This is an HTML version of an attachment to the Freedom of Information request 'Audit details'.
 
 
 
 
 
5 March 2009 
 
File ref: T/3/7/107 
 
 
Ms Diane Scott 
request-8277-
[email address]
  
 
Dear Ms Scott  
 
 
Thank you for your email dated 19 February 2009. I am pleased to provide 
you with the following information in response to your request. 
 
1.  The annual report of our audit committee for each of the years 
ended 2003 to 2008 
 
The Audit Committee Reports can be found at the following URL: 
 
http://www.planning.ed.ac.uk/Governance/Court/Pub/meetings.htm
 
To access the reports click on the link for ‘Agenda and Papers’ for the 
December of the year you would like to access. Online report are available for 
the years 2004/2005, 2005/2006, 2006/2007 and 2007/2008. The reports for 
2002/2003 and 2003/2004 are attached. 
 
2.  The annual report of our internal auditor for each of the years 
ended 2003 to 2008. 
 
All the reports above include the internal audit report for that year. 
 
3.  The identity of our internal audit provider  
 
The University has an in-house internal audit service.  
 
4.  The cost of our internal audit service for each of the years from 
2003 to 2008. 
 
The costs are included in the reports above – however I also attach a 
summary of the costs for the years specified.  

 
Copyright in the information you have been given belongs to the University of 
Edinburgh or to another party.  Copyright material must not be copied, 
distributed, modified, reproduced, transmitted, published (including published 
on the Internet or an intranet), or otherwise made available in whole or in part 
without the prior written consent of the copyright holder. 
 
 
 
  
 
2

 
C2 
The University of Edinburgh 
 
The University Court 
 
15 December 2003 
 
 
Annual Report of the Audit Committee to Court, FY 2002/2003 
 
 
Brief description of the paper 
 
The paper sets out the annual report from the Audit Committee to the University Court, on Financial Year 
2002/2003, with the Internal Audit Report for 2002/03 (Annex 1, with five accompanying appendices) and 
the draft minutes from the Audit Committee meeting held on 20 November 2003 (Annex 2).   
 
 
Action requested    
 
The University Court is invited to note the paper for information. 
 
 
Resource implications 
 
Does the paper have resource implications?  The activities described in the paper can be met with existing 
resource allocations. 
 
 
Risk Assessment 
 
Does the paper include a risk analysis?  The paper describes the activities of the Audit Committee, which has 
received reports on the University’s risk management controls during 2002/03 and, which has also received 
internal audit reports, which have been prepared using a risk-based approach. 
 
 
Equality and Diversity 
 
Does the paper have equality and diversity implications?  No. 
 
 
Any other relevant information 
 
The paper will be presented by Dr. John Markland, Convener of the Audit Committee. 
 
 
Originator of the paper 
 
Ms. S.M. Welham, Executive Secretary, Audit Committee 
8 December 2003 

 
 

Annual Report of the Audit Committee to Court for FY 2002/2003 
 
 
1 Administrative 
Matters 
 
Membership and Frequency of Meetings FY 2002/2003 
 
Membership of the Committee for the FY 2002/2003 was as follows, with Court members marked*: 
 
Dr J Markland * (Convener) 
Professor A D Milne * 
Dr I P Sword * (resigned May 2003)  
Mr F H Hitchman 
Mr G M Murray 
Mr D A Ross Stewart (resigned w.e.f. 31 July 2003) 
Mr J Stretton 
 
Dr Markland assumed his role as Convener of the Committee in 2002/03.  Mr D Ross Stewart and Dr I 
Sword both resigned during 2002/03 for separate reasons, which were unrelated to the work of the 
Committee.  The Committee expressed its grateful thanks for their participation in the work of the 
Committee. 
 
The University Secretary is Secretary to the Committee and its Executive Secretary is Ms S. Welham.  
Routinely in attendance during the year were: the Director of Corporate Services, the Director of Finance, 
the Chief Internal Auditor, the Assistant Director of Finance responsible for Financial Accounting, the 
executive secretary of the Committee, and the external auditors, KPMG.  During 2002/03 the Committee had 
a presentation from Vice-Principal Dr G.R. Field on IT security issues. 
 
The Committee met on four occasions in the course of FY 2002/2003. 
 
2.1 Internal 
Audit 
 
Annual Report of the Internal Auditors 2002/2003 
 
 
The Annual Report of the in-house internal auditors is attached as Annex 1.  The Court’s attention is drawn 
to Appendix E which is a new section on the assessment of the adequacy and effectiveness of risk 
management within the University, and which was used to help derive the conclusion in the internal auditor’s 
annual statement on the system of internal control in the University, which is endorsed by the Audit 
Committee: 
 
“On the basis of the work carried out during the year I conclude that where weaknesses were identified 
these were addressed and that there is sufficient evidence of controls and procedures that are 
functioning to provide reasonable assurance that the overall control environment is adequate in the 
University.  Risk management has been actively developed throughout the year and steps are 
continuing to extend the process such that it becomes embedded further as an ongoing process.” 
Chief Internal Auditor’s Annual Statement (see Annex 1) 
 
2003/2004 Internal Audit Plan 
 
 
At its meeting on 7 July 2003 the Court, on the recommendation of the Audit Committee, approved the 
Strategic Audit Plan for 2003-06 and the Annual Audit Plan for 2003-04.  The Chief Internal Auditor 
prepared the plans in consultation with senior management, including the Principal as Chief Accounting 
Officer. 
 

 
 

2.2 
External Audit 
 
Appointment and Remuneration of External Auditor 
 
At its meeting on 9 July 2001, on the recommendation of the Audit Committee, the University Court 
appointed KPMG to conduct the external audit of the University for the three financial years from 2001/02.  
The Audit Committee reviewed the External Auditors’ audit plan for the year ending on 31 July 2003 at its 
27 February 2003 meeting.  The Audit Committee reported to the Court at its 7 July 2003 meeting that the 
proposed external fee for the University and Subsidiary companies for 2002/03 was £54,275 exclusive of 
VAT, subject to minor adjustments for subsidiary companies. 
 
Reports and Financial Statements for the year ended 31 July 2003 
 
The Committee received the reports and financial statements for the year ending 31 July 2003, with the 
exception of the Principal’s statement, at its meeting on 20 November 2003, together with a presentation by 
KPMG on the external audit findings.  The Committee noted the basis of the opinion of KPMG on the 
accounts and the satisfactory nature of that opinion.  The Committee concluded that the audit had been 
satisfactorily performed and that there were no major issues to give significant cause for concern.  The 
Committee agreed for its part to commend the reports and financial statements that it had received to the 
Court for adoption. 
 
Management Letter 2002/2003 
 
 
KPMG referred to the Management Letter in the report on the audit results.  KPMG confirmed that, while it 
highlighted various matters requiring the attention of management, which the Audit Committee is satisfied 
are being addressed effectively, it contained nothing to impact on their ability to give a clean audit report on 
the accounts for the year.  On completion, the Management Letter will be forwarded to the Funding Council 
as required by the SHEFC Code of Audit Practice. 
 
2.3 Internal 
Control 
Systems 
 
Based on the results of the work of the Internal Auditor as reported in the Internal Auditor’s Annual Report; 
the External Auditors’ opinion on the financial statements as well as on the Management Letter; and direct 
comments from relevant members of staff of the University, the Audit Committee considered that the 
University’s internal control systems were functioning to provide reasonable assurance that the overall 
control environment was adequate in the University and could be relied on by the University Court. 
 

Other Committee Business 
 
Other issues considered by the Audit Committee during 2002/2003 included: risk management, where it 
received regular reports on the development of the Risk Management Strategy and Policy and the University 
Overview Level Risk Register; the University’s corporate governance statement; the University’s 
relationships with subsidiary and spin-out companies: Memoranda of Understanding with subsidiary 
companies and the role of the University’s Nominated Officer; the Smith Report (January 2003): Audit 
Committees – Combined Code Guidance; voluntary severance payments; IT security; value for money audit 
reports; the Audit Committee’s terms of reference, in particular in relation to the Risk Management 
Committee’s remit; and the Audit Committee’s composition and its interaction with senior University 
managers.  The Committee held its Annual Seminar in conjunction with the Risk Management Committee in 
March 2003. 
 
4 
Fraud and Irregularity 
 
The Audit Committee has not been made aware of any serious weaknesses in internal control systems, 
significant fraud or major accounting or other control breakdowns. 
 
 
Ms Welham, Executive Secretary, Audit Committee, 21 November 2003 

 
 

University of Edinburgh  
 
Internal Audit Annual Report 2002-03 
 
Annex 1 
Internal Audit Annual Report 2002-2003 
 
1.  Introduction 
The Code of Audit Practice requires that the Audit Committee should be provided with an Annual 
Report on Internal Audit's activities at the first meeting following the financial year-end.  It also sets 
out the minimum contents of such a report (paragraph 4.53-4.54). 
2.  Achievement of Annual Plan  
Appendix A lists the assignments carried out during the year in the order that they were reported to 
the Audit Committee.  Appendix B summarises the main findings.  The audit plan approved by the 
Audit Committee is substantially completed (98%).  Work is continuing on Postgraduate Admissions, 
the School of Biomedical and Clinical Laboratory Sciences and Research Fees. 
The original audit plan was designed to accommodate additional assignments arising during the year 
and any unforeseen staff absences, by setting aside time to cover such eventualities (without 
disrupting the scheduled assignments).  This has once again worked well.  Seven additional 
assignments to the original plan were accommodated during the year (two did not result in a formal 
report).  Four assignments: IT Penetration Testing; Postgraduate Admissions; Estates & Buildings 
Stores; and Corporate Governance - Compliance with Good Practice, required significantly more time 
to carry out than had been planned. 
 
