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Item 14 - Annual External Audit Plan

North Lanarkshire Council · 22 June 2022
Back to Health and Social Care Integration Joint Board — 22 June 2022 and its agenda

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REPORT 
Item No: 14 
SUBJECT: Annual External Audit Plan 
TO: Integration Joint Board
Lead
Officer for
Report:
Ross McGuffie, Chief Officer H&SC NL
Author(s)
of Report
Ross McGuffie, Chief Officer H&SC NL
Audit Scotland 
DATE: 22nd  June 2022 
1. PURPOSE OF REPORT
1.1 This paper is coming to the Integration Joint Board:   
For
approval 
For endorsement  For noting 
1.2 This report: -
(1) Provides details of the External Auditor’s Annual Audit Plan for 2021/22
(2) Provides details of the External Auditors Annual Fee 
2. ROUTE TO THE INTEGRATION JOINT BOARD :
2.1 This paper has been: 
Prepared  By;      
Audit Scotland 
Reviewed By; 
Chief Officer 
3.          RECOMMENDATIONS 
The IJB Committee is asked to agree the following recommendations: 
(1) That the content of the report is noted;
(2) That the proposed revised timescale for annual accounts is noted as referenced in
page 11, paragraphs 29-31. 
(3) That the audit fee of £27,960 is approved. 
4.          VARIATIONS TO DIRECTIONS 
5. BACKGROUND/SUMMARY OF KEY ISSUES
5.1 The Public Bodies (Joint Working) (Scotland Act) 2014 established the framework
for health and social care in Scotland and the formation of Integration Joint Boards
(IJBs).  Each IJB is required to prepare annual accounts and have them audited in
accordance with Part VII of the Local Government (Scotland) Act 1973. 
Ye
s
No  N/A

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5.2 Audit Scotland was appointed by the Accounts Commission and the Auditor
General as the external auditors of the North Lanarkshire IJB. 
6. CONCLUSIONS
6.1 The External Audit Plan for 2021/22 has been discussed and agreed with both the
Chief Officer and the Chief Financial Officer.
6.2 The External Auditor has provided an overview of the planned scope and timing of
their audit work and this is set out in the attached appendix for information.
6.3  The annual Audit Fee for 2021/22 will be £27,960. 
7. IMPLICATIONS
7.1 NATIONAL OUTCOMES 
Sound governance and financial sustainability are integral to the achievement of
the nine health and wellbeing outcomes. 
7.2 ASSOCIATED MEASURE(S) 
None. 
7.3 FINANCIAL 
This paper has been reviewed by Finance: 
Yes  No  N/A 
The cost of the proposed external audit fee will be met from within existing
resources as previously agreed. 
7.4 PEOPLE
None. 
7.5 INEQUALITIES
EQIA Completed: 
Yes  No  N/A 
7.6  CARBON MANAGEMENT IMPLICATIONS  
Yes  No  N/A 
8. BACKGROUND PAPERS 
None.

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9. APPENDICES
North Lanarkshire Integration Joint Board – Annual Audit Plan 2021/22
.............................................................................
CHIEF ACCOUNTABLE OFFICER (or Depute)  
Members seeking further information about any aspect of this report, please contact
Ross McGuffie on telephone number 01698 752 591.

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Prepared for North Lanarkshire Integration Joint Board 
8 April 2022
North Lanarkshire
Integration Joint
Board
Annual Audit Plan 2021/22
Appendix

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North Lanarkshire Integration Joint Board Annual Audit Plan 2021/22 | 2
Contents 
Introduction 3
Annual accounts audit planning 5
Audit dimensions and Best Value 8
Reporting arrangements, timetable, and audit fee 10
Other matters 13

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Introduction | 3 
Introduction 
Summary of planned audit work
1.  This document summarises the work planned for our 2021/22 external audit of
North Lanarkshire Integration Joint Board (the IJB). The main elements of our
work include:
• an audit of the 2021/22 annual accounts to support our opinions on the financial
statements  
• work to support our opinions on the other statutory information published within
the annual accounts including the Management Commentary, the Governance
Statement, and the Remuneration Report 
• consideration of the arrangements in relation to the four audit dimensions that
frame the wider scope of public sector audit: financial management, financial
sustainability, governance and transparency and value for money 
• consideration of the Best Value arrangements
• review the IJB’s arrangements for preparing and publishing its Annual
Performance Report
Impact of Covid-19
2.  The coronavirus (Covid-19) pandemic has had a significant impact on public
services and public finances, and the effects will be felt well into the future. 
3.  The Auditor General for Scotland, the Accounts Commission and Audit
Scotland continue to assess the risks to public services and finances from Covid-
19 across the full range of our audit work, including annual audits and the
programme of performance audits. The well-being of audit teams and the delivery
of high-quality audits remain paramount. Changes in our approach may be
necessary during 2022 and where this impacts on annual audits, revisions to this
Annual Audit Plan may be required. 
Adding value
4.  We aim to add value to the IJB through our external audit work by being
constructive and forward looking, by identifying areas for improvement and by
recommending and encouraging good practice. In so doing, we will help the IJB
promote improved standards of governance, better management and decision
making and more effective use of resources. We also attend meetings of
Integration Joint Board and the Performance, Finance and Audit Committee and
actively participate in discussions where appropriate.

