Please Contact: Lydia Hall Please email: lydia.hall@north-norfolk.gov.uk Please Direct Dial on: 01263 516047 08 June 2015 A meeting of the Audit Committee of North Norfolk District Council will be held in the Committee Room at the Council Offices, Holt Road, Cromer on Tuesday 16 June 2015 at 2.00 pm Members of the public who wish to ask a question or speak on an agenda item are requested to arrive at least 15 minutes before the start of the meeting. It will not always be possible to accommodate requests after that time. This is to allow time for the Committee Chair to rearrange the order of items on the agenda for the convenience of members of the public. Further information on the procedure for public speaking can be obtained from Democratic Services, Tel: 01263 516047, Email: democraticservices@north-norfolk.gov.uk Anyone attending this meeting may take photographs, film or audio-record the proceedings and report on the meeting. Anyone wishing to do so must inform the Chairman. If you are a member of the public and you wish to speak on an item on the agenda, please be aware that you may be filmed or photographed. Sheila Oxtoby Chief Executive To: Mr V FitzPatrick, Mr S Hester, Mr M Knowles, Mrs A Moore, Mr R Shepherd and Mr D Young All other Members of the Council for information. Members of the Management Team, appropriate Officers, Press and Public If you have any special requirements in order to attend this meeting, please let us know in advance If you would like any document in large print, audio, Braille, alternative format or in a different language please contact us Chief Executive: Sheila Oxtoby Strategic Directors: Nick Baker and Steve Blatch Tel 01263 513811 Fax 01263 515042 Minicom 01263 516005 Email districtcouncil@north-norfolk.gov.uk Web site northnorfolk.org AGENDA 1. TO RECEIVE APOLOGIES FOR ABSENCE 2. APPOINTMENT OF VICE-CHAIRMAN OF AUDIT COMMITTEE Members to appoint a Vice-Chairman of the Committee. 3. PUBLIC QUESTIONS To receive public questions, if any. 4. ITEMS OF URGENT BUSINESS To determine any items of business which the Chairman decides should be considered as a matter of urgency pursuant to Section 100B(4)(b) of the Local Government Act 1972. 5. DECLARATIONS OF INTEREST Members are asked at this stage to declare any interests that they may have in any of the following items on the agenda. The Code of Conduct for Members requires that declarations include the nature of the interest and whether it is a disclosable pecuniary interest. 6. MINUTES (Page 1) To approve as a correct record, the minutes of the meeting of the Audit Committee held on 17 March 2015. 7. AUDIT UPDATE AND ACTION LIST (Page 7) To monitor progress on items requiring action from the meeting of 17 March 2015 including progress on implementation of audit recommendations. 8. AUDIT COMMITTEE WORK PROGRAMME (Page 8) To review the Audit Committee Work Programme. 9. PROGRESS REPORT ON INTERNAL AUDIT ACTIVITY (Page 9) To receive the Progress Report on Internal Audit Activity. 10. ANNUAL REPORT AND OPINION 2014/15 (Page 28) To receive the Annual Report and Opinion of last year. 11. FOLLOW UP ON INTERNAL AUDIT RECOMMENDATIONS (Page 40) To receive a follow up report on the recommendations made by Internal Audit. 12. CORPORATE RISK REGISTER To receive an update on the corporate risk register. (Page 46) 13. BUSINESS CONTINUITY PLAN REVIEW AND TRAINING UPDATE (Page 56) To receive a report on the Businss Continuit Plan Review and an update on contingency training with the Revenues and Benefits teams. 14. EXCLUSION OF THE PRESS AND PUBLIC To pass the following resolution, if necessary: “That under Section 100A(4) of the Local Government Act 1972 the press and public be excluded from the meeting for the following items of business on the grounds that they involve the likely disclosure of exempt information as defined in of Part I of Schedule 12A (as amended) to the Act.” Agenda item _6 _ AUDIT COMMITTEE Minutes of a meeting of the Audit Committee held on Tuesday 17 March 2015 in the Committee Room, Council Offices, Holt Road, Cromer at 2.00 pm. Members Present: Committee: Mr N Dixon (Chairman) Mrs A Moore Miss B Palmer Mr D Young Officers in Attendance: The Head of Finance, the Internal Audit Consortium Manager, the External Auditors (HA and AA), the Benefits Manager and the Democratic Services Officer 40. APOLOGIES Mr R Reynolds. 41. PUBLIC QUESTIONS None received. 42. ITEMS OF URGENT BUSINESS A question had been received from Cllr G Jones; Some while back I held a meeting with the external auditors and asked them to evaluate a risk assessment for the District Council’s heavy reliance on car parking income. I have not had an adequate reply or reply of any substance. Will the Chief Executive advise on what rights the Members of the Council have to raise issues with the external auditors and whether they have a right to a proper response when they do? The External Auditor (HA) said that Cllr Jones had written to them at the end of June 2014 and that he had asked for a meeting to discuss an element of the car parking relating the overnight charges of £90,000. The External Auditor said that she had met with Cllr Jones at the end of July and they discussed what they (External Audit) could and couldn’t discuss. She said that they talked about risk, their scope of work and financial sustainability. She added that she asked Cllr Jones to bear in mind that the Council’s materiality limit is set at £1 million. She had explained that £90,000 was not an amount that external audit were compelled to look at. Audit Committee 1 17 March 2015 The External Auditor said that following her meeting with Cllr Jones, she had written to him to summarise the points in the discussion and that she had met with the Chief Executive and the Head of Finance to discuss the matter. It had been agreed to continue the Audit work as planned and their conclusions being reported to the Audit Committee in September 2014. The External Auditor said that Cllr Jones had been directed to where he would find additional answers and reiterated that they were not charged to look at car parking due to the materiality. She said that there had been correspondence on this between Cllr Jones and the Head of Finance. She explained that it was not external audit’s role to question the decisions of the Council unless they were unlawful. The Chairman commented that this was the first time that he had any knowledge of the matter running. The Head of Finance said that Cllr Jones had questions that related to car parking income as a risk – she said that it was a risk in the very nature that it is a demand led service but there are controls in place in terms of the prudent way the budget is set and that there is an element in the general reserve held to mitigate this also. She explained that there was a process that Officers go through to determine the annual service budget and this is monitored throughout the year. Mr D Young asked for clarification on the £90,000 figure. The Head of Finance said that the original report showed the impact of the changes to the charges as being £110,000 and that the budget report last month showed a net movement of £80,000. The Chairman said that any Member could bring an issue to Audit Committee and that this issue should have come to the Committee in the first instance and then they could have decided whether to take it forward. The Chairman said that he was happy to discuss the issue one to one with Cllr Jones. The Head of Finance commented that the risk of car parking income was brought up by Cllr Jones at the Overview and Scrutiny Committee meeting recently and that she had explained then about risks and reserves. The Internal Audit Plan for 2015/16 was an agenda item to be discussed later on in the meeting, the plan includes a car parking internal audit, however this would be more systems and control based. It was not considered necessary for the scope of this Internal audit to be expanded to cover the matters raised as it was considered that this would be duplication of the value for money external audit work and the matter was around budgets as opposed to controls for which there are already controls in place. The Chairman said that no formal action was required of the Audit Committee. The Chairman asked Members whether they would like for him to speak to Cllr Jones or to allow the matter to run to Full Council. The External Auditor said that they had received assurances from Internal Audit and External Audit that no other work was needed. The Chairman said that an answer had been given, but that the question was not very clear in its objective. He said that they were a pro-active committee and that they would have wanted to involve themselves in this issue. He said they would have looked at it until they were satisfied that the matter need not go any further. Audit Committee 2 17 March 2015 The Head of Finance said that it was useful for the committee to discuss the matter. The External Auditor said that unlawful transactions could be brought to External Audit’s attention and that other issue should go through to Audit committee and that it was a process point. She added that Members had no additional rights over members of the public. 43. DECLARATIONS OF INTEREST None. 44. MINUTES The Minutes of the meeting of the Audit Committee held on 9 December 2014 were approved as a correct record and signed by the Chairman with the amendments sent by e-mail by the Internal Audit Consortium Manager. 45. AUDIT UPDATE AND ACTION LIST The items outlined in this were included in the agenda. 46. AUDIT COMMITTEE WORK PROGRAMME The work programmes for 2014-2015 and 2015-2016 were discussed. The work programme included standard and cyclical items. Members ensured that all work in the 2014-2015 programme was completed or that arrangements had been agreed for certain items to be carried forward. The following changes were made to the 2015-2016 work programme: Protocol for liaison between internal and external auditors in September 2015 was changed to an update for December 2015. The Annual Review of the Effectiveness of Internal Audit and the Annual Report and Opinion, both in June 2015, were intertwined and would be taken as one task. There would also be a a progress report, in addition to the status of agreed actions report for June 2015, as these support the Annual Report and Opinion. The Business Continuity Plan Review in June 2015 was changed to an annual review and the Business Continuity in December 2015 was taken out. 47. AUDIT PLAN – ANNUAL GRANT CERTIFICATION REPORT The External Auditor (HA) introduced the report and said that these were the findings of external audit. She said that the housing benefits total claim was £28m. She explained that it was a prescribed set of procedures and not an audit process. The External Auditor said that the materiality was nil and so all of the information was brought to the Audit Committee’s attention. Audit Committee 3 17 March 2015 The External Auditor said that there were two main points to highlight; the ability to run detailed listing and reporting to Department of Work and Pensions. She said that there were small error in the number of categories on pages 16 and 17. Mr D Young, referring to page 16 under ‘Rent Allowances’ commented on the 24/40 ratio for errors and said that this was the same as the third paragraph on page 17. He asked whether this was an error or the same thing. The Benefits Manager said that these were failings in private income and pensions. She said that eleven had no difference and that the calculation was not correct but that they were paying the correct amount. Mrs A Moore said that the testing was with 40 cases and asked how many cases there were in total. The Benefits Manager said that the case load had dropped and was now 9,200 and that in the last eleven months there had been 4,009 new applications and 33,238 changes of circumstances for the period of April 2014 to February 2015 which was worth £26-28m. She added that £7.5m had been paid in council tax support and that £104,000 had been spent in discretionary housing payments. The External Auditor (HA) said that the team had used the sample size prescribed and that the initial testing was 40 cases with further testing and that significantly more than 40 cases had been looked at. Mr Young said that on page 18 the implementation date was set as 13th March. The Benefits Manager said that the purchase order had been raised. The Chairman asked when the system would be live. The Benefits Manager said that the team had the specification but would like to test it, but that they wanted to implement in June 2015. The Head of Finance said that it would inform audit for the 2014/2015 claim. The Committee ACCEPTED the certificate. 48. EXTERNAL AUDIT PLAN The External Auditor (HA) informed Members that this was a standard document. The External Auditor (AA) said that the plan was the responsibilities for the year. She said that page 5 identified three risks, two of which were significant and were ISA required risks. She said that page 6 showed an elevated risk and said that over several years this was not unco0mmin in councils because they were dealing with a large balance. The External Auditor (HA) said that there were no change requirements for the year and that the estimate had been made by management. She said that the materiality was based on expenditure and was 2% of the expenditure and that it was unlikely to vary significantly. Audit Committee 4 17 March 2015 The External Auditor (HA) said that page 10 outlined the risk of fraud and that there was a responsibility to gain assurance. She said that page 11 had questions for Audit Committee to consider and to consider for themselves to be fully independent. Mrs Moore, referring to page 13 of the report, asked about the audit fees and said that 2014-15 was lower than 2013-14. She commented that the certification costs had increased and asked why. The External Auditor (AA) said that the fees were set by the Audit Commission and that she was not sure why they had been increased. She said that since writing the report, the increase from 2013-14 was £35,187 to bring it in line with what had been charged in the current year. It was agreed that the final draft would be circulated to Members. The Committee ACCEPTED the plan. 49. PROGRESS REPORT ON INTERNAL AUDIT ACTIVITY The Internal Audit Consortium Manager said that this was a regular report and, highlighted the change that had been made to the 2014/15 plan. She added that all audits where either in progress or complete. The Internal Audit Consortium Manager highlighted the four reports which had recently been finalised, all with positive assurances, and in addition brought to the Committee’s attention the audit of local council tax support and housing benefit whereby the recent audit had resulted in the previous negative assurance moving to a positive assurance. Therefore resulting in a improved control environment. She added that there were no high priority recommendations. The Committee NOTED the report. 