3.  Summary of Findings 
The Code requires a summary of each audit report and these are set out in Appendix B.  The more 
significant control weaknesses and control assurances identified are set out in the table in Appendix 
C.  Based on audit findings during the year, Table 1 below highlights examples of where the control 
environment requires enhancement. 
Table 1: Examples of how and where the control environment could be enhanced 
Control Environment  
Assignments identifying the need for control enhancement  
Accommodation Services: Commercial Income Collection, 
Better Segregation of Duties 
Overhead Recovery in Research and Consultancy Contracts. 
Improved Organisational 
IT Network Security (x2), IT Penetration Testing, Disposal of 
controls 
Waste. 
Control over Authorisation and 
Acquisition and Disposal of Land and Buildings, Senior Staff 
Approval 
Expenditure Claims, ICMB/Wellcome Trust Centre. 
Vehicle Policy Compliance, Estates and Buildings Stores, 
Improved Physical Controls 
Payment of Creditors: Accounts Payable. 
Estates and Buildings Stores, Payment of Creditors: Accounts 
More effective Supervision 
Payable. 
Improved Personnel Controls 
Vehicle Policy Compliance, Disposal of Waste. 
Animal Houses, Accommodation Services: Commercial Income 
Improved Arithmetic and 
Collection, Restructuring Fund (Bond) Monies, Learning 
Accounting Controls 
Technology Section, ICMB/Wellcome Trust Centre. 
Vehicle Policy Compliance, Estates and Buildings Stores, 
Improved Management 
Learning Technology Section, Payment of Creditors: Accounts 
Payable, ICMB/Wellcome Trust Centre. 
 


University of Edinburgh  
 
Internal Audit Annual Report 2002-03 
 
87% of recommendations from a programme of follow up reviews, were found to have been 
implemented in full as agreed.  This is up from 77% in last year’s annual report. 
 
Positive Assurances 
 
• 
IT Network Security 
• 
IS/IT Disaster Recovery - Corporate Systems 
• 
IT Penetration Testing  
• 
Capital Project Planning 
• 
School of Engineering and Electronics 
• 
Pathology 
• 
Management of Intellectual Property 
• 
Legal Services VFM 
 
4.  Value for Money (VFM) 
VFM is considered as a routine aspect of each assignment.  Appendix C identifies those assignments 
that could result in VFM opportunities for the University. 
 
5.  Staffing 
There was no turnover of staff during the year.  IT audit specialists were engaged to provide support 
on IT related assignments. 
6.  Internal Audit Performance Indicators 
The SHEFC Code of audit Practice states, “The Head of Internal Audit should, in conjunction with 
management and the Audit Committee, establish and implement performance measures and 
indicators, whereby the efficiency and effectiveness of the service can be monitored on an ongoing 
basis
”.  
 
Appendix D includes a selection of Key Performance Indicators and a summary of the responses to 
Performance Questionnaires received during the year from management, following an audit in their 
area. 
 
7.  Turnbull Committee Report on Internal Control 
The Turnbull Committee report emphasised that it was an essential part of the Main Board’s / 
Governing Body’s (Court’s) responsibility to review the effectiveness of internal control.  In coming 
to a view, members are expected to seek input from the Audit Committee, other constitutional 
committees, senior management, external and internal audit.  SHEFC requires the Court to include a 
statement in the annual financial statements on corporate governance, indicating how the University 
has complied with good practice in this regard.  There is a separate paper from the University 
Secretary on the Draft Corporate Governance Statement giving advice to members on the Statement 
of Internal Control. 
8.  Risk Management 
The University Risk Management Committee is now fully operational.  The University Risk 
Management Policy and Overview Risk Register have now been endorsed by Court and will be 
reviewed and confirmed by CMG, FGPC, Audit Committee and Court each year.  Each College and 
Support Group has prepared a Risk Register which will be formally reviewed annually by the Risk 


University of Edinburgh  
 
Internal Audit Annual Report 2002-03 
 
Management Committee.  Copies of the College/Support Group Risk Registers have been submitted 
to the Risk Management Committee for appraisal. 
An assessment of the adequacy of the University of Edinburgh’s risk management process is given in 
Appendix E. 
9.  Annual Statement on the System of Internal Control 
The Code of Audit Practice requires the Head of Internal Audit to provide an opinion on the adequacy 
and effectiveness of the University's internal control system (paragraph 4.54).  Internal Control is 
defined in the internationally recognised report from the Committee of Sponsoring Organisations 
(COSO) as: 
 
"A process, effected by an entity's board of directors, management and other personnel, 
designed to provide reasonable assurance regarding the achievement of objectives in the 
following categories: effectiveness and efficiency of operations; reliability of financial 
reporting; and compliance with applicable laws and regulations." 

It is important to note that: 
 
•  The Annual Statement is based upon the work done during the year as summarised in Appendix 
B; 
•  Internal Control can provide only reasonable and not absolute assurance to management and 
Court regarding achievement of the University's objectives.  Internal Audit assignments have a 
reasonable chance of detecting significant control weaknesses and cannot guarantee that fraud, 
error or non-compliance will be detected; 
•  It is management's responsibility to maintain effective systems of internal control, risk 
management and the detection of fraud, error or non-compliance; 
•  Internal audit forms part of the overall system of internal control. 
Internal Audit has, during the year, reviewed, evaluated and tested the University's internal controls 
based upon an Audit Needs Assessment approved by the Audit Committee in June 2002.  Reference 
has been made where appropriate to the quality standards in the Government Internal Audit Manual 
(GIAM), and other recognised good practice guidance, as required by paragraph 1.7 of the Code of 
Audit Practice.   
 
On the basis of the work carried out during the year I conclude that where weaknesses were 
identified these were addressed and that there is sufficient evidence of controls and procedures 
that are functioning to provide reasonable assurance that the overall control environment is 
adequate in the University.  Risk management has been actively developed throughout the year 
and steps are continuing to extend the process such that it becomes embedded further as an 
ongoing process. 

 
 
 
Hamish McKay 
Chief Internal Auditor 


University of Edinburgh  
   
 
Internal Audit Annual Report 2002-03 
Appendix A 
   Internal Audit Annual Report - List of Assignments 
 
 
Date Final 
Date to Audit 
Audit assignment 
Report Issued 
Committee 
Comment 
 
 
 
 
 
 
Completed 
 
 
 
 
 
 
 
 

Grounds Maintenance 
14-Oct-02 
Nov-02 
2001-02 Annual Plan 

Accommodation Services: Commercial 
18-Oct-02 Nov-02 
 
Income Collection 

Restructuring Fund (Bond) Monies 
15-Nov-02 
Nov-02 
2001-02 Annual Plan 

Corporate Governance: compliance with good 
28-Nov-02 Feb-03 
 
practice guidelines 

Science and Engineering Workshops 
10-Jan-03 
Feb-03 
 

Management of Intellectual Property 
31-Jan-03 
Feb-03 
 

Vehicle Policy Compliance 
11-Feb-03 
Feb-03 
 

School of Engineering and Electronics  
26-Feb-03 
Jun-03 
 

Estates and Buildings Stores 
27-Feb-03 
Feb-03 
 
10 Disposal 
of 
Waste 
28-Mar-03 
Jun-03 
 
11  Senior Staff Expenditure Claims 
16-May-03 
Jun-03 
Added to original plan 
12  Acquisition and Disposal of Land and 
27-May-03 Jun-03 
 
Buildings 
13 Capital 
Project 
Planning 
30-May-03 
Jun-03 
 
14  IS/IT Disaster Recovery - Corporate Systems 
2-Jun-03 
Jun-03 
 
15  Overhead Recovery in Research and 
3-Jul-03 Oct-03 
 
Consultancy Contracts 
16 IT 
Network 
Security 
7-Jul-03 
Oct-03 
 
17 Learning 
Technology 
Section 
7-Jul-03 
Oct-03 
 
18  CHSS: Delegated Authorisation Protocols 
17-Jul-03 
Oct-03 
 
19 Animal 
Houses 
14-Jul-03 
Oct-03 
 
20 Pathology 
06-Aug-03 
Oct-03 
 
21  Institute of Cell and Molecular 
25-Aug-03 
Oct-03 
Added to original plan 
Biology/Wellcome Trust Centre 
22 Legal 
Services 
VFM 
16-Sep-03 
Oct-03 
 
23  IT Network Security - Management 
Oct-03 
Added to original plan 
Arrangements 17-Sep-03 
24 Transparency 
Review 
24-Sep-03 
Oct-03 
 
25  IT Penetration Testing 
26-Sep-03 
Oct-03 
Added to original plan 
26  Identification, Assessment and Management of 
29-Sep-03 
Oct-03 
Part of Annual Report 
Business Risks 
27  Payment of Creditors: Accounts Payable 
30-Sep-03 
Oct-03 
 
28  Delegated Authority 
== 
Oct-03 
No report as such 
29  Postgraduate Admissions: Compliance with 
== 
(Oct-03) 
Findings from one College to 
QAA Code of Practice 
October meeting 
 
Continuing 
 
 
 
30  Postgraduate Admissions: Compliance with 
 
 
For remaining two Colleges 
QAA Code of Practice 
31  School of Biomedical and Clinical Laboratory   
 
 
Sciences 
32  Research Fees 
 
 
Added to original plan 


University of Edinburgh  
 
Internal Audit Annual Report 2002-03 
 
Appendix A 
 
 
 
 
Follow up Reviews (15) Date 
to 
Audit 
Recommendations 
Recommendations 
Committee 
agreed 
implemented 
 
 
 
