5 Boroughs Partnership NHS Foundation Trust Annual ... - Monitor

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138 I read the other information contained in the Quality Report and considered whether it is materially inconsistent with: Board minutes for the period April 2011 to May 2012 Papers relating to quality reported to the Board over the period April 2011 to May 2012 Papers relating to quality reported to the Clinical Governance and Clinical Risk Committee over the period April 2011 to May 2012 Feedback from the Commissioners dated May 2012 Feedback from Governors dated May 2012 Feedback from LINks dated May 2012 The Trust’s Complaints Report published under Regulation 18 of the Local Authority Social Services and NHS Complaints Regulations 2009, dated April 2012 The latest national patient survey The latest national staff survey Care Quality Commission quality and risk profiles from 2011/12 The Head of Internal Audit’s annual opinion over the Trust’s control environment dated April 2012 Any other information included in our review. I considered the implications for my report if I became aware of any apparent mis-statements or material inconsistencies with those documents (collectively the ‘documents’). My responsibilities do not extend to any other information. I am in compliance with the applicable independence and competency requirements of the Institute of Chartered Accountants in England and Wales (ICAEW) Code of Ethics. My team comprised assurance practitioners and relevant subject matter experts. This report, including the conclusion, has been prepared solely for the Council of Members of 5 Boroughs Partnership NHS Foundation Trust as a body, to assist the Council of Members in reporting 5 Boroughs Partnership NHS Foundation Trust’s quality agenda, performance and activities. I permit the disclosure of this report within the Annual Report for the year ended 31 March 2012 to enable the Council of Members to demonstrate that it has discharged its governance responsibilities by commissioning an independent assurance report in connection with the indicators. To the fullest extent permitted by law I do not accept or assume responsibility to anyone other than the Council of Members as a body and 5 Boroughs Partnership NHS Foundation Trust for my work or this report - save where terms are expressly agreed and with my prior consent in writing. Annual Report and Annual Accounts 2011-12
Assurance work performed I conducted this limited assurance engagement in accordance with International Standard on Assurance Engagements 3000 (Revised) – ‘Assurance Engagements other than Audits or Reviews of Historical Financial Information’ issued by the International Auditing and Assurance Standards Board (‘ISAE 3000’). My limited assurance procedures included: Evaluating the design and implementation of the key processes and controls for managing and reporting the indicators Making enquiries of management Testing key management controls Limited testing, on a selective basis, of the data used to calculate the indicator back to supporting documentation Comparing the content requirements of the NHS Foundation Trust Annual Reporting Manual to the categories reported in the Quality Report Reading the documents listed above under the respective responsibilities of the Directors and auditors. A limited assurance engagement is less in scope than a reasonable assurance engagement. The nature, timing and extent of procedures for gathering sufficient appropriate evidence are deliberately limited relative to a reasonable assurance engagement. Limitations Non-financial performance information is subject to more inherent limitations than financial information - given the characteristics of the subject matter and the methods used for determining such information. The absence of a significant body of established practice on which to draw allows for the selection of different but acceptable measurement techniques which can result in materially different measurements and can impact comparability. The precision of different measurement techniques may also vary. Furthermore, the nature and methods used to determine such information, as well as the measurement criteria and the precision thereof, may change over time. It is important to read the Quality Report in the context of the criteria set out in the NHS Foundation Trust Annual Reporting Manual. The nature, form and content required of Quality Reports are determined by Monitor. This may result in the omission of information relevant to other users - for example for the purpose of comparing the results of different NHS Foundation Trusts. In addition, the scope of my assurance work has not included governance over quality or non-mandated indicators which have been determined Annual Report and Annual Accounts 2011-12 139
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5 Boroughs Partnership NHS Foundati
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Contents Chairman and Chief Executi
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Our Profile Formed in 2002, 5 Borou
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We are actively involved in Learnin
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Trust Board Member Ray Walker - Dir
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including Adults, Learning Disabili
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Executive Director John Kelly Direc
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Committee Member Brian Marshall - N
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key safety recommendations in respe
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Our Risk Management Our Risk Manage
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Statements of Assurance Provided by
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During the reporting year the Trust
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Christopher Ashman Diane French -
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Public Member Councillor 18/05/ 11
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Members 27/07/11 28/09/11 11/01/12
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The remit of the Committee is to be
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Our Strategic Themes and Objectives
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Joint Service User and Carer Forum
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For the period 1 April 2011 to 31 M
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Effective and Efficient Organisatio