50. STRATEGIC AND ANNUAL AUDIT PLANS The Committee discussed the revised format of the report, which took on board the Committee’s previous comments on content and layout. The Audit Charter would be reviewed annually by the Internal Audit Consortium Manager and it would come to Audit Committee every two years, for approval. The report also highlighted the Internal Audit Strategy, the Strategic (3-year) Internal Audit Plan and the resultant Annual Internal Audit Plan. Finally the report took the Committee through the new performance measures which would be used to ensure a quality service was provided by the new contractor. The Chairman said that the reviewed content and format were the optimum to be achieved. The Chairman said that there would be audit training in the Member Induction following the election in May and that they wanted to sustain the Committee’s high level of effectiveness. He added that beyond the initial induction, further training would be provided to take Members through the reports. The Committee ACCEPTED the report. Audit Committee 5 17 March 2015 51. UPDATE ON SPORTS HALLS INTERNAL AUDIT RECOMMENDATIONS Following on from a request by the Committee, the Internal Audit Consortium Manager had reviewed the recommendations raised in the recent Sports Halls audit. She said that in summary, in reference to DBS checks, she was satisfied that these were complete, that staff were signing to check the banking sheets, that all health and safety was in progress. She added that the year-end would show all of the issues as complete. The Chairman said he was pleased to close this item before the new administration – that it was good to seek assurances and that this was why Members had this specific work completed. The Committee ACCEPTED the report. 52. FLOOD RECOVERY In the absence of the Civil Contingencies Manager, the Chairman introduced this report and said that the flood recovery was an update on business continuity plans. Mrs A Moore said that following the fire in Fakenham, the use of the emergency centre there was encouraging. The Chairman said that at the pre-agenda meeting, they had taken the view that it would be acceptable to have a date for the contingency plans concerning revenues and benefits to try and close the issue before the end of this administration. He added that 23rd March was the date agreed upon and that the Civil Contingencies Manager would be meeting with the managers in the Revenues and Benefits department. The Chairman said that this should be actioned at the next meeting following the March date so that the Committee could see the finalised plans. He said that the contingency plan should be reviewed annually and was in the work programme for December 2015. The Chairman concluded the meeting by saying that it was the last meeting in the current administration and thanked both Internal and External audit for all of their work. The Chairman extended his thanks to the Head of Finance as the principal officer and for servicing the Audit Committee. The Chairman also thanked Members stating they had been very supportive of the Committee. The meeting closed at 3.38 pm ______________________ Chairman Audit Committee 6 17 March 2015 Agenda Item 7 AUDIT COMMITTEE 17 March 2015 – ACTIONS ARISING FROM THE MINUTES 52. Flood Recovery That the training took place on 23rd March and that the committee was updated at the next meeting. 7 Richard Cook Agenda Item 8 AUDIT COMMITTEE WORK PROGRAMME 2015 – 2016 JUNE 2015 PWC SEPTEMBER 2015 DECEMBER 2015 PWC 2014/15 Annual Governance report (ISA260) MARCH 2016 Annual Audit Letter (PWC) Audit Plan (PWC) (with overview) Annual Grant Certification Report Progress Report on Internal Audit Activity Progress Report on Internal Audit Activity Progress Report on Internal Audit Activity Undertake selfassessment Follow Up Report Strategic and on Internal Audit Annual Audit Recommendations Plans Protocol for liaison between internal and external auditors Internal Audit Annual Report and Opinion and Review of the Effectiveness of Internal Audit Progress report on Internal Audit Activity Follow up on Internal Audit Recommendations NNDC Corporate Risk Register/ risk management framework Business Continuity Plan Review Internal Audit training Business Continuity training update Monitoring Officer’s Report Internal Audit training Statement of Accounts (+ informal training) Review of pension liability Business Continuity Local Code of Corporate Governance and Action Plan – update and Annual Governance Statement 2014/15 – update Corporate Risk Register 8 Risk Management Framework Audit Committee 16 June 2015 Agenda Item No______9_______ Progress Report on Internal Audit Activity: 6 March 2015 to 9 April 2015 Summary: This report examines the progress made between 6 March and 2 April 2015 in relation to delivery of the Annual Internal Audit Plan for 2014/15, and provides the year end position. Conclusions: Progress in relation to delivery of the Internal Audit Plan is line with expectations with the audit plan now being complete; positive assurances have been awarded in the five audit reviews finalised in this period. Recommendations: It is recommended that the Committee notes the outcome of the audits completed between 6 March and 2 April 2015 where assurance levels have been given and the conclusion of the annual audit plan for 2014/15. Cabinet member(s): Ward(s) affected: All All Emma Hodds, Internal Audit Consortium Manager 01508 533791, ehodds@s-norfolk.gov.uk Contact Officer, telephone number, and e-mail: 1. Background 1.1. This report reflects progress made with regard to assignments featuring in the approved Annual Internal Audit Plan for 2014/15, which was endorsed by the Audit Committee on 17 March 2014. 2. Overall Position 2.1. The overall position in relation to the progress made against the Internal Audit Plan is within the attached report. 3. Conclusion 3.1 Progress in relation to delivery of the Internal Audit Plan is line with expectations with the audit plan now being complete; positive assurances have been awarded in the five audit reviews finalised in this period. 4. Recommendation 4.1 It is recommended that the Committee notes the outcome of the audits completed between 6 March and 2 April 2015 where assurance levels have been given and the conclusion of the annual audit plan for 2014/15 Appendices attached to this report: Progress Report on Internal Audit Activity 9 Eastern Internal Audit Services NORTH NORFOLK DISTRICT COUNCIL Progress Report on Internal Audit Activity Period Covered: 6 March 2015 to 2 April 2015 Responsible Officer: Emma Hodds – Internal Audit Consortium Manager (IACM) CONTENTS 1. INTRODUCTION ............................................................................................................. 2 2. SIGNIFICANT CHANGES TO THE APPROVED AUDIT PLAN ...................................... 2 3. PROGRESS MADE IN DELIVERING THE AGREED AUDIT WORK ............................. 2 4. THE OUTCOMES ARISING FROM OUR WORK ........................................................... 2 5. PERFORMANCE INDICATOR OUTCOMES .................................................................. 4 APPENDIX 1 – PROGRESS IN COMPLETING THE AGREED AUDIT WORK .................. 5 APPENDIX 2 – AUDIT REPORT EXECUTIVE SUMMARIES ............................................. 7 Page 1 of 18 10 1. INTRODUCTION 1.1 This report is issued to assist the Authority in discharging its responsibilities in relation to the internal audit activity. 1.2 The Public Sector Internal Audit Standards also require the Chief Audit Executive (known in this context as the Internal Audit Consortium Manager) to report to the Audit Committee on the performance of internal audit relative to its plan, including any significant risk exposures and control issues. The frequency of reporting and the specific content are for the Authority to determine. 1.3 To comply with the above this report includes: Any significant changes to the approved Audit Plan; Progress made in delivering the agreed audits for the year; Any significant outcomes arising from those audits; and Performance Indicator outcomes to date. 2. SIGNIFICANT CHANGES TO THE APPROVED AUDIT PLAN 2.1 At the meeting on 17 March 2014, the Annual Audit Plan for the year was approved, identifying the specific audits to be delivered. A change was made to the plan and was reported to the Committee at the previous meeting, since then there have been no further changes. 3. PROGRESS MADE IN DELIVERING THE AGREED AUDIT WORK 3.1 The current position in completing audits to date within the financial year is shown in Appendix 1 and highlights completion of the 2014/15 annual internal audit plan 4. THE OUTCOMES ARISING FROM OUR WORK 4.1 On completion of each individual audit an assurance level is awarded using the definitions shown in the table below. Good There is a sound system of internal control designed to achieve the client’s objectives. The control processes tested are being consistently applied. Adequate While there is a basically sound system of internal control, there are weaknesses, which put some of the client’s objectives at risk. There is evidence that the level of non-compliance with some of the control processes may put some of the client’s objectives at risk. Limited Weaknesses in the system of internal controls are such as to put the client’s objectives at risk. The level of non-compliance puts the client’s objectives at risk Unsatisfactory Control processes are generally weak leaving the processes/systems open to significant error or abuse. Significant non-compliance with basic control processes leaves the processes/systems open to error or abuse Page 2 of 18 11 4.2 4.3 Recommendations made on completion of audit work are prioritised using the definitions shown in the table below. High A fundamental weakness in the system that puts the Council at risk. To be addressed as a matter of urgency, within a 3 month time frame wherever possible, or, to put in place compensating controls to mitigate the risk identified until such time as full implementation of the recommendation can be achieved. Medium A weakness within the system that leaves the system open to risk. To be resolved within a 4 – 6 month timescale. Low Desirable improvement to the system. To be introduced within a 7 – 9 month period. During the period covered by the report Internal Audit Services have issued five final reports and the Executive Summary of these reports are attached at Appendix 2. In summary the final reports issued conclude the following: NN/15/08 Payroll and Human Resources This is a regular audit which reviews the key controls within Payroll and Human Resources, and also those areas requested by management, which this year was; officer and member expenses. The audit raised three risks which needed mitigating by management, with agreed action already implemented to address these in relation to; user access rights to the system, appraisal process and update to assurance statements to include driver documentation checks. The audit concluded with an Adequate assurance opinion. NN/15/11 Creditors This is a regular audit which reviews the key controls within Creditors, and this year also reviewed corporate credit cards, insurance and compliance with recent HMRC guidance regarding the use of contractors, self employed persons and casual staff. The audit concluded with an Adequate assurance opinion, and five medium priority recommendations agreed with management. Three of these have since been implemented with the remaining two recommendations relating to; HMRC compliance to ensure guidance is put in place for Self-employed Contractors and Consultants and that formal check of these are adopted. Work is in progress to implement these early in 2015/16. NN/15/12 Elections and Electoral Registration This audit reviewed the system in place for the elections team, specifically in relation to; election administration; postal votes; and Individual Electoral Registration. A Good assurance opinion was awarded on conclusion of the review, with many areas across the scope where sound controls were found to be in place and operating consistently. No recommendations were raised. NN/15/13 Work to Support the AGS This audit is undertaken annually and reviews the key controls within the fundamental financial systems that inform the Statement of Accounts for year end. The audit has reviewed those systems that were not separately reviewed within year, and also Page 3 of 18 12 carries out top up testing for those areas that were, as appropriate. Positive assurances were concluded in all areas and only one low priority recommendation was raised and agreed with management. NN/1/5/17 Firewalls The scope of this IT audit covered: firewall administration; firewall architecture; firewall change control; firewall rules and services; firewall OS and patch management; firewall backup and resilience; intrusion detection; logging and monitoring; and penetration testing. On conclusion of the review two medium recommendations were agreed with management to improve firewall administrator account password controls and to enable alerts/reporting for management review. A further two low priority recommendations were agreed to provide enhancements to the current system. An Adequate assurance opinion was awarded. 4.4 No high priority recommendations have been raised during the period covered by this report. 4.5 It is also pleasing to note that all audits concluded in a positive opinion being awarded, indicating a strong and stable control environment to date, with no issues that would need to be considered at year end and included in the Annual Governance Statement. 5. PERFORMANCE INDICATOR OUTCOMES 5.1 The Internal Audit Service is benchmarked against a number of Performance Indicators as part of the Internal Audit Contract with Mazars. Actual performance to date against these targets is outlined below. 