Source · Investigations in the NHS

Independent Review of Contract and Procurement

Wales Published 04 Sep 2023 Trust Betsi Cadwaladr University Health Board

Recommendations

24 total
1 Addressed to: Health Board No Response Published

Link to recommendation 1

Recommendation · source text
The Health Board needs to understand why these four services did not respond by the timeline set.
2 Addressed to: Health Board No Response Published

Link to recommendation 2

Recommendation · source text
The Executive Director of Finance ensures the current finance procedures are reviewed with urgency and a full review of the SFIs is undertaken to identify gaps in published procedures to guide/instruct the Health Board in complying with the SFIs.
3 Addressed to: NWSSP Procurement Services and Health Board No Response Published

Link to recommendation 3

Recommendation · source text
The ‘All Wales Procure to Pay e-Manual for use by Health Organisation’ content is reviewed and updated where necessary and NWSSPPS works with the Health Board to actively publicise it.
4 Addressed to: Health Board No Response Published

Link to recommendation 4

Recommendation · source text
To detail the actions taken / planned actions to address the specific recommendations detailed in the Ernst & Young report.
5 Addressed to: Health Board No Response Published

Link to recommendation 5

Recommendation · source text
An urgent review of the eWaiver system is completed to ensure it delivers the full requirements of the Standing Financial Instructions and interacts with the e-Financials System and is a key control to corroborate approval/rejection of waivers prior to any requisition and purchase order being approved and actioned.
6 Addressed to: Health Board No Response Published

Link to recommendation 6

Recommendation · source text
The Chief Executive ensures the requirements of SFI 11.13.5 is complied with and the Audit Committee receive timely reports on waivers.
7 Addressed to: Health Board No Response Published

Link to recommendation 7

Recommendation · source text
The Board Secretary ensures Standing Order 9 – Signing and Sealing Documents is always complied with, in particular SO 9.0.1 where the Board has considered “…a transaction to which the document relates has been approved by the Board.”
8 Addressed to: Health Board No Response Published

Link to recommendation 8

Recommendation · source text
The Chief Executive ensures contracts are signed in accordance with Standing Order 9.2.2 either by the Chief Executive or nominated officers delegated by the Board.
9 Addressed to: Health Board No Response Published

Link to recommendation 9

Recommendation · source text
The Scheme of Reservation and Delegation (SORD) is reviewed to ensure it complies with the requirements of Standing Order 9 as we noted the SORD delegates contract approval with limits to Executive Directors.
10 Addressed to: Health Board No Response Published

Link to recommendation 10

Recommendation · source text
The Executive Director of Finance ensures Finance Policies/Procedures are developed that provide all Health Board staff responsible for procurement detailed guidance and expectations to ensure compliance with Standing Financial Instructions and expected control in contract management.
11 Addressed to: Health Board No Response Published

Link to recommendation 11

Recommendation · source text
Working with NWSSPPS, develops a composite contract register for the Health Board to ensure the risk of independent contract development is minimised and the Health Board maximises value for money where several contracts with a single supplier can be amalgamated.
12 Addressed to: Health Board No Response Published

Link to recommendation 12

Recommendation · source text
To ensure the Scheme of Delegation is applied appropriately in e-Financials, and is updated to ensure all of the organisation’s structure is captured.
13 Addressed to: Health Board and NWSSP Procurement Services No Response Published

Link to recommendation 13

Recommendation · source text
Review escalation routes within the Health Board for the Head of Procurement.
14 Addressed to: Health Board and NWSSP Procurement Services No Response Published

Link to recommendation 14

Recommendation · source text
As part of the monthly meetings between both Finance & NWSSPPS, ensure reports pertaining to blank email/fax details in purchase orders are reviewed and corrective action taken to address irregularities.
15 Addressed to: Health Board No Response Published

Link to recommendation 15

Recommendation · source text
To review reporting arrangements with the local procurement team to determine requirements going forward, including Audit Committee reporting and attendance.
16 Addressed to: Health Board No Response Published

Link to recommendation 16

Recommendation · source text
The Chief Executive receives an update from Officers responsible for facilitating and delivering procurement training which includes the timetable for delivery capturing all current posts, how new appointees will receive their training and what refresher training will be provided and how e.g. On-line training presentation.
17 Addressed to: NWSSP Procurement Services No Response Published

Link to recommendation 17

Recommendation · source text
The Supplier Header in ‘eCM’ data is consistent as set-up in Oracle e-Financial.
18 Addressed to: NWSSP Procurement Services No Response Published

Link to recommendation 18

Recommendation · source text
The Director of Procurement Services ensures all policies, procedures and guidance documents are up to date in line with the Standing Financial Instructions.
19 Addressed to: NWSSP Procurement Services No Response Published

Link to recommendation 19

Recommendation · source text
The Director of Procurement Services provides an annual assurance report to the Chief Executive, who is ultimately responsible for procurement in the Health Board, of compliance with the Standing Financial Instructions, including a summary of any breaches with expected procurement controls.
20 Addressed to: NWSSP Procurement Services No Response Published

Link to recommendation 20

Recommendation · source text
The Director of Procurement Services ensures NHS Wales is ready for any changes in the Procurement Bill to current process and provides updates to all NHS Wales Boards on any impacts of change – This is timebound.
21 Addressed to: NWSSP Procurement Services No Response Published

Link to recommendation 21

Recommendation · source text
Ensure all STW/SQW applications are scrutinised to ensure compliance with Standing Financial Instruction 11.13.3 and reject where the criteria has not been met.
22 Addressed to: NWSSP Procurement Services No Response Published

Link to recommendation 22

Recommendation · source text
To provide information to the Health Board on services provided to other Health Boards / Trusts.
23 Addressed to: Welsh Government No Response Published

Link to recommendation 23

Recommendation · source text
Review of the current tender limit is considered, whilst recognising the financial pressures facing NHS Wales.
24 Addressed to: Welsh Government No Response Published

Link to recommendation 24

Recommendation · source text
Consider enhancing the Standing Financial Instructions to exclude NHS Wales organisations from completing and approving Waivers based on timescales.

Acceptance status

Per recommendation
No Response Published
24

Total recommendations
24
About this data

Acceptance status records the published response to each recommendation. Acceptance does not establish that an action has been completed.

Independent health investigation reports and reviews commissioned by government or NHS England.

About this investigation

Source & metadata

Independent investigation report. Recommendations and any published response are extracted below.