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What else have we achieved against
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Increased roof and wall insulation
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Clinical Leadership and Service Imp
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in research approved by a Research
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In addition we have representation
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One of the ways we will do this in
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Well-Governed In order for any orga
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Financial Viability This theme rela
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continues to perform well and impro
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in April 2012. By April 2013 more t
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Workforce Management and Experience
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Top Four Rankings Progress 2010 to
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New Bottom Four Rankings 2011 Botto
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Jobcentre Plus has awarded the symb
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Financial Review of the Year We hav
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Details of salaries and allowances
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Speaking Your Language This Annual
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Involving Service Users in Patient
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In particular, we took part in 100
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These statements are included as Ap
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Quality & Safety priorities 2012-13
Page 87 and 88: 2.4.3 Participation in Clinical Aud
Page 89 and 90: Name of Audit Number of cases submi
Page 91 and 92: The percentage of records which inc
Page 93 and 94: Part 3 - Other Information 3.1 Trus
Page 95 and 96: Knowsley Integrated Provider Servic
Page 97 and 98: Monitor Targets 2011-12 Threshold Y
Page 99 and 100: Domain Patient Safety 99 Trust Qual
Page 101 and 102: 3.4 Trust-wide Achievements 3.4.1 W
Page 103 and 104: 3.5.3 Advancing Quality Programme A
Page 105 and 106: Productive Mental Health Wards Prod
Page 107 and 108: The table below shows the Trust’s
Page 109 and 110: 3.7 Engaging with and Listening to
Page 111 and 112: 3.7.4 Further examples of Engagemen
Page 113 and 114: 3.8.2 Messages from Warrington LINk
Page 115 and 116: Quality Accounts - 5 Boroughs 2011/
Page 117 and 118: Warrington LINk Statement 5 Borough
Page 119 and 120: Knowsley LINk 5 Boroughs Partnershi
Page 121 and 122: Wigan Borough Local Involvement Net
Page 123 and 124: Re: 5 Boroughs Partnership NHS Foun
Page 125 and 126: Knowsley Overview and Scrutiny Boar
Page 127 and 128: 11 May 2012 Many thanks for sharing
Page 129 and 130: Appendix 2 - National Patient Surve
Page 131 and 132: Fig 2. The results from the Trust
Page 133 and 134: Service users are asked to complete
Page 135 and 136: Appendix 4 Director’s Statement o
Page 137: Appendix 5 Monitor External Assuran
Page 141 and 142: Appendix 6 Performance against CQUI
Page 143 and 144: Indicator Name Goal Year-end positi
Page 145 and 146: EFFECTIVENESS TCS Mental Health Pat
Page 147 and 148: Total June July August September Oc
Page 149 and 150: 5 Boroughs Partnership NHS Foundati
Page 151 and 152: Independent Auditor’s Report to t
Page 153 and 154: Certificate I certify that I have c
Page 155 and 156: I have delegated responsibility for
Page 157 and 158: Policy and Guidance A range of clin
Page 159 and 160: Directors attending the Trust Opera
Page 161 and 162: Continue to publish monthly High-le
Page 163 and 164: These include Business Continuity a
Page 165 and 166: Internal and External Stakeholders
Page 167 and 168: Board throughout the year. The Qual
Page 169 and 170: The Audit Committee provides an app
Page 171 and 172: Group Chaired by Functions Business
Page 173 and 174: The Trust maintains a status of reg
Page 175 and 176: Foreword to the Accounts 5 Boroughs
Page 177 and 178: Prior period adjustments TOTAL COMP
Page 179 and 180: Financed by taxpayers' equity: Mino
Page 181 and 182: Public Dividend Capital repaid Publ
Page 183 and 184: Statement of Cash Flows For the Per
Page 185 and 186: Notes to the accounts 1. Accounting
Page 187 and 188: Notes to the Accounts - 1. Accounti
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Notes to the Accounts - 1. Accounti
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4. Other operating income 2011/12 2
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6. Operating leases As lessee Payme
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7. Employee costs and numbers conti
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203 7. Employee costs and numbers c
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205 7. Employee costs and numbers c
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8. Retirement benefits continued. T
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209 9. Better Payment Practice Code
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13. Intangible assets Software lice
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14. Property, plant and equipment 2
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14. Property, plant and equipment c
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14. Property, plant and equipment c
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16. Non-current assets for sale and
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17. Capital commitments There are n
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19.3 Ageing of impaired receivables
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23. Other liabilities Current Non-c
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25. Contingences 25.1 Contingent li
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26.2 Financial liabilities NHS Trad
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Further information on the NHS Foun
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30. Third Party Assets The Trust he
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Annual Report and Annual Accounts 2
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5 Boroughs Partnership NHS Foundation Trust Annual ... - Monitor

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