Board of Directors 26 th June 2015

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "Board of Directors 26 th June 2015"

Transcription

1 Board of Directors 26 th June 2015 AGENDA ITEM: 19 PRESENTED BY: PREPARED BY: Craig Black Helen Beck DATE PREPARED: 17/06/2015 SUBJECT: PURPOSE: E Care Update To provide The Trust Board with an update on the progress and current status of the E-care programme. Executive Summary The E Care Programme Board met on Friday 5 th June This report provides a summary of the key agenda items discussed and the decisions made. The Programme Board supported the recommendation to confirm a go live date of 15 th November 2015, noting that additional resources would be required from both Cerner and the West Suffolk to achieve this. Operational readiness planning has now commenced to support a successful go live. The Programme Board agreed an essential increase to the Hardware budget of 92K, noting that the anticipated savings from the mini tendering exercise had not been realised. The Programme Board received an update on the latest situation related to the deployment of a new pathology system by TPP. A recent deployment in Bristol has encountered significant issues as the hardware appears to have been under specified. E Care is required to interface with this system (CliniSys) at go live and TPP will face similar issues with the hardware specification at WSH. A project plan has now been received from TPP but there are concerns that this is inadequate. The Director of resources is meeting with TPP to take this issue forward. Whilst efforts are being made to develop an interface with the current system APEX as a back-up, it is unlikely that this is technically possible due to the age of this system. The programme Board approved a revised budget position of 19.2m, subject to confirmation of delegated authority at this board meeting, noting that this was a significant cash risk to the organisation but had resulted form a number of unavoidable issues. The Trust has engaged Four Eyes Insight to undertake a programme of operational efficiency as part of the overall transformation agenda. The work of Four Eyes when aligned to the E care programme should be considered as an enabler of the full benefits

2 realisation programme, however it was noted that there is a risk of double counting of benefits if these two programmes are not managed in a co-ordinated and cohesive manner. The Deputy Director of Finance and The Deputy Chief Operating Officer are working together to avoid this risk and ensure that there is clarity and transparency across both programmes. A peer review of the programme to date and the preparedness for go live has been undertaken by Carrie Armitage on behalf of Baker Tilley the Trust Auditors. The draft report was received by the Trust on Friday 5 th June and is currently being checked for factual accuracy following which the Trust will develop an action plan in response to the recommendations contained within the final report. A more detailed report on this review will be provided to the board in due course. Go Live Date The e-care Programme Board approved the original programme plan for delivery of e-care at their meeting in Dec 18 th 2014 This plan was developed around the assumption that phase 1 of the e-care programme would go live at the beginning of November The original plans were approved on the following assumptions: That we would be implementing the Cerner Millennium product as an off the shelf product with minor localised changes. That the testing requirements would be minimal in light of implementing the off the shelf product. That sensible and reasonable contingency had been built into the overall project timeline. As our understanding of the Millennium product and our own local workflows has matured we have identified that the off the shelf product does not meet all of the Trust requirements and as such we have undertaken significantly more localised tailoring than was originally anticipated or planned. This in turn has had the following impact on the project: The workload of the build teams is significantly greater than was originally envisaged. The build testing requirements have increased significantly over and above that which was originally planned. The degree of integration complexity has increased and therefore the testing workload is greater than originally planned. (this can be seen with the work currently undertaken by Cerner testing colleagues) That we have used all 6 weeks of the contingency that was built into the project to deliver the increased workload to date. Furthermore the Trust also agreed to take the recently released 2015 code in order to address clinical safety concerns regarding Meds and general system problems. Testing by Cerner was also put back by several weeks to allow an upgrade to be undertaken and to improve the testing process. This has further impacted on the contingency built into the programme plan. The programme group has undertaken a detailed piece of work to asses a number of options in relation to the go live date as a result of the issues identified above. Option 1: Continue with planned go live date of beginning of November 2015 Our plans state the original go live date as beginning of November. Under this option it would be proposed that this is moved to 15 November which would have minimal increase to operational risk (i.e. still avoiding period of winter pressures) but would give the project team back the two weeks slippage on testing round 1.

3 Option 2: Reduce the scope of modules that go live in Phase 1 Our original plans were built around proposing to go live with the majority of modules in Phase 1 with a smaller go live in Phase 2. In this option we would propose to reduce the number of modules in Phase 1 and move the remaining to: Phase 2.a) Proposed modules for phase 1 would be PAS, order comms and ED or Phase 2b) all modules included but remove Meds Further detailed work is required to fully assess the benefits and risks of these option but it is considered to be unlikely to achieve the anticipated reduction in workload due to the complexity of separating out the work streams at this late stage in the build. Option 3: Delay go live until March 2016 Whilst the project itself would only require an additional month within the plan, this would place go live at the start of winter pressures which would not be supported operationally. At this stage we have proposed a delay until March as our current PAS support expires at this time, however it is unlikely that the nursing and operational teams could support the release of staff for training during the winter pressures. There is therefore a high risk of a further delay until April or May Recommendation After full consideration of all of the risks and issues identified, the Programme Group were unanimous in the decision to recommendation option one: extended Go-Live date of the 15th Nov 2015 and this recommendation was accepted by the Programme Board at the meeting on 5 th June Additional staff from WSH and Cerner will be required urgently to address the current gaps and to keep the Programme on plan. The plan has been updated to identify any other contingency and reworked with work streams and managers to ensure it meets the latest requirements. Despite the additional resource requirements this option was noted to have the least financial impact on the overall programme costs and benefits profile. Operational Readiness Plans will now be enacted to prepare the organisation for a successful go live with the focus being on data migration, patient safety, support to front line staff and reductions of activity where possible. The first operational readiness meetings for senior managers took place on Monday 8 th June and will take place monthly initially, increasing in frequency as we get nearer to the go live date. Regular updates of progress will be provided at future board meetings. Training schedules will be completed and are due to be published by 13 th July with courses running from mid September through to mid November. Class room training will be limited to one day per person wherever possible. Hardware Profile This report was provided as an update to the e-care Hardware Profile paper submitted and approved for procurement to progress at the 12th March Programme Board. The paper set out the requirements to deliver a workstation on wheels based solution to bay based inpatient areas, with wall mounted equipment in side rooms used for isolation, drug trolley IT enablement, laptops for pharmacists and nurse specialists and peripherals to support bedside sample labelling and positive patient identification. Requirements for the number and type of devices and specification were reviewed with clinical teams in order to achieve the minimum profile needed to support all phase 1 e-care activities. As a result the original budget was uplifted from 616k to 735k based on costs that were anticipated at November 2014 when the hardware options were first appraised.