 
Continuing Education - Summer School  
Oct-02 


Income Recognition - CPD/Training/Consultancy  
Oct-02 


Accounts Receivable  
Oct-02 


Records Management 
Feb-03 


Students Association - Catering 
Feb-03 


English Literature 
Feb-03 


School of Law  
Feb-03 


Tropical Animal Health 
Feb-03 


General Practice 
Feb-03 


Sci-Fun Feb-03 
11 
11 
Students Association General Expenditure, Payroll and 
Jun-03 6 

Management Accounting Arrangements 
Informatics  
Jun-03 


Accident and Incident Reporting   
Jun-03 


Communication of Responsibilities to Heads of 
Jun-03 1 

Departments   
Staff Appointments in Subsidiary Companies   
Jun-03 


 
 
 
 
  
67 
58 
 
 
 
87% 
 


University of Edinburgh  
 
Internal Audit Annual Report 2002-03 
 Appendix 

Appendix B 
SUMMARY OF FINDINGS FROM AUDIT ASSIGNMENTS DURING 
2002-2003 
(Listed in the order that the final report was issued) 
 
1. 
GROUNDS MAINTENANCE   
While the VFM study performed by the Landscape Maintenance Officer provides assurance 
that the service is being provided efficiently to the University by the Grounds Maintenance 
Section, it does not demonstrate that an alternative arrangement could not provide savings to 
the University through greater economy and/or effectiveness.  Therefore the University 
should consider making direct comparisons with the market.  The service is presently supply-
led rather than demand driven and there should be a more transparent method of confirming 
the levels of grounds maintenance required. Estates and Buildings senior management agreed 
to conduct partial testing against the external market, although they consider Grounds 
Maintenance to be a corporate service which cannot easily be devolved to Colleges. 
Issued 14/10/02; 2 recommendations, both agreed. 
 
2. 
ACCOMMODATION SERVICES: COMMERCIAL INCOME COLLECTION 
The existing systems in use in Accommodation Services for commercial income did not 
provide an effective control environment and require considerable dependence on 
supplementary checks and reconciliations such as spreadsheet records.  There is therefore a 
greater risk of accounting error, although we found no evidence of this in our review.  There 
are plans to enhance existing systems to address the control weaknesses identified.  These 
enhancements need to be supported by additional reconciliations and controls. 
Issued 18/10/02;  11 recommendations, 10 agreed, 1 partly agreed 
 
3. 
RESTRUCTURING FUND (BOND) MONIES 
Procedures for the authorisation, approval, recording of, accounting for and monitoring of the 
achievement of Restructuring Fund (Bond)  funded projects are being consolidated.  There 
was an incomplete record of the formal authorisations and it was agreed that these would be 
obtained where necessary.  There was an acknowledged need to reassess the percentage of the 
corporate share of the income retained through NPRAS arising from additional overseas 
student fees following a Restructuring Fund project. 
Issued 15/11/02;  2 recommendations, both agreed. 
 
4. 
CORPORATE GOVERNANCE-COMPLIANCE WITH GOOD PRACTICE GUIDELINES 
We reviewed compliance against a list of good corporate governance indicators and found 
evidence of satisfactory compliance for the majority of the indicators.  The majority of the 
remainder concerned implementation of an embedded culture of risk management and some 
others on roles and responsibilities within the University.  Significant developments are 
underway that should achieve full compliance in all the areas assessed.  We were able to 
provide an assurance that the University can demonstrate a substantial degree of compliance 
with perceived good practice on corporate governance.   
Issued 28/11/02; Our suggestions were all agreed. 


University of Edinburgh  
 
Internal Audit Annual Report 2002-03 
 Appendix 

 
5. 
SCIENCE AND ENGINEERING WORKSHOPS 
There is scope to introduce a centrally administered workshops service, which would 
facilitate co-ordinated service delivery (in terms of better co-ordination of job requests, 
absence cover, and career progression).  Any move toward centralised administration of 
workshop services will require to be supported by the ongoing collection and provision of 
appropriate financial information relating to income and cost streams.  There is potential to 
achieve cost savings in workshop services by the introduction of e-procurement initiatives, 
and to introduce efficiency gains in the stores by reducing stockholding in local 
workshop/laboratory stores and larger School stores. 
 
Issued 10/01/03;  7 recommendations, College management accepted the overarching 
recommendation and the principle of the detailed recommendations in the report. 
 
 
6. 

MANAGEMENT OF INTELLECTUAL PROPERTY 
ERI is managing the University’s Intellectual Property effectively, with appropriate regard to 
maximising the University’s commercial income and to the risk of litigation arising from poor 
intellectual property management.  There is a need to formulate a University Policy on 
Intellectual Property, and ERI would be well placed to advise on this policy. 
Issued 31/01/03; 3 recommendations, all agreed. 
 
7. 
VEHICLE POLICY COMPLIANCE 
While the University Vehicle Policy should facilitate good vehicle management if adhered to, 
there was evidence of non-compliance identified.  A single comprehensive vehicle record 
would assist compliance with the Motor Insurance Database EU 4th Directive and reduce both 
risk to the University and resources involved in maintaining vehicle records.  Value for 
money is being compromised by the unilateral acquisition of vehicles in schools and 
departments.  There is considerable scope to improve available management information on 
vehicle utilisation and fuel use. 
Issued 11/02/03; 8 recommendations, all agreed 
 
8. 
SCHOOL OF ENGINEERING AND ELECTRONICS  
We found that there are effective financial and budgetary control procedures within the 
School.  We also found that there were effective procedures to ensure appropriate 
authorisation of expenditure commitments.  We were able to obtain sufficient evidence that 
there was a satisfactory control environment within the School. 
 
Issued 26/02/03; 1 recommendation, agreed. 
 
9. 
ESTATES AND BUILDINGS STORES 
There is considerable scope to achieve more economy and efficiency within the stores 
functions in Estates and Buildings.  Serious consideration should be given to investing in 
upgrading the capability of the EBIS stock recording system to provide better management 
information.  There are indications that there could be early returns from such an investment.  
To maintain a network of satellite stores with the inevitable poor physical access controls, 
greater management challenge of the need for items requisitions is required, combined with 
more frequent stock checks of satellite stores.  This should reduce local stockpiling, inhibit 
10 

University of Edinburgh  
 
Internal Audit Annual Report 2002-03 
 Appendix 

over ordering, release working capital tied up in stock and lead to greater accountability and 
efficiency. 
 
Issued 27/02/03; 7 recommendations, all agreed 
 
10.  DISPOSAL OF WASTE   

Controls are in place to provide an assurance that waste sent for disposal by the University is 
being carried out under controlled conditions.  Procedures for handling waste on behalf of 
associated external bodies should be tightened.  There is a need to document more fully the 
roles and responsibilities of the key individuals involved in hazardous waste 
accidents/incidents, combined with a more robust register of who should be receiving 
refresher training courses. 
 
Issued 28/03/03; 7 recommendations and three suggestions, all recommendations agreed 
 
11.  SENIOR STAFF EXPENDITURE CLAIMS 
Following the University restructuring, we identified inconsistencies in the arrangement for 
authorising expense claims for senior staff and conducted a review of the existing 
arrangements.  There was no suggestion that any improper payments had been made, but the 
University recognised the need to regularise practice to ensure that corporate governance was 
not jeopardised.  The Principal approved a schedule of authorisation for approval of senior 
staff expenditure claims. 
 
Issued 16/05/03; 2 recommendations, both agreed 
 
12.  ACQUISITION AND DISPOSAL OF LAND & BUILDINGS 
We are able to provide an overall limited assurance that the process, procedures and controls 
in place are working and that disposals are being documented and recorded accurately, 
subject to improvement of current documentation and compliance issues. We were unable to 
evidence structured progress towards Court’s objective of a 10% reduction in the size of the 
estate over ten years to help address the projected gap between income and expenditure. 
 
*Audit Committee minutes (12th June 2003) noted, 
•  “The University had an estates strategy and that the new Heads of Colleges and 
Support Groups had been actively reviewing the estate plans in the light of the 
organisational changes that had taken place.”; 
and 
•  “ The Committee agreed that it would be helpful to discuss this issue at its 
October or November 2003 meeting, drawing on current work within the 
University.” 

 
Issued 27/05/03; 8 recommendations, 6 agreed.  
 
11 

University of Edinburgh  
 
Internal Audit Annual Report 2002-03 
 Appendix 

13.  CAPITAL PROJECT PLANNING 
Our enquiries and testing were able to confirm that there were adequate controls in the 
University to mitigate the risks arising from the IDCOM project, and where applicable, SRIF 
projects generally.   
Issued 30/05/03: No recommendations, although we notified some issues to Estates and 
Buildings senior management. 

 
14.  IS/IT DISASTER RECOVERY - CORPORATE SYSTEMS 
Based on the consistent assurances we have received from management regarding the 
outcome of the January 2003 test of the Corporate Systems Disaster Recovery Plan, combined 
with review of the updated Disaster Recovery Plan and the testing we performed in line with 
the  CIPFA Computer Audit Guidelines, our overall conclusion is that the University has 
effective plans and procedures in place to facilitate recovery of key business systems in the 
event of a disaster affecting its IS/IT infrastructure. 
Issued 02/06/03; No recommendations. 
 