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Introduction | 4 
Respective responsibilities 
5.  The Code of Audit Practice (2016) sets out in detail the respective
responsibilities of the auditor and the IJB. Key responsibilities are summarised
below. 
Auditor responsibilities
6.  Our responsibilities as independent auditors are established by the Local
Government (Scotland) Act 1973 and the Code of Audit Practice (including
supplementary guidance) and guided by the Financial Reporting Council’s Ethical
Standard. 
7.  Auditors in the public sector give an independent opinion on the financial
statements and other information within the annual accounts. We also review and
report on the arrangements within the Joint Board to manage its performance
and use of resources. In doing this, we aim to support improvement and
accountability.
The Integration Joint Board and Chief Officer responsibilities
8.  The IJB is responsible for maintaining accounting records and preparing
annual accounts that give a true and fair view. 
9.  Also, the IJB has the primary responsibility for ensuring the proper financial
stewardship of public funds, compliance with relevant legislation and establishing
effective arrangements for governance and propriety that enable them to deliver
their objectives.
10.  The audit of the annual accounts does not relieve management or the Joint
Board of their responsibilities.
Managing the transition to 2022/23 audits
11.  Audit appointments are usually for five years but were extended to six years
due to Covid-19. 2021/22 is the final year of the current appointment and we will
work closely with our successors to ensure a well-managed transition.

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Annual accounts audit planning | 5 
Annual accounts audit planning 
Materiality
12.  Materiality is an expression of the relative significance of a matter in the
context of the annual accounts. We are required to plan our audit to determine
with reasonable confidence whether the annual accounts are free from material
misstatement. The assessment of what is material is a matter of professional
judgement over both the amount and the nature of the misstatement. 
Materiality values for the 2021/22 audit 
13.  The materiality values for the IJB are set out in exhibit 1. 
Exhibit 1
2021/22 materiality values for North Lanarkshire Integration Joint Board
Materiality Amount
Planning materiality – This is the figure we calculate to assess the overall impact of
audit adjustments on the financial statements. It has been set at 1% of gross
expenditure from the 2020/21 audited financial statements.
£6.5
million
Performance materiality – This acts as a trigger point. If the aggregate of errors
identified during the financial statements audit exceeds performance materiality, this
would indicate that further audit procedures should be considered. Using our
professional judgement, we have assessed performance materiality at 75% of
planning materiality.
£4.8
million 
Reporting threshold – We are required to report to those charged with governance
on all unadjusted misstatements more than the ‘reporting threshold' amount. 
£0.2
million
Source: Audit Scotland
Significant risk of material misstatement to the annual accounts
14.  Our risk assessment draws on our cumulative knowledge of the IJB, its major
transaction streams, key systems of internal control and risk management
processes. It is also informed by our discussions with management, meetings
with internal audit, attendance at committees and a review of other relevant
information. 
15.  Based on our risk assessment process, we identified the following significant
risk of material misstatement to the annual accounts. This risk has the greatest
impact on our planned audit procedures. Exhibit 2 summarises the nature of the

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Annual accounts audit planning | 6 
risk, the sources of assurance from management arrangements and the further
audit procedures we plan to perform to gain assurance over the risk.
Exhibit 2 
2021/22 significant risk of material misstatement to the annual accounts 
Significant risk of material
misstatement 
Sources of management
assurance  
Planned audit response
1. Risk of management
override of controls 
International Auditing
Standards require that audits
are planned to consider the
risk of fraud, which is
presumed to be a significant
risk in any audit. This includes
the risk of fraud due to the
management override of
controls.
Owing to the nature of this
risk, assurances from
management are not
applicable in this instance
• Agreement of balances
and transactions to
North Lanarkshire
Council and NHS
Lanarkshire financial
reports / ledger /
correspondence.
• Assurances will be
obtained from the
auditors of NHS
Lanarkshire and North
Lanarkshire Council
over the completeness,
accuracy and allocation
of income and
expenditure.
• Review of significant
adjustments at year-
end.
• Review of financial
monitoring reports
during the year.
Source: Audit Scotland
Consideration of the risks of fraud in the recognition of income
and expenditure 
16.  As set out in International Standard on Auditing (UK) 240: The auditor’s
responsibilities relating to fraud in an audit of financial statement, there is a
presumed risk of fraud over the recognition of income. There is a risk that income
may be misstated resulting in a material misstatement in the annual accounts.
The Joint Board is wholly funded by NHS Lanarkshire and North Lanarkshire
Council. We assess that the risk of material misstatement arising from fraud over
income is limited. This limitation is to such an extent that we have excluded the
risk of fraud over income from our significant audit risks.