4 Orders have been placed and goods received for Pharmacist laptops and wristband label printers as well as Microsoft software licenses required to support the additional devices (at a cost of 126k). These devices are in the process of being configured and tested for deployment through June, with the laptops initially being used to support e-care promotional activities and maintenance training sessions, thus negating the need for separate IT and to minimise cost. Total cost 126k Therapies had previously been missed out but still met within the overall budget at a cost of 20k The mini-competition for the inpatient hardware bids closed on the 15th May, with evaluation now complete on the only 2 responses received out of the 5 requested. The cost of this element of the hardware profile was estimated at 523k, with the minimum proposal being returned at 600.8k, therefore an over spend of 67.8k after a reduction of 10k for Zebra printers Total cost k In Summary Total cost of 736.8k against a 735k budget However as part of the initial hardware agreement further technical solutions are still required for the recovery unit; drug preparation rooms; therapies outpatient area; phlebotomy cart IT enablement, case note tracking printers, theatres anaesthetic rooms and ipads for clinicians at a cost of 90.4k, bringing the expected total spend to be 827.2k, subject to procurement and resulting in a total overspend of 92.2k The Programme Board agreed an essential increase to the Hardware budget, noting that the anticipated savings from the mini tendering exercise had not been realised. TPP Integration It was brought to the Trusts attention on the 4 th June that the underlying architecture which the CliniSys Winpath application resides on within their data centre is not suitable to host the WSH / Partnership application in a live environment. This issue has arisen from their delivery of Winpath in Bristol at a similar pathology partnership at the Bristol Royal Infirmary, where it was identified that there were significant issues with application performance within the data centre when going Live. The net effect is an expected delay of between 4-5 weeks for WSH implementation. The new work that is underway is to deploy a significantly redesigned architecture to support the application. The Trust has requested an urgent updated plan from TPP by 12 th June and essentially believes this is an area TPP and its suppliers can resolve through increased resourcing of the project. This additional activity within the data centre should not compromise the current testing schedule for interfaces which would mean that the impact to the Cerner build should be minimised in the meantime Financial Position- Revised Budget The business case for E-Care was prepared and approved in June Costs in the business case were kept to the minimum on the basis that the Trust was submitting a bid to the DH Technology Fund. The assumption was that if the bid was successful additional items could be re-considered. Unfortunately the bid was unsuccessful and a number of items are now considered unavoidable that were not included in the original business case. In addition there have been delays in the project for a variety of reasons which means the phase 1 go live date planned for 1 November 2015 has had to be re-considered. The Project Group has decided that the only viable plan is to aim to implement phase 1 by 15 November The Programme Board were asked to approve a revised budget subject to confirmation of delegated power. The original business case estimated that the implementation would cost 17.2m cash over 10 years. Since then an additional 851k capital contingency has been identified for e-care pay and 275k from the general IT capital programme for E-care non pay so the approved budget to date is 18.3m. Overall the cost of implementing E-care is now estimated to require a cash outlay of 19.2m. The cost has increased because: In order to address the delays and ensure implementation by 15 November 2015

5 additional staff are required as approved at the E-care Programme Group 293k (agency rates); Recruitment for a number of planned posts has not been successful and as a result agency and contractor staff are having to be used at premium rates; Items have been identified that are considered to be essential for the implementation of the new system but that were not identified when the business case was prepared; and The cost of equipment for wards is now 92k higher than previously estimated. Although these increased costs do not impact on the Trust s revenue deficit position immediately because E-Care is treated as a capital project, the increased demand on cash is a significant risk for the Trust which will need to be managed carefully. Going forward the increased costs of implementation will increase our revenue costs as the system is depreciated over its useful life. The revised budget does not include the 180K for optimum disaster recovery. There are on going discussions between Cerner and WSH regarding this issue as it was assumed to have been included in the original contract. In addition the revised budget does not include the following costs which would need to be subject to a separate business case: -access to support simplified access for clinical staff 320k lve Hardware 40K The Programme Board accepted the revised budget subject to confirmation of delegated authority, noting that whilst it was significant in cash terms it was felt to be unavoidable. Benefits Realisation The Trust has engaged Four Eyes Insight to undertake a programme of operational efficiency as part of the overall transformation agenda. A meeting has taken place between the Trust, Cerner and Four Eyes to align the benefits of both programmes of work and identify further opportunities through collaboration. In line with the E Care transformation strategy it is recognised that the full benefits of the E care implementation will only be delivered through organisational change. The work of Four Eyes when aligned to the E care programme should be considered as an enabler of the full benefits realisation programme, however it should be noted that there is a risk of double counting of benefits if these two programmes are not managed in a co-ordinated and cohesive manner. The Deputy Director of Finance and The Deputy Chief Operating Officer are working together to avoid this risk and ensure that there is clarity and transparency across both programmes. Peer Review A peer review of the programme to date and the preparedness for go live has been undertaken by Carrie Armitage on behalf of Baker Tilley the Trust Auditors. The draft report was received by the Trust on Friday 5 th June and is currently being checked for factual accuracy following which the Trust will develop an action plan in response to the recommendations contained within the final report. A more detailed report on this review will be provided to the Trust Board in due course.

6 Linked Strategic objective Building the Future (link to website) Issue previously considered by: E Care Programme Board, Scrutiny Committee, Trust Executive Group (e.g. committees or forums) Risk description: (including reference Risk Register and BAF if applicable) Description of assurances: Summarise any evidence (positive/negative) regarding the reliability of the report Legislation / Regulatory requirements: Other key issues: Recommendation: The Board is asked to note the content of this paper.

