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Item 5 - External Auditor Annual Audit Report

North Lanarkshire Council · 30 November 2022
Back to Health and Social Care Integration Joint Board — 30 November 2022 and its agenda

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REPORT 
Item No: 5 
1. PURPOSE OF REPORT
1.1 This paper is coming to the Integration Joint Board (IJB):   
For approval For endorsement  For noting 
1.2        This report:-
(1) Outlines the outcome of the audit by the North Lanarkshire Integration Joint
Board’s External Auditor, Audit Scotland:
(2) Advises that the External Auditor has submitted an Annual Audit Report
setting out their key findings for the consideration of the members of the
Integration Joint Board (IJB); and
(3) Provides details of the proposed management response to the action points
detailed in the External Auditor’s Annual Audit Report. 
2. ROUTE TO THE PERFORMANCE, FINANCE AND AUDIT COMMITTEE
2.1 This paper has been: 
Prepared By;      
Chief Financial Officer
Reviewed By; 
Chief Officer 
3.          RECOMMENDATIONS
3.1       The IJB is asked to agree the following recommendations:
(1) Consider the External Auditor’s Annual Audit Report, attached at appendix 2,
in advance of the approval of the IJB Annual Accounts 2021/2022;
(2) Note that an unqualified audit certificate has been received in respect of the
North Lanarkshire IJB Annual Accounts 2021/2022; and
(3) Approve the management response to the action points which is
highlighted at pages 20 to 21 of the External Auditor’s Annual Audit
Report, attached at appendix 2. 
4. VARIATIONS TO DIRECTIONS 
5. BACKGROUND/SUMMARY OF KEY ISSUES
5.1 Following the publication of the Local Authority Accounts (Scotland) Regulations
2014, the members of the IJB must meet to consider whether to approve the
unsigned audited North Lanarkshire IJB Annual Accounts 2021/2022 for signature. 
The members therefore require to have regard to any report made or advice
provided by the External Auditor.
SUBJECT: External Auditor’s Annual Audit Report 2021/2022
TO: Integration Joint Board
Lead Officer for
Report:
Ross McGuffie, Chief Officer North HSCP
Author(s) of Report Amanda Kilburn, Chief Finance Officer North HSCP
DATE:  30th  November 2022
Yes  No  N/A 
                                          
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5.2 The IJB’s appointed External Auditor, Audit Scotland, is required to supply an audit
certificate outlining the findings of the audit process undertaken in relation to the
IJB Annual Accounts 2021/2022.  A letter setting out their responsibilities is
attached at appendix 1 together with a letter of representation from the Chief
Finance Officer (appendix 2).  The findings are detailed in the External Auditor’s
Annual Audit Report for the financial year 2021/2022 which is attached at
appendix 2.
6. CONCLUSIONS
6.1 The External Auditor’s Annual Audit Report on the IJB Annual Accounts extends
across several subjects, as follows:
 IJB Annual Accounts 2021/2022;
 Financial management and sustainability; and
 Governance, transparency, and best value.
6.2 The External Auditor has concluded that the financial statements of the North
Lanarkshire IJB for 2021/2022 give a true and fair view of the net expenditure for
the year and have therefore issued an unqualified independent report.
6.3 This report, attached at appendix 2 includes the key messages at page 3 and an
action plan on pages 20 to 21 which have been agreed by both the Chief Officer
and the Chief Finance Officer.
6.4 The External Auditor highlighted that there are no significant findings to report on
the North Lanarkshire IJB Annual Accounts 2021/2022 and no misstatements
were identified.  
6.5 The IJB Chief Finance Officer would like to acknowledge the support of the NLC
and NHSL finance teams throughout the year and particularly in respect of the
preparation of the IJB Annual Accounts.
7. IMPLICATIONS
7.1 NATIONAL OUTCOMES
This relates to all national outcomes.
7.2 ASSOCIATED MEASURE(S)
The IJB, the Performance, Finance and Audit Committee and both partners are
required to ensure effective governance arrangements are in place.
7.3 FINANCIAL
This paper has been reviewed by Finance:
Yes No N/A
7.4 RISK ASSESSMENT/RISK MANAGEMENT 
The main risk associated with the IJB Annual Accounts is a qualified audit report. 
The risk has been assessed as low due to the detailed preparation in relation to
the year-end process and technical training undertaken by key finance staff.  The
finance staff across the partners supported the achievement of key deadlines.
7.5 PEOPLE
None
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7.6 INEQUALITIES & FAIRER SCOTLAND DUTY
Equality and Diversity Impact Assessment Completed & Fairer Scotland Impact
Assessment Form Completed: 
Yes  No  N/A 
7.7  CARBON MANAGEMENT IMPLICATIONS  
Yes  No  N/A 
8. BACKGROUND PAPERS 
IJB 22nd June 2022 Unaudited IJB Annual Accounts 2021/2022  
9. APPENDICES 
External Auditor’s Letter to the IJB 2021/2022    Appendix 1 
External Auditor’s Annual Audit Report 2021/2022   Appendix 2   
...........................................
Chief Finance Officer 
Members seeking further information about any aspect of this report, please contact
Amanda Kilburn on telephone number 07816 126362. 
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102 West Port
Edinburgh  EH3 9DN 
T: 0131 625 1500
E: info@audit-scotland.gov.uk
www.audit-scotland.gov.uk 
North Lanarkshire Integration Joint Board 
Audit of 2021/22 annual report and accounts
30 November 2022
Independent auditor’s report
1. Our audit work on the 2021/22 annual accounts is now substantially complete. Subject to
receipt of a revised set of accounts for final review, we anticipate being able to issue
unqualified audit opinions in the independent auditor’s report on 30 November 2022 (the
proposed report is attached at Appendix A).
Annual audit report
2. Under International Standards on Auditing in the UK, we report specific matters arising
from the audit of the financial statements to those charged with governance of a body in
sufficient time to enable appropriate action. We present for the Integration Joint Board’s
consideration our draft annual report on the 2021/22 audit. The section headed “Significant
findings from the audit in accordance with ISA 260” sets out the issues identified in respect of
the annual report and accounts.
3. The report also sets out conclusions from our consideration of the four audit dimensions
that frame the wider scope of public audit as set out in the Code of Audit Practice.
4. This report will be issued in final form after the annual accounts have been certified.
Unadjusted misstatements
5. We also report to those charged with governance all unadjusted misstatements which we
have identified during our audit, other than those of a trivial nature and request that these
misstatements be corrected.
