in Appendix C. The appendix summarises the key findings from these audits as well as details of actions agreed. The finalised reports listed in appendix C are published online, along with the papers for this committee.
18 Appendix D lists our current definitions for action priorities and overall assurance levels.
FOLLOW UP
19 All actions agreed with services as a result of internal audit work are followed up to ensure that underlying control weaknesses are addressed. Since the last report to this committee 19 actions reviewed have been completed. Follow up work is underway to review all other outstanding actions and a detailed update will be included as part of the next progress report to the committee.
APPENDIX A: 2022/23 INTERNAL AUDIT WORK
Audits in progress
Status |
|
ICT asset management |
Draft |
Complaints, concerns, comments and compliments |
Draft |
Commercial waste (follow-up) |
Draft |
100-hour short breaks |
Draft |
Savings plans |
In progress |
Direct payments |
In progress |
Physical information security compliance (WO & HC) |
In progress |
ICT remote access |
In progress |
Main accounting system |
In progress |
Ordering and creditor payments |
In progress |
Debtors |
In progress |
Council tax and NNDR |
In progress |
Jewson managed store contract |
In progress |
Payroll (schools) |
In progress |
Absence management (schools) |
In progress |
Food and fuel voucher scheme |
In progress |
Physical information security compliance (satellite sites) |
In progress |
Risk management |
In progress |
CCTV |
In progress |
Asset management (highways and housing repairs) |
In progress |
Public health (procurement and contract management) |
In progress |
Additional payment to care workers (spot check) |
In progress |
Continuing healthcare |
In progress |
Adult social care: adults safeguarding |
Planning |
Health and safety |
Planning |
Procurement and contract management |
Planning |
Insurance arrangements |
Planning |
Teckal company governance |
Planning |
Foster carer payments |
Planning |
Final reports issued
Audit |
Reported to Committee |
Opinion |
Council tax support and housing benefit |
November 2022 |
Substantial Assurance |
Poppleton Road Primary School |
November 2022 |
Reasonable Assurance |
Contract management – GLL Community Stadium & Leisure |
November 2022 |
Reasonable Assurance |
Safety Advisory Group (SAG) governance |
June 2022 |
Reasonable Assurance |
Fishergate Primary School |
June 2022 |
Reasonable Assurance |
Highways CDM (construction, design and management) regulations |
June 2022 |
Reasonable Assurance |
Other work in 2022/23
Internal audit work has been undertaken in a range of other areas during the year, including those listed below. |
· Follow up of agreed actions · Grant certification work:
· Feedback of Health and Safety audit findings to CMT · Completion of council-wide records management health check (via survey) · Completion of analytics-led review of payroll system data integrity · Provision of support and advice: o Payroll deviance checking process o Processing of Yorwaste invoices o Responding to internal requests to amend supplier details
|
APPENDIX B: CURRENT PRIORITIES FOR INTERNAL AUDIT WORK
Audit / activity |
Rationale / comments on progress |
Complaints, concerns, comments and compliments |
Risks / controls are changing. Provides broader assurance. In draft. |
Physical information security compliance (WO & HC) |
Risks / controls are changing. Provides coverage of key assurance area. |
Physical information security compliance (satellite sites) |
Risks / controls are changing. Provides coverage of key assurance area. |
Teckal company governance |
Key area of corporate governance. |
Procurement and contract management |
Provides coverage of key assurance area. |
Health and safety |
Follow-up of previous internal audit work. |
Risk management |
Provides coverage of key assurance area. |
Insurance arrangements |
Provides coverage of key assurance area. |
Category 2 (do next) |
|
Directorate schemes of delegation and decision-making |
Key area of corporate governance. |
Absence management |
Significant risk area. Requested by Audit & Governance Committee. |
Partnership working |
Provides broader assurance. |
Performance management and data quality |
Provides broader assurance. |
Environment and climate change |
Emerging risk area. Council priority. |
Business continuity and disaster recovery |
Risks / controls are changing. Provides broader assurance. |
NHS Data Security and Protection Toolkit: thematic review |
Identified in discussions with management. |
Data security incident management |