Update on CRS upgrade. FOR: Information Assurance Discussion and input Decision/approval Sponsor (Executive Lead):

Update on CRS upgrade. FOR: Information Assurance Discussion and input Decision/approval Sponsor (Executive Lead): Update on CRS upgrade Trust Board Meeting Part 1 Item: 8.1 25 TH September 2013 Enclosure: F Purpose of the Report: FOR: Information Assurance Discussion and input Decision/approval Sponsor (Executive

More information

Appendix 1 Business Case to Support the Relocation of Mental Health Inpatient Services in Manchester (Clinical Foreword and Executive Summary)

Appendix 1 Business Case to Support the Relocation of Mental Health Inpatient Services in Manchester (Clinical Foreword and Executive Summary) Appendix 1 Business Case to Support the Relocation of Mental Health Inpatient Services in Manchester (Clinical Foreword and Executive Summary) Together we are better Foreword by the Director of Nursing

More information

FINANCIAL PLAN 2014/15 2018/19

FINANCIAL PLAN 2014/15 2018/19 Appendix 11a Financial Plan 2014/15 2018/19 NHS LOTHIAN Board Meeting 2 April 2014 Director of Finance FINANCIAL PLAN 2014/15 2018/19 1 Purpose of the Report 1.1 The purpose of this report is to seek approval

More information

GP Systems of Choice (GPSoC)

GP Systems of Choice (GPSoC) GP Systems of Choice (GPSoC) Update October 2006 Contents 1 Introduction 3 2 Scheme status 4 3 Overview of the scheme 5 4 Funding 4.1 IT infrastructure 6 4.2 Annual service charges 6 4.3 Migration 6 5

More information

PROJECT MANAGEMENT FRAMEWORK

PROJECT MANAGEMENT FRAMEWORK PROJECT MANAGEMENT FRAMEWORK DOCUMENT INFORMATION DOCUMENT TYPE: DOCUMENT STATUS: POLICY OWNER POSITION: INTERNAL COMMITTEE ENDORSEMENT: APPROVED BY: Strategic document Approved Executive Assistant to

More information

NORTHUMBERLAND, TYNE AND WEAR NHS FOUNDATION TRUST BOARD OF DIRECTORS MEETING

NORTHUMBERLAND, TYNE AND WEAR NHS FOUNDATION TRUST BOARD OF DIRECTORS MEETING NORTHUMBERLAND, TYNE AND WEAR NHS FOUNDATION TRUST Meeting Date: 25 March 2015 BOARD OF DIRECTORS MEETING Title and Author of Paper: 2015/16 Budget & Financial Plans 15/16 & 16/17 James Duncan, Deputy

More information

SUBMITTED TO: NORFOLK AND SUFFOLK COLLABORATION PANEL - 3 SEPTEMBER 2014 ERP (ENTERPRISE RESOURCE PLANNING) PROJECT UPDATE

SUBMITTED TO: NORFOLK AND SUFFOLK COLLABORATION PANEL - 3 SEPTEMBER 2014 ERP (ENTERPRISE RESOURCE PLANNING) PROJECT UPDATE ORIGINATOR: CHIEF CONSTABLE PAPER NO: NS14/18 SUBMITTED TO: NORFOLK AND SUFFOLK COLLABORATION PANEL - 3 SEPTEMBER 2014 SUBJECT: ERP (ENTERPRISE RESOURCE PLANNING) PROJECT UPDATE SUMMARY: 1. The Collaboration

More information

Project Appraisal and Scrutiny Committee Recommendation. E-mail, file storage system and server upgrades

Project Appraisal and Scrutiny Committee Recommendation. E-mail, file storage system and server upgrades Cambridge City Council To: Report by: Scrutiny committee: Wards affected: Executive Councillor for Customer Services and Resources James Nightingale, Head of ICT Client Services Strategy and Resources

More information

ANNUAL REPORTS & FINANCIAL ACCOUNTS 2014/15 GOING CONCERN ASSESSMENT. Kish Sidhu. Kish Sidhu. Audit Committee

ANNUAL REPORTS & FINANCIAL ACCOUNTS 2014/15 GOING CONCERN ASSESSMENT. Kish Sidhu. Kish Sidhu. Audit Committee Affiliated Teaching Hospital BOARD OF DIRECTORS 29 TH MAY 2015 AGENDA ITEM: SUBJECT: RESPONSIBLE DIRECTOR: AUTHOR: PREVIOUSLY CONSIDERED BY: 3 (d) ANNUAL REPORTS & FINANCIAL ACCOUNTS 2014/15 GOING CONCERN

More information

Digital Dictation Workflow & Clinical Documentation Library (CDL) Highlight Report as at 26/05/10 Accomplishments

Digital Dictation Workflow & Clinical Documentation Library (CDL) Highlight Report as at 26/05/10 Accomplishments Digital Dictation Workflow & Clinical Documentation Library (CDL) Highlight Report as at 26/05/10 Clinical Documentation Library delivered Migration process of historic documents completed and migration

More information

Jenny Obee, Head of Information Management jenny.obee@barnet.gov.uk, Tel: 020 8359 4859. Micailah Fleming, IT Director micailah.fleming@capita.co.

Jenny Obee, Head of Information Management jenny.obee@barnet.gov.uk, Tel: 020 8359 4859. Micailah Fleming, IT Director micailah.fleming@capita.co. Performance and Contract Management Committee 7 January 2016 Title Report of Wards Status ICT Operations ITIL Methodology Assessment Chief Operating Officer All Public Urgent Key No No Enclosures None

More information

Portfolio: Transformation, Modernisation and Regulation

Portfolio: Transformation, Modernisation and Regulation Portfolio: Transformation, Modernisation and Regulation Procurement Committee 19 October 2006 Procurement of E-mail, Calendar and Archiving System Report by: Ward Implications: Head of City Service and

More information

Nursing & Midwifery Establishment Review Six Monthly Report. Em Wilkinson-Brice, Deputy Chief Executive / Chief Nurse

Nursing & Midwifery Establishment Review Six Monthly Report. Em Wilkinson-Brice, Deputy Chief Executive / Chief Nurse Agenda item: 9.3, Public Board meeting Date: Title: Nursing & Midwifery Establishment Review Six Monthly Report Prepared by: Presented by: Bernadette George, Head of Safety, Risk & Patient Experience,

More information

Delivering Local Health Care

Delivering Local Health Care Delivering Local Health Care Accelerating the pace of change Delivering Local Integrated Care Accelerating the Pace of Change WG 17711 Digital ISBN 978 1 0496 0 Crown copyright 2013 2 Contents Joint foreword

More information

A framework of operating principles for managing invited reviews within healthcare

A framework of operating principles for managing invited reviews within healthcare A framework of operating principles for managing invited reviews within healthcare January 2016 Background 03 Introduction 04 01 Purpose 05 02 Responsibility 06 03 Scope 07 04 Indemnity 08 05 Advisory

More information

To find out more about the role, please visit our website www.royalacademy.org.uk/careers