15.  OVERHEAD RECOVERY IN RESEARCH AND CONSULTANCY CONTRACTS 
Within the constraints imposed by the nature of the University’s research portfolio (which 
includes work undertaken for charities and government agencies) ERI attempt to secure the 
maximum overhead recovery possible when costing research and consultancy contracts.  Our 
testing indicated that where overheads are included in these contracts, monies were recovered 
in full and timeously.  The sensitivity analysis we performed on consultancy charge-out rates 
indicated a risk of under-recovery of overheads in two combinations of staff grade and rate 
charged.  We also noted one instance where segregation of duties was being compromised by 
an academic who was charging his own time as consultancy to his own research project 
without the need for authorisation of the time or the charge by a line manager. 
Issued 03/07/03; 4 recommendations, all agreed 
 
16.  IT NETWORK SECURITY 
The fieldwork on this assignment was carried out in conjunction with an IT Consultant whom 
we commissioned to assist us for this review.  The audit work was carried out in accordance 
with the CIPFA Computer Audit Guidelines.  Our findings in relation to the audit work were 
that at operational level there appear to be adequate and effective measures in place to protect 
the security and integrity of the University’s ‘EdLAN’ network.  However, we noted a 
number of residual risks, relating to areas outwith the control of Computing Services and the 
local Computing Officers, and which relate to the overarching University-wide management 
of IT Security matters.  These issues were addressed by way of a separate report to the Vice-
Principal for Knowledge Management (see item 23 below). 
Issued 07/07/03; 7 recommendations, all agreed. 
 
17.  LEARNING TECHNOLOGY SECTION 
There is scope to review Medical Illustration’s charging methodologies to help ensure that 
costs and overheads are fully covered and a surplus generated.  Control over authorisation of 
12 

University of Edinburgh  
 
Internal Audit Annual Report 2002-03 
 Appendix 

payments could be improved to ensure that payments made are authorised by the correct 
signatory.  More informed budgetary control would be achieved if budgets were notified and 
profiled at the beginning of the financial year by the College. 
Issued 07/07/03; 8 recommendations, all agreed. 
 
18.  CHSS: DELEGATED AUTHORISATION PROTOCOLS 
Internal Audit agreed to help the College of Humanities and Social Sciences (CHSS) develop 
delegated authorisation protocols.  We prepared a schedule detailing various areas where 
delegated authority is required to support authorisation and approval of a range of expenditure 
and resource commitments, and provided comment and suggestions where appropriate.  There 
is potential to standardise further the procedures in the 10 Schools, and within the College 
Office.   
Issued 17/07/03; 16 suggestions were made.  College senior management indicated their 
appreciation of the suggestions, and will discuss them further at College Executive, and 
potentially College Planning and Resources Committee. 

 
19.  ANIMAL HOUSES 
The University is currently bearing the residual costs of animal houses, as costs are not fully 
recovered from charges to users.  The introduction of a uniform charging methodology for 
animal houses should mitigate the risk of research sponsors withholding monies from the 
University.  The current arrangements increase the risk of non-compliance with EU tendering 
regulations as a result of the disparate purchasing sources, and may also result in poor Value 
for Money. 
Issued 14/07/03; 2 recommendations, both agreed. 
 
 
20.  PATHOLOGY 
There is a need to nominate formally a Data Protection Officer, who should be charged with 
ensuring all relevant filing systems containing personal and sensitive personal data are 
identified.  There is a satisfactory level of financial control operating within the Division. 
Issued 06/08/03;  6 recommendations; all agreed. 
 
 
21.  INSTITUTE OF CELL & MOLECULAR BIOLOGY /WELLCOME TRUST CENTRE 
There is scope to improve the control over issues of stock and goods from stores to ensure all 
charges are authorised and applied to the appropriate source of funding at the outset.  The use 
of Research Training Support Grants should be reviewed to ensure that funds issued to ICMB 
are used in line with the conditions placed upon them.  Further development is required of E-
Financials
 stock management information to provide an effective means of supporting the 
monitoring of a store. 
 
Issued 25/08/03;  10 recommendations, 9 agreed, 1 not agreed in favour of an alternative 
suggestion. 
 
13 

University of Edinburgh  
 
Internal Audit Annual Report 2002-03 
 Appendix 

22.  LEGAL SERVICES VFM 
There are several suppliers of legal services to the University.  More money is being spent on 
personnel legal services in absolute terms since the award of a new contract in 2002, but 
indications are that this is being applied more efficiently and effectively.  There is an effective 
process to ensure Value For Money is received for day-to-day legal advice.  With regard to 
estates legal services, there is some comfort of VFM being achieved in Estates and Buildings 
and the Director of Corporate Services has undertaken to address the position in 
Accommodation Services in the coming year. 
Issued 16/09/03;  No recommendations. 
 
23.  IT NETWORK SECURITY – MANAGEMENT ARRANGEMENTS 
An IT Consultant assisted us with this review.  Our scheduled internal audit work on IT 
network security (see item 16) identified a number of issues relating to overarching 
University-wide management of IT Security matters.  In particular, there appears to be a 
degree of incongruence between the current functioning of the main IS/IT advisory 
Committees, resulting in operational-level confusion regarding responsibility for formulating 
and driving University-wide IT Security strategy and policy.  The new Vice Principal 
(appointed with a pan-University remit in this area) has undertaken to revisit the existing IT 
Security policy, and address concerns regarding the current role and functioning of IS/IT 
advisory Committees.  She has also undertaken to introduce a more formal and co-ordinated 
grouping of Computing Officers throughout the University in order to help minimise the risks 
arising from inconsistent management of network security issues. 
Issued 17/09/03; 4 recommendations, all agreed. 
 
24.  TRANSPARENCY REVIEW 
We were able to confirm that the University submitted a Transparency Review costing return 
for 2001-02 signed by the Principal before the agreed deadline, that the costing systems 
established by management followed the recommendations in the Transparency Review 
report, and that the systems were adequate, effective and applied consistently. 
 
Issued 24/09/03; No recommendations. 
 
25.  IT PENETRATION TESTING 
It was decided to test the effectiveness of the controls over electronic penetration attempts 
(hacking).  The testing was intended to provide Court, the Risk Management Committee and 
the Audit Committee with a degree of assurance in this regard.  An outside contractor was 
commissioned and provided with a list of selected ‘devices’ to test.  These represented a cross 
section of areas and functions across the University.  The contractor concluded that the 
overall level of server security at Edinburgh University was better than average.   
Issued 26/09/03; Of the 33 (net) findings - 17 have been actioned; 12 more are in the process 
of being actioned; and it was decided that the residual risk identified was acceptable in 4 low 
rated findings. 

 
14 

University of Edinburgh  
 
Internal Audit Annual Report 2002-03 
 Appendix 

26.  IDENTIFICATION, ASSESSMENT AND MANAGEMENT OF BUSINESS RISKS  
A specific assessment of the adequacy and effectiveness of the Risk Management process has 
been included as part of the Internal Audit Annual Report. 
Completed 29/09/03; No recommendations. 
 
 
 
27.  PAYMENT OF CREDITORS: ACCOUNTS PAYABLE 
There is significant scope for the improvement of internal controls over the payment of 
creditors through Accounts Payable.  Processing performance has been reduced over a period 
of time due to increased workload pressures.  A number of internal controls have lapsed in 
favour of local expediency to cope with workload pressures and meet payment demands.  
Close supervisory monitoring has not been increased to compensate for expedient measures 
taken. 
Issued 30/09/03; 14 recommendations, 13 agreed and 1 alternative course of action taken. 
 
28.  DELEGATED AUTHORITY 
Internal Audit continued to provide assistance to the University Secretary on the preparation 
of a Delegated Authorisation Schedule. 
 
29.  POSTGRADUATE ADMISSIONS: COMPLIANCE WITH QAA CODE OF PRACTICE 
College of Science and Engineering: Based on analysis of responses to our online 
questionnaire, our conclusion is that most areas surveyed are prepared to demonstrate 
compliance with the detailed good practice points contained in the QAA code.  We have 
identified opportunities for sharing good practice in Schools and areas requiring action at 
College level.   
College of Science & Engineering report issued 18/08/03, No recommendations. 
 
Analysis of responses to the questionnaires in the College of Medicine and Veterinary 
Medicine are ongoing, and the questionnaire is currently being rolled out in the College of 
Humanities and Social Sciences. 
 
15 

University of Edinburgh  
 
Internal Audit Annual Report 2002-03 
 
 
 
 
Appendix C 
Internal Controls 2002-03: Analysis of the strengths and weaknesses identified in 
the Control Environment 
 
 
 
 
 
Internal Controls 

 


 
nt
t
y

o
i
o

 & 
tion 
e
at
o

c
l
 

t
i
ng

uni
Ref 
Audit assignment 
isi
i
es 

sa
r
is

oval 
eti
rt
egati
rv
gem
ut
ni
o
pr
ica
m
a
p
onne
oun
c
c

ana
Segr
of D
Org
Auth
& A
Phys
Supe
Pers
Arith
A
M
VFM 
Oppo
?  
1 Grounds 
Maintenance 
 
 
 
 
 
 
 
 
Yes 
Accommodation Services: Commercial Income 

XX    
 
 
 
X X Yes 
Collection 

Restructuring Fund (Bond) Monies 
  X  
 
 
X    
Corporate Governance: compliance with good 

 
 
 
 
 
 
 
 
 
practice guidelines 

Science and Engineering Workshops 
 
 
 
 
 
 
 
 
Yes 

Management of Intellectual Property 
 
 
 
 
 
 
 
 
 

Vehicle Policy Compliance 
 
 
 
X  X  XX 
Yes 

School of Engineering and Electronics  
 
 
 
 
 
 
 
 Yes 

Estates and Buildings Stores 
   X 
XX 
 X 
XX 
Yes 
10 Disposal 
of 
Waste 
 X    X 
X  X   
11  Senior Staff Expenditure Claims 
X  X  X      
 
12  Acquisition and Disposal of Land and Buildings  
  X     
 X Yes 
13 Capital 
Project 
Planning 
 
 
 
 
 
 
 
 
 
14  IS/IT Disaster Recovery - Corporate Systems 
 
 
 
 
 
 
 
 
 
Overhead Recovery in Research and Consultancy
15 
X  X        
 
 
Contracts 
16  IT Network Security 
 
X    
 
 
 
 
 
17 Learning 
Technology 
Section 
  X    X 

Yes 
18  CHSS: Delegated Authorisation Protocols 
 
 
 
 
 
 
 
 
 
19  Animal Houses 
 
 
    
XX 
 Yes 
 
 
20 Pathology 
 
 
 
 
 

 
21 ICMB/Wellcome 
Trust 
Centre 
   X X    X X Yes 
22  Legal Services VFM 
 
 
 
 
 
 
 
 
 
23  IT Network Security–Management arrangements 
 X            
 
24 Transparency 
Review 
 
 
 
 
 
 
 
 
 
25  IT Penetration Testing 
 X    
 
 
 
 
 
26 Risk 
Assessment 
 
 
 
 
 
 
 
 
 
27  Payment of Creditors: Accounts Payable 
X  X X 
XX 
 X X   
28 Delegated 
Authority 
 
 
 
 
 
 
 
 
 
Postgraduate Admissions: Compliance with QAA 
29 
 
 
 
 
 
 
 
 
Yes 
Code of Practice 
Key:  (A blank entry indicates either not assessed, or no particular strengths or weaknesses identified.) 
               = Control Assurance identified,      X =  Control weakness identified, 
           
= Strong Assurance identified,     XX = Inadequate control identified. 
 
