January 2012 - Sandwell & West Birmingham Hospitals

SWBAC (12/11) 068
Implementation action dates – to be completed by the end of
the Financial Year, to be updated by Mr Capener.
5.2 Access to Medical Records review – Moderate Assurance SWBAC (12/11) 060
Mr Capener presented the Access to Medical Records review for receiving
and noting. He reiterated that moderate assurance had been gained from
the review due to the issue with risk assessing the workstreams. It was
highlighted that seven out of nine recommendations had been
implemented, but was noted that given the number of staff required to
undertake training in Information Governance to meet the needs of the
Information Governance toolkit, the completion of the training had been
included within the mandatory training suite.
5.3 Draft Internal Audit Plan 2012‐15
SWBAC (12/11) 058
SWBAC (12/11) 058 (a)
The draft Internal Audit plan covering the period 2012‐15 was presented
for receipt and noting. Mr Capener advised that the final plan would be
presented at the February 2012 meeting of the Audit Committee.
The Committee was advised that preparation of the plan had included
input from a number of the Executive Team and minor feedback from
these discussions needed to be built into the next version. One of the
principal changes which had been suggested by the Chief Executive was
reported to be the alignment of the Cost Improvement Plan review with
the Transformation Plan, which by so doing would release a number of
days to support other areas.
Mr Capener highlighted that the number of days within the plan had
reduced from 360 to 385 and drew the Board’s attention to the detail of
the plan. It was noted that it was intended to reduce the coverage of the
review of core financial systems, given the stability of the processes. It was
reported that this measure had been discussed with and agreed by the
External Auditors.
Mrs Hunjan asked whether the proposed allocation to the review of the
Transformation Plan was excessive. Mr Capener advised that since the Plan
was only in its formative stages, it was difficult to judge whether the
allocation was appropriate at present.
Dr Sahota noted that there had been a reduction in the number of days
allocated to following up actions. Mr Capener explained that this was
reflective of the improved use of the tracking software that had been
introduced to follow progress.
Mrs Hunjan asked whether the financial management element of the plan
would review the zero‐based budgeting and flexible beds. Mr Capener
advised that this was not planned unless it formed part of the budget
processes directly. Mrs Hunjan asked whether performance against the
prompt payment target was included within the plan and was advised that
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