To find out more about the role, please visit our website www.royalacademy.org.uk/careers Director of Information Technology Operations Department Competitive The Royal Academy is in a period of significant transformation. As we approach our 250 th anniversary in 2018, major investments are

More information

Agenda Item: 4.1.2. REPORT TO THE TRUST BOARD MEETING IN PUBLIC August 2013. Integrated Performance Report. Title

Agenda Item: 4.1.2. REPORT TO THE TRUST BOARD MEETING IN PUBLIC August 2013. Integrated Performance Report. Title REPORT TO THE TRUST BOARD MEETING IN PUBLIC August 2013 Title Lead Director Author(s) Purpose Previously considered by Executive Summary Integrated Performance Report Agenda Item: 4.1.2 Paul Scott - Director

More information

Cabinet Member for Public Protection PP03 (11/12) Key Decision: Approval to Commence Procurement of Drug and

Cabinet Member for Public Protection PP03 (11/12) Key Decision: Approval to Commence Procurement of Drug and Cabinet Member for Public Protection PP03 (11/12) Key Decision: Approval to Commence Procurement of Drug and Yes Alcohol Treatment Services. Part I July 2011 Report by the Interim Director Joint Commissioning

More information

KPMG Advisory. Microsoft Dynamics CRM. Advisory, Design & Delivery Services. A KPMG Service for G-Cloud V. April 2014

KPMG Advisory. Microsoft Dynamics CRM. Advisory, Design & Delivery Services. A KPMG Service for G-Cloud V. April 2014 KPMG Advisory Microsoft Dynamics CRM Advisory, Design & Delivery Services A KPMG Service for G-Cloud V April 2014 Table of Contents Service Definition Summary (What s the challenge?)... 3 Service Definition

More information

Financial Strategy 5 year strategy 2015/16 2019/20

Financial Strategy 5 year strategy 2015/16 2019/20 Item 4.3 Paper 15 Financial Strategy 5 year strategy 2015/16 2019/20 NHS Guildford and Waverley Clinical Commissioning Group Medium Term Financial Strategy / Finance and Performance Committee May 2015

More information

Performance Management 2012/ 13: Quarter 4

Performance Management 2012/ 13: Quarter 4 Performance Management 2012/ 13: Quarter 4 Policy and Resources Committee Chief Executive Director of Finance and Corporate Resources Director of Social and Community Services Director of Technical Services

More information

ICT Digital Transformation Programme

ICT Digital Transformation Programme Officer and Date Item Cabinet 11 th May 2016 Public ICT Digital Transformation Programme Responsible Officer: Clive Wright, Chief Executive Email: Clive.wright@shropshire.gov.uk Tel: 01743 252007 1.0 Summary

More information

NORTHERN IRELAND FIRE & RESCUE SERVICE JOB DESCRIPTION

NORTHERN IRELAND FIRE & RESCUE SERVICE JOB DESCRIPTION MAIN PURPOSE OF JOB NORTHERN IRELAND FIRE & RESCUE SERVICE JOB DESCRIPTION IT PROJECT AND SECURITY MANAGER (GRADE PO2) INFORMATION TECHNOLOGY DEPARTMENT JOB REF: N45/11/06 SALARY: 27,492.00 TO 29,859.00

More information

Principle Objective 2: To become an exemplary employer, enabling staff to reach their full potential

Principle Objective 2: To become an exemplary employer, enabling staff to reach their full potential Meeting Trust Board Part I Date 24 July 2014 Subject Staff Survey Action Plan Reporting Officer Nikki Prince, HR Director Purpose To approve Please indicate as appropriate Trust Objective Principle Objective

More information

Business Continuity Policy and Business Continuity Management System

Business Continuity Policy and Business Continuity Management System Business Continuity Policy and Business Continuity Management System Summary: This policy sets out the structure for ensuring that the PCT has effective Business Continuity Plans in place in order to maintain

More information

Page 131. London Borough of Sutton The Executive - 6 July 2010 Report of the Chief Executive and the Strategic Director - Resources

Page 131. London Borough of Sutton The Executive - 6 July 2010 Report of the Chief Executive and the Strategic Director - Resources Page 131 Agenda Item 14 London Borough of Sutton The Executive - 6 July 2010 Report of the Chief Executive and the Strategic Director - Resources Re-commissioning and amalgamation of Sutton and Merton

More information

STL Microsoft Dynamics CRM Consulting and Support Services

STL Microsoft Dynamics CRM Consulting and Support Services STL Microsoft Dynamics CRM Consulting and Support Services STL Technologies Equis House Eastern Way Bury St Edmunds Suffolk IP32 7AB Service Description and Pricing Specialist Cloud Services www.stl.co.uk

More information

Information Services Strategy 2011-2013

Information Services Strategy 2011-2013 Information Services Strategy Issue 1 1 Introduction The States of Jersey public sector is facing significant pressure for efficiencies and savings. This has created the context to take a fresh look at

More information

LSB Procurement Framework

LSB Procurement Framework LSB Procurement Framework Introduction Procurement covers the typical purchase of services, supplies and works required to enable project delivery and to manage the infrastructure. The Services Board (LSB)

More information

In Attendance: Mrs D Currie (Minutes) Mr K Walsh (representing Mr Throp) Mrs M Pointon, PPI Forum

In Attendance: Mrs D Currie (Minutes) Mr K Walsh (representing Mr Throp) Mrs M Pointon, PPI Forum Southport & Ormskirk Hospital NHS Trust Minutes of the Trust Board Meeting held on Wednesday 13 th September 2006 at 2.00pm In the Boardroom, Southport & Formby District General Hospital Present: Mr A

More information

Clevedon Community Hospital Clinical Services Project

Clevedon Community Hospital Clinical Services Project Clevedon Community Hospital Clinical Services Project Project Initiation Document (PID) Aim To develop, sustain and improve the provision of high quality health care for the Clevedon Catchment area. Version

More information

Contents. Introduction Page 3. Section 1 Strategic Aim Page 4. Section 2 Professionally Resourced Page 5

Contents. Introduction Page 3. Section 1 Strategic Aim Page 4. Section 2 Professionally Resourced Page 5 Contents Introduction Page 3 Section 1 Strategic Aim Page 4 Section 2 Professionally Resourced Page 5 Section 3 Economic, Social and Environmental Impact Page 6 Section 4 Community Benefits Page 7 Section

