2015/16 Mid Year Assurance Statement

2015/16 Mid Year Assurance Statement

To: / BSO BOARD
From: / Chief Executive
Subject: / DRAFT MID YEAR ASSURANCE STATEMENT
Status: / For Review/Comment
Date of Meeting: / 29 October 2015


2015/16 MID YEAR ASSURANCE STATEMENT

Following review of the attached 2015/16 Mid-Year Assurance Statement by the Governance and Audit Committee at their meeting on 20 October 2015, the BSO Board is now asked to undertake a final review prior to sign off by the Chief Executive. In reviewing the Statement, BSO Board is asked to note thattwonew significant internal control divergences, at paragraph 9.2, have been reported during the first six months of this financial year. These relate to: the temporary deletion ofFPL system standing data and also the potential risk of a significant control divergence following the full implementation of the FPS replacement systems.

The BSO Board may also wish to note that the following changes have been made by DHSSPS to the Mid-Year Assurance template in respect of the 2015/16 year:

  • Paragraph 4 has been amended to reflect that targets are approved by DHSSPS following review of BSO’s Business Plan. This differs from previous years which stated that targets were set by the Department.
  • Paragraph 8 has been added to confirm that the NAO Audit Committee Self Assessment Checklist has been completed by the GAC and that an action plan is in place. Audit Committees are no longer required to send their individual returns to DHSSPS.

A completed Mid-Year Assurance Statement was required by the DHSSPS by Friday, 16 October2015however, as agreed with DHSSPS, a draft version was provided within the timeframe and a signed version will be forwarded following BSO Board review.

BUSINESS SERVICES ORGANISATION: MID-YEAR ASSURANCE STATEMENT

This statement concerns the condition of the system of internal governance in Business Services Organisation as at 30 September 2015.

The scope of my responsibilities as Accounting Officer for Business Services Organisation, the overall assurance and accountability arrangements surrounding my Accounting Officer role, the organisation’s business planning and risk management, and governance framework, remain as set out in the Governance Statement which I signed on 12 June 2015. The purpose of this mid-year assurance statement is to attest to the continuing effectiveness of the system of internal governance. In accordance with Departmental guidance, I do this under the following headings.

  1. Governance Framework

The Governance framework as described in the most recent Governance Statement continues in operation. The Governance and Audit Committee, the Business Committee and the BSO Board have continued to meet and to discharge their assigned business. Minutes of their meetings, together with board meeting minutes containing the Committees’ reports, are available for Departmental inspection to further attest to this.

  1. Assurance Framework

An Assurance Framework, which operates to maintain, and help provide reasonable assurance of the effectiveness of controls, has been approved and is reviewed by the BSO Board. Minutes of board meetings are available to further attest to this.

  1. Risk Register

I confirm that the Corporate Risk Register has been regularly reviewed by the board of the organisation and that risk management systems/processes are in place throughout the organisation. As part of the board-led system of risk management, the Register is presented to the BSO Board for discussion and approval and all significant risks are reported to the Board – most recently on 25 June 2015.

In addition I confirm that Information Risk continues to be managed and controlled as part of this process.

  1. Performance against BusinessPlan Objectives/Targets

I confirm satisfactory progress towards the achievement of the objectives and targets set out in the organisation’s business plan as approved by the Departmentwith the exception of those listed on the table below.

Objectives/Targets outside of Target Date (as at 30 September 2015)

Key Priorities/Target / Key Actions / Comment
Identify and agree a programme of efficiencies and cost reduction in BSO services provided to customers and stakeholders which will assist in reducing spend. / By March 2016 met Shared Services OBC targets for cost reduction. / The implementation of the Single Pay Frequency (SPF) initiative has been delayed until April/May 2016 which will impact the full delivery of work force savings by 31 March 2016.
Reduce internal operating costs within BSO. / By May 2015 assimilate business systems e.g. BSTP into regional data warehouse. / A data extract from the Pharmaceutical Payment system has already been added to the Regional Data Warehouse. Work on transferring the data extract from the FPL System into the data warehouse is well progressed and will be complete by March 2016. However, initial discussions regarding HRPTS data transfer would indicate potential cost versus benefit considerations and a final decision on which elements of HRPTS has yet to be made.
Produce a BSO 2014/15 Annual Quality Report by September 2015. / Report to be brought to BSO Board for approval by September 2015. / BSO has agreed with DHSSPS to submit on 16 October 2015.
Support implementation of the recommendations of the HSC Task and Finish Group on Social Care Procurement. This will include scoping and implementing service arrangements for BSO Pals new Social Care Procurement Service. / Prepare BSO proposal/business case for the future role of the Social Care Procurement Unit (SCPU) in line with the recommendations of the Task and Finish Group (by September 2015). / Discussion ongoing with HSCB regarding BSO PaLS proposal. The BSO proposal is planned to be presented to Regional Procurement Board by January 2016.
By 30 June 2015, 90% of staff to have had an annual appraisal of their performance in 2014/15 and an agreed personal development plan for 2015/16. / Monitored monthly through BSO Corporate Scorecard. / HRPTS system data suggests that 88.5% of appraisals have been conducted.
BSO are performing an internal review of the system statistic to ascertain whether all appraisals have been recorded on HRPTS.
Develop a training plan to meet the identified personal development needs of the staff arising from the approval process. / Managers to advise of recurring themes regarding development needs of staff by August 2015. / A number of responses have been received from Directorates regarding training needs.
Plan to be agreed by Senior Management Team by September 2015. / A plan will be taken to SMT in November 2016.
Review current range of competency frameworks with a view to ensuring consistency of approach and relevant to BSO objectives. / Assess the number of competence frameworks which currently exist among workforce including KDS and LQF and other professional frameworks by September 2015. / A review of competence frameworks has been completed and work is underway to simplify and develop a revised single approach if possible.
  1. Controls Assurance

