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Session 8: Risk Management, Assurance and Audit Claire Lea, Thursday 2 November 2017, 4pm My microphone is currently muted Session 8: Risk Management, Assurance and Audit Claire Lea, Thursday 2 November 2017, 4pm Todays plan


  1. Session 8: Risk Management, Assurance and Audit Claire Lea, Thursday 2 November 2017, 4pm My microphone is currently muted

  2. Session 8: Risk Management, Assurance and Audit Claire Lea, Thursday 2 November 2017, 4pm

  3. Today’s plan • Principles and significance of risk management • Effective risk management systems • Board of director responsibilities for internal control • Audit Committee and external audit • Sample exam question • Concluding remarks

  4. Risk management Effective risk management can be likened to that of the survival of a living organism. In Darwin's Theory of Evolution many people interpret this with the phrase ‘the survival of the fittest’ However the most important element is ‘the capacity of adaptation’ . Effective risk management is therefore not only a system of processes but it is also a series of behaviours.

  5. FRC Guidance on risk management, internal control and related business reporting Snappy title for the latest guidance (2014) on risk management! However, it introduces a step change – • New strategic report in corporate sector – require boards to report annually on their principal risks • Challenge is to include behavioural and organisational risk • Risk has a higher profile in the NHS with work of Audit Committee and the Board Assurance Framework • Need to consider downside and upside risk

  6. Board’s responsibilities • Ensuring design/implementation of risk management and internal control systems that identify risks and enables a robust assessment of the principal risks; • Determine the nature/extent of the principal risks faced and risks which the organisation is willing to take to achieve its strategic objectives (determining its ‘risk appetite’); • Ensuring that culture and reward systems have been embedded throughout the organisation; • Agreeing how principal risks are managed/mitigated to reduce the likelihood or impact;

  7. Board’s responsibilities • Monitoring and reviewing the risk management and internal control systems, and the management’s process of monitoring and reviewing, and satisfying itself that they are functioning effectively and that corrective action is being taken where necessary; and • Ensuring sound internal and external information and communication processes and taking responsibility for external communication on risk management and internal control.

  8. Types of risk What types of risks can you name?

  9. Types of risk • Financial risk • Operational risk • Reputational risk • Behavioural risk • Third-party or competition risk • External risks

  10. Risk management system • Risk registers and risk identification • Risk evaluation and scoring • Risk management measures and mitigation • Risk control and review

  11. Risk management and governance

  12. Internal controls • Financial controls • Operational controls • Compliance controls

  13. Elements of an internal control system • Control environment – awareness & attitude • System for identifying risks • Controls which eliminate, reduce or control risks • Information to employees to fulfil task of risk management • Monitor effectiveness regularly COSO Framework

  14. Assurance Performance reporting • Single Oversight Framework • CCG Improvement & Assessment Framework Quality Governance • CQUINs • Quality Accounts [& Quality Report (FTs)] • CQC rating Financial reporting • Annual report and accounts • Monthly reporting • Directors duties and responsibilities – break even and going concern

  15. Assurance statements • Going concern statement • Corporate governance statement [FT compliance with FT Code] • Annual governance statement • Board Assurance Framework • Integrated reporting, performance dashboards, board committee reports • Head of Internal Audit Opinion • External Audit post audit report

  16. Types and levels of assurance Verbal, written, empirical Level 1 – operational (management) Level 2 – oversight (committees) Level 3 – independent (audit/reviews/inspections etc.)

  17. The role of audit • Function and scope of external audit – external scrutiny, true and fair view, unqualified opinion. • Independent • Function and scope of internal audit – independent review of risk management and internal control processes. • Directors still responsible for preventing and detecting fraud and for the information in the annual report and accounts.

  18. Independence of external audit • Self-interest threats: • Self-review threat: • Advocacy threat: • Familiarity threat: • Intimidation threat: Debate: Should non-audit work be prohibited or restricted? How do they protect the independence of the auditors?

  19. Audit Committee • HFMA Handbook for NHS Audit Committees extends role beyond financial controls • Membership is solely non-executive directors • Chair is not allowed to be a member • Training, induction and remuneration of members • Appointment and removal of auditors • Assessment of independence • Non-audit work • Whistleblowing/raising concerns/Freedom to Speak Up

  20. Concluding remarks • Risk management is a key board responsibility • Assurance is a key mechanism for holding management to account. • It also provides a regular assessment on progress towards an organisation’s strategic objective. • Assurance should be forward looking as well as backward looking. • Audit Committee – key governance role for NEDs, independent, direct access to third parties, e.g. auditors

  21. Sample exam question – November 2016 Beevor NHS Foundation Trust (‘ Beevor ’) has been discussing its strategy and vision in light of the board’s role for defining long -term strategy. It is planning a board development session next month, which will look at strategy and the associated risk management in further detail. The first part of this day will allow the board to consider its principal risks, such as financial sustainability and insufficient paediatric consultant recruitment, in the light of its strategic discussions thus far. Required As an introduction to the board development session, the Chair has asked you to: (a) Prepare slides for a presentation, with notes, which define business risk and analyse four categories of business risk, giving examples of each in the health sector. (16 marks) (b) Prepare a briefing paper which discusses the importance of risk appetite, risk capacity and risk tolerance for Beevor. (9 marks)

  22. Examiner comments Question 3 was also a very popular question and there was a very wide range of responses from a Grade C Fail to Merit. It was poorly answered with 43% of those attempting it, failing to pass. Good scripts demonstrated an understanding of business risks and did not confuse them with internal control risks. They also addressed the role of the board in risk management, the concept of principle risks and set out clear source guidance for their responses. Similar questions have been set for the exam before and the generally poor responses seem to highlight a lack of preparation in this area and a limited review of past papers. Average score 13.3.

  23. Sample answer FRC Guidance on Risk Management, Internal Control and Related Financial and Business Reporting 2014 UK Corporate Governance Code Business risks: • are risks that occur and arise in the business environment • may also be referred to as strategic risks • will differ between organisations • can be positive (upside) or negative (downside) • are the responsibility of the Board to determine Remember mark available for layout as slides

  24. Sample answer Business risks can be categorised as • Financial risk • Operational risk • Reputational risk • Behavioural risk • Third-party or competition risk • External risks Business risks are not the same as internal control risks, which are risks that arise because of weaknesses in its systems, procedures, management or personnel that are in place within the trust. These are risks that the trust has within its control and it needs to have a comprehensive system in place to manage. The controls for these risks are ‘internal controls’ and internal controls are applied within an internal control system.

  25. Sample answer Application to the scenario? Risk appetite and tolerance – decided by the Board Risk appetite is the desire/willingness to take on risk Risk tolerance is the amount of risk which is tolerated to achieve the strategic goals

  26. Following this session • Session slides and content • Results of Task 2 will be available from Monday 13 th November. • Exam strategy webinar – Thursday 9 November 4pm • Exam – 30 November 2017 – Good luck!

  27. Thank you

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