5.2 Audit briefs should be issued 10 days in advance of an audit commencing, and for 63% of audits this target was met. Once underway, 88% of audits were completed on time, with reasons for the minor overruns being notified to the Internal Audit Consortium Manager. Draft reports should be issued within 15 working days of completion of the audit, with only 63% of reports meeting this deadline. Reasons for these delays have been reported to the Committee previously, and relate to the resourcing issues experienced in the second half of the contract with Mazars. Finally, final report should be issued with 10 working days of issue of the draft report, and for 81% of the audits this was achieved. There have been a few issues in getting management responses to recommendations, and the introduction of exit meetings under the new contract should alleviate this issue. 5.3 On conclusion of all audits a feedback survey is issued to the key client. The survey asks for responses in relation to; audit staff, audit planning, delivery of the audit and audit reporting. On completion an overall score of poor (1) through to excellent (6) is reported. To date 10 surveys have been completed and an average score of good (5) achieved. 5.4 However, as mentioned in the previous progress report the balanced scorecard approach which will be taken in monitoring the contractor’s performance from 1 April 2015. This brings with it a much more practical approach to performance management and one which will ensure a high quality service is provided by the contractor. Page 4 of 18 13 APPENDIX 1 – PROGRESS IN COMPLETING THE AGREED AUDIT WORK Audit No. Description of Audit Frequency of Audit Coverage Original Days Planned Revised Days Scheduling Days Delivered Planned Status Assurance Level applicable Summary Report Details presented to Members Final Report issued 20 August 2014 Final Report issued 2 October 2014 Final Report issued 4 September 2014 Final Report issued 4 September 2014 Final report issued 11 December 2014 Adequate Audit Committee 16 September 2014 Audit Committee 9 December 2014 Audit Committee 16 September 2014 Audit Committee 16 September 2014 Audit Committee 17 March 2015 Final Report issued 30 October 2014 November Final report issued 27 January 2015 November Final Report issued 26 March February 2015 December Final Report issued 27 February 2015 January Adequate PLANNED SYSTEMS AUDIT WORK NN/1501 Coastal Protection 3-yearly 10 10 10 June NN/1502 Procurement 3-yearly 10 10 10 July NN/1503 Development Management 3-yearly 22 22 22 July NN/1504 Performance Management, Corporate Policy and Business Planning Localism & Communities, including focus on Big Society Fund Grant Scheme Sports halls/leisure centres & Sports Development Local C Tax Support, Housing benefits 2-yearly 10 10 10 July 2-yearly 10 10 10 October 3-yearly 12 12 12 October 2-yearly 20 20 20 Payroll & HR, officers'/members' expenses Council Tax and NNDR 2-yearly 19 19 19 2-yearly 20 20 20 Annual 8 0 0 2-yearly 13 13 13 January NN/1512 Corporate Governance and Risk Management Creditors - Ordering, payments, insurance Elections & Electoral Registration 3-yearly 12 12 12 January NN/1513 Work to Support the AGS Annual 10 10 10 February Annual 8 184 8 176 8 176 100% NN/1505 NN/1506 NN/1507 NN/1508 NN/1509 NN/1510 NN/1511 Systems Audit Follow Up TOTAL PLANNED SYSTEMS AUDIT WORK Page 5 of 18 14 Final Report issued 26 March 2015 Final Report issued 2 April 2015 Final Report issued 30 March 2015 2 x 6-monthly validation Adequate Adequate Good Adequate Adequate Adequate Good Adequate Good various Audit Committee, 9 December 2014 Audit Committee 17 March 2015 Audit Committee 16 June 2015 Audit Committee 17 March 2015 Audit Committee 16 June 2015 Audit Committee 16 June 2015 Audit Committee 16 June 2015 PLANNED COMPUTER AUDIT WORK NN/15/14 Network Infrastructure 2-yearly 7 7 7 NN/15/15 Network security 2-yearly 8 8 8 NN/15/16 Virus protection/Software 3-yearly 8 8 8 NN/15/17 Firewalls 4-yearly 7 7 7 Annual 4 34 4 34 4 34 218 210 210 0 0 0 218 210 210 Computer Audit Follow Up TOTAL PLANNED COMPUTER AUDIT WORK TOTAL PLANNED WORK April Final Report issued 28 May 2014 June Final Report issued 13 August 2014 November Final Report issued 16 December 2014 December Final Report issued 17 March 2015 2 x 6-monthly validation 100% 100% EXTRA WORK REQUESTED TOTAL OF EXTRA WORK UNDERTAKEN GRAND WORK TOTAL Page 6 of 18 15 100% Limited Adequate Adequate Adequate Audit Committee 16 September 2014 Audit Committee 16 September 2014 Audit Committee 17 March 2015 Audit Committee 16 June 2015 APPENDIX 2 – AUDIT REPORT EXECUTIVE SUMMARIES Appendix 2(a) Report No. NN/15/08 – Final Report issued 26 March 2015 Audit Report on Payroll and Human Resources Audit Scope The scope of the audit covered the effectiveness and efficiency of controls operating around: Payroll (including; HMRC compliance, payment processing and reconciliations); Human Resources (including staff verification checks*, staff appraisals and sickness monitoring); and Officers’ and Member Expenses. *To avoid duplication, it was agreed with the Head of Organisational Development to exclude coverage of Disclosure and Barring Service (DBS) checks since this was covered in the audit of Sports Halls (NN/15/06 – issued 30th October 2014). This included a recommendation for staff to be subject to regular checks and for improved monitoring thereof. The recommendation was accepted by the Community Sports Manager with a deadline for implementation of 31st January 2015. The Internal Audit Consortium Manager provided an ad hoc report to the Audit Committee in March 2015 which confirmed the implementation of this recommendation. Assurance Opinion Unsatisfactory Assurance Limited Assurance Adequate Assurance Good Assurance Rationale supporting the award of the opinion The systems and processes of internal control are, overall, deemed adequate in managing the risks associated with Payroll, HR and Officers’ and Member’ Expenses. This opinion is based on having raised three medium priority recommendations. The level of assurance has remained the same since the previous audit undertaken for this area; hence the direction of travel remains unchanged. The medium priority recommendations relate to the need to ensure that user access rights to the payroll system are subject to regular review, to ensure that HR maintain an accurate record of staff appraisal completion and to ensure assurance is given by Heads of Service that relevant staff members have valid and up to date drivers documents for using their vehicles whilst on official Council business. In the latter case, management have since taken steps to add this requirement to the 2014 / 15 Assurance Statement due for completion in April 2015. Positive Findings We found that the Council has demonstrated the following areas where sound controls are in place and operating consistently: Payroll HMRC rules and regulations are understood, complied with and made available to all relevant staff; Up to date written procedures, available to all staff, are in place covering operational processes of the payroll system; HR notifies payroll of all starters, leavers and amendments which are checked for accuracy and input onto the payroll system; Establishment checks are undertaken with any changes to the establishment justified and approved; Reconciliations between the payroll system and the general ledger are promptly completed and independently reviewed; Page 7 of 18 16 Differences in pay greater than the agreed threshold level from the previous month are subject to review; Payment totals are checked before the payroll run is authorised; BACS payments are checked for accuracy and independently processed; Third party payments are reviewed, checked and authorised prior to payment; Human Resources A valid and accessible Sickness Absence Policy is in place which details measures taken for short and long term absences; Sickness absence is monitored and reported to key managers; Sickness absence across the Council is reviewed regularly by senior management, including long term sickness cases, which are monitored and followed up regularly by HR staff; Return to work interviews are carried out and formally documented; Overtime claims are in accordance with Council policy and are authorised; Officers’ and Members’ Expenses HMRC rules regarding the VAT on mileage claims are adhered to; Expense claims are verified, supported by relevant documentation, checked to prevent duplication and authorised; and Travel claims are promptly submitted with supporting documentation. Control weaknesses to be addressed During our work we have identified the following areas where processes within Payroll and HR would benefit from being strengthened, and as a result, three medium priority recommendations have been made: Regular reviews of the user access rights to the payroll system should be undertaken. Where regular reviews of access rights do not take place, there is a risk of unauthorised changes to payroll data, leading to financial and reputational damage to the Council. HR should be provided with and retain evidence to confirm that all staff have been subject to mid and year end appraisals. Where this information is not forthcoming, details should be provided to the Corporate Leadership Team in order that they can liaise with their respective Heads of Service over those that are missing. Where appraisal documentation is not retained on file, assurances cannot be given that appraisals have actually been competed. Therefore there is a risk that staff have not met their objectives nor justify potential salary increases. Assurance Statements provided for the Annual Governance Statement should be amended to require Heads of Service to acknowledge the responsibility and the importance in undertaking reviews on staff driver documentation where they are required, as stipulated in the Driver Safety and Policy Handbook. Where driver’s documents are not reviewed and the driver is involved in an accident or other driving offence whilst on official Council business, there is a risk of potential legal claims against the Council, including for corporate manslaughter, leading to financial loss and reputational damage to the Council. We also made one observation where the risks imposed remain outstanding. However, the Council has endeavoured to accept such risks as a result of the potential operational impact of implementing the controls; in particular, we found that a review of the entitlement over the continued receipt of car mileage allowance for staff has not been undertaken for the current financial year. This review was last undertaken in 2013 and is planned to be undertaken in April 2015. In addition to this, the current travel policy will be reviewed, requiring car mileage allowance review every two years as opposed to annually, at present. The risk of staff claiming car mileage where ineligibility may arise is accepted by the Council in light of the low likelihood of staff requiring a review of their car mileage allowance without their circumstances qualifying for automatic review by HR. Page 8 of 18 17 Summary of the adequacy and effectiveness of controls Area of Scope Adequacy and Effectiveness Assessments Payroll Human Resources Officers’ and Members’ Expenses Adequacy of Controls Effectiveness of Controls Green Amber High - Medium 1 Low - Green Amber - 1 - Green Amber - 1 - 0 3 0 Total Recommendations Raised High Priority Recommendations No high priority recommendations have been raised as a result of this audit Management Responses Management have accepted the recommendations raised. Page 9 of 18 18 Appendix 2(b) Report No. NN/15/11 – Final Report issued 26 March 2015 Audit Report on Creditors Audit Scope The scope of the audit covered the effectiveness and efficiency of controls operating around: Policy, Procedure and Systems (Related to the associated areas detailed below); Ordering; Creditors; Corporate Purchasing Cards; and Insurances. Assurance Opinion Unsatisfactory Assurance Limited Assurance Adequate Assurance Good Assurance Rationale supporting the award of the opinion The systems and processes of internal control are, overall, deemed Adequate in managing the risks associated with Creditors - Electronic Ordering, Payments, Corporate Purchasing Cards and Insurances. This opinion is based on having raised five medium recommendations. The level of assurance has remained the same since the previous audit undertaken for this area; hence the direction of travel remains unchanged. The medium priority recommendations relate to; the need to check that all payments to consultants and casual workers have been made in line with HMRC requirements; ensuring that specific procedures are in place for the payment of consultants and casual workers to reflect the HMRC requirements; to confirm that all requests for a change in creditor payment details are supported by evidence that the creditor has been contacted to confirm the validity of the request; ensuring that all Corporate Purchasing Card monthly reconciliations are checked and authorised for approved purchases only; and ensuring that all evidence is retained for all purchases made on Corporate Purchasing Cards. Two further potential control weaknesses were identified where recommendations have not been raised, with management willing to accept the associated risks, in particular, restriction of expenditure to the agreed budget not being utilised and the continued use of manual order books. Positive Findings We found that the Council has demonstrated the following areas where sound controls are in place and operating consistently: Segregation of duties exists between the raising of purchase orders and approval of invoice for payment with access levels aligned to officers’ delegated levels of responsibility. Confirmation is obtained of goods received; Authorised purchase orders can only be placed using suppliers already established within the system; Invoices are promptly processed with processing times continually monitored; BACS payments are checked for accuracy and independently authorised; Reconciliations are promptly completed between the creditors control account and the general ledger; Corporate Purchasing Cards are securely held with restricted access and supported with up to date guidance on their usage; Online purchases via Corporate Purchasing Cards are only made via secure sites; Arrangements are in place to confirm that the Council’s assets are adequately insured which is subject to review at regular intervals; Page 10 of 18 19 Insurance arrangements are subject to review demonstrating value for money is being achieved when placing cover; and All claims are recorded and submitted to the Authority’s insurers in accordance with set timescales. Control weaknesses to be addressed During our work we have identified the following areas where processes in Creditors would benefit from being