6. We have no unadjusted misstatements to be corrected.
Fraud, subsequent events and compliance with laws and regulations
7. In presenting this report to the Integration Joint Board we seek confirmation from those
charged with governance of any instances of any actual, suspected or alleged fraud; any
subsequent events that have occurred since the date of the financial statements; or material
non-compliance with laws and regulations affecting the entity that should be brought to our
attention.                                          
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Representations from the Section 95 Officer
8. As part of the completion of our audit, we are seeking written representations from the
Section 95 Officer on aspects of the annual accounts, including the judgements and
estimates made.
9. A draft letter of representation is attached at Appendix B. This should be signed and
returned to us by the Section 95 Officer with the signed annual accounts prior to the
independent auditor’s report being certified. 
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APPENDIX A: Proposed Independent Auditor’s Report
Independent auditor’s report to the members of North Lanarkshire Integration Joint Board
and the Accounts Commission 
Reporting on the audit of the financial statements
Opinion on financial statements
I certify that I have audited the financial statements in the annual accounts of
North Lanarkshire Integration Joint Board for the year ended 31 March 2022
under Part VII of the Local Government (Scotland) Act 1973. The financial
statements comprise the Comprehensive Income and Expenditure
Statement, Movement in Reserves Statement, Balance Sheet and notes to
the financial statements, including significant accounting policies. The
financial reporting framework that has been applied in their preparation is
applicable law and UK adopted international accounting standards, as
interpreted and adapted by the Code of Practice on Local Authority
Accounting in the United Kingdom 2021/22 (the 2021/22 Code).
In my opinion the accompanying financial statements:
• give a true and fair view in accordance with applicable law and the 2021/22 Code of the
state of affairs of the body as at 31 March 2022 and of its income and expenditure for the
year then ended;
• have been properly prepared in accordance with UK adopted international accounting
standards, as interpreted and adapted by the 2021/22 Code; and
• have been prepared in accordance with the requirements of the Local Government
(Scotland) Act 1973, The Local Authority Accounts (Scotland) Regulations 2014, and the
Local Government in Scotland Act 2003. 
Basis for opinion
I conducted my audit in accordance with applicable law and International
Standards on Auditing (UK) (ISAs (UK)), as required by the Code of Audit
Practice approved by the Accounts Commission for Scotland. My
responsibilities under those standards are further described in the auditor’s
responsibilities for the audit of the financial statements section of my report. I
was appointed by the Accounts Commission on 10 April 2017. The period of
total uninterrupted appointment is 6 years. I am independent of the body in
accordance with the ethical requirements that are relevant to my audit of the
financial statements in the UK including the Financial Reporting Council’s
Ethical Standard, and I have fulfilled my other ethical responsibilities in
accordance with these requirements. Non-audit services prohibited by the
Ethical Standard were not provided to the body. I believe that the audit
evidence I have obtained is sufficient and appropriate to provide a basis for
my opinion.
Conclusions relating to going concern basis of accounting
I have concluded that the use of the going concern basis of accounting in the
preparation of the financial statements is appropriate.                                          
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Based on the work I have performed, I have not identified any material
uncertainties relating to events or conditions that, individually or collectively,
may cast significant doubt on the body’s ability to continue to adopt the going
concern basis of accounting for a period of at least twelve months from when
the financial statements are authorised for issue.
These conclusions are not intended to, nor do they, provide assurance on the
body’s current or future financial sustainability. However, I report on the
body’s arrangements for financial sustainability in a separate Annual Audit
Report available from the Audit Scotland website.
Risks of material misstatement
I report in my Annual Audit Report the most significant assessed risks of
material misstatement that I identified and my judgements thereon.
Responsibilities of the Chief Financial Officer and the Integrated Joint Board for the
financial statements
As explained more fully in the Statement of Responsibilities, the Chief
Financial Officer is responsible for the preparation of financial statements that
give a true and fair view in accordance with the financial reporting framework,
and for such internal control as the Integrated Joint Board determines is
necessary to enable the preparation of financial statements that are free from
material misstatement, whether due to fraud or error.
In preparing the financial statements, the Chief Financial Officer is
responsible for assessing the body’s ability to continue as a going concern,
disclosing, as applicable, matters related to going concern and using the
going concern basis of accounting unless there is an intention to discontinue
the body’s operations.
The Integrated Joint Board is responsible for overseeing the financial
reporting process.
Auditor’s responsibilities for the audit of the financial statements
My objectives are to obtain reasonable assurance about whether the financial
statements as a whole are free from material misstatement, whether due to
fraud or error, and to issue an auditor’s report that includes my opinion.
Reasonable assurance is a high level of assurance, but is not a guarantee
that an audit conducted in accordance with ISAs (UK) will always detect a
material misstatement when it exists. Misstatements can arise from fraud or
error and are considered material if, individually or in the aggregate, they
could reasonably be expected to influence the decisions of users taken on
the basis of these financial statements.
Irregularities, including fraud, are instances of non-compliance with laws and
regulations. I design procedures in line with my responsibilities outlined
above to detect material misstatements in respect of irregularities, including
fraud. Procedures include:
• obtaining an understanding of the applicable legal and regulatory framework and how the
body is complying with that framework;
• identifying which laws and regulations are significant in the context of the body;
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• assessing the susceptibility of the financial statements to material misstatement,
including how fraud might occur; and
• considering whether the audit team collectively has the appropriate competence and
capabilities to identify or recognise non-compliance with laws and regulations. 
The extent to which my procedures are capable of detecting irregularities,
including fraud, is affected by the inherent difficulty in detecting irregularities,
the effectiveness of the body’s controls, and the nature, timing and extent of
the audit procedures performed.
Irregularities that result from fraud are inherently more difficult to detect than
irregularities that result from error as fraud may involve collusion, intentional
omissions, misrepresentations, or the override of internal control. The
capability of the audit to detect fraud and other irregularities depends on
factors such as the skilfulness of the perpetrator, the frequency and extent of
manipulation, the degree of collusion involved, the relative size of individual
amounts manipulated, and the seniority of those individuals involved.
A further description of the auditor’s responsibilities for the audit of the
financial statements is located on the Financial Reporting Council's website
www.frc.org.uk/auditorsresponsibilities. This description forms part of my
auditor’s report.
Reporting on other requirements
Opinion prescribed by the Accounts Commission on the audited part of the
Remuneration Report
I have audited the part of the Remuneration Report described as audited. In
my opinion, the audited part of the Remuneration Report has been properly
prepared in accordance with The Local Authority Accounts (Scotland)
Regulations 2014.
Other information 
The Chief Financial Officer is responsible for other information in the annual
accounts. The other information comprises the Management Commentary,
Annual Governance Statement, Statement of Responsibilities and the
unaudited part of the Remuneration Report. 