Note:    These assessments were made on the basis of the findings at the time of the audit. 
16 

link to page 19 link to page 19 link to page 19 link to page 19 link to page 19 link to page 19 University of Edinburgh  
 
Internal Audit Annual Report 2002-03 
 
 
 
 
Appendix D 1 
Key Performance Indicators for Internal audit 
 
The SHEFC Code of audit Practice states, “The Head of Internal audit should, in conjunction 
with management and the Audit Committee, establish and implement performance measures 
and indicators, whereby the efficiency and effectiveness of the service can be monitored on an 
ongoing basis
”. “It is for each institution to adopt or develop a set of measures and indicators 
which are appropriate to its needs and circumstances
”. 
 
Year 
Year 
Year 
Performance measures  
2000-01 
2001-02 
2002-03 
 
 
 
 
General Performance Indicators 
 
 
 
Annual cost of service £145k1 £165k £174k2 
Direct audit days available3 602 665 692 
Cost per direct audit day £240 £248 £252 
Number of audits  25+2 
 
28+2  
29+3  
to finalise 
to finalise 
to finalise 
Number of recommendations made 84 136 142 
Number of follow up reviews 16 12 15 
 
 
 
 
Performance measures indicating efficiency 
 
 
 
University of Edinburgh income received / Internal 
 £70M  
£71.25M £78.5M 
Auditors 
University employees / Internal Auditor 1457 1474 1505 

% Available time applied to audit work 84% 85% 86% 
% Allocated audit time actually spent conducting audit 
94% 104%4 99% 
work 
% Completion of the annual audit plan by annual report 

98% 99.5% 98% 
stage 
 
 
 
 
Performance measures indicating effectiveness 
 
 
 
% Audit work undertaken by fully qualified staff  64% 
 63% 92%5 
% Recommendations agreed by management  94% 
 95% 94% 
% Agreed recommendations found to be implemented 
94% 77% 87% 
when followed up 
% Audits perceived to add value6 -
------ 90% 83% 
 
                                                 
1 Vacancies in 2000-01. 
2 Plus £7,000 added from central Contingency Fund to meet cost of IT Penetration Test. 
3 After leave, office admin & training.  Includes specialist contract staff support. 
4 Less staff training in 2001-02 than anticipated. 
5 All staff are at least part qualified. 
6 Derived from Internal audit performance questionnaire. 
17 

University of Edinburgh  
 
Internal Audit Annual Report 2002-03 
 
 
 
 
 
Appendix D 2 
 
 
 
Audit Committee 
Formatted
16 October 2003 
 
 
 
 
 
 
 
 
 
Internal Audit Performance Questionnaire 
 
In response to a request from the Committee, a process was initiated in 2001-02 of 
seeking feedback from managers of activities which had been the subject of internal 
audit.  Responses are sent direct to the University Secretary who compiled the attached 
consolidated report for the Audit Committee. 
 
Attached, for the information of members, is an analysis of responses received during 
the financial year 2002/03.  It includes responses to work carried out at the end of the 
previous financial year and excludes assignments completed within the last two months. 
 
 
 
 
 
October 2003 
 
18 

link to page 21 link to page 21 University of Edinburgh  
 
Internal Audit Annual Report 2002-03 
 
 
 
 
Internal Audit Performance Evaluation Questionnaires 
 
Based upon feedback from the 19 Audit Assignments listed at the foot of the page. 
 
 
YY Y  N NN 
Other 
 
1. Were you given adequate notification of the audit? 
13 5  1  - 
 
 
2. Were you informed adequately of the audit objectives and scope? 
6 11 2  - 
 
 
3. Were the appropriate staff consulted for the audit area covered? 
9 8 1 1a 
 
 
4. Did staff conduct themselves in a professional manner during the audit? 
10 9  -  - 
 
5. Were you given the opportunity to discuss the report with the auditor 
10 9  -  - 
 
prior to finalisation? 
6. Were the recommendations in the report practical and realistic? 
4 13 2  - 
 
 
7. Was the report produced to a professional standard? 
8 11  -  - 
 
 
8. Do you feel that the audit was worthwhile and has added value to your 
3 12 3  -  1b 
work? 
 
 
 
 
 
 
Percentage % 
41 
51 



 
 
Key 
YY fully 
satisfied 
Y Satisfied 
N not 
satisfied 
 
NN fully 
dissatisfied 
 
 
Completed Audit Assignments subject to performance evaluation 
Formatted
 
Returns received (19) 
Returns not received (7) 
• 
General Practice 
• 
School of Law 
• 
Business Rates Management 
• 
Leavers from the payroll  
• 
Festivals Office 
• 
Student tuition fee income collections 
• 
Grounds Maintenance 
• 
Restructuring Fund (Bond) monies 
• 
Geography - Income collection & recognition 
• 
Management of Intellectual Property 
• 
Disposal of Waste 
• 
Overhead recovery in research & consultancy contracts 
• 
Accommodation Services: Commercial Income Collection 
• 
Workshop Services - Science & Engineering 
• 
IS/IT Disaster Recovery - Corporate Systems 
 
• 
Corporate Governance: Compliance with Good Practice 
 
Guidelines 
• 
CHSS: Delegated Authorisation Protocols 
 
• 
Vehicle Policy Compliance 
 
• 
Capital Project Planning (IDCOM) 
 
• 
Acquisition/Disposal of Land & Buildings 
 
• 
IT Network Security  
 
• 
Estates & Buildings Stores 
 
• 
Pathology 
 
• 
Learning Technology Section 
 
• 
Engineering & Electronics - School audit 
 
• 
Animal Houses 
 
 
                                                 
a Outside contractors not consulted to establish cost and quality comparisons. 
b Respondee no longer head of department and felt unable to comment on perceived added value. 
19 

University of Edinburgh  
 
Internal Audit Annual Report 2002-03 
 
 
 
 
Appendix E 
Risk Management -Assessment of its adequacy and effectiveness 
 
Requirement 
 
The Scottish Higher Education Funding Council’s Accounts Direction in Circular HE/32/03 requires that 
Institutions should disclose as a minimum that: 
•  There is an ongoing process for identifying, evaluating and managing the significant risks faced by 
the institution. 
•  The process has been in place for the year under review and up to the date of approval of the Annual 
Accounts. 
•  The governing body regularly reviews the process. 
•  The process accords with the Turnbull guidance. 
The Turnbull guidance requires that risk assessment and internal control should be embedded in ongoing 
processes.  Management’s role is to implement the governing body’s policies on risk and control.  The 
governing body is required to review the effectiveness of internal control. 
Internal audit is required to report upon the adequacy and effectiveness of the risk management process as 
part of its assessment of the overall control environment.  Recent guidance from the Institute of Internal 
Auditors suggests assessment using the following parameters: 
•  The extent to which objectives of the risk management process has been set and communicated at all 
levels within an organisation, and are supported by consistent business strategies, plans and budgets. 
•  The adequacy of the mechanisms for identifying, analysing and mitigating key business risks arising 
from both external and internal sources. 
•  The existence of mechanisms for identifying and reacting to both routine and more dramatic changes 
that could affect the organisations ability to achieve its objectives. 
 
Findings 
 
1.  A Risk Management Committee has met throughout 2002-03. 
2.  Court formally approved a Risk Management Policy and Strategy on 16 December 2002. 
3.  Court adopted a University level overview Risk Register on 17 March 2003. 
4.  The overview Risk Register is profiled against the University’s main strategic objectives. 
5.  Risk Registers have been developed for each College, Support Group and major subsidiary 
company. 
6.  The Registers allocate responsibilities for mitigating the risks identified to specific individuals. 
7.  Each Head of College, and Support Group, has signed a positive declaration stating the key risks that 
have materialised in their areas of responsibility during the year.  The Risk Management Committee 
has reviewed these declarations. 
8.  The overview Risk Register and a Risk Management Guidance Manual are available on the intranet. 
9.  There has been a programme of seminars delivered to senior and middle managers across the 
University on risk management led by the convenor of the Risk Management Committee. 
10.  Planning documents submitted by Colleges and Support Groups have taken cognisance of risk 
assessments associated with achieving budgetary goals. 
20 

University of Edinburgh  
 
Internal Audit Annual Report 2002-03 
 
 
 
 
11.  There are disaster recovery and business continuity plans in place to respond to any dramatic 
changes affecting the University’s ability to meet its objectives. 
12.  Risk assessment is a standard requirement on papers for formal University committees. 
13.  A review of the University’s corporate governance arrangements by Internal Audit earlier in the year 
provided an assurance that the University could demonstrate a substantial degree of compliance with 
“perceived” good practice.  In those areas where there was incomplete evidence of compliance, 
mainly concerned with the embedding of risk management processes, action has now been taken, or 
is in hand, to improve practices. 
 
