This report summarises my findings from the audit work I have undertaken at Abertawe Bro Morgannwg University Health Board (the Health Board) during 2013.
The Health Board achieved financial balance in 2012-13 and I have issued an unqualified opinion on the 2012-13 financial statements, although in doing so, I have brought several issues to the attention of officers and the Audit Committee
Despite the urgent measures being taken to close the present funding gap and its past record of sound in-year financial management, current projections indicate that the Health Board is unlikely to achieve financial balance in 2013-14
Arrangements have continued to mature to support effective governance and the Board is promoting an open quality focused culture. However some arrangements need further improvement and progress in some areas has been slow. There is also more to do to strengthen organisational capacity and fully embed organisational learning
My performance work has identified that while the Health Board has made some progress in improving its use of resources, the pace needs to be quicker in some areas and improvements in unscheduled care performance and timely access to services are needed