My responsibility is to read all the other information and, in doing so, consider
whether the other information is materially inconsistent with the financial
statements or my knowledge obtained in the course of the audit or otherwise
appears to be materially misstated. If I identify such material inconsistencies
or apparent material misstatements, I am required to determine whether this
gives rise to a material misstatement in the financial statements themselves.
If, based on the work I have performed, I conclude that there is a material
misstatement of this other information, I am required to report that fact. I have
nothing to report in this regard.
My opinion on the financial statements does not cover the other information
and I do not express any form of assurance conclusion thereon except on the
Management Commentary and Annual Governance Statement to the extent                                          
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explicitly stated in the following opinions prescribed by the Accounts
Commission.
Opinions prescribed by the Accounts Commission on the Management Commentary
and Annual Governance Statement
In my opinion, based on the work undertaken in the course of the audit:
• the information given in the Management Commentary for the financial year for which the
financial statements are prepared is consistent with the financial statements and that
report has been prepared in accordance with statutory guidance issued under the Local
Government in Scotland Act 2003; and
• the information given in the Annual Governance Statement for the financial year for
which the financial statements are prepared is consistent with the financial statements
and that report has been prepared in accordance with the Delivering Good Governance
in Local Government: Framework (2016). 
Matters on which I am required to report by exception
I am required by the Accounts Commission to report to you if, in my opinion:
• adequate accounting records have not been kept; or
• the financial statements and the audited part of the Remuneration Report are not in
agreement with the accounting records; or
• I have not received all the information and explanations I require for my audit; 
• there has been a failure to achieve a prescribed financial objective.
I have nothing to report in respect of these matters.
Conclusions on wider scope responsibilities
In addition to my responsibilities for the annual accounts, my conclusions on
the wider scope responsibilities specified in the Code of Audit Practice,
including those in respect of Best Value, are set out in my Annual Audit
Report.
Use of my report
This report is made solely to the parties to whom it is addressed in
accordance with Part VII of the Local Government (Scotland) Act 1973 and
for no other purpose. In accordance with paragraph 120 of the Code of Audit
Practice, I do not undertake to have responsibilities to members or officers, in
their individual capacities, or to third parties. 
Brian Howarth ACMA CGMA
Audit Scotland
8 Nelson Mandela Place
Glasgow
G2 1BT 
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APPENDIX B Letter of Representation (ISA 580)
Brian Howarth
Audit Scotland
8 Nelson Mandela Place
Glasgow
G2 1BT 
Dear Mr Howarth
North Lanarkshire IJB
Annual report and accounts 2021/22
1. This representation letter is provided about your audit of the annual accounts of North
Lanarkshire IJB for the year ended 31 March 2022 for the purpose of expressing an opinion
as to whether the financial statements give a true and fair view in accordance with the
financial reporting framework, and for expressing other opinions on the remuneration report,
management commentary and annual governance statement.
2. I confirm to the best of my knowledge and belief and having made appropriate enquiries
the following representations given to you in connection with your audit of North Lanarkshire
IJB’s annual accounts for the year ended 31 March 2022.
General
3. North Lanarkshire IJB and I have fulfilled our statutory responsibilities for the preparation
of the 2021/22 annual accounts. All the accounting records, documentation and other matters
which I am aware are relevant to the preparation of the annual accounts have been made
available to you for the purposes of your audit. All transactions undertaken by North
Lanarkshire IJB have been recorded in the accounting records and are properly reflected in
the financial statements.
4. I confirm that I am not aware of any uncorrected misstatements.
Financial Reporting Framework
5. The annual accounts have been prepared in accordance with the Code of Practice on
Local Authority Accounting in the United Kingdom 2021/22 (2021/22 accounting code), and in
accordance with the requirements of the Local Government (Scotland) Act 1973, the Local
Government in Scotland Act 2003 and The Local Authority Accounts (Scotland) Regulations
2014.
6. In accordance with the 2014 regulations, I have ensured that the financial statements give
a true and fair view of the financial position of the North Lanarkshire IJB at 31 March 2022
and the transactions for 2021/22.
Accounting Policies & Estimates
7. All significant accounting policies applied are as shown in the notes to the financial
statements. The accounting policies are determined by the 2021/22 accounting code where
applicable. Where the code does not specifically apply, I have used judgement in developing
and applying an accounting policy that results in information that is relevant and reliable. All                                          
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accounting policies applied are appropriate to North Lanarkshire IJB’s circumstances and
have been consistently applied.
8. The significant assumptions used in making accounting estimates are reasonable and
properly reflected in the financial statements. Judgements used in making estimates have
been based on the latest available, reliable information. Estimates have been revised where
there are changes in the circumstances on which the original estimate was based or as a
result of new information or experience.
Going Concern Basis of Accounting
9. I have assessed North Lanarkshire IJB’s ability to continue to use the going concern basis
of accounting and have concluded that it is appropriate. I am not aware of any material
uncertainties that may cast significant doubt on North Lanarkshire IJB’s ability to continue as
a going concern.
Fraud
10. I have provided you with all information in relation to:
• my assessment of the risk that the financial statements may be materially misstated as a
result of fraud
• any allegations of fraud or suspected fraud affecting the financial statements
• fraud or suspected fraud that I am aware of involving management, employees who
have a significant role in internal control, or others that could have a material effect on
the financial statements.
Laws and Regulations
11. I have disclosed to you all known instances of non-compliance or suspected non-
compliance with laws and regulations whose effects should be considered when preparing
financial statements.
Related Party Transactions
12. All material transactions with related parties have been appropriately accounted for and
disclosed in the financial statements in accordance with the 2021/22 accounting code. I have
made available to you the identity of all the North Lanarkshire IJB’s related parties and all the
related party relationships and transactions of which I am aware.
Remuneration Report
13. The Remuneration Report has been prepared in accordance with the Local Authority
Accounts (Scotland) Amendment Regulations 2014, and all required information of which I
am aware has been provided to you.
Management commentary
14. I confirm that the Management Commentary has been prepared in accordance with the
statutory guidance and the information is consistent with the financial statements.
Corporate Governance
15. I confirm that the North Lanarkshire IJB has undertaken a review of the system of internal
control during 2021/22 to establish the extent to which it complies with proper practices set
out in the Delivering Good Governance in Local Government: Framework 2016. I have                                          
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disclosed to you all deficiencies in internal control identified from this review or of which I am
otherwise aware.
16. I confirm that the Annual Governance Statement has been prepared in accordance with
the Delivering Good Governance in Local Government: Framework 2016 and the information
is consistent with the financial statements. There have been no changes in the corporate
governance arrangements or issues identified, since 31 March 2022, which require to be
reflected.
