Item 8 - Sheffield Health and Social Care

Annexe BAnnexe C2012/13 Statement of directors’responsibilities in respect of thequality reportThe directors are required under the Health Act2009 and the National Health Service (QualityAccounts) Regulations 2010 to prepare QualityAccounts for each financial year. Monitor has issuedguidance to NHS Foundation Trust Boards on theform and content of annual Quality Reports (whichincorporate the above legal requirements) and onthe arrangements that Foundation Trust Boardsshould put in place to support the data qualityfor the preparation of the Quality Report.In preparing the Quality Report, directors arerequired to take steps to satisfy themselves that:• The content of the Quality Report meets therequirements set out in the NHS FoundationTrust Annual Reporting Manual• The content of the Quality Report is notinconsistent with internal and external sourcesof information including:• Board minutes and papers for the period April2012 to May 2013;• Papers relating to Quality reported to the Boardover the period April 2012 to May 2013;• Feedback from the commissioners dated3 May 2013;• Feedback from governors dated 25 April 2013;• Feedback from LINks/ Healthwatch dated9 May 2013;• The trust’s complaints report published underregulation 18 of the Local Authority SocialServices and NHS Complaints Regulations 2009,dated August 2012;• The [latest] national patient survey issued in 2012;• The national staff survey issued February 2013;• The Head of Internal Audit’s annual opinion overthe trust’s control environment dated 28 May2013; and• Care Quality Commission quality and riskprofiles issued monthly during 2012/13;• The Quality Report presents a balanced pictureof the NHS Foundation Trust’s performance overthe period covered;• The performance information reported in theQuality Report is reliable and accurate;• There are proper internal controls over thecollection and reporting of the measures ofperformance included in the Quality Report, andthese controls are subject to review to confirmthat they are working effectively in practice; and• The data underpinning the measures ofperformance reported in the Quality Report isrobust and reliable, conforms to specified dataquality standards and prescribed definitions,is subject to appropriate scrutiny and review;and the Quality Report has been prepared inaccordance with Monitor’s annual reportingguidance (which incorporates the QualityAccounts regulations) (published at www.monitor-nhsft.gov.uk/annualreportingmanual)as well as the standards to support data qualityfor the preparation of the Quality Report(available at www.monitor-nhsft.gov.uk/annualreportingmanual).The Directors confirm to the best of their knowledgeand belief they have complied with the aboverequirements in preparing the Quality Report.By order of the BoardChairman28th May 2013Chief Executive28th May 2013Independent Auditor’s Reportto the Council of Governors ofSheffield Health and Social CareNHS Foundation Trust on theQuality ReportWe have been engaged by the Council of Governorsof Sheffield Health and Social Care NHS FoundationTrust to perform an independent assuranceengagement in respect of Sheffield Health and SocialCare NHS Foundation Trust’s Quality Report for theyear ended 31 March 2013 (the ‘Quality Report’) andcertain performance indicators contained therein.Scope and subject matterThe indicators for the year ended 31 March 2013subject to limited assurance consist of the nationalpriority indicators as mandated by Monitor:• 100% enhanced Care Programme Approach(CPA) patients receive follow up contact withinseven days of discharge from hospital;• Admissions to inpatient services had access tocrisis resolution home treatment teams; and• Total number of safety incidents reportedincluding the number of incidents resultingin severe harm or death.We refer to these national priority indicatorscollectively as the ‘indicators’.Respective responsibilities of the Directorsand auditorsThe Directors are responsible for the content andthe preparation of the Quality Report in accordancewith the criteria set out in the NHS Foundation TrustAnnual Reporting Manual issued by Monitor.Our responsibility is to form a conclusion, basedon limited assurance procedures, on whetheranything has come to our attention that causesus to believe that:• The Quality Report is not prepared in all materialrespects in line with the criteria set out in theNHS Foundation Trust Annual Reporting Manual;• The Quality Report is not consistent in all materialrespects with the sources specified in section2.1 of Monitor’s 2012/13 Detailed Guidance forExternal Assurance on Quality Reports; and• The indicators in the Quality Report identified ashaving been the subject of limited assurance inthe Quality Report are not reasonably stated inall material respects in accordance with the NHSFoundation Trust Annual Reporting Manual andthe six dimensions of data quality set out in theDetailed Guidance for External Assurance onQuality Reports.We read the Quality Report and consider whetherit addresses the content requirements of the NHSFoundation Trust Annual Reporting Manual, andconsider the implications for our report if webecome aware of any material omissions.We read the other information contained in theQuality Report and consider whether it is materiallyinconsistent with:• Board minutes for the period April 2012to May 2013;• Papers relating to Quality reported to the Boardover the period April 2012 to May 2013;• Feedback from Sheffield City Councils HealthierCommunities and Adult Social Care ScrutinyCommittee dated 26 April 2013;• Feedback from the Commissioners dated3 May 2013;• Feedback from local Healthwatch organisationsdated 9 May 2013;• The Trust’s complaints report published underregulation 18 of the Local Authority SocialServices and NHS Complaints Regulations2009, dated August 2012;• The national patient survey issued in 2012;• The national staff survey dated February 2013• Care Quality Commission quality and riskprofiles issued monthly during 2012/13; and• The Head of Internal Audit’s annual opinion overthe Trust’s control environment dated 28 May 2013.We consider the implications for our report ifwe become aware of any apparent misstatementsor material inconsistencies with those documents(collectively, the ‘documents’). Our responsibilitiesdo not extend to any other information.We are in compliance with the applicableindependence and competency requirements ofthe Institute of Chartered Accountants in Englandand Wales (ICAEW) Code of Ethics. Our teamcomprised assurance practitioners and relevantsubject matter experts.131132