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Local audit delays threaten NHS accounts due to shared auditor pools and sector changes.

Conclusion
We also asked the FRC about the risks local audit delays cause to NHS accounts. The FRC emphasised the challenges the health sector faces due to structural changes in the last year.29 This will be reflected in the NHS requiring audits of the three months Clinical Commissioning Groups were in place up to June 2022, and of the nine months of the Integrated Care Boards that replaced them for the rest of 2022–23.30 The FRC emphasised the interdependencies where the same pool of auditors works across both the health and local government sectors, a coordination risk also highlighted by local audit providers themselves.31 The FRC told us it plans to undertake a wider review of the local audit system, including the NHS, as an immediate priority.32 It argued that a more granular understanding will enable it to assess the best course of action to address issues affecting timeliness, without having a detrimental effect on other sectors.33 Incentives for timely audit
Government Response

A response document is linked to this report, dated 24 September 2023. Response attribution to this conclusion has not been verified. Read the response document.

Addressee Bodies
HM Treasury
Timeline
Recommendation age 3.2 yrs
Report published 23 Jun 2023