Recommendation 20

The Department’s Head of Internal Audit concluded that “the existing arrangements in place do not best support the current operating environment” and that “necessary adjustments are required to the framework of risk control and governance arrangements for them to be considered effective in what is a new operating environment”. The Head of Internal Audit also reported that “lines of accountability, interfaces, interdependencies and escalation routes are not clear or fully integrated across the Department and wider health group”.38 The Department told us it was going to address all of these concerns as part of its reset programme.39 Transparency of interests