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Annual accounts audit planning | 7 
17.  In line with Practice Note 10: Audit of financial statements and regularity of
public sector bodies in the United Kingdom, as most public-sector bodies are net
expenditure bodies, the risk of fraud is more likely to occur in expenditure. We
have rebutted the risk of material misstatement caused by fraud in expenditure in
2021/22 as we do not consider this to be a significant risk for the Joint Board.
This is on the basis that all transactions are processed by the partner bodies
rather than the Joint Board directly and that all expenditure is undertaken by the
partners who are public sector bodies. 
18.  We have not, therefore, incorporated specific work into our audit plan in
these areas over and above our standard audit procedures. Our audit testing will
maintain an oversight of any unusual transactions or accounting entries. 
Audit risk assessment process
19.  Audit risk assessment is an iterative and dynamic process. Our assessment
of risks set out in this plan may change as more information and evidence
becomes available during the progress of the audit. Where such changes occur,
we will advise management and where relevant, report them to those charged
with governance.

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Audit dimensions and Best Value | 8 
Audit dimensions and Best
Value 
Introduction
20.  The Code of Audit Practice sets out the four dimensions that frame the wider
scope of public sector audit. The Code of Audit Practice requires auditors to
consider the adequacy of the arrangements in place for the audit dimensions in
audited bodies.
Audit dimensions
21.  The four dimensions that frame our audit work are shown in exhibit 3.
Exhibit 3
Audit dimensions 
Source: Code of Audit Practice
22.  In summary, the four dimensions cover the following:  
• Financial management – financial management is concerned with financial
capacity, sound budgetary processes and whether the control environment
and internal controls are operating effectively. 
• Financial sustainability – as auditors, we consider the appropriateness of the
use of the going concern basis of accounting as part of the annual audit. We
will also comment on financial sustainability in the longer term. We define this
as medium term (two to five years) and longer term (longer than five years).

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Audit dimensions and Best Value | 9 
• Governance and transparency – governance and transparency is
concerned with the effectiveness of scrutiny and governance
arrangements, leadership, and decision-making and transparent reporting of
financial and performance information.
• Value for money – value for money refers to using resources effectively and
continually improving services.  
Best value
23.  Integration Joint Boards have a statutory duty to make arrangements to
secure best value. We will consider and report, where necessary, on these
arrangements.
Audit dimension risks
24.  No new audit dimension risks were identified for the IJB in 2021/22. Progress
on the audit dimension risks identified in the prior year will be followed-up with
management during the course of the 2021/22 audit.

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Reporting arrangements, timetable, and audit fee | 10 
Reporting arrangements,
timetable, and audit fee 
Reporting arrangements 
25.  Audit reporting is the visible output for the annual audit. All Annual Audit
Plans and the outputs, as detailed in exhibit 5, and any other outputs on matters
of public interest will be published on our website: www.audit-scotland.gov.uk. 
26.  Matters arising from our audit will be reported on a timely basis and will
include agreed action plans. Draft management reports will be issued to the
relevant officers to confirm factual accuracy. 
27.  We will provide an independent auditor’s report to the Joint Board and the
Accounts Commission setting out our opinions on the annual accounts. We will
provide the IJB and the Accounts Commission with an annual report on the audit
containing observations and recommendations on significant matters which have
arisen during the audit. 
28.  Exhibit 5 outlines the target dates for our audit outputs, and we aim to issue the
independent auditor’s report by the statutory deadline of 31 October 2022. We
acknowledge this will be challenging due to the ongoing pressures and uncertainties
caused by Covid-19. Integration Joint Board and Performance, Finance and Audit
Committee meeting dates for later in the 2022 year have yet to be confirmed.
Exhibit 5
2021/22 audit outputs
Audit Output Target date Committee Date
Annual Audit Plan 31 March 2022 22 June 2022
Independent Auditor's Report 31 October 2022 TBC
Annual Audit Report 31 October 2022 TBC
Source: Audit Scotland