Conclusion 
There is an ongoing process for identifying, evaluating and managing the significant risks.  It is part of a 
structured review process and is ultimately reviewed by Court.  Guidance has been made available on how to 
identify and analyse risk and what the options are to mitigate risks.  The risk management process has been 
actively developed throughout the year and steps are continuing to extend the process such that it becomes 
embedded further as an ongoing process. 
 
Hamish McKay 
Chief Internal Auditor 
26th September 2003 
 
 
 
21 

Audit Committee 
Draft Minutes: 20 November 2003 
 
 
 
Annex 2 
Strictly Confidential 
Minutes of the 51st Meeting of the Audit Committee held at 
5.30 p.m. on Thursday 20 November 2003 in the Lord 
Provost Elder Room, Old College 
 
Present:  
 
Dr J Markland (Convener) 
   Mr 


Hitchman 
   Mr 

Scott 
 
 
 
Mr J Stretton 
 
In Attendance:   
The University Secretary, Mr M D Cornish 
Director of Corporate Services, Mr N Paul 
Director of Finance, Mr G Sutherland 
Chief Internal Auditor, Mr H McKay 
Assistant Director of Finance, Mr J Taylor 
Internal Auditor, Mr J Thurlbeck 
Mr G Macrae, KPMG 
Mr M Rowley, KPMG 
Mr G Russell, KPMG 
Senior Vice-Principal Professor Michael Anderson (for item 2.1) 
Executive Secretary to the Committee, Ms S Welham  
 
Apologies: 
 
Professor A D Milne 
 
The Committee welcomed Professor Michael Anderson, Senior Vice-Principal, to the meeting for item 2.1. 
 
1. 
Minutes of the Meeting held on 16 October 2003  (Paper A) 
 
 
The Minutes of the previous meeting were approved as a correct record. 
 
2. 
Matters Arising 
 
 
From 12 June 2003 meeting: 
 
2.1 From Item 5.4:  Report 02/15: Acquisition & Disposal of Land & Buildings -  
 
Space Management Report  (Paper B) 
 
 

The Committee received with interest the report and Senior Vice-Principal Professor Michael 
Anderson’s presentation on Space Management issues.  The 10% target for reduction in the use of 
space had been intended as a device to focus the managerial mind.  This exercise had been very 
helpful to focus and clarify the target and the target itself had been a very effective way of fostering 
the improvement of systems for recording, monitoring and maintaining the University’s estate.  
The Audit Committee welcomed the approach taken by the University of incentives and 
disincentives for changes in the use of space.  The Audit Committee professed itself satisfied that 
the University had appropriate systems and management arrangements to successfully manage the 
University’s estate in the context of the University’s strategic objectives.  The Committee thanked 
Senior Vice-Principal Professor Anderson for his presentation and explanation of the work going 
on in this area. 
 
From 16 October 2003 meeting: 
 
2.2 From Item 2.3:  From Item 9:  Audit Committee Membership 
 
 
The University Secretary noted that he had received one suggestion from a member of the 
Committee of a possible additional member.  He would welcome further suggestions from 
22 

Audit Committee 
Draft Minutes: 20 November 2003 
 
 
 
members by the end of that week and then would discuss the proposals with the Convener and put 
in place the nominations process. 
 
[MDC] 
 
ANNUAL ACCOUNTS 
 
3.1  Draft Reports and Financial Statements for FY to end 31 July 2003  (Paper C.1 and tabled paper) 
 
 
The Director of Finance introduced the Annual Accounts for 2002-03.  He drew the Committee’s 
attention to the External Auditor’s unqualified report on pages 11 and 12 of paper C.1.  In his 
presentation he also drew attention to the following points: 
 
 
(i)  on page 16 in the Income and Expenditure Account there was little flexibility in presentation and 
the University required to show the £14m bottom line surplus after exceptional items.  However, 
the operating surplus was £1.7m.  The Director of Finance anticipated that this could present PR 
difficulties and he would seek to explain this in the Principal’s Report.  The Communications & 
Public Affairs Department had been briefed about this point; 
 
 
(ii)  on page 30 a £1m transfer from the Income and Expenditure Account was shown.  The fall in stock 
markets had reduced the value of the assets held in the University’s Staff Benefits Scheme and the 
Actuarial Valuation undertaken at March 2003 highlighted a pension fund deficit.  It was hoped 
that recoveries in the stock markets would reduce this deficit, but the University could not rely on 
this and wished to remedy a potential shortfall by injecting £1m per annum for the next ten years.  
This policy would be reviewed in 3 years’ time; and 
 
 
(iii) provision of a further £250k had been made for back pension claims in respect of part-time staff 
who were previously excluded from the pension scheme and £1.5m had been provided against 
insurance claims in respect of the South Bridge fire. 
 
 
In discussion it was noted that the University did not formally underwrite the Students’ Association 
although it had issued a letter of comfort to the Students’ Association’s bankers.  Therefore the 
Students’ Association’s accounts were not consolidated in the University’s Accounts.  The Group 
figures shown included the University Accounts and Subsidiaries’ Accounts.  The Audit Committee 
noted that: 
 
(i)  the title on page 5 should make clear that the responsibilities listed were those of the Court with 
respect to financial statements; 
 
(ii) it would be helpful to provide an explanation of the £1m which had been returned to the 
benefactors listed on page 32; 
 
(iii) an explanatory note would be added on page 37 regarding the revaluation of the STSS pensions; 
and 
 
(iv) periodic reports were made to the Finance & General Purposes Committee showing the utilisation 
and planned repayment schedules of the University Bond. 
 
 
Subject to some other minor corrections and noting that it had not seen the Principal’s Statement, the 
Committee confirmed that it was content with the Reports and Accounts.  In future years the Director 
of Finance offered to ensure that the Principal’s Statement was made available to the same meeting of 
the Audit Committee that received the draft Report and Accounts. 
[GOS] 
 
23 

Audit Committee 
Draft Minutes: 20 November 2003 
 
 
 
The Committee confirmed that the Accounts should be focused on meeting the University’s specified 
requirements.  However the University was aware of the need to present and promote the University’s 
activities to different audiences in the appropriate documents. 
 
4. 
Final Corporate Governance Statement for 2002-03  (Paper D) 
 
 
The University Secretary introduced the Corporate Governance Statement which had been amended to 
take account of discussion at the previous Audit Committee meeting and the Finance & General 
Purposes Committee meeting held on 27 October 2003 and which had been seen by the Court at a 
recent meeting.  The Audit Committee made a number of suggestions to incorporate in the final version 
of the statement: 
 
(i)  In the first paragraph references to the relevant code and the possible need to refer to the British 
Universities Financial Directors’ Group should be checked. 
 
(ii) Mr Rowley suggested some additional wording about the basis on which the University Court had 
reviewed its effectiveness. 
 
 
(iii) A sub-heading could be included for the Risk Management section to improve the flow of the 
statement.   
 
 
Subject to these points and some minor corrections, the Audit Committee approved the statement for 
submission to the University Court as part of the Annual Financial Report and Accounts. 
 
EXTERNAL AUDIT 
 
3.2 Management 
Letter  (Paper C.2) 
5. 
Presentation by KPMG on Audit Findings 
 
   
[These two items were taken together at the meeting] 
 
 
   
KPMG gave a presentation to the Committee on their Audit findings.  They welcomed the fact that it 
had been possible to have consideration of the Management Letter and the Accounts at the same Audit 
Committee meeting.  Mr Macrae took the Committee through the sections of the Report and noted that 
whilst there were some issues which management was addressing, for example regarding Risk 
Management and Research Grants, there were no major control weaknesses.  In discussion the Audit 
Committee noted the following points: 
 
 
(i)  The password issue highlighted on page 9 was not a serious problem.  It had been identified during 
the External Auditors’ visit and was now rectified. 
 
 
(ii)  It might be helpful to revise the wording of the statement in section 4.1 on page 11 to note that “the 
University is unable to state that it is fully compliant for the whole year as not all the necessary 
policies in place at the end of the year were in place at the start.”  The External Auditors welcomed 
the progress the University had made on risk management issues and further encouraged the 
University to take a proactive approach towards year-end reporting. 
 
 
(iii) The Director of Finance and the Director of Corporate Services would be pursuing the points in 
sections 4.5 and 5.6 regarding staff shortages, some of which had also been highlighted in the 
Finance Department risk register.  The Committee noted Mr Sutherland would report to the Audit 
Committee if there were issues which would make it difficult for Finance to achieve its objectives. 
[GOS if necessary] 
 
 
Concluding the item Mr Macrae recorded appreciation for the cooperation KPMG had received from 
the Director and Assistant Directors of Finance, the Finance Department and other areas of the 
24 

Audit Committee 
Draft Minutes: 20 November 2003 
 
 
 
University.  Mr Sutherland also recorded his appreciation of the way in which KPMG had conducted 
the external audit. 
 
FOR DISCUSSION 
 
6. 
Annual Report of the Audit Committee to the Court for FY 2002/2003  (Paper E) 
 
 
The Audit Committee suggested that the quotation provided in section 2.1 should be more clearly 
defined as the Chief Internal Auditor’s annual statement; and that the section on the Management 
Letter should make clear that the Audit Committee was satisfied that those issues highlighted by 
KPMG were being addressed effectively.  Subject to these amendments the Committee approved the 
Annual Report for submission to the University Court. 
 
