Annual Report and Accounts 2012/13 - Royal Devon & Exeter Hospital

64 3. Quality Report
Royal Devon and Exeter NHS Foundation Trust
Annual Report and Accounts 2012-13
Independent Auditor’s Limited
Assurance Report to the Council of Governors
of Royal Devon and Exeter NHS Foundation Trust on
the Annual Quality Report
We have been engaged by the
Council of Governors of Royal Devon
and Exeter NHS Foundation Trust to
perform an independent assurance
engagement in respect of Royal Devon
and Exeter NHS Foundation Trust’s
Quality Report for the year ended 31
March 2013 (the ‘Quality Report’)
and specified performance indicators
contained therein.
Scope and subject matter
The indicators for the year ended 31
March 2013 in the Quality Report that
have been subject to limited assurance
consist of the following national
priority indicators as mandated by
Monitor:
• The percentage of patients
receiving first definitive treatment
for cancer within 62 days of an
urgent GP referral; and
• The number of C.difficile infections
for patients aged 2 or more
We refer to these national priority
indicators collectively as the 'specified
indicators'.
Respective responsibilities of
the Directors and auditors
The Directors are responsible for the
content and the preparation of the
Quality Report in accordance with the
assessment criteria referred to on page
60 of the Quality Report (the 'Criteria').
The Directors are also responsible
for the conformity of their Criteria
with the assessment criteria set out
in the NHS Foundation Trust Annual
Reporting Manual ('FT ARM') issued
by the Independent Regulator of NHS
Foundation Trusts ('Monitor'). Our
responsibility is to form a conclusion,
based on limited assurance procedures,
on whether anything has come to our
attention that causes us to believe that:
• The Quality Report does not
incorporate the matters required to
be reported on as specified in
Annex 2 to Chapter 7 of the FT
ARM
• The Quality Report is not consistent
in all material respects with the
sources specified below
• The specified indicators have not
been prepared in all material
respects in accordance with the
Criteria.
We read the Quality Report and
consider whether it addresses the
content requirements of the FT ARM,
and consider the implications for our
report if we become aware of any
material omissions.
We read the other information
contained in the Quality Report and
consider whether it is materially
inconsistent with the following
documents:
• Board minutes for the period April
2012 to the date of signing this
limited assurance report (the
period)
• Papers relating to Quality reported
to the Board over the period April
2012 to the date of signing this
limited assurance report
• Feedback from the Commissioners
dated 24th May 2013;
• The Trust’s complaints report
published under regulation 18 of
the Local Authority Social Services
and NHS Complaints Regulations
2009,
Q1 and Q2 Nov 2012
Q3 and Q4 May 2013;
• The 2012 national patient survey
• The 2012 national staff survey
• Care Quality Commission
quality and risk profiles dated
09/02/12, 06/03/12, 10/04/12,
06/06/12, 05/07/12, 07/08/12,
05/10/12, 06/11/12, 05/12/12,
06/02/13, 06/03/13.;
• The Head of Internal Audit’s
annual opinion over the Trust’s
control environment dated 24th
May 2013.
We consider the implications for our
report if we become aware of any
apparent mis-statements or material
inconsistencies with those documents
(collectively, the 'documents'). Our
responsibilities do not extend to any
other information.
We are in compliance with the
applicable independence and
competency requirements of the
Institute of Chartered Accountants in
England and Wales (ICAEW) Code of
Ethics. Our team comprised assurance
practitioners and relevant subject
matter experts.