strengthened, and as a result, five medium priority recommendations have been made: The Council should check that all individuals (Self-employed Consultants, Contractors and Casual Workers) paid via the creditors system provide the requisite evidence of their compliance with HMRC requirements with regards declaring income tax and National Insurance liabilities. This should include their Unique Taxpayer Reference (UTR) to be supplied prior to any payments being made. The Council should also routinely run reports (supplier listings) to identify any potential instances of noncompliance with HMRC requirements. If the Council fails to confirm the employment status of all persons working for the Council on a self-employed basis, there is a risk that the HMRC will impose retrospective settlements of income tax and National Insurance payments and an additional penalty of up to 100% of the Income tax and National Insurance payable and any interest payable. The risk of such penalties would be compounded with HMRC checks covering the previous four to six-year period. Such action would have a financial and reputational impact on the Council. The Council should formally adopt procedural guidance which stipulates the requirement for selfemployed consultants, contractors and casual workers, to provide evidence of their employment status in order for the Council to comply with HMRC requirements, before they are engaged. Where written guidance does not provide for the need to obtain confirmation, the Council will fail to seek the requisite information and therefore be in breach of its statutory tax requirements. All requests for a change in creditor payment details should be supported by retained evidence that the creditor has been contacted by telephone, on the original creditor details, prior to the change in order to confirm the validity of the request. Where checks of legitimate change of payment details are not carried out, there is a risk that the Council will not detect fraudulent activity, resulting in financial loss to the Council. All Corporate Purchasing Card monthly reconciliations should be checked and authorised for approved purchases only. Where purchases on Corporate Purchasing Card monthly reconciliations are not checked and authorised, there is a risk that inappropriate or unauthorised goods and or services will be purchased resulting in financial loss to the Council. All supporting evidence, in the form of receipts and invoices, and reasoning should be retained for all purchases made on Corporate Purchasing Cards. Where supporting evidence is not retained, there is a risk that not all expenditure is legitimate, thereby resulting in financial loss to the Council. We also made two observations where the risks imposed remain outstanding. However, the Council has endeavoured to accept such risks as a result of the potential operational impact of implementing the controls: We found that a function is available on the Efinancials purchase order system, which can be linked to the budget in order to impose an automated restriction on placing a purchase order if it would result in an overspend for the department. However this function has not been switched on due to the fact that an entire module of Efinancials would have to be enabled but would otherwise not be used. The continual maintenance of such a module would put extra resource strain on the department. This was raised in the previous audit NN/13/10 however, the Council has accepted that the risks associated with this rest with the managers and any overspends are identified through retrospective budget monitoring. We also found that the raising of manual orders is currently still being undertaken using manual, paper based purchase order books. Using an electronic tablet based purchase order process will allow all purchase orders to be raised by the Council in electronic format, thus linking to the Efinancials system providing a clear audit trail for raising and authorisation of orders and the ability to link this process to the control of the budget. In addition, security is provided due to each electronic tablet being password protected. Page 11 of 18 20 However, it has been identified that Council sees no substantial risk and no direct or immediate requirement for the implementation of electronic tablets to be given to workers instead of manual order books. Summary of the adequacy and effectiveness of controls Area of Scope Adequacy and Effectiveness Assessments Policy, Procedure and Systems Ordering Creditors Corporate Purchasing Cards Insurances Adequacy of Controls Effectiveness of Controls Recommendations Raised High Medium Low Green Amber - 2 - Green Green Amber* Amber - 1 - Green Amber - 2 - Green Green - - - 0 5 0 Total High Priority Recommendations No high priority recommendations have been raised as a result of this audit Management Responses Management have accepted the recommendations raised. Page 12 of 18 21 Appendix 2(c) Report No. NN/15/12 – Final Report issued 2 April 2015 Audit Report on Elections and Electoral Registration Audit Scope The scope of the audit covered the effectiveness and efficiency of controls operating around: Election Administration; Postal Votes; and Individual Electoral Registration. Assurance Opinion Unsatisfactory Assurance Limited Assurance Adequate Assurance Good Assurance Rationale supporting the award of the opinion The systems and processes of internal control are, overall, deemed good in managing the risks associated with Elections and Electoral Administration. This opinion is based on having raised no recommendations and with the Council having introduced improved controls for accounting / recovering elections costs from the Returning Officer. The level of assurance has improved since the previous audit undertaken for this area; hence the direction of travel is positive. Positive Findings We found that the Council has demonstrated the following areas where sound controls are in place and operating consistently: Election Administration Training is in place for all staff involved in administering elections; Election costs are effectively monitored and controlled with variances investigated; Election costs are recovered where appropriate; and Required statutory returns are completed. Postal Votes Records of postal voters are retained; Postal votes are processed in accordance with statutes with applications acknowledged in writing; Postal voters whose votes failed verification checks are duly notified as to the reasons why; and Proxy voters are verified. Individual Electoral Registration The Council has engaged fully with Central Government to confirm electoral registration data and RAG ratings from DWP data; All Red and Amber matches undergo an automatic local data match on return from central matching; All confirmed Green-classified electors are informed by letter; Electors whose details still cannot be verified following local data match are contacted by letter and if necessary canvassed to facilitate registration; Access to the electoral system is controlled with access granted at required levels; and Data from the system is backed up daily and backups are verified to confirm it has worked. Page 13 of 18 22 Control weaknesses to be addressed Prior to our fieldwork, issues with the reimbursement of elections expenditure from the Returning Officer’s Bank Account were resolved with the Returning Officer Bank Account closing from the 2nd of February 2015 and separate accounting arrangements put in place. Summary of the adequacy and effectiveness of controls Area of Scope Adequacy and Effectiveness Assessments Election Administration Postal Votes Individual Electoral Registration Adequacy of Controls Effectiveness of Controls Recommendations Raised High Medium Low Green Green - - - Green Green - - - Green Green - - - 0 0 0 Total No recommendations were raised on conclusion of this audit. Page 14 of 18 23 Appendix 2(d) Report No. NN/15/13 – Final Report issued 30 March 2015 Audit Report on Work to Support the Annual Governance Statement Assurance Opinions Key System Fixed Assets General Ledger Debtors/Accounts Receivable Cash and Treasury Management Budgetary Control Car Parks Income Housing Benefits and Council Tax Benefits Covered 2014/15 No No No No No No Yes Payroll Yes Council Tax and NationalNon Domestic Rates Yes Accounts Payable Yes in Date Review of Audit Ref. N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A November 2014 February / March 2015 January 2015 Opinion No. of recs Adequate Adequate 1* 0 Adequate 0 Adequate 0 N/A N/A Adequate Adequate 0 0 NN/15/07 Adequate 1 NN/15//08 Adequate 3 NN/15/09 Adequate 0 Adequate 5 Adequate 0 January / February NN/15/11 2015 Assurance Framework No N/A N/A * Denotes additional recommendation made in this AGS report. Key Controls Testing There are a number of key controls within the fundamental financial systems that the Internal Audit Consortium Manager requires to be covered by Internal Audit each financial year. Under the agreed Internal Audit Plan for 2014/15, a number of these material systems have been reported on in detail and those key controls have been addressed in each system reviewed. Recommendations have been raised in these individual audit reports and the issues identified in this report should be viewed in conjunction with those reports. This report provides the top-up testing for these material systems, thus ensuring the systems are subject to full year testing. In addition, the controls in the material systems that were not covered as part of the agreed Internal Audit Plan for 2014/15 have also been reviewed. During the Internal Audit review the following area has been identified where processes/arrangements within Asset Management would benefit from being strengthened and as a result of this, one low priority recommendation has been made, in particular, to update the Council’s Disposal, Investment and Acquisition Policy. It is also worth noting that all journals under the value of £100k are not subject to authorisation. The issue of self-authorising journals below £100k has been raised previously by Internal Audit with management willing to accept the associated risks; therefore no further recommendation has been raised. Journals over the value of £100k are approved by the Head of Finance or the Chief Accountant. Assurance Framework Arrangements Assurance statements are issued to managers to provide assurance over the areas of their responsibility. Administration of the assurance statement process is undertaken by the Policy and Performance Management Officer. A sample of five assurance statements for 2014/15 was tested to confirm whether managers had Page 15 of 18 24 provided comments or details of evidence to support the assertions made within their assurance statement. We identified that in all five cases, all requisite information had been provided. Through our audit of Payroll and Human Resources (NN/15/08), we have made a recommendation for an enhancement to the 2014/15 Assurance Statements to include manager’s responsibility to check drivers’ details i.e. Road Tax, Insurance and MOT, where applicable, for those staff using their vehicles for official Council business. We have received confirmation that this has been added to the 2014/15 statements. Page 16 of 18 25 Appendix 2(e) Report No. NN/15/17 – Final Report issued 17 March 2015 Audit Report on Firewalls Audit Scope The audit looked at: Firewall administration; Firewall architecture; Firewall change control; Firewall rules and services; Firewall OS and patch management; Firewall backup and resilience; Intrusion detection; Logging and monitoring; and Penetration testing. Assurance Opinion Unsatisfactory Assurance Limited Assurance Adequate Assurance Good Assurance Rationale supporting the award of the opinion The systems and processes of internal control are, overall, deemed adequate in managing the risks associated with Firewall Administration. This opinion is based on having raised two medium and two low priority recommendations, with the medium recommendations raised to improve firewall administrator account password controls and to enable alerts/reporting for management review. Positive Findings We found that the Council has demonstrated the following points of good practice as identified in this review: Responsibility for firewall administration is defined, including support for absence, etc.; The firewall infrastructure is deemed adequate to protect all incoming and outgoing network traffic; There are a limited number of firewall rules, which are subject to review whenever changes are made; There is firewall resilience in place using an Active/Passive arrangement; It is possible to test changes in one of the firewall appliances while leaving the other to protect the network; There are traffic filtering mechanisms in place, although these are external to the firewall infrastructure itself; Remote access is also managed adequately, although by other systems; There are adequate Anti-Virus controls in place, although managed by separate systems; Firewall configurations are regularly backed up; The firewall incorporates an adequate Intrusion Prevention system; and Penetration testing was noted as having been completed in late 2014 in preparation for the renewal of the PSN compliance certificate. Control weaknesses to be addressed During our work we have identified the following area(s) where we believe that the processes / arrangement for Firewall Administration would benefit from being strengthened and as a result of these findings medium priority recommendations have been made. Page 17 of 18 26 The three named firewall administration accounts should be configured so that the passwords are required to be changed on a regular basis. Weak password controls increase the risk of security vulnerabilities caused by inappropriate access to the firewall appliances; and The available firewall monitoring blade should be configured to produce relevant exception alerts and other reporting for management review. If alerts and reporting are not adequately configured, there is an increased risk of unauthorised activity going undetected. During our audit we have also raised two low priority recommendations which will provide enhancements to the current system in relation to Firewall Administration. It has been noted that there is an Information Security Incident Management Policy and Procedure document that is currently being drafted and is awaiting formal signoff by senior management. Summary of the adequacy and effectiveness of controls Area of Scope Adequacy and Effectiveness Assessments Firewall Administration Firewall Architecture Firewall Change Control Firewall Rules and Services Firewall OS and Patch Management Firewall Backup & Resilience Intrusion Detection Logging & Monitoring Penetration Testing Adequacy of Controls Effectiveness of Controls Recommendations Raised High Medium Low Amber Amber 0 1 0 Green Green 0 0 0 Amber Amber 0 0 1 Green Green 0 0 0 Amber Amber 0 0 1 Green Green 0 0 0 Green Green 0 0 0 Amber Amber 0 1 0 Green Green 0 0 0 0 2 2 Total High Priority Recommendations No high priority recommendations have been raised as a result of this audit Management Responses Management have accepted the recommendation raised. Page 18 of 18 27 Audit Committee 16 June 2015 Agenda Item No_____10________ Annual Report and Opinion 2014/15 Summary: This report concludes on the Internal Audit Activity undertaken during 2014/15, it provides an Annual Opinion concerning the organisation’s framework of governance, risk management and control and concludes on the Effectiveness of Internal Audit and provides key information for the Annual Governance Statement. Conclusions: On the basis of Internal Audit work performed during 2014/15, the Internal Audit Consortium Manager is able to give an adequate opinion on the framework of governance, risk management and control at North Norfolk District Council. Recommendations: 1. Receive and consider the contents of the Annual Report and Opinion of the Internal Audit Consortium Manager. 