More information

STL Microsoft SharePoint Consulting and Support Services

STL Microsoft SharePoint Consulting and Support Services STL Microsoft SharePoint Consulting and Support Services STL Technologies Equis House Eastern Way Bury St Edmunds Suffolk IP32 7AB Service Description and Pricing Specialist Cloud Services www.stl.co.uk

More information

8. DIGITAL BY DESIGN - CUSTOMER RELATIONSHIP MANAGEMENT SYSTEM

8. DIGITAL BY DESIGN - CUSTOMER RELATIONSHIP MANAGEMENT SYSTEM 8. DIGITAL BY DESIGN - CUSTOMER RELATIONSHIP MANAGEMENT SYSTEM REPORT OF: Contact Officer: Wards Affected: Key Decision: Report to: HEAD OF DIGITAL AND CUSTOMER SERVICES Simon Hughes, Head of Digital and

More information

Group Procurement Policy. Policy Owner: Executive Director Finance and Resources

Group Procurement Policy. Policy Owner: Executive Director Finance and Resources Group Procurement Policy Policy Owner: Executive Director Finance and Resources 0 Control Date Policy level Regulatory / Strategic Policy Reference FR/001/2012 Link to Strategy Procurement Strategy Version

More information

INVESTING IN REFORM INVESTING IN STOCKPORT DRAFT BUSINESS CASE

INVESTING IN REFORM INVESTING IN STOCKPORT DRAFT BUSINESS CASE INVESTING IN STOCKPORT DRAFT BUSINESS CASE INVESTING IN REFORM IIS Programme/Project Name: Project Name: Portfolio: IIS Outcome: IIS Board SRO: IIS Project Lead: Public Realm and Solutions SK Communities

More information

This report outlines the business case for the purchase of an integrated HR & Payroll system.

This report outlines the business case for the purchase of an integrated HR & Payroll system. Agenda Item No. 10 HR & Payroll system HR&OD Manager This report outlines the business case for the purchase of an integrated HR & Payroll system. Cabinet member(s): Garry Wheatley Ward(s) affected: All

More information

Risk Management Policy and Framework

Risk Management Policy and Framework Risk Management Policy and Framework December 2014 phone 1300 360 605 08 89589500 email info@centraldesert.nt.gov.au location 1Bagot Street Alice Springs NT 0870 post PO Box 2257 Alice Springs NT 0871

More information

Governance arrangements for the development of Clinical Strategy across Greater Manchester

Governance arrangements for the development of Clinical Strategy across Greater Manchester Partnership Agreement Greater Manchester Clinical Commissioning Groups Governance arrangements for the development of Clinical Strategy across Greater Manchester 1 1. Introduction 1.1 The emerging Greater

More information

Part B1: Business case developing the business case

Part B1: Business case developing the business case Overview Part A: Strategic assessment Part B1: Business case developing the business case Part B2: Business case procurement options Part B3: Business case funding and financing options Part C: Project

More information

A MODERN, INTUITIVE AND MARKET-LEADING ELECTRONIC PATIENT RECORD SOLUTION

A MODERN, INTUITIVE AND MARKET-LEADING ELECTRONIC PATIENT RECORD SOLUTION A MODERN, INTUITIVE AND MARKET-LEADING ELECTRONIC PATIENT RECORD SOLUTION MEDWAY EPR IS A MODERN, FULLY-MODULAR, NHS-FOCUSED SOLUTION, WHICH CAN BE BUILT TO A CUSTOMER S SPECIFICATION FROM FOUR CATEGORIES

More information

Housing Scrutiny Sub-Committee 27 March 2012

Housing Scrutiny Sub-Committee 27 March 2012 b Housing Scrutiny Sub-Committee 27 March 2012 Asbestos Commission Update All Wards Report authorised by: Executive Director Housing Regeneration and Environment Sue Foster Executive summary The Council

More information

Audit Committee. Agenda Item: Ward: Portfolio: All Corporate Finance. Paul Deal Corporate Financial Advisor. Date: 22 nd September 2015 FROM:

Audit Committee. Agenda Item: Ward: Portfolio: All Corporate Finance. Paul Deal Corporate Financial Advisor. Date: 22 nd September 2015 FROM: Audit Committee Agenda Item: FROM: Ward: Portfolio: Paul Deal Corporate Financial Advisor All Corporate Finance Date: 22 nd September 2015 SUBJECT: Summary: Financial Assessment of Mendip District Council

More information

Job Description. Job Title: Department: ICT Service Support Manager Responsible to:

Job Description. Job Title: Department: ICT Service Support Manager Responsible to: Job Description Job Title: ICT Service Support Manager Responsible to: ICT/IS Manager Main purpose of the job: Department: INFORMATION TECHNOLOGY Number of people directly managed: 3 + temporary contractors

More information

ARGYLL AND BUTE COUNCIL SUPPORT SERVICES REVIEW HR & PAYROLL EXECUTIVE SUMMARY- 2 NOVEMBER 2011

ARGYLL AND BUTE COUNCIL SUPPORT SERVICES REVIEW HR & PAYROLL EXECUTIVE SUMMARY- 2 NOVEMBER 2011 ARGYLL AND BUTE COUNCIL SUPPORT SERVICES REVIEW HR & PAYROLL EXECUTIVE SUMMARY- 2 NOVEMBER 2011 1 Introduction 1.1 The Heads of Customer & Support Services, Improvement & HR and the workstream leads for

More information

Consultancy spending approval process: Initial guidance to NHS foundation trusts

Consultancy spending approval process: Initial guidance to NHS foundation trusts Annex One Consultancy spending approval process: Initial guidance to NHS foundation trusts Summary 1. Monitor, the NHS Trust Development Authority (TDA) and NHS England are jointly implementing an approval

More information

Guidance Developing Commissioning Support: Towards Service Excellence was published by the NHS Commissioning Board Authority in February 2012.