Events Subsequent to the Date of the Balance Sheet
17. All events subsequent to 31 March 2022 for which the 2021/22 accounting code requires
adjustment or disclosure have been adjusted or disclosed. 
Yours sincerely, 
Amanda Kilburn
Chief Financial Officer                                          
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Prepared for North Lanarkshire Integration Joint Board and the Controller of Audit
November 2022
North Lanarkshire
Integration Joint
Board
2021/22 Annual Audit Report DRAFT
Appendix 2
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North Lanarkshire Integration Joint Board 2021/22 Annual Audit Report DRAFT | 2
Contents 
Key messages 3
Introduction 4
1. Audit of 2021/22 annual accounts 6
2. Financial management and sustainability 10
3. Governance, transparency and Best Value 17
Appendix 1. Action plan 2021/22 20
Appendix 2. National performance reports and briefings 23                                          
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Key messages | 3 
Key messages 
2021/22 annual accounts 
1 Our audit opinions on the annual accounts of the North Lanarkshire
Integration Joint Board are unmodified and there were no significant issues.
Financial management and sustainability 
2 The IJB returned an underspend of £66 million in 2021/22. There were
significant underspends in health and social care services due to staff
vacancies.
3 £32 million of Covid-19 funding in 2021/22 remains unspent and total
reserves are £119 million.
4 The medium to long term financial plan has not been updated to reflect the
expected impact of Covid-19.
Governance, Transparency and Best Value
5 Finance capacity is being increased with the appointment of a new Chief
Financial Officer for the IJB. 
6 Performance has been affected by Covid-19, but the IJB has identified the
steps required to address this.                                          
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Introduction | 4 
Introduction 
1.  This report summarises the findings arising from the 2021/22 audit of North
Lanarkshire Integration Joint Board (the IJB). 
2.  The scope of the audit was set out in our 2021/22 Annual Audit Plan which
was presented to the Board on 22 June 2022.
3.  This report comprises the findings from the audit of the North Lanarkshire
IJB’s annual accounts; consideration of the four audit dimensions that frame the
wider scope of public audit set out in the Code of Audit Practice 2016; and a
review of the arrangements put in place by the IJB to secure Best Value.
4.  The global coronavirus pandemic has had a continued impact on the IJB
during 2021/22. We did not identify any significant audit risks for 2021/22.
Adding value through the audit
5.  We add value to the IJB, through the audit by:
• identifying and providing insight on significant risks, and making clear
and relevant recommendations 
• sharing intelligence and good practice through our national reports
(Appendix 2) and good practice guides 
• providing clear and focused conclusions on the appropriateness,
effectiveness and impact of corporate governance, performance
management arrangements and financial sustainability.
Responsibilities and reporting
6.  The IJB has primary responsibility for ensuring the proper financial
stewardship of public funds. This includes preparing annual accounts that are in
accordance with proper accounting practices. The IJB is also responsible for
compliance with legislation and for putting arrangements in place for
governance and propriety that enable it to successfully deliver its objectives.
7.  Our responsibilities as independent auditor appointed by the Accounts
Commission are established by the Local Government in Scotland Act 1973, the
Code of Audit Practice 2016 and supplementary guidance, and International
Standards on Auditing in the UK.
8.  As public sector auditors we give independent opinions on the annual
accounts. Additionally, we conclude on:
• the effectiveness of the IJB’s performance management arrangements, 
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Introduction | 5 
• the suitability and effectiveness of corporate governance arrangements, 
• the financial position and arrangements for securing financial
sustainability, and
• Best Value arrangements. 
9.   Further details of the respective responsibilities of management and the
auditor can be found in the Code of Audit Practice 2016. and supplementary
guidance.
10.  This report raises matters from our audit. Weaknesses or risks identified are
only those which have come to our attention during our normal audit work and
may not be all that exist. Communicating these does not absolve management
from its responsibility to address the issues we raise and to maintain adequate
systems of control.
11.  Our annual audit report contains an agreed action plan at Appendix 1
setting out specific recommendations, responsible officers and dates for
implementation. It also includes outstanding actions from last year and progress
against these.
Auditor Independence 
12.  Auditors appointed by the Accounts Commission or Auditor General must
comply with the Code of Audit Practice and relevant supporting guidance. When
auditing the financial statements auditors must comply with professional
standards issued by the Financial Reporting Council and those of the
professional accountancy bodies. 
13.  We can confirm that we comply with the Financial Reporting Council’s
Ethical Standard. We can also confirm that we have not undertaken any non-
audit related services and therefore the 2021/22 audit fee of £27,960 as set out
in our 2021/22 Annual Audit Plan remains unchanged. We are not aware of any
relationships that could compromise our objectivity and independence.
14.  This report is addressed to both the IJB and the Controller of Audit and will
be published on Audit Scotland's website www.audit-scotland.gov.uk.
Audit appointment from 2022/23
15.  The Accounts Commission is responsible for the appointment of external
auditors to local government bodies. External auditors are usually appointed for
a five-year term either from Audit Scotland’s Audit Services Group or a private
firm of accountants. The current appointment round was due to end in 2020/21
but this was extended for a year. The procurement process for the new round of
audit appointments was completed in May 2022. From financial year 2022/23,
Audit Scotland will continue to be the appointed auditor for North Lanarkshire
Integration Joint Board, although the team undertaking the audit will change.
16.  We would like to thank members and staff, particularly those in finance for
their co-operation and assistance over the last six years.                                          
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1. Audit of 2021/22 annual accounts | 6 
1. Audit of 2021/22 annual
accounts
The principal means of accounting for the stewardship of resources and
performance 
Main judgements
Our audit opinions on the annual accounts of the North Lanarkshire Integration
Joint Board are unmodified and there were no significant issues. 
Our audit opinions on the annual accounts are unmodified
17.  The IJB’s annual accounts for the year ended 31 March 2022 were
approved by the Performance, Finance and Audit Committee on 30 November
2022. As reported in the independent auditor’s report:
• the financial statements give a true and fair view and were properly
prepared in accordance with the financial reporting framework 
• the audited part of the Remuneration Report, Management
Commentary and the Annual Governance Statement were all consistent
with the financial statements and properly prepared in accordance with
the relevant regulations and guidance.
The annual accounts were submitted for audit by the statutory
date
18.  The unaudited annual accounts were received in line with our agreed audit
timetable on 30 June 2022. 
19.  The working papers provided with the unaudited accounts were of a good
standard and finance staff provided support to the audit team during the audit. 
