The Financial Audit Manager from Audit Wales presented the report, the purpose of which was to submit to the Committee reports from Audit Wales, to include an update on the financial and performance work already and due to be undertaken by Audit Wales.

Her colleague, a senior auditor from Audit Wales, advised that the purpose of the Baseline Governance Review Of Cwm Taf Morgannwg Regional Partnership Board had been to gain assurance that the Health Board and three Local Councils are working effectively through the Transformation Leadership Board to support regional integrated working across the Cwm Taf Morgannwg region. This included building on the work undertaken in the last 18 months, as well as looking at more long-term thinking moving forward and ways to better resource the region. It was considered that more effective strategic planning was required in the future.

Paragraph 4.1 of the report gave information on the reports that Audit Wales had produced for the Committee to consider, namely:

• The Audit Wales Programme and Timetable (Appendix A to the report);
• Transformational Leadership Programme Board – Baseline Governance Review – Cwm Taf Morgannwg Regional Partnership Board (Appendix B)

The Corporate Director – Social Services and Wellbeing provided a response to the elements of the Audit carried out which related to Appendix B above, and had responded in full at the report at Appendix C. 

The Audit Wales representative also made reference to the 7 recommendations as detailed in the Audit Wales report (at page 6 of Appendix B) and briefly gave an overview of these for the benefit of members.

A member queried the reason for the delay in setting up the board for the Governance Cross Cutting programme which was expected in July 2022. The Senior Auditor with Audit Wales stated that the purpose of the study was to gain assurance that the Health Board and the three councils work together through the Transformation Leadership Partnership Board (TLPB). He stated that the fieldwork was undertaken from November 2021 to January 2022 after which their findings were presented in March 2022.

The conclusion was, as depicted in the report, building on the productive working relationships over the past 18 months, which had also encompassed the challenges of COVID, the TLPB was well placed to develop a strong regional working approach and there needed to be more long term thinking strengthening aspects of governance arrangements and improving regional and innovative use of resources.

Seven recommendations were made at that time and subsequently presented back to the new Integrated Leadership board on the 1^st of December 2022.The Corporate Director, Social Services and Wellbeing added since the field work was undertaken and the report was published, a review of governance had been undertaken.

A new integrated leadership board chaired by the Chief Executive of the Health Board and attended by very senior officers across organisations has been established to ensure cross cutting work around finance, workforce, capital and buildings. She stated that the workforce is an area still in need  ...  view the full minutes text for item 52