I confirm actions are being taken to implement Action Plans arising from the year-end self-assessments of compliance with Controls Assurance Standards. As at 30 September 2015, 91% actions have been fully or partially implemented. The remaining actions will be implemented in 2015/16.

  1. External audit reports

I confirm actions are being taken to implement the accepted recommendations made by external audit. The BSO has in place a process to ensure that all outstanding recommendations are implemented within an acceptable timescale.

  1. Internal audit

In 2015/16, the Internal Auditor has carried out seven audits as shown in the table below.

Audit / Assurance Level
Payments Shared Services / Satisfactory
Procurement and Logistics / Satisfactory
Business Services Team / Satisfactory
Recruitment of Agency Staff / Satisfactory
Pensions Services / Satisfactory
Payroll Shared Services / Limited
GP Payments / Satisfactory

I confirm actions are being taken to implement the accepted recommendations made by internal audit. The BSO has in place a process to assist with full implementation of all recommendations within an acceptable timescale. Furthermore the Head of Internal Audit, in her Mid Year Follow Up report as at 30 September 2015, stated that 366 (82%) of the total 449 recommendations examined were fully implemented, a further 72 (16%) were partially implemented and 11 (2%) were not yet implemented. In addition, of the total recommendations reviewed, 271 related to Shared Services and that 221 (82%) had been fully implemented, a further 42 (16%) partially implemented and 7 (2%) were not yet implemented at the time of review.

  1. NAO Audit Committee Checklist

I confirm completion of the NAO Audit Committee Checkliston 20 October 2015and that an action plan has been implemented to address any issues. I also confirm that any relevant issues will be reported to the Department.