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Reporting arrangements, timetable, and audit fee | 11 
Timetable
29.  To support an efficient audit, it is critical that the timetable for producing the
annual accounts for audit is achieved. We have included a proposed timetable for
the audit at exhibit 6 that has been discussed with management. 
30.  Covid-19 has had a considerable impact on the conduct and timeliness of the
audit. We recognise that it is in the best interests of public accountability to get
the reporting of audited accounts back to pre-pandemic timelines. To this end,
2021/22 is a transition year with the reporting deadline brought forward by three
and a half months relative to the prior year sign-off. We are identifying ways to
work more efficiently to expedite the 2021/22 audits whilst at the same time
maintaining high standards of quality. 
31.  We will continue to work in close partnership with management with clarity
over timescales and the requirement for high quality unaudited accounts and
supporting working papers. Progress will be discussed with management over
the course of the audit. 
Exhibit 6 
Proposed annual accounts timetable
Key stage  Provisional Date 
Consideration of the unaudited annual report and accounts by those
charged with governance
22 June 2022
Latest submission date for the receipt of the unaudited annual report and
accounts with complete working papers package.
22 June 2022
Latest date for final clearance meeting with the Chief Financial Officer 30 November
2022
Latest date Letter of Representation and proposed Independent Auditor’s
Report will be issued
30 November
2022
Latest date for agreement of audited and unsigned annual accounts 30 November
2022
Latest date Annual Audit Report will be issued to those charged with
governance
30 November
2022
Latest date Independent Auditor’s Report will be signed 30 November
2022
Source: Audit Scotland

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Reporting arrangements, timetable, and audit fee | 12 
Audit fee
32.  The agreed audit fee for the 2021/22 audit of the Joint Board is £27,960
(2020/21: £27,330). In determining the audit fee, we have taken account of the
risk exposure of the Joint Board, the planned management assurances in place
and the level of reliance we plan to take from the work of internal audit.
33.  Where our audit cannot proceed as planned through, for example, late
receipt of unaudited annual accounts, the absence of adequate supporting
working papers or being unable to take planned reliance from the work of internal
audit, a supplementary fee may be levied. An additional fee may also be required
in relation to any work or other significant exercises out with our planned audit
activity.

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Other matters | 13 
Other matters 
Internal audit
34.  International standards on Auditing (UK) 610: Considering the work of
internal audit requires us to:
• consider the activities of internal audit and their effect on external audit
procedures.
• obtain an understanding of internal audit activities to inform our planning and
develop an effective audit approach that avoids duplication of effort.
• perform a preliminary assessment of the internal audit function when there is
scope for relying on internal audit work which is relevant to our financial
statements' responsibilities; and
• evaluate and test the work of internal audit, where use is made of that work for
our financial statements responsibilities to confirm its adequacy for our
purposes.
35.  The IJBs internal audit function is provided jointly by the internal audit teams
of NHS Lanarkshire and North Lanarkshire Council. 
36.  From our initial review of the internal audit plan, we do not plan to place
formal reliance on internal audit’s work for our financial statements'
responsibilities. We may consider aspects of internal audit’s work in respect of
our wider audit dimension responsibilities
Independence and objectivity
37.  Auditors appointed by the Auditor General for Scotland or Accounts
Commission must comply with the Code of Audit Practice and relevant supporting
guidance. When auditing the annual accounts, auditors must also comply with
professional standards issued by the Financial Reporting Council and those of
the professional accountancy bodies. These standards impose stringent rules to
ensure the independence and objectivity of auditors. Audit Scotland has robust
arrangements in place to ensure compliance with these standards including an
annual ‘fit and proper’ declaration for all members of staff. The arrangements are
overseen by the Director of Audit Services, who serves as Audit Scotland’s Ethics
Partner.
38.  The engagement lead (i.e., appointed auditor) for the IJB is Brian Howarth,
Audit Director. Auditing and ethical standards require the appointed auditor to
communicate any relationships that may affect the independence and objectivity
of audit staff. We are not aware of any such relationships pertaining to the audit
of the IJB.

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Other matters | 14 
Quality control
39.  International Standard on Quality Control (UK) 1 (ISQC1) requires a system
of quality control to be established, as part of financial audit procedures, to
provide reasonable assurance that professional standards and regulatory and
legal requirements are being complied with and that the independent auditor’s
report or opinion is appropriate in the circumstances. 
40.  The foundation of our quality framework is our Audit Guide, which
incorporates the application of professional auditing, quality and ethical standards
and the Code of Audit Practice (and supporting guidance) issued by Audit
Scotland and approved by the Auditor General for Scotland. To ensure that we
achieve the required quality standards, Audit Scotland conducts peer reviews and
internal quality reviews. Additionally, the Institute of Chartered Accountants of
Scotland (ICAS) have been commissioned to carry out external quality reviews.
41.  As part of our commitment to quality and continuous improvement, Audit
Scotland will periodically seek your views on the quality of our service provision.
We welcome feedback at any time, and this may be directed to the engagement
lead.

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Other matters | 15  
North Lanarkshire Integration Joint Board 
Annual Audit Plan 2021/22
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