Guidance Developing Commissioning Support: Towards Service Excellence was published by the NHS Commissioning Board Authority in February 2012. Commissioning support: Key facts Introduction The setting up of the new clinical commissioning system has given the NHS the opportunity to think about what support clinical commissioners need to more efficiently

More information

Specialist Cloud Services Lot 4 Cloud Printing and Imaging Consultancy Services

Specialist Cloud Services Lot 4 Cloud Printing and Imaging Consultancy Services Specialist Cloud Services Lot 4 Cloud Printing and Imaging Consultancy Services Page 1 1 Contents 1 Contents... 2 2 Transcend360 Introduction... 3 3 Service overview... 4 3.1 Service introduction... 4

More information

Derbyshire Trading Standards Service Quality Manual

Derbyshire Trading Standards Service Quality Manual Derbyshire Trading Standards Service Quality Manual This Quality Manual has been developed to give a broad outline of how the Trading Standards Division s range of services comply with the requirements

More information

Client Study Portfolio

Client Study Portfolio Client Study Portfolio Client Study 1: UK District Council A re-architecture of the client s RAC Environment and full 24/7 support of the client s database systems thereafter has eliminated the risk of

More information

- WIMAX WIRELESS SPECTRUM - CORE NETWORK

- WIMAX WIRELESS SPECTRUM - CORE NETWORK BAY OF PLENTY COUNCILS BROADBAND BUSINESS CASE STUDY FUNDING MODELS - WIMAX WIRELESS SPECTRUM - CORE NETWORK March 2007 GDI Ground Floor, 201 Wickham Terrace PO Box 782 Spring Hill, Qld 4004. Telephone:

More information

Central Hosting. Case Study

Central Hosting. Case Study Central Hosting Case Study October, 2014 Central Hosting Case Study Background An Chéim was originally set up to procure, distribute and implement key MIS systems (hardware and software) for the Institutes

More information

External Audit BV Performance Report: Delivering Change Management and Financial Sustainability

External Audit BV Performance Report: Delivering Change Management and Financial Sustainability CLACKMANNANSHIRE COUNCIL THIS PAPER RELATES TO ITEM 05 ON THE AGENDA Report to: Resources and Audit Committee Date of Meeting: 24 September 2015 Subject: External Audit BV Performance Report: Delivering

More information

Bath & North East Somerset Council

Bath & North East Somerset Council Bath & North East Somerset Council MEETING/ DECISION MAKER: MEETING/ DECISION DATE: Health & Wellbeing Select Committee 29 th July 2015 EXECUTIVE FORWARD PLAN REFERENCE: TITLE: Royal United Hospitals Bath

More information

Efficiency Scrutiny Committee 16 th September 2014 IT - Scrutiny of the Service Review process and viability of options for change

Efficiency Scrutiny Committee 16 th September 2014 IT - Scrutiny of the Service Review process and viability of options for change Efficiency Scrutiny Committee 16 th September 2014 IT - Scrutiny of the Service Review process and viability of options for change For Decision Member Champion(s): Cllr A Alford, Corporate - Director:

More information

Managing Risk Control Environment and Responsibilities

Managing Risk Control Environment and Responsibilities Managing Risk Page 1 of 8 Contents Introduction...3 Risk...3 Risk management - using the framework...3 Source of risk...3 Likelihood and impact...3 Inherent risk...4 Risk-reducing measures...4 Effectiveness...5

More information

Health Policy & Scrutiny Urgency Sub-Committee MINUTES OF PROCEEDINGS

Health Policy & Scrutiny Urgency Sub-Committee MINUTES OF PROCEEDINGS CITY OF WESTMINSTER MINUTES Health Policy & Scrutiny Urgency Sub-Committee MINUTES OF PROCEEDINGS Minutes of a meeting of the Health Policy & Scrutiny Urgency Sub-Committee Committee held on Thursday 7th

More information

REQUEST FOR MAYORAL DECISION MD405. Title: Disaster Recovery Services

REQUEST FOR MAYORAL DECISION MD405. Title: Disaster Recovery Services REQUEST FOR MAYORAL DECISION MD405 Title: Disaster Recovery Services Executive Summary: In May 2006, the GLA entered into an agreement with a recovery partner to offer immediate replacement IT equipment

More information

Business Plan for Financial Management and Business Effectiveness Unit - May 2011 to 30 September 2013

Business Plan for Financial Management and Business Effectiveness Unit - May 2011 to 30 September 2013 1 Business Plan for Financial Management and Business Effectiveness Unit - May 2011 to 30 September 2013 1. Introduction 1.1 The Service s key responsibilities are: o The achievement of proper and effective

More information

CHESHIRE FIRE AUTHORITY SUBJECT : 2014-15 DRAFT BUDGET, COUNCIL TAX AND MEDIUM TERM FINANCIAL PLAN

CHESHIRE FIRE AUTHORITY SUBJECT : 2014-15 DRAFT BUDGET, COUNCIL TAX AND MEDIUM TERM FINANCIAL PLAN CHESHIRE FIRE AUTHORITY Item 2 ITEM: 2 MEETING OF : FIRE AUTHORITY DATE : 12 FEBRUARY 2014 REPORT OF : CHIEF FIRE OFFICER AUTHOR : HEAD OF FINANCE SUBJECT : 2014-15 DRAFT BUDGET, COUNCIL TAX AND MEDIUM

More information

Central Alert System (CAS) Policy and Procedure

Central Alert System (CAS) Policy and Procedure Central Alert System (CAS) Policy and Procedure POLICY NUMBER Risk, Health & Safety.068 POLICY VERSION RATIFYING COMMITTEE Professional Practice Forum Most Recent DATE RATIFIED 26 April 2015 DATE OF EQUALITY

More information

Project Appraisal and Scrutiny Committee Recommendation STRATEGY & RESOURCES 23 MARCH 2015

Project Appraisal and Scrutiny Committee Recommendation STRATEGY & RESOURCES 23 MARCH 2015 Cambridge City Council Project Appraisal and Scrutiny Committee Recommendation Project Name: Telecommunications To: Report by: Scrutiny committee: Wards affected: Recommendation/s Executive Councillor

More information

NORTH AYRSHIRE COUNCIL CORPORATE ASSET MANAGEMENT STRATEGY 2013-2023 JANUARY 2013

NORTH AYRSHIRE COUNCIL CORPORATE ASSET MANAGEMENT STRATEGY 2013-2023 JANUARY 2013 APPENDIX 1 NORTH AYRSHIRE COUNCIL CORPORATE ASSET MANAGEMENT STRATEGY 2013-2023 JANUARY 2013 Page 1 of 10 1. INTRODUCTION It is widely recognised that asset management is a core component of effective

More information

Update on Programme Management Controls & Risks

Update on Programme Management Controls & Risks Committee and Date Audit Committee 26/06/14 Update on Programme Management Controls & Risks Responsible Officer George Candler Director of Commissioning e-mail: George.Candler@shropshire.gov.uk Tel: 01743