7. 
Combined Code on Corporate Governance (2003)  (Paper F) 
 
 
The Committee noted the changes to the Combined Code on Corporate Governance highlighted in 
Paper F and agreed that it would return to this topic once it became clear what the Scottish Higher 
Education Funding Council would require universities to do on this issue. 
[HMcK] 
8. 
Audit Committee Annual Seminar 
 
 
The Audit Committee agreed that it would hold another seminar in the spring.  This would be a joint 
session with members of the Risk Management Committee, looking at the Committees’ respective 
roles and responsibilities and at developments in public sector corporate governance.  The Convener 
and Secretary would prepare a programme which would include external participation.   
[JM, MDC, SW] 
 
INTERNAL AUDIT 
 
9. 
Internal Audit Reports 
 
 
9.1  Report 2002-4b Postgraduate Admissions in Medicine & Veterinary Medicine  (Paper G) 
 
 
Whilst noting the disappointing return rate for the questionnaire, the Committee noted that the overall 
analysis remained reasonable.  The report was noted. 
 
 
9.2  Report 2002-4c Postgraduate Admissions in Humanities & Social Science  (Paper H) 
 
 
The Committee noted the report. 
 
10.  Follow Up Reviews 
 
 
10.1  Report 2001/25F Research Grants & Contracts Administration (Paper I) 
 
 
The Committee noted the report. 
 
 
10.2  Report 2002/06F Management of Intellectual Property (Paper J) 
 
 
The Committee noted the report and asked the Internal Auditor to clarify whether the plan mentioned in 
the management response to item 3.3 had been taken forward. 
[HMcK] 
 
 
10.3    Report 2002/09F Accommodation Services – Commercial Income Collection (Paper K) 
 
 
The Committee welcomed the progress that was being made with regard to Accommodation Services.  
The report was noted. 
25 

Audit Committee 
Draft Minutes: 20 November 2003 
 
 
 
11.  Internal Audit - Progress Report  (Paper L) 
 
 
The Committee noted the report.  
 
12.  Internal Audit - Strategic Direction (Paper M) 
 
 
The Committee noted that the main reason for Internal Audit to provide services to other organisations 
was to provide a richer skill base in Internal Audit.  The Committee welcomed that there were no plans 
to take on other such activities in the short term and agreed that if another significant opportunity came 
along the Audit Committee would have the opportunity to discuss the resource commitments and other 
aspects of the proposal.  The Committee noted that Internal Audit bore the costs of value added tax and 
that its services provided under contract were covered as part of the University’s professional 
indemnity insurance. 
 
FOR INFORMATION 
 
13.  Voluntary Severance Details 2002-03  (Paper N) 
 
 
The Committee noted the paper which was reported to the Committee for information as a control 
measure. 
 
14.  Date of Next Meeting 
 
 
The Committee noted that the date of the next meeting was 5.30p.m. on Thursday 19 February 2004. 
 
15.  A.O.C.B. 
 
 
There was no other competent business. 
 
 
 
Ms S M Welham 
Executive Secretary  
8 December 2003 
 
26 

The University of Edinburgh 
C2 
 
The University Court 
 
13 December 2004 
 
Annual Report of the Audit Committee to Court, FY 2003/2004 
 
Brief description of the paper 
 
The paper sets out the annual report from the Audit Committee to the University Court, on Financial 
Year 2003/2004, with the Internal Audit Report for 2003/04 (Annex 1, with five appendices) and the 
draft minutes from the Audit Committee meeting held on 18 November 2004 (Annex 2).   
 
Action requested    
 
The University Court is invited to: 
 
(i) 
Note item 11 of the minutes where the Audit Committee invited the Court to consider the 
harmonising of severance reporting thresholds, which are currently different for SHEFC, the 
Annual Accounts and the University’s Policy Statement on Severance Payments.  The 
Committee also invited the Court to consider what is the most appropriate control process. 
 
(ii) 
Note item 13 of the minutes where the Committee recommended to the University Court that 
the external auditors be reappointed for an extension period of two years: 2004/05 and 
2005/06.  The Committee needs to conduct a market testing exercise of the external audit 
service every five years, at least, and will consider the process for this in the spring. 
 
(iii) 
Note the rest of the paper for information. 
 
Resource implications 
 
Does the paper have resource implications?  The activities described in the paper can be met with 
existing resource allocations. 
 
Risk Assessment 
 
Does the paper include a risk analysis?  The paper describes the activities of the Audit Committee, 
which has received reports on the University’s risk management controls during 2003/04 and which 
has also received internal audit reports, which have been prepared using a risk-based approach. 
 
Equality and Diversity 
 
Does the paper have equality and diversity implications?  No. 
 
Freedom of Information 
 
Can this paper be included in open business?  Yes. 
 
Any other relevant information 
 
The paper will be presented by Dr. John Markland, Convener of the Audit Committee. 
 
Originator of the paper 
 
Ms. S.M. Welham, Executive Secretary, Audit Committee, 3 December 2004 


Annual Report of the Audit Committee to Court for FY 2003/2004 
 
1 Administrative 
Matters 
 
Membership and Frequency of Meetings FY 2003/2004 
 
Membership of the Committee for the FY 2003/2004 was as follows, with Court members marked*: 
Dr. J. Markland * (Convener) 
Professor A. D. Milne * 
Mr. G. Scott * 
Mr. D. Bentley (from February 2004) 
Mr. F. H. Hitchman 
Mr. G. M. Murray (until October 2003) 
Mr. J. Stretton 
 
Mr. G. M. Murray stepped down from the Audit Committee since he had joined the Finance & 
General Purposes Committee as a University Court member.  The Committee expressed its grateful 
thanks for his participation in the work of the Committee. 
 
The University Secretary is Secretary to the Committee and its Executive Secretary is Ms S. Welham.  
Routinely in attendance during the year were: the Director of Corporate Services, the Director of 
Finance, the Chief Internal Auditor, the Assistant Director of Finance responsible for Financial 
Accounting, the Executive Secretary of the Committee, and the external auditors, KPMG.  During 
2003/04 the Committee had presentations and discussion sessions on: 
•  Information Technology security penetration testing from Sapphire Technologies, the Vice-
Principal (Knowledge Management) and an Assistant Director of Computing Services; 
•  Freedom of Information implications for Audit Committee business by the University’s 
Records Manager; and 
•  Space Management by the Senior Vice-Principal. 
 
The Committee met on four occasions in the course of FY 2003/2004.  It also, via the Convener, met 
the Internal and External Auditors on their own for independent discussions. 
 
2.1 Internal 
Audit 
 
Annual Report of the Internal Auditors 2003/2004 
 
 
The Annual Report of the in-house internal auditors is attached as Annex 1.  The Court’s attention is 
drawn to Appendix E, which provides an assessment of the adequacy and effectiveness of the 
University’s Risk Management process, which was used to help derive the conclusion in the internal 
auditor’s annual statement on the overall internal control environment in the University, which is 
endorsed by the Audit Committee: 
 
“On the basis of the work carried out during the year, I conclude that where weaknesses were 
identified these are being addressed and there is sufficient evidence of controls and procedures 
that are functioning to provide reasonable assurance that the overall control environment is 
adequate in the University.  Risk management has been embedded as an ongoing process 
throughout the year, and steps are continuing to embed the process further.” 
 
2003/2004 Internal Audit Plan 
 
 
At its meeting on 5 July 2004 the Court, on the recommendation of the Audit Committee, approved 
the Strategic Audit Plan for 2004-07 and the Annual Audit Plan for 2004-05.  The Chief Internal 
Auditor prepared the plans in consultation with senior management, including the Principal as Chief 
Accounting Officer. 


2.2 
External Audit 
 
Appointment and Remuneration of External Auditor 
 
At its meeting on 9 July 2001, on the recommendation of the Audit Committee, the University Court 
appointed KPMG to conduct the external audit of the University for the three financial years from 
2001/02.  The Audit Committee reviewed the External Auditors’ audit plan for the year ending on 31 
July 2004 at its 17 June 2004 meeting.  The Audit Committee reported to the Court at its 5 July 2004 
meeting that the proposed external fee for the University and Subsidiary companies for 2003/04 was 
£55,110 exclusive of VAT, subject to minor adjustments for subsidiary companies. 
 
Reports and Financial Statements for the year ended 31 July 2004 
 
The Committee received the reports and financial statements for the year ending 31 July 2004, 
including the Principal’s statement, at its meeting on 18 November 2004, together with a presentation 
by KPMG on the external audit findings.  The Committee noted the basis of the opinion of KPMG on 
the accounts and the satisfactory nature of that opinion.  The Committee concluded that the audit had 
been satisfactorily performed and that there were no major issues to give significant cause for 
concern.  The Committee agreed for its part to commend the reports and financial statements to the 
Court for adoption. 
 
Management Letter 2003/2004 
 
 
KPMG referred to the Management Letter in the report on the audit results.  KPMG confirmed that, 
while it highlighted various matters requiring the attention of management, it contained nothing to 
impact on their ability to give a clean audit report on the accounts for the year.  On completion, the 
Management Letter will be forwarded to the Funding Council as required by the SHEFC Code of 
Audit Practice. 
 
2.3 
Internal Control Systems 
 
Based on the results of the work of the Internal Auditor as reported in the Internal Auditor’s Annual 
Report; the External Auditors’ opinion on the financial statements as well as on the Management 
Letter; the Risk Management Committee’s Year-End Report on 2003/04; and direct comments from 
relevant members of staff of the University, the Audit Committee considered that the University’s 
internal control systems were functioning to provide reasonable assurance that the overall control 
environment was adequate in the University and could be relied on by the University Court. 
 

Other Committee Business 
 
Other issues considered by the Audit Committee during 2003/2004 included: risk management, where 
it received regular reports from the Risk Management Committee, including information on the 
RMC’s Year-End Report, the development of an assurance map, and on revisions to the University 
Risk Register; the University’s corporate governance statement; the University’s relationships with 
subsidiary and spin-out companies; the Combined Code on Corporate Governance (2003); and 
voluntary severance payments.  In March 2004 the Committee held its Annual Seminar in conjunction 
with the Risk Management Committee, which focused on developments in public sector corporate 
governance. 
 
