This report summarises the findings from audit work I have undertaken at the Health Board during the latter part of 2009 and throughout 2010. This allows me to discharge my responsibilities under the Public Audit (Wales) Act 2004 in respect of the audit of 2009-10 accounts and the Board’s arrangements to secure efficiency, effectiveness and economy in its use of resources.
The Health Board has had a challenging first year. Bringing together a complex NHS Trust (which had only recently merged) with three former Local Health Boards is a significant task. The new Health Board employs some 9,000 staff and services are spread across a range of sites across a wide geographical area. The Health Board has responded well to these challenges. It is well managed and has established an interim corporate strategy and developed new structures. There is a commitment to ensuring safe and cost effective services but the Health Board recognises further work is required.