More information

Report of the Audit and Risk Committee

Report of the Audit and Risk Committee 10 December 2014 Council 7 To consider Report of the Audit and Risk Committee Issue 1 Twice a year the Audit and Risk Committee prepares a report for Council which details the work it has undertaken since

More information

IT PROJECT EVALUATION

IT PROJECT EVALUATION IT PROJECT EVALUATION CATHY SIMONSON KIMS Better results. Delivered together IT OR NOT IT? Competitive and Commercial advantage Efficiency gains Affordability of high cost project proposals within businesses

More information

Quick Guide: Managing ICT Risk for Business

Quick Guide: Managing ICT Risk for Business Quick Guide: Managing ICT Risk for Business This Quick Guide is one of a series of information products aimed at helping small to medium sized enterprises identify and manage risks when assessing, buying

More information

Information Commissioner's Office

Information Commissioner's Office Information Commissioner's Office IT Procurement Review Ian Falconer Partner T: 0161 953 6480 E: ian.falconer@uk.gt.com Last updated 18 June 2012 Will Simpson Senior Manager T: 0161 953 6486 E: will.g.simpson@uk.gt.com

More information

The Safer Hospitals, Safer Wards Technology Fund Expression of Interest Applicant name

The Safer Hospitals, Safer Wards Technology Fund Expression of Interest Applicant name FOI Ref 398 Tech Fund 1 Technology Bid to NHS England Appendix 1 The Safer Hospitals, Safer Wards Technology Fund Expression of Interest Applicant name State the organisation name for the project application.

More information

STRATEGIC OUTLINE CASE PHARMACY STOCK CONTROL PROJECT DOCUMENTATION. Release: Draft vs. 0.5. Date: 6th June 2008

STRATEGIC OUTLINE CASE PHARMACY STOCK CONTROL PROJECT DOCUMENTATION. Release: Draft vs. 0.5. Date: 6th June 2008 PROJECT DOCUMENTATION STRATEGIC OUTLINE CASE PHARMACY STOCK CONTROL Release: Draft vs. 0.5 Date: 6th June 2008 Author: Liz Boylan Noy Scott House RDEH(Wonford) Barrack Road Exeter EX2 5DW Tel: 01392 402365

More information

PM Governance. Executive Team ADCA ADCA

PM Governance. Executive Team ADCA ADCA Item 6.5a Action Plan against the Recommendations Made in the Review of Risk Management Arrangements by PM Governance, November 2014 Key: PM Governance Paul Moore, Risk Consultant ADCA Associate Director

More information

LONDON BOROUGH OF WALTHAM FOREST

LONDON BOROUGH OF WALTHAM FOREST LONDON BOROUGH OF WALTHAM FOREST Meeting / Date Cabinet /December 2015 Report Title Cabinet Portfolio Report Author/ Contact details Wards affected Public Access Appendices ICT Data Centre & Infrastructure

More information

The shape of things to come

The shape of things to come The shape of things to come Whole pathway assurance rehabilitation Major trauma Appendix 6f 2 Contents Contents...3 1 Introduction...4 2 Executive summary...4 3 Scope and context...4 4 Part A Assurance...5

More information

White Paper. PPP Governance

White Paper. PPP Governance PPP Governance The Governance of Projects, Programs and Portfolios (PPP) (sometimes called project governance for convenience) is the sub-set of corporate and organisational governance 1 focused on assisting

More information

SUMMARY REPORT Trust Board 29 November 2013

SUMMARY REPORT Trust Board 29 November 2013 SUMMARY REPORT Trust Board 29 November 2013 Subject Prepared by Approved by Presented by Nursing Establishment Report Workforce Development Manager and Deputy Director of Nursing Purpose The purpose of

More information

Job Description. To manage the College s accounting arrangements, financial planning and procurement. The Head of Finance is responsible for:

Job Description. To manage the College s accounting arrangements, financial planning and procurement. The Head of Finance is responsible for: Job Description Job title: Department: Grade: Responsible to: Responsible for: Head of Finance Finance 60,000 (spot salary) Chief Operating Officer All members of the Finance Department (8 FTE) with direct

More information

Good Practice Guidelines for Appraisal

Good Practice Guidelines for Appraisal Good Practice Guidelines for Appraisal Dr Laurence Mynors Wallis Dr David Fearnley February 2010 1 Contents Page Introduction 3 Link between appraisal and revalidation 4 Preparation for the appraisal meeting

More information

Gary Cooke, Cabinet Member for Corporate and Democratic Services

Gary Cooke, Cabinet Member for Corporate and Democratic Services From: Gary Cooke, Cabinet Member for Corporate and Democratic Services David Cockburn, Corporate Director of Business Strategy & Support To: Subject: Classification: Past Pathway of Paper: Future Pathway

More information

Internal Audit Report Business Continuity Planning Arrangements

Internal Audit Report Business Continuity Planning Arrangements The Highland Council Community Services Committee 6 November 2014 Agenda Item Report No 19 COM 45/14 Internal Audit Report Planning Arrangements Report by Director of Community Services Summary This report

More information

The Asset Management Landscape

The Asset Management Landscape The Asset Management Landscape ISBN 978-0-9871799-1-3 Issued November 2011 www.gfmam.org The Asset Management Landscape www.gfmam.org ISBN 978-0-9871799-1-3 Published November 2011 This version replaces

More information

The Financial Plan 2013/14 was re balanced in July to reflect agreed contract values, expected QIPP savings and known over performance.

