Management response to KPMG’s internal audit report Learning and Implications from University Hospitals Morecambe Bay NHS Foundation Trust

Document type
Corporate author(s)
Monitor (Agency : Great Britain)
Date of publication
26 June 2012
Health Services
Corporate subject(s)
University Hospitals of Morecambe Bay NHS Foundation Trust
Social welfare
Material type

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Having considered actions relevant to the lessons learned from Morecambe Bay that Monitor is taking already, KPMG made two recommendations to improve its assessment process further. The first is that Monitor should find a more systematic way of evaluating the cumulative impact of concerns that individually may not be significant but in combination may indicate the need to probe more deeply into a trust’s operations before concluding on authorisation. The second is that Monitor should obtain a letter of representation from the Boards of all applicant trusts confirming that the information they have provided to Monitor is complete and does not omit any potentially significant items.
Monitor agrees with these recommendations, and is already requiring deeper probes into governance arrangements for some applicants that are close to Monitor’s authorisation threshold

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