2. Note that an adequate audit opinion has been given in relation to the framework of governance, risk management and control for the year ended 31 March 2015. 3. Note that the opinions expressed together with significant matters arising from internal audit work and contained within this report should be given due consideration, when developing and reviewing the Council’s Annual Governance Statement for 2014/15. 4. Note the conclusions of the Review of the Effectiveness of Internal Audit. Cabinet member(s): Ward(s) affected: All All Emma Hodds, Internal Audit Consortium Manager 01508 533791, ehodds@s-norfolk.gov.uk Contact Officer, telephone number, and e-mail: 1. 1.1. Background In line with the Public Sector Internal Audit Standards, which came into force from 1 April 2013; an annual opinion should be generated which concludes on the overall adequacy and effectiveness of the organisation’s framework of governance, risk management and control; A summary of the work that supports the opinion should be submitted; Reliance placed on other assurance providers should be recognised; Any qualifications to that opinion, together with the reason for qualification must be provided; 28 Audit Committee 1.2. 16 June 2015 There should be disclosure of any impairments or restriction to the scope of the opinion; There should be a comparison of actual audit work undertaken with planned work; The performance of internal audit against its performance measures and targets should be summarised; and, Any other issues considered relevant to the Annual Governance Statement should be recorded. This report now also contains conclusions on the Review of the Effectiveness of Internal Audit, which includes; The degree of conformance with the PSIAS and the results of any quality assurance and improvement programme; The outcomes of the performance indicators; and, The degree of compliance with CIPFA’s Statement on the Role of the Head of Internal Audit. 2. Overall Position 2.1 The Annual Report and Opinion and the Review of the Effectiveness of Internal Audit are shown in the report attached. 3. Conclusion 3.1 On the basis of Internal Audit work performed during 2014/15, the Internal Audit Consortium Manager is able to give an adequate opinion on the framework of governance, risk management and control at North Norfolk District Council. 3.2 The outcomes of the Effectiveness Review confirm that Internal Audit: Is compliant with the Public Sector Internal Audit Standards; Is continually monitoring performance and looking for ways to improve; and. Is complaint with CIPFA Statement on the Role of the Head of Internal Audit in Public Service Organisations. 3.3 These findings therefore indicate that reliance can be placed on the opinions expressed by the Internal Audit Consortium Manager, which can then be used to inform the Council’s Annual Governance Statement. 4. Recommendation 4.1 Consider and note the contents of the Annual Report and Opinion of the Internal Audit Consortium Manager. 4.2 Note that an adequate audit opinion has been given in relation to the framework of governance, risk management and control for the year ended 31 March 2015. 4.3 Note that the opinions expressed together with significant matters arising from internal audit work and contained within this report should be given due consideration, when developing and reviewing the Council’s Annual Governance Statement for 2014/15. 4.4 Note the conclusions of the Review of the Effectiveness of Internal Audit. Appendices attached to this report: Progress Report on Internal Audit Activity 29 Eastern Internal Audit Services NORTH NORFOLK DISTRICT COUNCIL Annual Report and Opinion 2014/15 Responsible Officer: Emma Hodds – Internal Audit Consortium Manager CONTENTS 1. INTRODUCTION ....................................................................................................... 2 2. ANNUAL OPINION OF THE IACM .......................................................................... 2 2.1 Roles and responsibilities .................................................................................... 2 2.2 The opinion itself.................................................................................................. 3 3. AUDIT WORK UNDERTAKEN DURING THE YEAR ............................................... 3 4. THIRD PARTY ASSURANCES ................................................................................ 3 5. ANNUAL REVIEW OF THE EFFECTIVENESS OF INTERNAL AUDIT ................... 4 APPENDIX1 – AUDIT WORK UNDERTAKEN DURING 2014/15 ................................ 6 APPENDIX 2 ASSURANCE CHART ............................................................................ 8 APPENDIX 3 – LIMITATIONS AND RESPONSIBILITIES.......................................... 10 Page 1 of 10 30 1. INTRODUCTION 1.1 The Council is required by the Accounts and Audit Regulations 2011 to maintain an adequate and effective system of internal audit of its accounting records and internal control systems in accordance with proper internal audit practices. (The Regulations were recently updated, which took effect from 1 April 2015, however these do not apply to this year end opinion, and future opinions will be updated accordingly.) Those proper practices are set out in the Public Sector Internal Audit Standards (PSIAS) which came into effect in April 2013. 1.2 Those standards require the Chief Audit Executive (known in this context as the IACM) to provide a written report to those charged with governance (known in this context as the Audit Committee) to support the Annual Governance Statement (AGS). This report must set out: The opinion on the overall adequacy and effectiveness of the Council’s framework of governance, risk management and control during 2014/15, together with reasons if the opinion is unfavourable; A summary of the internal audit work carried from which the opinion is derived, the follow up of management action taken to ensure implementation of agreed action as at financial year end and any reliance placed upon third party assurances; Any issues that are deemed particularly relevant to the Annual Governance Statement (AGS); The Annual Review of the Effectiveness of Internal Audit, which includes; the level of compliance with the PSIAS and the results of any quality assurance and improvement programme, the outcomes of the performance indicators and the degree of compliance with CIPFA’s Statement on the Role of the Head of Internal Audit. 1.3 When considering this report, the statements made therein should be viewed as key items which need to be used to inform the organisation’s Annual Governance Statement, but there are also a number of other important sources to which the Audit Committee and statutory officers of the Council should be looking to gain assurance. Moreover, in the course of developing overarching audit opinions for the authority, it should be noted that the assurances provided here, can never be absolute and therefore, only reasonable assurance can be provided that there are no major weaknesses in the processes subject to internal audit review. The annual opinion is thus subject to inherent limitations (covering both the control environment and the assurance over controls) and these are examined more fully at Appendix 3. 2. ANNUAL OPINION OF THE IACM 2.1 Roles and responsibilities The Council is responsible for establishing and maintaining appropriate risk management processes, control systems, accounting records and governance arrangements. The AGS is an annual statement by the Leader of the Council and the Chief Executive that records and publishes the Council’s governance arrangements. An annual opinion is required on the overall adequacy and effectiveness of the Council’s framework of governance, risk management and control, based upon and limited to the audit work performed during the year. This is achieved through the delivery of the risk based Annual Internal Audit Plan discussed and approved with Corporate Leadership Team and key stakeholders and then approved by the Audit Committee at its meeting on 17 March 2015. Any justifiable amendments that are requested during the year are discussed and agreed with senior management and reported Page 2 of 10 31 to the Audit Committee as part of the regular Progress Reports on Internal Audit Activity. This opinion does not imply that internal audit has reviewed all risks and assurances, but it is one component to be taken into account during the preparation of the AGS. The Audit Committee should consider this opinion, together with any assurances from management, its own knowledge of the Council and any assurances received throughout the year from other review bodies such as the external auditor. 2.2 The opinion itself The overall opinion is that the framework of governance, risk management and control at North Norfolk District Council is deemed to be adequate, with three good assurances awarded in year in relation to; Performance Management, Corporate Policy & Business Planning, Council Tax & National Non-Domestic Rates and Elections & Electoral Registration. In providing the opinion the Council’s risk management framework and supporting processes, the relative materiality of the issues arising from the internal audit work during the year and management’s progress in addressing any control weaknesses identified therefrom have been taken into account. The opinion has been discussed with the Section 151 Officer prior to publication. 3. AUDIT WORK UNDERTAKEN DURING THE YEAR 3.1 Appendix 1 records the internal audit work delivered during the year on which the opinion is based. Detailed findings, conclusions and agreed management actions can be provided upon request. In addition Appendix 2 is attached which shows the assurances provided over previous financial years to provide an overall picture of the control environment. 3.2 The Audit Committee approved the Annual Audit Plan for 2014/15, which encompassed 17 audits totalling 218 days of work. Due to amendments to the plan in year, which were discussed with Senior Management and reported to the Audit Committee in the Progress Reports provided in year, the actual work delivered was 16 audits, equating to 210 days. 3.3 Internal audit work is divided into 4 broad categories; Annual opinion audits; Fundamental financial systems that underpin the Council’s financial processing and reporting; Other systems identified as worthy of review by the risk assessment processes within internal audit; Significant computer systems which provide the capability to administer and control the Council’s main activities. 3.4 In relation to the follow up of management actions to ensure that they have been effectively implemented the position at year end is that the two high priority recommendations (Network Infrastructure) raised within year were implemented by management thus addressing the control issues highlighted within the report. The year end position shows that management have taken action in respect of 55 recommendations, with only 10 remaining outstanding at year end. There are no high priority recommendations outstanding at year end. 3.5 Internal Audit work has not identified any weaknesses that are significant enough for disclosure within the Annual Governance Statement. 4. THIRD PARTY ASSURANCES 4.1 In arriving at the overall opinion reliance has not been placed on any third party assurances. Page 3 of 10 32 5. ANNUAL REVIEW OF THE EFFECTIVENESS OF INTERNAL AUDIT 5.1 Degree of compliance with Public Sector Internal Audit Standards (PSIAS) 5.1.1 A checklist for conformance with the PSIAS and the Local Government Application Note has been completed for 2014/15. This covers; the Definition of Internal Auditing, the Code of Ethics and the Standards themselves. 5.1.2 The Attribute Standards address the characteristics of organisations and parties performing Internal Audit activities, in particular; Purpose, Authority and Responsibility, Independence and Objectivity, Proficiency and Due Professional Care, and Quality Assurance and Improvement Programme (which includes both internal and external assessment). 5.1.3 The Performance Standards describe the nature of Internal Audit activities and provide quality criteria against which the performance of these services can be evaluated, in particular; Managing the Internal Audit Activity, Nature of Work, Engagement Planning, Performing the Engagement, Communicating Results, Monitoring Progress and Communicating the Acceptance of Risks. 5.1.4 On conclusion of completion of the checklist full conformance has been ascertained in relation to the Definition of Internal Auditing, the Code of Ethics and the Performance Standards. 5.1.5 In relation to the Attribute Standards it is recognised that in order to achieve full conformance an external assessment is required. This must be done within 5 years of the PSIAS coming into force, i.e. 31 March 2018. As part of the new contract with TIAA Ltd for the provision of Internal Audit Services it has been agreed that this will be undertaken in January 2016, with the results being shared with the IACM. 5.1.6 In relation to the Quality Assurance and Improvement Programme, internal assessments are undertaken on a regular basis and performance is regularly assessed and reported upon, in relation to the contractor. 