This interim Annual Audit Letter to the new Cwm Taf Local Health Board (the Board) relates to my audits of the final, six-month period to 30 September 2009 of the Board’s predecessor bodies. The work reported on in the Letter was set out in the agreed Audit Strategies for the following organisations: Cwm Taf NHS Trust, Merthyr Tydfil Local Health Board, Rhondda Cynon Taf Local Health Board.
My performance audit work concluded that the predecessor bodies had appropriate corporate arrangements to support effective use of resources although, despite some progress, the Board inherited a number of challenges in specific areas of service delivery:
- there were no significant weaknesses in the predecessor bodies arrangements to help them achieve economy, efficiency and effectiveness in their use of resources; and
- recent performance audit reviews highlighted that, despite some progress, further challenges and areas for improvement remained in relation to the management of chronic conditions, prescribing, maternity services, junior doctors’ working time, sickness absence and partnership working.