There were no objections raised to the annual accounts 
20.  The Local Authority Accounts (Scotland) Regulations 2014 require local
government bodies to publish a public notice on its website that includes details
of the period for inspecting and objecting to the accounts. This must remain on
the website throughout the inspection period. There were no objections to the
2021/22 annual accounts.                                          
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1. Audit of 2021/22 annual accounts | 7 
21.  The notice of inspection did not state the objection end date (which is one
working day after the inspection period). The notice was posted on the North
Lanarkshire Council’s website and not the IJB website. 
Recommendation 1
The notice of inspection should state the objection end date and the advert should
be posted on the IJB website as well as the North Lanarkshire Council website. 
Overall materiality is £6.5 million
22.  We apply the concept of materiality in both planning and performing the
audit and in evaluating the effect of identified misstatements on the audit and of
uncorrected misstatements, if any, on the financial statements and in forming
the opinion in the auditor’s report. We identify a benchmark on which to base
overall materiality, such as gross expenditure, and apply what we judge to be
the most appropriate percentage level for calculating materiality values. We also
determine a lower performance materiality threshold.
23.   The determination of materiality is based on professional judgement and is
informed by our understanding of the entity and what users are likely to be most
concerned about in the annual accounts. In assessing performance materiality,
we have considered factors such as our findings from previous audits, any
changes in business processes and the entity’s control environment including
fraud risks. 
24.  Our initial assessment of materiality for the annual accounts was carried out
during the planning phase of the audit. This was reviewed on receipt of the
unaudited annual accounts and remains unchanged. This is summarised in
Exhibit 1. 
Exhibit 1
Materiality values 
Materiality level Amount
Overall materiality  £6.5 million
Performance materiality £4.8 million
Reporting threshold £200 thousand
Source: Audit Scotland                                          
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1. Audit of 2021/22 annual accounts | 8 
We have no significant findings to report on the audited annual
accounts 
25.  International Standard on Auditing (UK) 260 requires us to communicate
significant findings from the audit to those charged with governance, including
our view about the qualitative aspects of the body’s accounting practices. We
have no issues to report from the audit. 
We have obtained assurance over the significant risks
identified in our Annual Audit Plan
26.  Exhibit 2 sets out the significant risks of material misstatement to the
financial statements we identified in our 2021/22 Annual Audit Plan. It
summarises the further audit procedures we performed during the year to obtain
assurances over these risks and the conclusions from the work completed. 
Exhibit 2
Significant risks of material misstatement in the financial statements
Audit risk Assurance procedure Results and conclusions
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. 
• 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.
Results & Significant
Judgements: We obtained
relevant assurances from the
auditors of North Lanarkshire
Council and NHS
Lanarkshire. 
We identified the process for
preparing the accounts based
on financial reports from the
partner organisations
We undertook detailed testing
of year-end adjustments. 
We reviewed financial reports
prepared during 2021/22
Conclusion: We did not
identify any incidents of
management override of
controls.
There were no identified misstatements in the audited annual
accounts
27.  It is our responsibility to request that all misstatements, other than those
below the reporting threshold, are corrected. However, the final decision on
making the correction lies with those charged with governance considering                                          
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1. Audit of 2021/22 annual accounts | 9 
advice from senior officers and materiality. There were no misstatements
identified that exceeded our reporting threshold.
Limited progress was made on prior year recommendations 
28.  The IJB has made limited progress in implementing our prior year audit
recommendations. Only two of the four prior year recommendations have been
complete. For actions not yet implemented, revised responses and timescales
have been agreed with management, and are set out in Appendix 1.                                          
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2. Financial management and sustainability | 10 
2. Financial management and
sustainability
Financial management is about financial capacity, sound budgetary
processes and whether the control environment and internal controls
are operating effectively. 
Financial sustainability looks forward to the medium and long term to
consider whether the council is planning effectively to continue to
deliver its services or the way in which they should be delivered.
Main judgements
The IJB returned an underspend of £66 million in 2021/22. There were significant
underspends in health and social care services due to staff vacancies. 
£32 million of Covid-19 funding in 2021/22 remains unspent and total reserves are
£119 million. 
The medium to long term financial plan has not been updated to reflect the
expected impact of Covid-19.
The 2021/22 budgeted gap of £2.5 million was to be met by
planned savings and from reserves 
29.  The IJB approved its 2021/22 budget on 23 March 2021. The budget had a
funding gap of £2.5 million. Plans to address the gap included savings of £1.7
million and a transfer of £0.8 million from reserves.
30.  All funding and expenditure for the IJB is incurred by partner bodies (North
Lanarkshire Council and NHS Lanarkshire) and processed in their accounting
records. North Lanarkshire Council progressed the previously agreed savings
plans for year 2 of the 3-year Efficiency Programme, approved in March 2020,
which aimed to meet £1.5 million out of the total £1.7 million planned savings. In
NHS Lanarkshire, part of the funding gap was due to the net increase in
prescribing costs of £0.3 million. This was addressed by a Prescribing Quality
and Efficiency Programme target totalling £1.6 million.
The IJB underspent by £66 million in 2021/22
31.  The Covid-19 pandemic had a significant impact on the IJB’s 2021/22
budget. Costs remained uncertain throughout the year, and it was not clear                                          
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2. Financial management and sustainability | 11 
whether Covid-19 costs and undelivered savings would be fully funded going
forward.
32.  The IJB returned a total underspend of £74 million which reflects an
underspend on services of £66 million and an £8 million draw down on the IJB
reserves (Exhibit 3). The outturn was a result of significant year-end additional
allocations from the Scottish Government, including Covid-19 funding and
because of underspends, caused by ongoing vacancies across many services.
Exhibit 3
Performance against budget 
IJB budget summary Budget
£m
Actual
£m
Variance
£m
Gross Core Expenditure 751.7 685.2 66.5
Total Income (751.7) (759.9) 8.2
In-year expenditure met from Reserves 0 8.3 8.3
Surplus of Income over Expenditure 0.0 (66.4) 66.4
Source: North Lanarkshire IJB Annual Accounts 2021/22
There were significant underspends in health services due to
vacancies
33.  The most significant variances within the NHS Lanarkshire underspend are
within Hosted Services of £16.6 million which includes underspends of £10.3
million in Mental Health & Learning Disability Services and £5.3 million in
Children and Adolescents Mental Health Services. Both underspends were
mainly due to vacancies in nursing, psychology and administration posts.
34.  There was also an underspend in Locality and Other services of £4.5
million. This is mainly due to vacancies across Nursing Services and
Administration and Clerical staff within the localities totalling 66.06 WTE. There
were incremental pay increases and unfunded enhancements across many
services however these cost pressures were offset in-year by the vacancies.
35.  There were also underspends in Addiction Services of £2.3 million,
Prescribing of £1.5 million and Primary Care and Mental Health Transformation
Fund and the Primary Care Improvement Fund of £9.8 million.