The Financial Plan 2013/14 was re balanced in July to reflect agreed contract values, expected QIPP savings and known over performance. Number: 5 NHS VALE OF YORK CLINICAL COMMISSIONING GROUP GOVERNING BODY MEETING Meeting Date: 3 October 2013 Report Sponsor: Kevin Howells Interim Chief Finance Officer Report Author: Andrew Wilson Interim

More information

Delivering our Vision 5 Year Programme A Performance Management Framework Tier 1: Strategic goals and objectives RIGHT CARE, RIGHT PLACE, RIGHT TIME

Delivering our Vision 5 Year Programme A Performance Management Framework Tier 1: Strategic goals and objectives RIGHT CARE, RIGHT PLACE, RIGHT TIME Delivering our Vision 5 Year Programme A Performance Management Framework Tier 1: Strategic goals and objectives RIGHT CARE, RIGHT PLACE, RIGHT TIME To lead in the provision of emergency care; offering

More information

Procurement Policy. Finance Policy

Procurement Policy. Finance Policy 1 Purpose Victoria University of Wellington (the University ) and its subsidiaries are large scale procurers of goods and services. To ensure continued accountability and robust governance, it is critical

More information

Internal Audit Strategic and Annual Plans 2015/16

Internal Audit Strategic and Annual Plans 2015/16 Internal Audit Strategic and Annual Plans 2015/16 Financial Scrutiny and Audit Committee 10 February 2015 Agenda Item No 8 Summary: This report provides an overview of the stages followed prior to the

More information

Job Description. Circa 50,000 per annum Spot Salary Management Grade

Job Description. Circa 50,000 per annum Spot Salary Management Grade Job Description Job title: Department: Grade: Responsible to: Responsible for: Financial Controller Finance Circa 50,000 per annum Spot Salary Management Grade Chief Operating Officer All members of the

More information

Stakeholder management and. communication PROJECT ADVISORY. Leadership Series 3

Stakeholder management and. communication PROJECT ADVISORY. Leadership Series 3 /01 PROJECT ADVISORY Stakeholder management and communication Leadership Series 3 kpmg.com/nz About the Leadership Series KPMG s Leadership Series is targeted towards owners of major capital programmes,

More information

Submitted to: NHS West Norfolk CCG Governing Body, 29 January 2015

Submitted to: NHS West Norfolk CCG Governing Body, 29 January 2015 Agenda Item: 11.2 Subject: Draft Financial Plan 2015/16 Presented by: John Ingham, Chief Financial Officer Submitted to: NHS West Norfolk CCG Governing Body, 29 January 2015 Purpose of Paper: For information

More information

Public Records (Scotland) Act 2011. Healthcare Improvement Scotland and Scottish Health Council Assessment Report

Public Records (Scotland) Act 2011. Healthcare Improvement Scotland and Scottish Health Council Assessment Report Public Records (Scotland) Act 2011 Healthcare Improvement Scotland and Scottish Health Council Assessment Report The Keeper of the Records of Scotland 30 October 2015 Contents 1. Public Records (Scotland)

More information

Governance, Risk and Best Value Committee

Governance, Risk and Best Value Committee Governance, Risk and Best Value Committee 2.00pm, Wednesday 23 September 2015 Internal Audit Report: Integrated Health & Social Care Item number Report number Executive/routine Wards Executive summary

More information

Mouchel. Environmental Policy and Management Plan

Mouchel. Environmental Policy and Management Plan Environmental Policy and Management Plan Environmental Policy and Management Plan Contents Part 1 - Statement of Policy Part 2 - Organisation Part 3 - Management Plan Environmental Policy and Management

More information

Trust Offices Phone number work. Guidance on Completing a Business Case. Service Development and Delivery Department 3

Trust Offices Phone number work. Guidance on Completing a Business Case. Service Development and Delivery Department 3 Trust Offices Phone number work Communications Department T 0151 47 2885 www.merseycare.nhs.uk Guidance on Completing a Business Case Service Development and Delivery Department Trust Offices Phone number

More information

Progress on the System Sustainability Programme. Submitted to: NHS West Norfolk CCG Governing Body, 31 July 2014

Progress on the System Sustainability Programme. Submitted to: NHS West Norfolk CCG Governing Body, 31 July 2014 Agenda Item: 9.1 Subject: Presented by: Progress on the System Sustainability Programme Dr Sue Crossman, Chief Officer Submitted to: NHS West Norfolk CCG Governing Body, 31 July 2014 Purpose of Paper:

More information

NOT PROTECTIVELY MARKED

NOT PROTECTIVELY MARKED NOT PROTECTIVELY MARKED Report to: SCOTTISH FIRE AND RESCUE BOARD Report Number: B/FCS/9-13 Date: 26 SEPTEMBER 2013 Report By: CHIEF OFFICER Subject: HR/PAYROLL PROJECT BUSINESS CASE 1 PURPOSE 1.1 The

More information

Board meeting 28 February 2007

Board meeting 28 February 2007 This paper is being submitted to the Trust Board for amendment and/or approval as appropriate. It should not be regarded, or published, as Trust policy until formally agreed at the Board meeting, which

More information

Kenny Dick, Head of Finance and Corporate Governance. To present draft budget proposals for 2014/15 to the Board for approval.

Kenny Dick, Head of Finance and Corporate Governance. To present draft budget proposals for 2014/15 to the Board for approval. 2014-15 Draft Budget Report to: Board Date: 28 March 2014 Report by: Report No. Kenny Dick, Head of Finance and Corporate Governance Agenda Item: 9 PURPOSE OF REPORT To present draft budget proposals for

More information

Application Information Pack CRM Project Manager

Application Information Pack CRM Project Manager Application Information Pack CRM Project Manager Introduction to Girlguiding Thank you for your interest in the role of CRM Project Manager. This document provides information relating to the above vacancy

More information

GROUP EQUALITY & DIVERSITY FRAMEWORK

GROUP EQUALITY & DIVERSITY FRAMEWORK 1. INTRODUCTION 1.1 In this document we have outlined the framework within which Orbit aims to deliver its vision for Equality and Diversity (E&D) for 2010 2013 which runs along side the delivery of the

More information

A&E Recovery & Improvement Plan

A&E Recovery & Improvement Plan Engagement and Patient Experience Committee (A Sub-Committee of NHS Southwark CCG Governing Body) ENCLOSURE B A&E Recovery & Improvement Plan DATE OF MEETING: September 2013 CCG DIRECTOR RESPONSIBLE: Tamsin

More information

Governing Body meeting (held in public)

Governing Body meeting (held in public) ENCLOSURE: H Agenda Item: 114/15 Governing Body meeting (held in public) DATE: 30 July 2015 Title Procurement of Non Emergency Patient Transport Services (to Dartford & Gravesham Hospital Trust Non-emergency

More information

North Middlesex University Hospital NHS Trust. Annual Audit Letter 2005/06. Report to the Directors of the Board

North Middlesex University Hospital NHS Trust. Annual Audit Letter 2005/06. Report to the Directors of the Board North Middlesex University Hospital NHS Trust Annual Audit Letter 2005/06 Report to the Directors of the Board 1 Introduction The Purpose of this Letter 1.1 The purpose of this Annual Audit Letter (letter)

More information