Corporate Governance Attestation Statement Health Support Services
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1 Corporate Governance Attestation Statement
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3 ESTABLISH ROBUST GOVERNANCE AND OVERSIGHT FRAMEWORKS Role and function of the Chief Executive The Chief Executive carries out that Offices functions, responsibilities and obligations in accordance with the Health Services Act 1997 and the determination of function for the organisation as approved by the Minister for Health. The Chief Executive has in place practices that ensure that the primary governing responsibilities of the Chief Executive are fulfilled in relation to: A B C D E F Ensuring clinical and corporate governance responsibilities are clearly allocated and understood Setting the strategic direction for the organisation and its services Monitoring financial and service delivery performance Maintaining high standards of professional and ethical conduct Involving stakeholders in decisions that affect them Establishing sound audit and risk management practices. Authority and role of senior management All financial and administrative authorities that have been appropriately delegated by the Chief Executive and are formally documented within a Delegations Manual for the Organisation. The roles and responsibilities of the Chief Executive and other senior management within the Organisation are also documented in written position descriptions. Regulatory responsibilities and compliance The Chief Executive is responsible for and has mechanisms in place to ensure that relevant legislation and regulations are adhered to within all facilities and units of the Organisation, including statutory reporting requirements. The Chief Executive also has a mechanism in place to gain reasonable assurance that the Organisation complies with the requirements of all relevant government policies and NSW Health policy directives and policy and procedure manuals as issued by the Ministry of Health. HealthShareNSW Corporate Governance & Communications
4 A ENSURING CLINICAL AND CORPORATE GOVERNANCE RESPONSIBILITIES ARE CLEARLY ALLOCATED AND UNDERSTOOD The Chief Executive has in place frameworks and systems for measuring and routinely reporting on the safety and quality of care provided to the communities the Organisation serves. These systems and activities reflect the principles, performance and reporting guidelines as detailed in NSW Health policy directive Patient Safety and Clinical Quality Program (PD2005_608). The Chief Executive has systems in place to ensure that clinicians employed by Health Support Services in a clinical role have relevant qualifications and registration to practise their profession. Guidelines or resources relating to the provision of equipment or services to the public are developed following thorough consultation with appropriately skilled clinicians. The Chief Executive has mechanisms in place to ensure that the relevant registration authority is informed where there are reasonable grounds to suspect professional misconduct or unsatisfactory professional conduct by any registered health professional employed or contracted by the Organisation. B SETTING THE STRATEGIC DIRECTION FOR THE ORGANISATION AND ITS SERVICES The Chief Executive has in place strategic plans for the effective planning and delivery of its services to customers served by HSS. This process includes setting a strategic direction for both HSS and the services it provides. Organisational-wide planning processes and documentation is also in place, with a 3 to 5 year horizon, covering: a b c d Asset management Information management and technology Research and teaching Workforce development C MONITORING FINANCIAL AND SERVICE DELIVERY PERFORMANCE Role of the Chief Executive in relation to financial management and service delivery The Chief Executive is responsible for ensuring compliance with the NSW Health Accounts and Audit Determination and the annual Ministry of Health budget allocation advice. The Chief Executive is also responsible for ensuring that the financial and performance reports it receives and those submitted to its Finance and Performance Committee and the Ministry of Health are accurate and that relevant internal controls for the organisation are in place. To this end, the Chief Executive certifies that: The financial reports submitted to the Finance & Performance Committee and the Ministry of Health represent a true and fair view, in all material respects, of the Organisation s financial condition and the operational results are in accordance with the relevant accounting standards The recurrent budget allocations in the Ministry of Health s financial year advice reconcile to those allocations distributed to organisation units and cost centres. Overall financial performance is monitored and reported to the Finance and Performance Committee of the organisation. Information reported in the Ministry of Health monthly reports reconciles to and is consistent with reports to the Finance and Performance Committee. HealthShareNSW Corporate Governance & Communications
5 All relevant financial controls are in place. Creditor levels comply with Ministry of Health requirements. Write-offs of debtors have been approved by duly authorised delegated officers. The Public Health Organisation General Fund has not exceeded the Ministry of Health approved net cost of services allocation. The organisation did not incur any unfunded liabilities during the financial year. The Director of Finance has reviewed the internal liquidity management controls and practices and they comply with Ministry of Health requirements. Consistent with Policy Directive PD 2010_39 Internal Audit and the International Standards for the Professional Practice of Internal Auditing, the Internal Auditor adopts a risk based audit methodology when developing the annual Internal Audit Plan and liaises with external audit to ensure the adequacy of overall audit coverage and to minimise duplication of effort. The items above have been reviewed by internal or external audit where applicable or required. Service and Performance agreements A written service agreement was in place during the financial year between HSS and the Director- General, NSW Health, and a performance agreement between the Director General and the Chief Executive, and the Chief Executive and all Health Executive Service Members employed within the organisation. The Chief Executive has mechanisms in place to monitor the progress of matters contained within the Service Agreement. The Finance and Performance Committee The Chief Executive has established