Significant risk area. Identified in discussions with management. |
Cipfa Financial Management Code compliance |
Provides broader assurance. |
Category 3 (do later) |
|
Retention payments and market supplements |
|
Agency staff |
|
Building security |
|
Fundamental / material systems |
|
Provides coverage of key assurance area. |
|
Ordering and creditor payments |
Provides coverage of key assurance area. |
Debtors |
Provides coverage of key assurance area. |
Council tax and NNDR |
Provides coverage of key assurance area. |
Category 2 (do next) |
|
Housing rents (inc. data quality) |
Risks / controls are changing. Provides coverage of key assurance area. |
Category 3 (do later) |
|
Cash income |
|
Payroll |
|
Operational / regularity |
|
Category 1 (do now) |
|
Commercial waste (follow-up) |
Follow-up of previously identified control weaknesses. In draft. |
Jewson managed store contract |
Requested by senior management. |
100-hour short breaks |
Risks / controls are changing. In draft. |
Direct payments |
Significant risk area. Provides broader assurance. |
Payroll (schools) |
Emerging risk area. Identified in discussions with management. |
Absence management (schools) |
Emerging risk area. Identified in discussions with management. |
CCTV |
Risks / controls are changing. Identified in discussions with management. |
Asset management (highways and housing repairs) |
Identified in discussions with management. |
Food and fuel voucher scheme |
Emerging risk area. Identified in discussions with management. |
Public health (procurement and contract management) |
Provides broader assurance. Identified in discussions with management. |
Additional payment to care workers (spot check) |
Identified in discussions with management. |
Continuing healthcare |
Emerging risk area. Identified in discussions with management. |
Foster carer payments |
Emerging risk area. Identified in discussions with management. |
Adult social care: adults safeguarding |
Significant risk area. Identified in discussions with management. |
Category 2 (do next) |
|
Children’s social care (scope TBC) |
Significant risk area. Specific area for audit being discussed with officers. |
Housing landlord duties |
Emerging risk area. Identified in discussions with management. |
Parking |
Emerging risk area. Identified in discussions with management. |
Hire cars |
Emerging risk area. Identified in discussions with management. |
Section 106 agreements |
Risks / controls are changing. Provides broader assurance. |
SEN funding (schools) |
Emerging risk area. Identified in discussions with management. |
SFVS (schools) |
Emerging risk area. Identified in discussions with management. |
Category 3 (do later) |
|
Housing repairs and maintenance |
|
Education, health and care plans (EHCPs) |
|
Children's social care budget management |
|
Children's services safeguarding |
|
Educational psychology |
|
Housing strategy (temp. accomm. & homelessness) |
|
Adult social care: care payments and contract mgt. |
|
Integrated care partnerships and joint commissioning |
|
Service contract management and client arrangements |
|
Highways asset maintenance |
|
High cost placements |
|
Technical / projects |
|
Category 1 (do now) |
|
ICT asset management |
Provides coverage of key assurance area. In draft. |
ICT remote access |
Provides coverage of key assurance area. |
Category 2 (do next) |
|
ICT procurement and contract management |
Provides coverage of key assurance area. |
Category 3 (do later) |
|
ICT applications / database security |
|
ICT systems development and benefits realisation |
|
ICT OneDrive and MS Teams (information assurance) |
|
York Central / Castle Gateway |
|
Overall project management arrangements |
|
APPENDIX C: SUMMARY OF KEY ISSUES FROM AUDITS FINALISED SINCE THE LAST REPORT TO THE COMMITTEE
System/ area |
Opinion |
Area reviewed |
Date issued |
Comments / Issues identified |
Management actions agreed |
Council tax support and housing benefit |
Substantial Assurance |
The audit reviewed the design and effectiveness of management controls in place to ensure claims and changes in circumstances are processed accurately, correctly, and within a reasonable timeframe. It also sought to confirm that recovery and write-off action is taken appropriately. |
16 November 2022 |
A systematic and well-controlled quality assurance process is in placed which is targeted towards higher risk / higher value assessments completed by the service. Separation of duties is maintained in the process and outcomes, including lessons learned, are communicated to team members.
