Audit and Monitoring Responsibilities of District Health BoardsDate of publication: July 2001
A recent report prepared by the Ministry’s Internal Audit team reviewed the Ministry’s audit and monitoring functions. A key aim was to distinguish the Ministry’s role in auditing and monitoring service providers from that of District Health Boards (DHBs). The report reviewed the functions that had been brought together with the integration of the Ministry, HFA and CCMAU (Health).
The Internal Audit report concluded that:
- the various current audit functions have arisen without an overall plan, and lack a consistent approach
- the present set of audit activities do not represent an efficient, effective use of resources.
Whilst this is not surprising given the drawing together of functions, there is a clear need for a rationalised approach. This paper takes the Internal Audit report as its starting point. It proposes objectives and principles to guide the assignment of roles and responsibilities across the sector, then puts forward a specific assignment of responsibilities for consideration.
A companion paper, Audit and Monitoring: Guidance for DHBs sets out the Ministry’s expectations and provides advice on audit and monitoring for DHBs.
Responsibility for risk management has been included along with audit and monitoring because it is another tool for bringing service problems to light. It will be important to make the best possible use of the new risk management system currently being put in place in DHBs and the Ministry.
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