  1. Internal Control Divergences

9.1 / Update on prior year control issues which continue to be considered
control issues
9.1.1 / Stock issues
The Finance Procurement & Logistics system (FPL) maintains the warehouse stock balances by way of two systems - the Red Prairie stock management system and the e-financials system. These two systems should be synchronised by an interface at regular intervals each day. The Red Prairie system maintains only quantities of stock while the e-financials system maintains the value of these stock quantities. The interface is designed to ensure that the same quantity of stock is recorded on both systems at all times and the e-financials system should ensure that this quantity, once interfaced, is then valued accurately.
As part of the year end process for 2014/15 a full stock take was performed between the 20th and 22nd March 2015 on all items carried within the BSO PaLS warehouses. On completion of the year end stock count, whilst there was only a small adjustment required to Red Prairie to reflect accurate physical quantities the re-alignment of stock quantities between the Red Prairie and E-financials systems resulted in quantity imbalances and a financial impact of circa £500k which required immediate investigation. This issue was escalated to the system supplier for investigation.
Following investigations by the system supplier the issue impacting on the financial statements were resolved. An action plan was put in place to ensure identified system failures were rectified by the contractor, PaLS or Finance as appropriate. This plan was monitored by BSO Senior Management Team on a weekly basis alongside revised daily monitoring and escalation routines to prevent recurrence. Additional monthly monitoring routines between Finance and PaLS were also introduced. Identified system bugs were rectified in June 2015 and since then the levels of imbalances have been low and resolved on a daily basis. Daily monitoring continues within the now embedded process and imbalances investigated and raised internally or externally with the suppliers as required.
9.1.2 / Family Practitioner Services – Secondary Database Systems
Prior to 2014/15,Family Practitioner Services (FPS) operated with a significant number of secondary database type systems which supplemented and supported primary systems in calculating payments to family practitioners (c£750m pa). These secondary databases had been developed to accommodate changes in the type of payments made under new practitioner contracts. The BSO recognised the risks associated with these secondary systems and engaged in a Project to replace the Pharmaceutical, General Practitioner and Dental FPS payment systems, funded under the auspices of the regional ICT Programme. During 2014/15, reliance on secondary databases significantly decreased as a result of implementing a replacement system for the calculation of Pharmaceutical, Dental and General Medical Practice payments. In 2015/16, all secondary systems previously required to calculate payments will be decommissioned by March 2016.
9.1.3 / Significant Challenges for HSC to deliver services based on NI Executive Budget 2015-16
HSC continues to face a very significant challenge in 2015/16 and beyond to deliver on the overall objectives for Health and Social Services and Public Safety and maintain services within a financial envelope significantly smaller than the assessed level of need. Allied to the significant underlying deficits identified by Trusts and the need to achieve additional savings through cost reduction programmes to offset these deficits, there is a risk that the overall levels of savings required across HSC are so great that the services which BSO provides to its customers are adversely affected or the Organisation itself fails to breakeven as a direct result. This challenge is intensified due to the uncertainty of the overarching budget position for 2015/16 for the entire NI Public sector.
BSO received notification from DHSSPS that its RRL funding line would be subjected to a 15% cut in 2015/16. BSO wrote to DHSSPS outlining the ramifications upon service delivery of implementing this cut and has taken a range actions to address this significant challenge.
Furthermore, in terms of the generation of Management Fees from its HSC clients, BSO has again developed its annual Service Offering which provides continued focus on providing HSC clients with a value for money, high quality service which was underpinned by an improvement in overall efficiency of 4.2% in 2015/16.
The BSO has identified the potential for generating additional income by offering our services beyond HSC. It is however at present constrained by the legislation governing the functions of the Organisation.
9.1.4 / HSC Data Centres
The Regional ITS data centres are hosted in the Royal Victoria Hospital (RVH) and Belfast City Hospital (BCH) in an environment provided by the Belfast Trust Estates Department. There were a number of serious interruptions to service between 2011 and 2013 primarily caused by instability in the facilities provided to the data centre such as power and cooling. The main cause of these interruptions was extreme weather impacting the power supply.
A number of actions have been taken in response to these events. However, hardware failure caused some interruption in July 2014 which was replaced and reviewed in an incident investigation led by HSCB. Work is also continuing on enhancing the management and automation of the facilities (power and cooling) within the legacy data centres in order to improve the resilience of the data centre during the period of transition to new shared public Data Centres.
The stability of power supplies to the legacy datacenters and the priority of the datacenters within the overall estates environment still remains a concern. The BSO datacenter in BCH recently suffered an unplanned interruption to power on the 19th September 2015 during planned estates work elsewhere on the site. Mitigation measures put in place prior to work commencing allowed most services to continue uninterrupted. Issues identified as causing problems for specific services have been addressed in the interim and a meeting arranged between BSO and Belfast Trust senior management to agreemitigating actions to such work in future.
BSO also operates a third copy of the data outside the two data centres. This replicates the overnight backup process off site from the data centres to storage in Centre House and provides an “insurance copy” for disaster situations. This work completed the work of the Gartner sub group of the Board. BSO have also procured and tested a mobile data centre solution from HP which would be used in the event of physical destruction of one of the two legacy data centres.
BSO is part of the shared public Data Centres project along with DFP and Translink. BSO has developed and had approved a Full Business Case for transition to these new data centres in September 2015. HSCB has agreed to provide funding for the transition. The procurement is now completed with the contract being awarded to BT in September 2015. The new shared facilities are planned to be made available in line with project timescales in August 2016). The Business case estimates migration of over 120 services will take 2 years. Locations of the new data centres are in existing BT facilities in Belfast and Knock. BT will upgrade these to be “Tier 3” datacenters which will uplift the designed availability for the new data centres in comparison with the legacy datacenters.
9.1.5 / Business Service Transformation Programme (BSTP)/ Benefits Realisation Programme
The BSO has responsibility for overseeing and co-ordinating the work of BSTP. This work included the introduction of two new systems into HSC to replace outdated systems namely, Finance, Procurement and Logistics (FPL) and the Human Resources, Payroll and Travel System (HRPTS). The FPL system was signed off on 21 August 2014 and the HRPTS on 30 June 2014 on the condition that the remaining strand of the programme, eRecruitment, would be rolled out. The implementation of these systems in HSC Organisations and in a shared services environment is expected to generate savings of almost £120 million over a 10 year period across all HSC bodies. These savings, however, can only be realised following the delivery and adoption by HSC of the following initiatives, which have been designed to assist the achievement of savings, some of which are already underway:
HRPTS
  • Ongoing deployment of employee self-service (ESS) and manager self-service (MSS) to all appropriate users
  • Introduction of single pay frequency (planned early 2016/17)
  • Completion of eRecruitment by 31 December 2015
FPL
  • Auto ordering;
  • Self billing;
  • Cloud Invoicing; and
  • Increased use of FPM
A focused approach to Benefits Realisation was highlighted in the BSTP Gateway Review as essential to Project success and a BSO proposal to develop a Benefits Realisation Project (BRP) was approved by the BSTP SRO and BSTP Programme Board.The BRP lifespan was approved for a two year period, ending 31 March 2016 with the purpose of managing benefits and realising system benefits. Some of the initiatives identified under BRP relate to a one time implementation which will realise savings from the point of introduction. Others are enablers to a more efficient way to perform tasks/transactions. The enabler initiatives will be continued by the relevant HSC body after the BRP ceases on 31 March 2016.