5.1.7 The detailed checklist has been forwarded to the Head of Finance for independent scrutiny and verification. 5.2 Performance Indicator outcomes 5.2.1 The Internal Audit Service is benchmarked against a number of performance indicators as agreed by the Audit Committee. Actual performance against these targets for the financial year is outline below: 5.2.2 Audit briefs should be issued 10 days in advance of an audit commencing, and for 63% of audits this target was met. Once underway, 88% of audits were completed on time, with reasons for the minor overruns being notified to the Internal Audit Consortium Manager. Draft reports should be issued within 15 working days of completion of the audit, with only 63% of reports meeting this deadline. Reasons for these delays have been reported to the Committee previously, and relate to the resourcing issues experienced in the second half of the contract with Mazars. Finally, final report should be issued with 10 working days of issue of the draft report, and for 81% of the audits this was achieved. There have been a few issues in getting management responses to recommendations, and the introduction of exit meetings under the new contract should alleviate this issue. 5.2.3 On conclusion of all audits a feedback survey is issued to the key client. The survey asks for responses in relation to; audit staff, audit planning, delivery of the audit and audit reporting. On completion an overall score of poor (1) through to excellent (6) is reported. To date 10 surveys have been completed and an average score of good (5) achieved. Page 4 of 10 33 5.2.4 However, the balanced scorecard approach which will be taken in monitoring the contractor’s performance from 1 April 2015. This brings with it a much more practical approach to performance management and one which will ensure a high quality service is provided by the contractor. 5.3 Effectiveness of the Head of Internal Audit (HIA) arrangements as measured against the CIPFA Role of the HIA 5.3.1 This Statement sets out the 5 principles that define the core activities and behaviours that apply to the role of the Head of Internal Audit, and the organisational arrangements to support them. The Principles are: Champion best practice in governance, objectively assessing the adequacy of governance and management of risks; Give an objective and evidence based opinion on all aspects of governance, risk management and internal control; Undertake regular and open engagement across the Authority, particularly with the Management Team and the Audit Committee; Lead and direct an Internal Audit Service that is resourced to be fit for purpose; and Head of Internal Audit to be professionally qualified and suitably experienced. 5.3.2 Completion of the checklist confirms full compliance with the CIPFA guidance on the Role of the Head of Internal Audit in relation to the 5 principles set out within. 5.3.3 The detailed checklist has been forwarded to Head of Finance for independent scrutiny and verification. Page 5 of 10 34 APPENDIX1 – AUDIT WORK UNDERTAKEN DURING 2014/15 Description of the audit Assurance level awarded Annual opinion audits Work to Support the Annual Governance Statement – the assurance levels shown here are in respect of these fundamental financial systems not subject to full audit review during the year. For the remainder of those systems please see the individual entries elsewhere in this table. Fixed Assets General Ledger Accounts Receivable (Sundry Debtors) Cash and Treasury Management Budgetary Control Car Parking Income Adequate Fundamental financial systems Local Council Tax Support and Housing Benefit Adequate Payroll and Human Resources Adequate Council Tax and National Non-Domestic Rates Good Accounts Payable (Creditors) Adequate Other systems Coastal Protection Adequate Procurement Adequate Development Management Adequate Performance Management, Corporate Policy and Business Planning Good Localism & Communities, including Big Society Fund Adequate Sports Halls Adequate Elections and Electoral Registration Good Computer systems Network Infrastructure Limited Network Security Adequate Virus Protection Adequate Firewalls Adequate Assurance level definitions Number GOOD There is a sound system of internal control designed to achieve the client’s objectives. The control processes tested are being consistently applied. Page 6 of 10 35 3 ADEQUATE While there is a basically sound system of internal control, there are weaknesses, which put some of the client’s objectives at risk. There is evidence that the level of non-compliance with some of the control processes may put some of the client’s objectives at risk. 12 LIMITED Weaknesses in the system of internal controls are such as to put the client’s objectives at risk. The level of non-compliance puts the client’s objectives at risk 1 UNSATISFACTORY Control processes are generally weak leaving the processes/systems open to significant error or abuse. Significant non-compliance with basic control processes leaves the processes/systems open to error or abuse 0 Page 7 of 10 36 APPENDIX 2 ASSURANCE CHART 2014-15 2011-12 2012-13 2013-14 Annual Opinion Audits Corporate Governance and Risk Management Adequate Corporate Governance Risk Management AGS - Assurance Framework X Good Adequate Adequate Key - AGS relates to Work to Support the preparation of the Annual Governance Statement. This work scrutinises key controls only, rather than providing for an in-depth review of systems in their entirety and because of this, the type of assurance that we are able to give is restricted to adequate or limited. Fundamental Financial Systems Sundry Debtors AGS - Sundry Debtors Remittances AGS - Cash Accountancy Services Treasury Management, Control Accounts, Banking, Asset Register, Budgetary Control and Journals Limited Adequate Adequate Bank Reconciliation AGS - Fixed Assets AGS - General Ledger AGS - Treasury Management AGS - Budgetary Control Local Council Tax Support and Housing Benefits AGS Local Council Tax Support and Housing Benefits Adequate Adequate Adequate Adequate Adequate Adequate Limited Council Tax / NNDR AGS Council Tax / NNDR Exchequer/Creditors AGS Exchequer/Creditors Payroll / HR AGS Payroll / HR Revenues and Benefits Partnership - Data Transfer, Governance and Risk Limited Adequate Adequate Adequate Adequate Main reception Adequate TIC - Limited Adequate See below Good Adequate Adequate Adequate Adequate Adequate Adequate Adequate Adequate Adequate Adequate Good Adequate Adequate Head of Finance Procurement Partnerships Adequate Adequate Adequate Head of Economic and Community Development Economic Growth Coastal Management Housing Strategy and Affordable Housing Private Sector Housing and Disabled Facilities Grants Adequate Good Good Adequate Adequate Localism and Communities Adequate Head of Business Transformation and IT Homelessness and Housing Options Adequate Head of Planning Development Management, Planning, s106 Agreements, Community Infrastructure Levy and Land Charges Postponed to 2014/15 Page 8 of 10 37 Adequate Head of Environmental Health Waste Management Environmental Health Limited Adequate Adequate Head of Assets and Leisure Sports Halls/Centres Leisure Complexes Property Services Parks and Open Spaces Car Parking and Markets AGS - Car Park Income Adequate Adequate Limited Adequate Adequate Adequate Adequate Adequate Adequate Head of Organisational Development Elections / Electoral Registration Performance Management, Corporate Policy and Business Planning, inc Annual Action Plans Good Deferred to 2012/13 Good Good Adequate Head of Legal Legal Services, Data Protection, Freedom of Information Good IT Audits - Head of Business Transformation and IT General Ledger/Cedar Financials Application Adequate Project Management Cash Receipting Document Imaging and Workflow Application - Civica Revenues and Benefits IT Security, Procurement and End User Controls Revenues and Benefits Application Network Infrastructure Business Continuity Data Centre, Back Up, Disaster Recovery Data Consistency Payroll and Personnel Content Management Network Security Virus Protection / Spyware Firewalls Adequate Adequate Adequate Adequate Adequate Limited Adequate Adequate Adequate Page 9 of 10 38 Limited Adequate Adequate Adequate Adequate APPENDIX 3 – LIMITATIONS AND RESPONSIBILITIES Limitations inherent to the Internal Auditor’s work The Internal Audit Annual Report has been prepared and Mazars (the Internal Audit Services contractor) were engaged to undertake the agreed programme of work as approved by management and the Audit Committee, subject to the limitations outlined below. Opinions The opinions expressed are based solely on the work undertaken in delivering the approved 2014/15 Annual Internal Audit Plan. The work addressed the risks and control objectives agreed for each individual planned assignment as set out in the corresponding audit briefs and reports. Internal Control The system of internal control is designed to manage risk to a reasonable level rather than to eliminate the risk of failure to achieve corporate/service policies, aims and objectives: it can therefore only provide reasonable and not absolute assurance of effectiveness. Internal control systems essentially rely on an ongoing process of identifying and prioritising the risks to the achievement of the organisation’s policies, aims and objectives, evaluating the likelihood of those risks being realised and the impact should they be realised, and to manage them efficiently, effectively and economically. That said, internal control systems, no matter how well they have been constructed and operated, are affected by inherent limitations. These include the possibility of poor judgement in decision-making, human error, control processes being deliberately circumvented by employees and others, management overriding controls and the occurrence of unforeseeable circumstances. Future Periods Internal Audit’s assessment of controls relating to North Norfolk District Council is for the year ended 31 March 2015. Historic evaluation of effectiveness may not be relevant to future periods due to the risk that: The design of controls may become inadequate because of changes in the operating environment, law, regulation or other matters; or, The degree of compliance with policies and procedures may deteriorate. Responsibilities of Management and Internal Auditors It is management’s responsibility to develop and maintain sound systems of risk management, internal control and governance and for the prevention and detection of irregularities and fraud. Internal Audit work should not be seen as a substitute for management’s responsibilities for the design and operation of these systems. The Internal Audit Consortium Manager has sought to plan Internal Audit work, so that there is a reasonable expectation of detecting significant control weaknesses and, if detected, additional work will then be carried out which is directed towards identification of consequent fraud or other irregularities. However, internal audit procedures alone, even when carried out with due professional care, do not guarantee that fraud will be detected and Mazars examinations as the Council’s internal auditors should not be relied upon to disclose all fraud, defalcations or other irregularities which may exist. Page 10 of 10 39 Audit Committee 16 June 2015 Agenda Item No____11_________ Follow Up on Internal Audit Recommendations 1 November 2014 to 31 March 2015 Summary: This report provides an overview of progress made in implementing agreed audit recommendations due for completion between 1 November 2014 and 31 March 2015. Conclusions: Good progress continues to be achieved in relation to the completion of agreed Internal Audit recommendations. Recommendations: It is recommended that the Committee notes management action taken to date regarding the delivery of audit recommendations. Cabinet member(s): Ward(s) affected: All All Emma Hodds, Internal Audit Consortium Manager 01508 533791, ehodds@s-norfolk.gov.uk Contact Officer, telephone number, and e-mail: 1. Background 1.1. In accordance with agreed internal audit review and reporting cycles, we revisit the status of audit recommendations on a 6-monthly basis and last presented our findings in this area to the Audit Committee on 9 December 2014. 1.2. This report now seeks to provide an update on the status of audit recommendations following recent verification work performed by the Contractor, which examined the level of activity concerning the delivery of audit recommendations falling due between 1 November 2014 and 31 March 2015. 2. Overall Position 2.1. The overall position in relation to the implementation of Internal Audit Recommendations is within the attached report. 3. Conclusion 3.1 Good progress continues to be made in relation to the completion of agreed Internal Audit recommendations, with 55 recommendations implemented over the course of the 2014/15 financial year, resulting in improvements to the control environment. There are only 10 recommendations outstanding at year end, six of which relate to audits completed prior to 2014/15 and it would be beneficial to address these early in 2015/16. 40 Audit Committee 16 June 2015 4. Recommendation 4.1 It is recommended that the Committee notes management action taken to date regarding the implementation of audit recommendations. Appendices attached to this report: Follow Up Report on Internal Audit Recommendations 41 Eastern Internal Audit Services NORTH NORFOLK DISTRICT COUNCIL Follow Up Report on Internal Audit Recommendations Period Covered: 1 November 2014 to 31 March 2015 Responsible Officer: Emma Hodds – Internal Audit Consortium Manager CONTENTS 1. INTRODUCTION 2 2. STATUS OF AGREED ACTIONS 2 APPENDIX 1 – STATUS OF AGREED ACTIONS 4 Page 1 of 4 42 1. INTRODUCTION 1.1 This report is being issued to assist the Authority in discharging its responsibilities in relation to the internal audit activity. 1.2 The Public Sector Internal Audit Standards also require the Chief Audit Executive (known in this context as the Internal Audit Consortium Manager) to establish a process to monitor and follow up management actions to ensure that they have been effectively implemented or that senior management have accepted the risk of not taking action. The frequency of reporting and the specific content are for the Authority to determine. 1.3 To comply with the above this report includes: The status of agreed actions. 