Select Committee on Regulatory Reform Eighth Report


2 Background: The present Audit and Accounting Arrangements

Requirements of the National Health Service Act 1977

7. The present audit and accounting arrangements for most NHS bodies (excluding NHS Foundation Trusts) are set out in section 98 of the National Health Service Act 1977.[5] NHS bodies—including NHS charities—are required to prepare annual accounts in a form directed by the Secretary of State for Health and approved by the Treasury. The accounts are audited by auditors appointed by the Audit Commission.[6] Following audit, they are submitted to the Secretary of State for Health or the National Assembly for Wales.

8. The Secretary of State for Health or the National Assembly for Wales summarises the accounts of the funds derived from the Exchequer and the funds belonging to the charitable trusts separately, and transmits them to the Comptroller and Auditor General or the Auditor General for Wales for examination. After examination, the accounts for England are presented to Parliament and those for Wales are presented to the National Assembly.

9. The Secretary of State for Health and the National Assembly for Wales have no powers to inquire into the management of NHS charities. Their powers are limited to appointing and removing trustees, determining their terms of office, summarising the accounts of charities for examination and presentation to Parliament and the National Assembly and transferring property held on trust between NHS bodies.

Requirements of the Charities Act 1993

10. In 1996 a separate and additional accounting requirement was placed on NHS charities by the entry into force of Part VI of the Charities Act 1993. NHS charities have always been required to register for charitable status and submit to the jurisdiction of the Charity Commissioners. After 1 March 1996 they were no longer exempt from the requirement in charity law that all permanently endowed charities shall send their accounts to the Charity Commissioners. NHS charities now fall within the normal accounts monitoring programme undertaken by the Charity Commission.

11. In its explanatory statement on the proposal for the Order, the Department summarised the accounting regime which applies to all charities under charity law.[7] This is as follows:

a)  If a charity's gross income or its total expenditure in any one financial year exceeds £10,000, it must submit accounts to the Charity Commission. But if the gross income or total expenditure do not exceed £250,000, the accounts are permitted to be subject to an examination before submission, rather than to a full audit.

b)  Charities with a gross income or total expenditure of over £250,000 in any one financial year must prepare full accounts for submission to the Charity Commission, and are subject to a full audit.

c)  If a charity's gross income in any financial year is £100,000 or less, the charity may elect to prepare accounts of receipts and payments only, and a statement of assets and liabilities.

d)  If neither a charity's gross income, nor its total expenditure in any financial year, exceeds £10,000, it is exempt from any requirement to have its accounts examined or audited (unless the Charity Commissioners require otherwise), and it is not required to submit its annual accounts to the Charity Commissioners, unless requested to do so.

e)  The Charity Commissioners conduct routine monitoring of 'larger charities', and have powers to institute general inquiries into charities or to carry out inquiries for specific purposes.

12. The Department further recorded that NHS charity trustees presently seek a dispensation from the Charity Commission to allow the audit undertaken by the Audit Commission for the purposes of section 98 of the 1977 Act to satisfy the audit scrutiny requirements for accounts submitted to the Charity Commission.

13. The draft Charities Bill, which was introduced in the House of Lords on 20 December 2004, would make a number of changes to the present structure of charity law, in the light of proposals contained in a recent review by the Cabinet Office.[8] The Government proposes that the present audit threshold of £250,000 should be raised to £500,000. In addition, it is proposed that the type of accounts to be prepared, and the level of audit scrutiny, should be determined by an asset threshold as well as the present income threshold.[9]

14. The House has instructed us to examine the draft Order against such of the criteria specified in Standing Order No. 141(6) as are relevant. We are also required to consider the account which the responsible minister has taken of our report on the proposal, and of any other representations made during the period for Parliamentary consideration. Our discussion of matters arising from our consideration is set out below.


5   The audit and accounting arrangements for NHS Foundation Trusts are set out in Schedule 1 (paragraphs 23 to 25) and Schedule 5 to the Health and Social Care (Community Health and Standards) Act 2003. Back

6   Section 61 of the Public Audit (Wales) Act 2004 (when brought into force) will require the accounts of Welsh NHS bodies to be audited by the Auditor General for Wales and laid before the National Assembly for Wales. Back

7   Available from the Cabinet Office Website Back

8   Strategy Unit Report Private Action, Public Benefit available at www.number-10.uk/su/voluntary/report/index.htm Back

9   Fifth Report from the Regulatory Reform Committee of Session 2003-04, Proposal for the Regulatory Reform (National Health Service Charitable Trust Accounts and Audit) Order 2005, HC 438 Back


 
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Prepared 11 March 2005