There were significant underspends in social care services due
to additional funding and vacancies
36.  From the North Lanarkshire Council underspend, £6.4 million is in relation
to the Scottish Government Funding for winter planning and £0.8 million from                                          
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2. Financial management and sustainability | 12 
carers budgets. These will both be carried forward to ring-fenced reserves to be
incurred in 2022/23. There was also an £8 million underspend within the care at
home sector predominantly relating to staff shortages.
£32 million of Covid-19 funding in 2021/22 remains unspent
37.  Covid-19 funding totalling £45 million was received from the Scottish
Government in 2021/22 of which £13.4 million was incurred in 2021/2022 and
£31.7 million will be transferred to a ring-fenced reserve to meet ongoing Covid-
19 costs in 2022/2023.
38.  The Scottish Government provided the following additional allocations
which were unspent at the year-end and have been added to IJB reserves for
use in future years:
• Adult & Drug Partnership (ADP): £1.931 million
• Child and Adolescent Mental Health Services (CAMHS): £9.109 million
• Multi-Disciplinary teams: £1.160 million
• Additional healthcare support workers: £0.634 million
• Mental Health Action 15: £3.016 million
• Distress brief Interventions: £1.444 million
• Mental Health Recovery – Facilities: £1.840 million
The budget monitoring arrangements are appropriate and clear
information was provided to IJB Board members 
39.   Detailed budget monitoring reports were submitted to the IJB Board and
the Performance, Finance and Audit Committee. The outturn to date and
projected year-end outturn position were clearly stated in these reports while
the actual year-end outturn position was in line with expectations.
40.  The content of the budget monitoring reports was updated to reflect the
financial impact of Covid-19 and an additional section was included that
highlighted additional income received and expenditure incurred because of
Covid-19. This ensured the IJB were aware of how Covid-19 impacted on the
overall financial position and outturn.
41.  We observed that senior management and members receive accurate
financial information on the IJB’s financial position. However, the first quarterly
financial monitoring report was not presented to the Performance, Finance &
Audit Committee until 5 months into the 2021/22 financial year on 24 August
2021. A prior-year audit recommendation regarding the timeliness of budgetary
information being presented to members is included in Appendix 1. 
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2. Financial management and sustainability | 13 
The medium to long term financial plan has not been updated
to reflect the expected impact of Covid-19
42.  Financial sustainability looks forward to the medium and longer term to
consider whether the body is planning effectively to continue to deliver its
services or the way in which they should be delivered.
43.  The IJB has a medium to long term financial plan in place spanning the
period 2020/21 to 2029/30 which is aligned to the Strategic Commissioning
Plan. However, the financial plan has not been updated since it was initially
presented to the Board on 24 March 2020, and specifically has not been
updated to reflect the impact of Covid-19. Financial planning has focussed
primarily on the annual budget setting exercise.
44.  Reports are presented to the Board as national funding allocations are
announced. The medium to long term financial plan is to be updated to reflect
these financial assumptions.
45.  This was a recommendation that was included in our 2020/21 Annual Audit
Report and has been carried-forward in Appendix 1.
Total reserves are £119 million, with the majority of this either
earmarked or ring-fenced for specific purposes
46.  With the £66 million surplus achieved in 2021/22, the balance on the
General Fund was £119 million at 31 March 2022. The IJB’s reserves position
for 2021/22 is summarised at Exhibit 4.
Exhibit 4
Composition of IJB reserves as at 31 March 2022 
38%
59%
3%
Ring Fenced Reserves (£45.718m)
Earmarked Reserves (£70.050m)
Contingency Reserves (£3.684m)
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2. Financial management and sustainability | 14 
Source: 2021/22 North Lanarkshire IJB Annual Accounts
47.  Ring-fenced reserves are those where funding has been provided by the
Scottish Government for specific purposes, such as funding to address Covid-
19 costs. Earmarked reserves are those where the IJB has approved the use of
reserve balances for specific purposes.
48.  The substantial increase in 2021/22 is primarily due to an underspend with
Covid-19 funding received at the year-end by the Scottish Government, to be
spent in future years. The non-recurring nature of these funds, and the
reserves, presents a significant challenge to IJBs. Exhibit 5 below sets out the
reserve balances of the IJB between 2016/17 to 2021/22.
Exhibit 5
Reserves 2016/17 to 2021/22 
2016/17
£m
2017/18
£m
2018/19
£m
2019/20 
£m
2020/21
£m
2021/22 
£m
Ring-Fenced
Reserves
0.000 0.000 2.4 2.3 20.7 45.7
Earmarked
Reserves
3.2 13.8 13.5 10.4 28.7 70
Contingency
Reserves
4.3 4.4 0.1 3.7 3.7 3.7
Total Reserves 7.5 18.2 16 16.4 53.1 119.4
Source: North Lanarkshire Integration Joint Board 2016/17 to 2021/22 Annual Accounts
49.  The IJB Reserves Strategy for 2022/23 is still to be finalised and presented
to Committee.
Recommendation 2
The IJB should develop a reserves strategy for 2022/23 which sets out how and
when reserves will be spent.
95 per cent of planned savings were achieved, however savings
targets in 2022/23 have increased
50.  The IJB is required to make efficiency savings to maintain financial balance.
The total savings target in 2021/22 was £2.7 million. The IJB achieved £2.6
million (95%) of planned savings. It is important to note that some of the funding                                          
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2. Financial management and sustainability | 15 
solutions in 2021/22 were non-recurring and therefore some cost pressures are
expected to recur in 2022/23. 
51.  The 2022/23 Financial Plan was approved on 23 March 2022. Including the
cost of the approved North Lanarkshire Winter Planning and Enhanced
Supports Business Case, costs are projected to increase by a total of £56.9
million in 2022/23 and funding is projected to increase by £51.4 million. The
2022/23 funding gap of £5.5 million is to be addressed by budget realignments
(£3.3 million), a projected recurring prescribing budget underspend (£1.5
million), prescribing efficiency savings (£0.4 million) and reliance on reserves
(£0.4 million).
There remain significant workforce pressures within both
partner organisations
52.  There are significant workforce pressures in the NHS and social care
systems. In its February 2022 NHS in Scotland 2021 report, Audit Scotland
noted the risk of workforce issues in the NHS. This included concerns about
staff wellbeing, sustainability because of retirals, recruitment challenges, and
the need to ensure the appropriate skills mix. In social care, Audit Scotland’s
2022 Social Care briefing highlighted that the social care workforce has high
vacancy rates, with many services facing recruitment problems. Together with
the increasing demand for social care, this presents a risk to the capacity and
quality of social care services. The national workforce issues are replicated
within both partner organisations of the North Lanarkshire IJB. These issues
have the potential to impact on the IJB’s performance.