a Finance and Performance Committee to assist the Chief Executive ensure that the operating funds, capital works funds and service outputs required of the organisation are being managed in an appropriate and efficient manner. The Finance and Performance Committee is chaired by the Chief Executive who attends all meetings of the Committee unless on approved leave. Other members of the Committee are: Director, Finance Director, Operations and Business Support Chief Technology Officer Director, Workforce Director, Strategy and Architecture Director, Customer Services and Corporate Governance The Finance and Performance Committee receives monthly reports that include: Financial performance of each major cost centre Liquidity performance Activity performance against indicators and targets in the performance agreement for the organisation Advice on the achievement of strategic priorities identified in the performance agreement for the organisation Year to date and end of year projections on capital works and private sector initiatives. Letters to management from the Minister for Health, and the NSW Ministry of Health relating to significant financial and performance matters are also tabled at the Finance and Performance Committee and Audit & Risk Committee as appropriate. HealthShareNSW Corporate Governance & Communications
6 D MAINTAINING HIGH STANDARDS OF PROFESSIONAL AND ETHICAL CONDUCT The Chief Executive has adopted the NSW Health Code of Conduct to guide all staff and contractors in ethical conduct. The Code of Conduct is distributed to all new staff and is included on the agenda of all staff induction programs. The Chief Executive has systems and processes in place to ensure the Code is periodically reinforced for all existing staff. Ethics education is also part of the organisation s learning and development strategy. The Chief Executive, as the principal officer for the organisation, has reported all known cases of corrupt conduct, where there is a reasonable belief that corrupt conduct has occurred, to the Independent Commission Against Corruption, and has provided a copy of those reports to the Ministry of Health. Policies and procedures are in place to facilitate the reporting and management of public interest disclosures within the organisation in accordance with state policy and legislation, including establishing reporting channels. There have been no disclosures made to date. E INVOLVING STAKEHOLDERS IN DECISIONS THAT AFFECT THEM The Chief Executive is responsible for ensuring that the rights and interests of the Organisation s key stakeholders are incorporated into the plans of the organisation and that they are provided access to balanced and understandable information about the organisation and its proposals. HSS has a number of forums or mechanisms that facilitate the input of customers and consumers into the key policies, plans and initiatives of the Organisation, such as: Chief Executive Forum held every month EnableNSW Advisory Council Regular monthly meeting by the Chief Executive at the Senior Executive Forum chaired by the Director General Regular meetings with the Senior Management of Local Health Districts by HSS Management Regular attendance at the Directors of Finance Forum for NSW Health Personally Controlled Electronic Health Record (PCEHR) Program Board and Implementation Management Groups include formal consumer representation on their interaction with our services Information on the key policies, plans and initiatives of the Organisation and information on how to participate in their development are available to staff and to the public via the internet. For example: F ESTABLISHING SOUND AUDIT AND RISK MANAGEMENT PRACTICES Role of the Chief Executive in relation to audit and risk management The Chief Executive is responsible for supervising and monitoring risk management by the Organisation and its facilities and units, including the organisation s system of internal control. The Chief Executive receives and considers all reports of the External and Internal Auditors for the Organisation, and through the Audit and Risk Management Committee ensures that audit recommendations and recommendations from related external review bodies are implemented. The organisation has a current Risk Management Plan. The Plan covers all known risk areas including: HealthShareNSW Corporate Governance & Communications
7 Leadership and management. Clinical care. Health of population. Finance (including fraud prevention). Information Management. Workforce. Security and safety. Facilities and asset management. Emergency and disaster planning. Community expectations. Audit and Risk Management Committee The Chief Executive has established an Audit and Risk Management Committee, with the following core responsibilities: to assess and enhance the organisation s corporate governance, including its systems of internal control, ethical conduct and probity, risk management, management information and internal audit to ensure that appropriate procedures and controls are in place to provide reliability in the Organisation s financial reporting, safeguarding of assets, and compliance with the Organisation s responsibilities, regulatory requirements, policies and procedures to oversee and enhance the quality and effectiveness of the Organisation s internal audit function, providing a structured reporting line for the Internal Auditor and facilitating the maintenance of their independence through the internal audit function, to assist the Chief Executive to deliver the Organisation s outputs efficiently, effectively and economically, so as to obtain best value for money and to optimise organisational performance in terms of quality, quantity and timeliness; and to maintain a strong and candid relationship with external auditors, facilitating to the extent practicable, an integrated internal/external audit process that optimises benefits to the organisation. The Audit and Risk Management Committee comprises three members, including two persons who are not employees of, or contracted to, provide services to the organisation. The Chairperson of the Audit and Risk Management Committee is Mr Allan Cook and is one of the independent members of the committee. The other members of the committee are Mr Garry Dinnie (independent member) and Mr Mike Rillstone (Chief Executive, Healthshare NSW). The Audit and Risk Management Committee met on six occasions during the financial year. The Chairperson of the committee has right of access to the Director-General of the NSW Ministry of Health. HealthShareNSW Corporate Governance & Communications
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