Developing Assurance Structures and Improving Assurance Quality

1
Developing Assurance Structures and Improving
Assurance Quality

• Getting the balance between internal and external
  assurance right

2
Concordat Commitments

• Proportionate
• Risk based
• Sharing of information
• No duplication

3
Healthcare Standards and Internal Assurance

• Healthcare Standards now underpin Statements of
  Internal Control
• Expectation that organisations will have
  undertaken their own validation of
  self-assessments
• HIWs validation work does not form part of an
  organisations internal assurance process

4
Getting the Balance between Internal and External
Assurance Right

• Not enough reliance on internal assurance
  mechanisms
• For some organisations not enough investment in
  internal audit
• Confusion as to what is internal and what is
  external assurance

5
Opportunities

• A framework that is shared - the Healthcare
  Standards
• A willingness to share information - Summit
  meetings
• Meetings with your Internal Auditors
• Meetings with Board representatives