53.  The IJB’s management team are already planning to undertake a review of
workforce planning, as this has been a recurring theme in the risk register,
particularly the availability of the workforce in certain areas. 
Challenges faced by the IJB need to be addressed regardless
of medium-term proposals for a new National Care Service
54.  Following the publication of the Independent Review of Adult Social Care in
February 2021, work is currently under way nationally to develop and implement
a new National Care Service (NCS). The Scottish Government expects the new
NCS to be operational by 2026. 
55.  In its January 2022 Social Care briefing, Audit Scotland noted stakeholders
concerns about the extent of the proposals for reform and the time it will take to
implement them. Many of the current issues experienced by the social care
sector, for example the workforce pressures, cannot wait for the Scottish
Government to implement a new NCS. In its formal response to the national
consultation on the new NCS proposals, the IJB highlighted similar points to
those identified in the Audit Scotland national report. Whilst supportive of the
opportunity to discuss improvements to users experience of social care
services, the IJB emphasised the importance of ongoing discussions on the
short, medium, and long-term challenges relating to funding, staffing, and
service redesign.                                          
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2. Financial management and sustainability | 16 
Financial systems of internal control operated effectively
56.  The IJB does not have its own financial systems and instead relies on
partner bodies’ financial systems. All financial transactions are therefore
processed under the partner bodies’ internal controls.
57.  As part of our audit approach, we sought assurances from the external
auditor of NHS Lanarkshire and North Lanarkshire Council and confirmed there
were no significant weaknesses in the systems of internal controls for either the
health board or the council.
58.  As auditors, we need to consider whether audited bodies have established
adequate financial management arrangements. While the Joint Board has
comprehensive financial regulations in place, these have not been reviewed
since approval on 8 March 2016. They require to be updated to reflect the
budget disaggregation of Children, Families and Justice Services and to also
note the arrangements for the management of financial resources for hosted
services. The IJB should ensure all governance documents are reviewed
periodically to ensure they remain up-to-date and fit for purpose.
Recommendation 3
The financial regulations were approved on 8 March 2016. These should be
updated to reflect the budget disaggregation of Children, Families and Justice
Services and to note the arrangements for the management of financial resources
for hosted services. 
Standards of conduct and arrangements for the prevention and
detection of fraud and error were appropriate
59.   The IJB does not maintain its own policies relating to the prevention and
detection of fraud and error but instead depends on those in place at its partner
bodies. We reviewed the arrangements in place at North Lanarkshire Council
and NHS Lanarkshire and found them to be adequate. The IJB has a Code of
Conduct in place and members are required to complete a Register of Interest
on an annual basis. We are not aware of any specific issues we require to bring
to your attention.                                          
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3. Governance, transparency and Best Value | 17 
3. Governance, transparency
and Best Value
The effectiveness of scrutiny and oversight and transparent reporting of
information 
Main Judgements
Finance capacity is being increased with the appointment of a new Chief Financial
Officer for the IJB. 
Performance has been affected by Covid-19, but the IJB has identified the steps
required to address this.
Governance arrangements are appropriate and operate
effectively
60.  Our observations at committee meetings throughout the year has found that
these are conducted in a professional manner and there is a good degree of
scrutiny and challenge by members. We consider that governance
arrangements are appropriate and support effective scrutiny, challenge and
decision making.
61.  Our audit work in 2020/21 identified areas of the IJB website which are out
of date and have not been revisited following changes to the partnership’s
structure and operations. Children, families and justice social work services
were transferred to the council in 2020/21 but are still identified as a devolved
service to the IJB on the website. The website was not updated and therefore
this remains as a recommendation brought forward form last year in Appendix
1.
Finance capacity is being increased with the appointment of a
new Chief Financial Officer for the IJB 
62.  At its meeting in December 2021, the IJB approved a new management
structure to accommodate additional capacity in the finance function. The
previous Chief Financial Officer (CFO) had responsibility for North and South
Lanarkshire IJBs. 
63.  Following an options appraisal exercise, it was decided to create a full-time
CFO position for each of the North and South Lanarkshire IJBs. A full-time CFO
has been appointed to the North Lanarkshire IJB and the new structure is now
established.                                          
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3. Governance, transparency and Best Value | 18 
Appropriate arrangements are in place to secure Best Value
64.  Integration Joint Boards have a statutory duty to have arrangements to
secure Best Value. To achieve this, IJBs should have effective processes for
scrutinising performance, monitoring progress towards their strategic objectives
and holding partners to account. 
65.  The IJB undertook a self-evaluation exercise in 2021, with the results
reported to the Board on 31 August 2022. This self-evaluation exercise took the
form of a checklist developed by the Improvement Service to allow IJBs to
assess their own performance at board level against the expectations of the
Public Bodies (Joint Working) (Scotland) Act 2014. It focuses primarily upon the
effectiveness of current arrangements and how well the Board meets its
intended outcomes.
66.  Three areas were considered good practice, as 100% of the assessment
team strongly agreed or agreed with each of the statements. This included: 
• The IJB can evidence examples of how it worked well together in
response to Covid-19
• The IJB can demonstrate effective partnership working through local
NHS mobilisation plans and local authority recovery and renewal
planning
• The IJB should look to permanently retain new ways of working
developed during the response to Covid-19.
67.  The IJB identified three areas for improvement which are set out below:
• Evidencing how health and social care spending contributes to
prevention and early intervention
• Embedding learning and new ways of working in the IJB from the
response to the pandemic to ensure plans and governance are fit for
purpose
• Review how performance information is used by the IJB to ensure it is
timely, relevant, and provides a good measure of progress.
68.  An improvement plan was developed for each of these three areas for
improvement. There will be ongoing monitoring of progress against this
improvement plan, and consideration of the need for a future follow up self-
evaluation exercise.
Performance has been affected by Covid-19, but the IJB has
identified the steps required to address this
69.  The pandemic is expected to have had a substantial impact on performance
measures, particularly for services which have been temporarily suspended, are
operating at a reduced level or have had to adapt to new ways of working. 
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3. Governance, transparency and Best Value | 19 
70.  The Public Bodies (Joint Working) (Scotland) Act 2014 requires the IJB to
produce an annual performance report covering areas such as assessing
performance in relation to national health and wellbeing outcomes, financial
performance and best value, reporting on localities, and the inspection of
services. 
71.  The Board has continued to monitor key performance targets throughout
the year. The IJB has a corporate performance dashboard which is monitored
and reported on a quarterly basis. However, the 2021/22 Annual Performance
Report has not yet been finalised. It is due to be presented to the IJB Board
meeting on 7 December 2022. 