Comprehensive performance data is collected across the key functions in CTS and HB and circulated to management for review. Performance is regularly benchmarked against other local authorities.
Recovery performance was found to be in line with previous years. All write-offs reviewed during the audit had been appropriately authorised and suitable reasons were documented. |
N/A (no control weaknesses identified) |
Poppleton Road Primary School |
Reasonable Assurance |
The audit reviewed financial, operational and governance procedures at the school. |
22 July 2022 |
Processes were found to be operating reasonably well but a number of issues were identified.
Some improvements are needed to review of key governing governance documents such as the budget management policy and Finance Committee terms of reference, use of / reconciliation of procurement cards, completion / documentation of return to work interviews, retention of DBS certificates, segregation of duties in payroll processing, and the performance of regular inventory checks.
|
Action will be taken to address the issues in each of the areas identified for improvement. |
Contract management – GLL Community Stadium & Leisure |
Reasonable Assurance |
This audit reviewed the governance and performance reporting arrangements between the council and GLL for the leisure and stadium complex. |
15 July 2022 |
The process for managing the leisure facilities part of the contract was found to be working reasonably well and a number of performance indicators are included in the contract with GLL (with the key indicators being reported as part of quarterly updates in client-contractor meetings).
However, performance management arrangements for the stadium element of the contract are not working as effectively. Only 3 performance indicators have been defined and none of these have target performance levels set. Procedures for calculating performance indicators in the contract are not documented and so is dependent on the knowledge of the council’s current contract manager and their counterparts at GLL.
Only summarised contract performance reports were available at the time of the audit, and more than 6 months had passed since the last detailed quarterly performance report had been received from GLL. Only 1 of the 3 stadium performance indicators is reported on the Open Data Platform and this had not been updated since July 2019.
|
The KPIs used to calculate the annual outcomes scorecard will be reviewed and balanced by the addition of new stadium operational KPIs. This will be secured through a deed of variation to the contract.
At the conclusion of the audit, we obtained assurances that the timeliness and completeness of performance reporting had been resolved following the introduction of a new single central system from which performance data is collected.
Guidance notes will be produced to ensure that performance indicators are calculated on a consistent basis.
At the conclusion of the audit, the Open Data Platform was updated with current performance information. In addition, an annual report, addressing GLL’s performance, will be produced, published, and considered by the Overview and Scrutiny Committee. |
APPENDIX D: AUDIT OPINIONS AND PRIORITIES FOR ACTIONS
Audit opinions |
|
Our work is based on using a variety of audit techniques to test the operation of systems. This may include sampling and data analysis of wider populations. It cannot guarantee the elimination of fraud or error. Our opinion relates only to the objectives set out in the audit scope and is based on risks related to those objectives that we identify at the time of the audit. |
|
|
|
Opinion |
Assessment of internal control |
Substantial assurance |
A sound system of governance, risk management and control exists, with internal controls operating effectively and being consistently applied to support the achievement of objectives in the area audited. |
Reasonable assurance |
There is a generally sound system of governance, risk management and control in place. Some issues, non-compliance or scope for improvement were identified which may put at risk the achievement of objectives in the area audited. |
Limited assurance |
Significant gaps, weaknesses or non-compliance were identified. Improvement is required to the system of governance, risk management and control to effectively manage risks to the achievement of objectives in the area audited. |
No assurance |
Immediate action is required to address fundamental gaps, weaknesses or non-compliance identified. The system of governance, risk management and control is inadequate to effectively manage risks to the achievement of objectives in the area audited. |
Priorities for actions |
|
Priority 1 |
A fundamental system weakness, which presents unacceptable risk to the system objectives and requires urgent attention by management |
Priority 2 |
A significant system weakness, whose impact or frequency presents risks to the system objectives, which needs to be addressed by management. |
Priority 3 |
The system objectives are not exposed to significant risk, but the issue merits attention by management. |