2. STATUS OF AGREED ACTIONS 2.1 As a result of audit recommendations, management agree action to ensure implementation within a specific timeframe and by a responsible officer. The management action subsequently taken is monitored by the Internal Audit Contractor on a regular basis and reported through to this Committee. Verification work is also undertaken for those recommendations that are reported as closed. Appendix 1 to this report shows the details of the progress made to date in relation to the implementation of the agreed recommendations. 2.2 The summary position according to recommendation priority is shown in the table below: Complete Outstanding Unable to confirm status Total Status of Recommendations as at 31 October 2014 High Medium Low Total 3 18 7 28 0 8 2 10 3 26 9 % 74% 26% 38 Status of Recommendations as at 31 March 2015 High Medium Low Total 0 17 10 27 0 7 3 10 % Complete 73% Outstanding 27% Unable to confirm status Total 0 24 13 37 Key: H – High priority: A fundamental weakness in the system that puts the Council at risk. To be addressed as a matter of urgency, within a 3-month time frame wherever possible, or, to put in place compensating controls to mitigate the risk identified until such a time as full implementation of the recommendation can be achieved. M – Medium priority: A weakness within the system that leaves the system open to risk. To be resolved within a 4 - 6 month timescale. L – Low priority: Desirable improvement to the system. To be introduced within a 7 - 9 month period. The tables provide two snapshots – one of the year end position at 31 October 2014 and one covering the position as at 31 March 2015. The figures are not cumulative but enable an overview to be maintained as to the nature of progress being made in relation to completing agreed actions at periodic intervals during the financial year. Page 2 of 4 43 2.3 Details of high priority recommendations which remain outstanding would usually be attached to this report; however there were no high priority recommendations raised in the second half of the financial year, and the 2 high priority recommendations raised earlier in the year had previously been actioned by management. 2.4 Significant progress continues to be made with the implementation of recommendation by management, the table highlights that over the course of the year 55 recommendations have been actioned as required and has resulted in improvements to the control environment. 2.5 At financial year end only 10 recommendations remain outstanding, seven of these are medium priority and three are low. Management responses have been received in relation to all of these, with an up to date position being provided, along with revised deadline dates. Of these 10 recommendations six relate to audits completed prior to 2014/15 and it would be beneficial if management were to address these early in the 2015/16 financial year. 2.6 It is also worth noting that of the recommendations made to date in year, a further 10 recommendations are not yet due for implementation – see Appendix 1 for the audit areas to which these relate. As mentioned although the dates for completion have not yet been reached, until they are actioned, they represent weaknesses in the control environment which leave the authority open to risk. Page 3 of 4 44 APPENDIX 1 – STATUS OF AGREED ACTIONS Reference NN1112 NN1203 NN1209 NN1401 NN1402 NN1404 NN1409 NN1410 NN1502 NN1503 NN1504 NN1505 NN1506 NN1507 NN1508 NN1511 NN1513 NN1414 NN1514 NN1515 NN1516 NN1517 Description Development Management, Building Control and Land Charges Waste Management Contract Sports Halls/Centres Environmental Health Private Sector Housing Waste Management Sundry Debtors Work to Support AGS Procurement Development Management Performance Management, Corporate Policy and Business Planning Localism and Communities Sports Halls/Centres Housing Benefit and CTS Payroll and HR Exchequer Services AGS SYSTEMS AUDIT TOTALS Business Continuity Planning Network Infrastructure Anti-Virus Management Virus and Malware Protection Firewall Adminstration COMPUTER AUDIT TOTALS Implemented (November '14 March '15) Assurance Level H M L Adequate Limited Adequate Adequate Adequate Adequate Adequate N/A Adequate Adequate H 1 1 1 1 1 1 1 Good Adequate Adequate Adequate Adequate Adequate N/A 0 Adequate Adequate Adequate Adequate Adequate 0 1 1 2 15 1 1 4 0 3 1 2 6 6 1 1 1 0 1 Page 4 of 4 45 2 0 0 0 0 0 0 1 1 Total Outstanding Not yet due to be implemented H M L 1 1 0 1 1 1 1 0 1 1 1 1 2 3 1 3 3 2 Outstanding M L Unable to confirm status H M L 0 0 0 0 0 0 0 8 0 0 1 1 0 2 Total Audit Recommendations to be actioned 1 1 0 1 1 1 1 0 1 1 1 2 1 1 0 3 1 3 0 2 2 2 2 1 0 0 0 2 1 12 0 0 1 1 4 6 Agenda Item 12 PRMB – June 2015 Corporate Risk Register May 2015 Summary Register Ref. Current Score Target Score Medium Term Financial Plan 015(CR) 20 12 Karen Sly - Head of Finance Coastal Erosion - (the effects of) 002(CR) 20 12 Rob Goodliffe - Coastal Management Team Leader Transformation Agenda/Business Transformation Work 003(CR) 16 8 Sheila Oxtoby - Chief Executive Property assets (the condition of)/ Asset Management 001(CR) 12 9 Duncan Ellis - Head of Assets & Leisure Procurement - (lack of value for money) 009(CR) 9 3 Karen Sly - Head of Finance Individual Electoral Registration causing potential disenfranchisement 021(CR) 9 6 Julie Cooke - Head of Organisational Development Information - (loss of) 008(CR) 8 4 Sean Kelly - Head of Business Transformation and IT Housing Delivery 010(CR) 6 6 Nicola Turner - Strategic Housing Team Leader Operational disruption - (significant event) 013(CR) 6 6 Richard Cook - Civil Contingencies Manager, Steve Hems - Head of Environmental Health Homeworking - security, staff health and safety 019(CR) 6 6 Sean Kelly - Head of Business Transformation and IT Disclosure and Barring Checks (DBS) for staff 020(CR) 6 4 Julie Cooke - Head of Organisational Development Risk Officer KEY Impact Type Objectives Financial Impact (Loss) Likelihood Catastrophic - 5 The key objectives in the Corporate Plan will not be achieved. Critical - 4 One or more Key Objectives in the Corporate Plan will not be achieved. Moderate - 3 Significant impact on the success of the Corporate Plan. Marginal - 2 Some impact on more than one Service. Negligible - 1 Insignificant impact on more than one Service. Over £1m £400K - £1m £200K - £400K £10K - £200K £0-10K Very High - 5 High - 4 Moderate - 3 Low - 2 Very Low - 1 Probability Over 90% 60 - 90% 40 - 60% 10 - 40% below 10% Timing Within six months This year Next year Probably within 15 years Probably over 15 years 46 1 PRMB – June 2015 Corporate Risk Register May 2015 Risk 1. Cause of risk 2. Description of Risk or potential event 3. Consequence of risk happening Medium Term Financial Plan 015(CR) Existing Controls Controls that have been implemented since the last review are shown in green Policy work Score (with controls) Impact x Likelihood = Total 5x4=20 Lobbying Central Government Action (to achieve target score) and progress to date Growth forecasting models to be developed for housing and business rates to inform future financial forecasts and budget. – Some Problems - Business rates forecasting has been informed by the annual NNDR returns and also outcome of appeals. Timing of businesses coming on track to be reviewed with Planning and also informed by visiting officers progress. Housing forecast updated annual as part of the Tax Base setting and monitoring of the collection fund position, monthly CTB reports for Long term empties to be reviewed for new property reporting also. 1. Uncertainty around the Governments spending reduction programme and the impact on the Council’s funding. The business rates retention system has shifted the risk of business rates fluctuations to the local level, meaning that Local Authority funding will be impacted directly from decline in business and also planned reductions to the revenue support grant and reliance on New Homes Bonus funding influenced by delivery of new homes and reductions in long term empty properties. Medium Term Financial Strategy 2. Failure to produce a balanced budget position and funded future projections in the medium term and to deliver a freezing of Council Tax increases. Utilisation of (part of) the New Homes Bonus grant within the base budget from 2014/15 Refresh of the financial projections following May 2015 elections. Annual review of the Councils reserves Early update of the Financial Strategy to inform the 2016/17 budget process 3. The Corporate Plan may not be delivered to the identified timescales. The level of service currently provided could be at risk, unplanned use of reserves which is unsustainable in the longer term. Higher level of savings requirement in future years. Corporate Planning / Service Planning Budget Process / Budget Monitoring Regular monitoring system of the impact of the business rates retention and the localised council tax support system Target Score Impact x Likelihood = Total 4x3=12 Corporate Objective / Service Priority Officer Delivering the Vision Karen Sly Head of Finance Reporting - New legislation and consultation Timely agreement of the annual Localised Council Tax Support Scheme Project Management Plans 47 2 PRMB – June 2015 Corporate Risk Register May 2015 Risk 1. Cause of risk 2. Description of Risk or potential event 3. Consequence of risk happening Existing Controls Controls that have been implemented since the last review are shown in green Coastal Erosion - (the effects of) 002(CR) The Pathfinder Project 1. Lack of Government funding to maintain coast defences and / or to support local compensation claims 2. Coastal erosion and blight of coastal settlements through loss of public and private infrastructure and assets. The Council has devoted significant resources to pursuing sustainable answers to coastal management issues. There is a considerable Health and Safety context here which serves to increase the reputational risk for the Council at the same time. 3. Increased coastal erosion through loss of defences presents a reputational risk to the authority in the eyes of local communities and direct loss of Council owned assets / infrastructure which are fundamental to the district's tourism offer and therefore the economic wellbeing of the district. Loss of confidence in respect of business investment and residential property market; blight of properties in erosion zone; direct loss of tourism assets and infrastructure promenades, beach chalets, cafés, public toilets, car parks etc.; loss of tourism income / employment. Score (with controls) Impact x Likelihood = Total 5x4=20 Shoreline Management Plan (SMP) Repairs & Maintenance Programme Procurement practices Health & Safety checking and monitoring DEFRA funding of capital schemes Action (to achieve target score) and progress to date Cromer Sea Defence Works – Some Problems - Although works are still progressing and much good work has been done, Volker Stevin are behind programme and works will not be completed by the end of March 2015. The storm surge of the 5th December 2013 has made a significant impact on the programme and the additional works required to repair the groynes, parapet walls and various cliff slips have together combined to slow the works. The latest draft programme suggests it will be early 2016 before the works are complete. Target Score Impact x Likelihood = Total Corporate Objective / Service Priority Officer 4x3=12 Coast, Countryside and Built Heritage Rob Goodliffe Coastal Manageme nt Team Leader Coast monitoring Control of coastal management schemes through procurement and regular checking Repairs in response to the December 2013, Tidal Surge – On track - Surge repairs are substantially complete. Final works are in preparation for the repair of revetments and gabions at Overstrand and revetments at Vale Road. Repairs to revetments at Mundesley are being incorporated into a FLAG initiative to improve beach access for fishing vessels 48 3 PRMB – June 2015 Corporate Risk Register May 2015 Risk 1. Cause of risk 2. Description of Risk or potential event 3. Consequence of risk happening Transformation Agenda/Project 003(CR) 1. It is clear that there is a new urgency about change in local government driven by the current financial pressures and the ambition to ignite community engagement. Previous incremental change is being replaced by a more wholesale restructuring of local government and its place in local service delivery. 2. The risk is that in moving to a new agenda so quickly there is no basic framework within which the new arrangements can be undertaken. Existing Controls Controls that have been implemented since the last review are shown in green Training, learning & policy initiatives Score (with controls) Impact x Likelihood = Total 4x4=16 Strategies Reporting - New legislation and consultation Network development Maintain technical competence Medium Term Financial Strategy Appointment of a Head of Business Transformation to deliver the programme Property assets - (the condition of) 001(CR) Work on R & M schedules 1. A lack of investment and sound decision-making. The introduction of a property risk assessment and inspection regime 2. Deteriorating property assets may lead to a loss of revenue and possible legal liability. Effective team resourcing IT transformation work that is currently being undertaken – Some Problems - Potential imbalance between resources and workload remains. Of particular concern are the recruitment difficulties relating to highly technical positions especially within Web development. The approach to delivering the updated website is being reviewed to identify and implement alternate delivery mechanisms including short term contracts and third party support. Target Score Impact x Likelihood = Total Corporate Objective / Service Priority Officer 2x4=8 Delivering the Vision Sheila Oxtoby Chief Executive 3x3=9 Delivering the Vision Duncan Ellis – Head of Assets and Leisure Managing delivery of workstreams as included in the Transformation programme – On Track – Overall the programme remains broadly on track. However, conflicting priorities and resource demands will have to be closely monitored to ensure planned timelines remain viable. Approval of the Business Transformation Programme 3. Vision and action may not be fully supported by a sound assessment and a solid understanding of policy implications at national and local level. Action (to achieve target score) and progress to date Business Transformation Board monitoring projects progress 4x3=12 49 Work is on-going in relation to the R&M schedules in relation to including all of this detail within the Concerto system. The schedules were used to support the update of the Asset Management Plan and the capital works highlighted within the plan have gone forward as capital bids to be considered by Members as part of the budget setting process for 2015/16. 