72.  The 2020/21 annual performance report was presented to the IJB in
December 2021. The report acknowledges that there is a data gap nationally for
a number of performance indicators and calendar year data for 2020 has been
used in some instances. Performance levels are measured against a suite of 23
key performance indicators covering areas such as emergency admissions
rates and patient satisfaction with GP services.
73.  Delayed discharges, A&E attendances and unscheduled bed days remain
key focusses for the IJB. 
74.  The annual performance report sets out the next steps for the IJB in
improving performance across the statutory indicators. This is supported by the
Strategic Commissioning Plan 2020-2023 and Programme of Work 2021-2022
which outline the approach to transformational change required to meet the
IJB’s commissioning objectives.
National performance audit reports
75.  Audit Scotland carries out a national performance audit programme on
behalf of the Accounts Commission and the Auditor General for Scotland.
During 2021/22 we published some reports which may be of direct interest to
the IJB as outlined in Appendix 2. 
76.  We noted that reference to relevant national reports were made by IJB
Board members throughout the year.                                          
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Appendix 1. Action plan 2021/22 | 20 
Appendix 1. Action plan
2021/22 
2021/22 recommendations
Issue/risk Recommendation  Agreed management
action/timing
1. Accounts inspection
advert
The notice of inspection
should state the objection
end date and the advert
should be posted on the IJB
website in addition to the
North Lanarkshire Council
website. 
The IJB should ensure it has
procedures in place to ensure
the accounts inspection
advert is published in line
with criteria set out in the
Local Authority Accounts
(Scotland) Regulations 2014.
Paragraph 21. 
The IJB will ensure future
adverts are posted on the IJB
website in addition to the
North Lanarkshire Council
website.
Responsible officer: IJB
Chief Financial Officer
Agreed date: June 2023
2. 2022/23 Reserves
Strategy
There are significant reserves
held at 31 March 2022. A
reserves strategy for 2022/23
which sets out how and when
monies will be spent, has not
yet been developed.
The IJB should develop a
reserves strategy for 2022/23
which sets out how and when
monies will be spent.
Paragraph 47. 
The IJB 2022/23 Reserves
Strategy will be presented to
the PFA Committee on 16th
November and to the IJB on
30th November 2022. The
reserves strategy will
continue to be updated in line
with the new Strategic
Commissioning Plan 2023-
2026 and the new Medium
Term Financial Plan 2023-
2026.
Responsible officer: IJB
Chief Financial Officer
Agreed date: November
2022
3. Review of Financial
Regulations
The financial regulations
were approved on 8 March
2016. They require to be
updated to reflect the budget
disaggregation of Children,
The financial regulations
should be reviewed to ensure
they remain up-to-date and fit
for purpose.
Paragraph 58. 
Agreed. The services
currently delegated by each
partner to the IJB will be
specified in the IJB Financial
Regulations. The principal
method of accounting for                                          
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Appendix 1. Action plan 2021/22 | 21
Issue/risk Recommendation Agreed management
action/timing
Families and Justice Services
and to also note the
arrangements for the
management of financial
resources for hosted
services.
Hosted Services will also be
included.
Responsible officer: IJB
Chief Financial Officer
Agreed date: 31 March 2023
Follow-up of prior year recommendations
Issue/risk Recommendation Agreed management
action/timing
b/f 4. Website refresh It should be clear who has
ownership of the IJB website
and responsibility for
maintaining it.
The website should be
refreshed to reflect the IJB’s
current operating model.
Ongoing
HSCP working group is
currently completing the
development of the website.
Responsible officer: IJB
Chief Officer
Revised date: 31 March
2023
b/f 5. Financial
Management
The CFO should continue to
work with partners to improve
the timing of financial reports
being presented to
Committee. The first quarterly
financial monitoring report
was not presented until 5
months into the financial year
on 24 August 2021.
Complete
The current reporting
arrangements are in line with
the North Lanarkshire IJB
Financial Regulations which
state that a quarterly financial
management report will be
presented to the IJB by 31
August, or the nearest
meeting of the Board or
nearest complete accounting
period. This is to enable the
implementation of the
financial strategy to be
monitored. The IJB requires
to wait until the first financial
reports for the financial year
from each partner are
available. Presenting the first
financial report is also
dependent on when the first
meeting of the IJB or PFA is
scheduled for.
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Appendix 1. Action plan 2021/22 | 22 
Issue/risk Recommendation  Agreed management
action/timing
Opportunities will continue to
be identified to develop
financial monitoring
arrangements.
b/f 6. Hosted Services  The IJB should set out the
arrangements that exist in
practice for the management
of financial risk for hosted
services on a permanent
basis.
Complete
The 2022/23 Financial Plan
for North Lanarkshire IJB has
been prepared on the basis
of the “principal” method of
accounting for hosted
services and on the
understanding that the lead
partner for the hosted
services will continue to
retain underspends and will
manage overspends.
b/f 7. Medium to long term
financial plan 
The IJB’s medium to long
term financial plan should be
reviewed due to the impact of
Covid-19 and EU withdrawal.
Ongoing
The new Medium Term
Financial Plan 2023-2026
reflects the impact of
recovering from Covid-19 and
other challenging factors
facing the IJB. It has been
condensed to a three-year
plan rather than the original
ten-year plan due to the
pending formation of the
National Care Service (NCS)
and the continuing
uncertainty around future
funding. The MTFP will align
to the Strategic
Commissioning Plan 2023-
2026 and the current IJB
Reserves Strategy
Responsible officer: IJB
Chief Financial Officer
Revised date: 31 March
2023                                          
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Appendix 2. National performance reports and briefings | 23 
Appendix 2. National
performance reports and
briefings 
May
Local government in Scotland Overview 2021
June
Covid 19: Personal protective equipment
July
Community justice: Sustainable alternatives to custody
September
Covid 19: Vaccination programme
January
Planning for skills
Social care briefing
February
NHS in Scotland 2021
March
Local government in Scotland: Financial Overview 20/21
Drug and alcohol: An update
Scotland’s economy: Supporting businesses through the Covid 19 pandemic 
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Appendix 2. National performance reports and briefings | 24  
North Lanarkshire Integration Joint Board
Draft 2021/22 Annual Audit Report 
Audit Scotland’s published material is available for download 
on the website in a number of formats. For information on our 
accessibility principles, please visit:
www.audit-scotland.gov.uk/accessibility
For the latest news follow us on social media or
subscribe to our email alerts. 
Audit Scotland, 4th Floor, 102 West Port, Edinburgh EH3 9DN
Phone: 0131 625 1500 Email: info@audit-scotland.gov.uk
www.audit-scotland.gov.uk
AS.4.0                                           
36