4 PRMB – June 2015 Corporate Risk Register May 2015 Risk 1. Cause of risk 2. Description of Risk or potential event 3. Consequence of risk happening Existing Controls Controls that have been implemented since the last review are shown in green 3. The Council does not achieve value for money from its investment and/or possible legal liabilities either directly or through its leasing arrangements. Asset Management Plan Score (with controls) Impact x Likelihood = Total Action (to achieve target score) and progress to date Target Score Impact x Likelihood = Total Corporate Objective / Service Priority Officer Rolling asset condition surveys continue to be undertaken to ensure that the R&M schedules remain up to date. Implement asset management software This scenario is detrimental to the local tourism economy as well as damaging to local communities contributing to a lack of community pride and possible increase in vandalism. The capital tied up in assets cannot be released to support wider Council initiatives and income streams are not maximised. Various policies are in place to help manage property risks and risk assessment inspections and review works continue to be developed and improved. Regular routine inspections take place on all of the Council’s car parks for example to review, monitor and help manage a number of risks. Team resourcing continues to be monitored although the recovery works connected with the storm surge have stretched the team this year. Additional resource is being investigated to support with further data input onto the Concerto system which is extremely time consuming. The Asset Management Plan was updated and agreed earlier this year and contains an improvement plan which is currently being implemented and forms part of the Ten performance monitoring system. As mentioned above additional temporary resource support is being investigated in relation to the 50 5 PRMB – June 2015 Corporate Risk Register May 2015 Risk 1. Cause of risk 2. Description of Risk or potential event 3. Consequence of risk happening Existing Controls Controls that have been implemented since the last review are shown in green Score (with controls) Impact x Likelihood = Total Action (to achieve target score) and progress to date Target Score Impact x Likelihood = Total Corporate Objective / Service Priority Officer 3x1=3 Delivering the Vision Karen Sly – Head of Finance 2x3=6 Legislative Concerto system to ensure this becomes fully populated as quickly as possible. The more information the system holds the more useful it will be. Procurement - (lack of value for money) - 009(CR) 1. The current financial climate, recent resourcing issues causing an absence of a focus for this work, together with a reduction in the available accountancy resources going forward increase the risk of a lack of continuous improvement in this area. 2. Failure to adopt new procurement practices and delivery of efficient and timely procurement processes could mean that the Council will not achieve value for money procuring the goods and services it uses. 3. The Council may not achieve value for money, financial/procedural inefficiencies possible challenge to contracting procedures. Individual Electoral Registration causing potential disenfranchisement - 021(CR) 1. Implementing the new legislation through the new software provided. As the process and software is being developed system errors and issues are Procurement Strategy A procurement evaluation – On Track - An increased awareness of the location and use of the Toolkit (including the Quotation Value Path) has been undertaken including presentations to Management groups and on one-toone basis. 3x3=9 Procurement Framework Joint procurement protocol and opportunities for joint/shared procurement with other authorities where possible Analysis of procurement outcomes and the value for money achieved has started. Advice for external suppliers Procurement responsibility assigned to the Chief Accountant Note – Chief Accountant left in May and post is yet to be filled. Regular procurement refresh and review of procedures Reporting of errors detected to the software company and the Cabinet Office 3x3=9 Actions to be identified Electoral Service Managers Training and Networking 51 Julie Cooke Head of Organisati onal Developme nt 6 PRMB – June 2015 Corporate Risk Register May 2015 Risk 1. Cause of risk 2. Description of Risk or potential event 3. Consequence of risk happening Existing Controls Controls that have been implemented since the last review are shown in green Score (with controls) Impact x Likelihood = Total Action (to achieve target score) and progress to date Target Score Impact x Likelihood = Total Corporate Objective / Service Priority Officer Delivering the Vision Sean Kelly - Head of Business Transform ation and IT arising that need resolution. It is possible errors could arise that are not detected prior to the Parliamentary and District elections in 2015. 2. The Government brought in legislation which introduced fundamental changes in the electoral registration process during 2013/14 including the introduction of totally new software systems. 3. The result of these multiple changes could cause issues leading to disenfranchisement. In addition the software system may not provide the necessary support to manage the election process effectively. Information - (loss of) - 008(CR) 1. Lax security - Information may be lost, mislaid or stolen. Increased use of mobile technology such as I Pads etc. 2. There exists an inherent potential for the loss of organisational information at any security level. ICT is responsible for ensuring electronic data is secure (in conjunction with system owners who control access to their databases), 3. Information may be inappropriately used. Fraud or data corruption may occur. Systems may suffer damage. The Council's reputation may be harmed. Information Management Strategy 4x2=8 Information security and data protection training. Implement data security protocols on mobile devices Interim generic information on information security and data protection to be shared with staff through intranet. ICT Security Policy 4x1=4 IT Monitoring Data Protection training Code of Connection compliance Regular audits of IT security 52 7 PRMB – June 2015 Corporate Risk Register May 2015 Risk 1. Cause of risk 2. Description of Risk or potential event 3. Consequence of risk happening Existing Controls Controls that have been implemented since the last review are shown in green Score (with controls) Impact x Likelihood = Total Action (to achieve target score) and progress to date Target Score Impact x Likelihood = Total Corporate Objective / Service Priority Officer 3x2=6 Housing and Infrastructure Nicola Turner Housing Team Leader Strategy 3x2=6 Delivering the Vision Richard Cook Civil Contingenc ies Manager, arrangements rd Regular 3 party data protection and integrity testing Housing Delivery - 010(CR) 1. A combination of lack of developer confidence because of recession / weak financial markets and pressure on public finances meaning reduced availability of grant funding for affordable housing provision. Use of capital 3x2=6 Partnership work with Registered Providers All controls are implemented and risk is currently under control, to be reviewed in six months time. Local Investment Plan Local Development Framework (LDF) policies 2. Inability to secure planning permission for provision of affordable housing. Internal planning protocol 3. A challenge over the Council's ability to deliver sufficient affordable homes Housing Strategy discussion document (2010) Increased Focus Enhance Housing Association delivery Operational disruption - (significant event) - 013(CR) Response & Recovery Planning 1. Both the National and Community Risk Registers have more information regarding the risk of specific events (e.g. Pandemic) occurring. Continuity Planning 2. Any Internal or external event that has a significant impact on the ability of the Council to deliver services. Critical Services Business Continuity Plans completed. 3x2=6 Corporate Business Continuity key role training Steve Hems Head of Environme ntal Health 53 8 PRMB – June 2015 Corporate Risk Register May 2015 Risk 1. Cause of risk 2. Description of Risk or potential event 3. Consequence of risk happening Existing Controls Controls that have been implemented since the last review are shown in green Score (with controls) Impact x Likelihood = Total Action (to achieve target score) and progress to date Target Score Impact x Likelihood = Total Corporate Objective / Service Priority Officer 2x3=6 Delivering the Vision Sean Kelly - Head of Business Transform ation and IT 2x2=4 Delivering the Vision 3. a) Loss of staff for 'usual' service delivery b) Loss of premises c) Loss of key partners/suppliers d) Loss of infrastructure services A reduction in the ability of the Council to deliver services, possibly at a time of increased demand from the community. Homeworking - security, staff health and safety - 019(CR) 1. All aspects of remote working not covered by corporate policies. There are procedures in place for IT risks. Produce and implement staff policies and procedures for homeworking - Work has started in producing a Mobile Working Guidance which will cover; hot desking, working on District and working at and from home. A draft is being discussed with services that will pilot the arrangements. This pilot is planned to start in early 2015. The results of the pilot and any revisions to the guidance will be discussed at JSCC with a view to being fully implemented later in 2015 after approval by CLT. Update report – managed risk? 2x3=6 IT Monitoring 2. Security put at risk. Cost of home working not adequately budgeted for. All managers have a responsibility for their staff working from home. 3. Remote staff unable to access technology needed to do their jobs and for business continuity. Disclosure and Barring Checks (DBS) for staff - 020(CR) 1. Management and HR not adhering to set internal processes around applying/ renewing DBS checks, particularly in a timely manner. 2. Specific jobs require pre-employment checks and on-going (minimum every 3 years) checks to comply with the relevant legislation where the post holder has works with or has access to Pre employment checklist 3x2=6 Reminder process to the service manager. Reporting of lack of compliance with agreed process. The process includes escalation to the relevant Head of Service and to the Head of Organisational Development if the check is 54 Julie Cooke Head of Organisati onal Developme nt 9 PRMB – June 2015 Corporate Risk Register May 2015 Risk 1. Cause of risk 2. Description of Risk or potential event 3. Consequence of risk happening Existing Controls Controls that have been implemented since the last review are shown in green children and vulnerable adults. not initiated/completed within the relevant timescales. 3. If checks aren't completed in a timely way there is the risk that someone who may be barred from working with children/ vulnerable adults has access to those groups through Council activities. Score (with controls) Impact x Likelihood = Total 55 Action (to achieve target score) and progress to date Target Score Impact x Likelihood = Total Corporate Objective / Service Priority Officer 10 Agenda Item 13 Brief for Audit Committee June 2015 Incidents and Emergency Planning There have been no recent incidents that have had an impact on the Authority. The most significant recent event for the Authority was the tidal surge, in December 2013 and a full de-brief report has been complied and this report went to Overview and Scrutiny Committee in January 2014, all action are now complete. Overall the Emergency Response Plan was proved to be fit for purpose and the new additions will help to deliver an even slicker response to any future incident the authority may face. The new updated version four of the NNDC Emergency Response Plan has now been completed and has been published. Team BC Plans All team BC plans are in place, including Revenue and Benefits. The Civil Contingencies team has peer reviewed all the team plans and has a database to ensure that all the plans are reviewed and remain up to date. Despite the fact that authority experienced several significant emergency incidents over the previous year, these had little impact on service delivery. This proves that the current Business Continuity plans in place are robust and fit for purpose. The Corporate BC plan is currently under review and this will be completed by the end of June. Training An initial meeting of the new Business Continuity Working Group took place on 20th May 2015. The format was an external training session that was delivered by Norfolk County Council. It is hoped that this group will meet quarterly and the main focus of the group will be to help embed business continuity into to the normal day to day activities of the authority, as well as looking, as a group, to enhance the team BC plans that are in place. The CCT team are still helping teams to develop and improve their own BC plans with one to one training sessions. 56 Disaster Recovery and Work Action Recovery site This project is still on-going but has been delayed due to the heavy work load for IT and the role out of the business transformation program. All data is being replicated from the Cromer office to the Fakenham site on a daily basis and if we suffer a total loss of this building it would take a small amount of reconfiguration work to get access to the stored data. The new plan for the Fakenham DR site is to upgrade the equipment Q1 2015/16 as part of the planned upgrade to the IT facilities. A test of the new equipment will be built into the project implementation plan, to be completed by June 2015. The Work Action Recover (WAR) Site is in place with an initial 10 networked PC’s and associated equipment. During the recent Fakenham fire the building was used to great effect as an evacuation and information centre for the members of the public that were made homeless. The staff that used the site during the incident reported that the ability to use NNDC IT networks made the whole process far easier. The fact that they had the ability to use the small rooms for confidential interviews and the kitchens for refreshments only further enhanced service delivery. The Civil Contingencies team will be carrying out a low level test of the WAR facility In March 2015. 57