4 
Fraud and Irregularity 
 
The Audit Committee has not been made aware of any serious weaknesses in internal control systems, 
significant fraud or major accounting or other control breakdowns. 
 
Ms Welham, Executive Secretary, Audit Committee, 19 November 2004 


University of Edinburgh  
 
Internal Audit Annual Report 2003-04 
 
Annex 1 
INTERNAL AUDIT - ANNUAL REPORT 2003-2004 
 
1. Introduction 
The 1999 SHEFC Code of Audit Practice requires that the Audit Committee should be provided with an 
Annual Report on Internal Audit's activities at the first meeting following the financial year-end.  It also 
sets out the minimum contents of such a report (paragraph 4.53-4.54). 
2.  Achievement of Annual Plan  
Appendix A lists the assignments carried out during the year in the order that they were reported to the 
Audit Committee.  Appendix B summarises the main findings.  The audit plan approved by the Audit 
Committee is substantially completed (98%).  Work is continuing on Acquisitions and Implementation of 
Corporate IS/IT, Electronic Receipting of Application (ERA) and Space Utilisation. 
The original audit plan was designed to accommodate additional assignments arising during the year 
and any unforeseen staff absences without disrupting the scheduled assignments, by setting aside time 
to cover such eventualities.  This has once again worked well.  Five additional assignments to the 
original plan were accommodated during the year (Voluntary Severance, Communications and Public 
Affairs, Institute of Geography, Large Animal Hospital and Practice, and Delegated Authority).  Four 
assignments: Postgraduate Admissions, NHS Agreements, Medical Facilities provided by Consort and 
Research Grant Claims Processing required significantly more time to carry out than had been planned.  
We also invested time in successfully marketing our services on a commercial basis. 
 
3.  Summary of Findings 
The Code requires a summary of each audit report and these are set out in Appendix B.  The more 
significant control weaknesses and control assurances identified are set out in the table in Appendix 
C.  Based on our findings during the year, Table 1 highlights examples of assignments where the control 
environment required enhancement. 
Table 1: Examples of how and where the control environment could be enhanced 
Control Enhancement Required  
Assignments identifying the need for control enhancement  
Better Segregation of Duties 
Institute of Geography, Communications and Public Affairs 
NHS Agreements and Arrangements, Research Fees, Research 
Improved Organisational 
Grant Claims Processing, Office of Lifelong Learning, Endowment 
controls 
Funds 
Improved Authorisation and 
Management School and Economics, School of Biomedical and 
Approval Controls  
Clinical Laboratory Services 
Improved Physical Controls 
School of Arts, Culture and Environment 
More effective Supervision 
Institute of Geography 
Improved Personnel Controls 
Management School and Economics 
Improved Arithmetic and 
Veterinary Clinical Studies - Hospital for Small Animals 
Accounting Controls 
Research Grant Claims Processing, Medical School Facilities 
Improved Management 
provided by Consort, Financial and Management Information at 
College Level 
 
92% of recommendations from a programme of follow up reviews were found to have been implemented in full as 
agreed.  This is up from 87% in the previous year. 
Page 4 

University of Edinburgh  
 
Internal Audit Annual Report 2003-04 
 
Positive Assurances 
 
• 
Examinations and Reporting of Results 
• Delegated 
Authority 
• 
Division of Clinical Neurosciences 
• 
School of Arts, Culture and Environment 
• 
Postgraduate Admissions in Medicine and Veterinary Medicine 
• 
Postgraduate Admissions in Humanities and Social Science 
4.  Value for Money (VFM) 
VFM is considered as a routine aspect of each assignment.  Appendix C identifies those assignments 
that could result in VFM opportunities for the University. 
 
5. Staffing 
There was no turnover of staff during the year.  IT and other audit specialists were engaged to provide 
support on specific assignments, to a larger extent than last year, funded by increased revenue arising 
from services provided to commercial clients. 
6.  Internal Audit Performance Indicators 
The 1999 SHEFC Code of Audit Practice states that “The Head of Internal Audit should, in conjunction 
with management and the Audit Committee, establish and implement performance measures and 
indicators, whereby the efficiency and effectiveness of the service can be monitored on an ongoing 
basis
”.  
 
Appendix D includes a selection of Key Performance Indicators, and provides a summary of responses 
to Performance Questionnaires received during the year from management following an audit in their 
area.  
 
7.  Turnbull Committee Report on Internal Control 
The Turnbull Committee report emphasised that it was an essential part of the Main Board’s / 
Governing Body’s (Court’s) responsibility to review the effectiveness of internal control.  In coming to a 
view, members are expected to seek input from the Audit Committee, other constitutional committees, 
senior management, and external and internal audit.  The SHEFC Accounts Direction for 2003-04 
requires the Court to include a statement in the annual financial statements on corporate governance, 
indicating how the University has complied with good practice in this regard.  A separate paper is being 
presented by the University Secretary on the Draft Corporate Governance Statement and giving advice 
to members on the Statement of Internal Control. 
8. Risk 
Management 
The University Risk Management Committee has been fully operational during 2003-04.  The University 
Risk Management Policy and Overview Risk Register were endorsed by Court in 2002-03 and are 
reviewed and confirmed by CMG, FGPC, Audit Committee and Court each year.  Each College and 
Support Group has prepared a Risk Register; these have been formally by the Risk Management 
Committee as part of an annual process.  The Committee has a programme of rolling reviews of each 
individual corporate risk.  Internal Audit was noted as having addressed 13 out of 25 risks over the 
previous two years. 
An assessment of the adequacy of the University of Edinburgh’s Risk Management process is given in 
Appendix E. 
9.  Annual Statement on the System of Internal Control 
The 1999 SHEFC Code of Audit Practice requires the Head of Internal Audit to provide an opinion on the 
adequacy and effectiveness of the University's internal control system (paragraph 4.54).  Internal Control is 
defined in the internationally recognised report from the Committee of Sponsoring Organisations (COSO) as: 
"A process, effected by an entity's board of directors, management and other personnel, 
designed to provide reasonable assurance regarding the achievement of objectives in the 
following categories: effectiveness and efficiency of operations; reliability of financial reporting; 
and compliance with applicable laws and regulations." 

Page 5 

University of Edinburgh  
 
Internal Audit Annual Report 2003-04 
 
It is important to note that: 
•  The Annual Statement is based upon the work performed during the year as summarised in 
Appendix B; 
•  Internal Control can provide only reasonable and not absolute assurance to management and 
Court regarding achievement of the University's objectives.  Internal Audit assignments have a 
reasonable chance of detecting significant control weaknesses but cannot guarantee that fraud, 
error or non-compliance will be detected; 
•  It is management's responsibility to maintain effective systems of internal control, risk management 
and the detection of fraud, error or non-compliance; 
• 
Internal audit forms part of the overall system of internal control. 
During the year, the Internal Audit Service has reviewed, evaluated and tested the University's internal 
controls based upon an Annual Audit Plan approved by the Audit Committee in June 2003.  Reference 
has been made where appropriate to the quality standards in recognised good practice guidance, as 
required by paragraph 1.7 of the Code of Audit Practice.  
 
On the basis of the work carried out during the year, I conclude that where weaknesses were identified these 
are being addressed and that there is sufficient evidence of controls and procedures that are functioning to 
provide reasonable assurance that the overall control environment is adequate in the University.  Risk 
management has been embedded as an ongoing process throughout the year, and steps are continuing to 
embed the process further. 

 
 
 
Hamish McKay 
Chief Internal Auditor 
Page 6 

University of Edinburgh  
   
 
Internal Audit Annual Report 2003-04 
 
Appendix A 
   Internal Audit Annual Report - List of Assignments 
 
 
Date Final 
Date to Audit 
Audit assignment 
Report Issued
Committee 
Comment 
 
 
 
 
 
 
Completed 
 
 
 
 
 
 
 
 
1  Postgraduate Admissions in Medicine and
11-Nov-03 
Nov-03 
2002-03 Annual Plan 
Veterinary  

Postgraduate Admissions in Medicine
11-Nov-03 
Nov-03 
2002-03 Annual Plan 
Humanities and Social Science  

Voluntary Severance 2002-03 
11-Nov-03 
Nov-03 
Added to original plan 
4  Edinburgh University Press - Corporate
3-Dec-03 Feb-04 
 
Governance 
5 School of Biomedical and Clinical
12-Jan-04 
Feb-04 
2002-03 Annual Plan 
Laboratory Sciences  

Transparency Review return 2002-03 
22-Jan-04 
Feb-04 
 
7 Handling Enquiries from Overseas
26-Jan-04 Feb-04 
 
Postgraduate Students 

Office of Lifelong Learning 6-Feb-04 
Feb-04 
 

Research Fees 
6-Feb-04 
Feb-04 
2002-03 Annual Plan 
10  Research Grant Claims Processing 
9-Feb-04 
Feb-04 
 
11  Veterinary Clinical Studies - Hospital for
10-Feb-04 Feb-04 
 
Small Animals 
12  Library Ordering Systems 
11-Feb-04 Jun-04 
 
13  Communications and Public Affairs 
2-Apr-04 
Jun-04 
Added to original plan 
14  Examinations and Reporting of Results 
2-Apr-04 
Jun-04 
 
15  Edinburgh Student Portal 
31-May-04 Jun-04 
 
16  Division of Clinical Neurosciences 
4-Jun-04 Jun-04 
 
17  Management School and Economics 
8-Jun-04 Jun-04 
 
18  Medical School Facilities provided by Consort
8-Jun-04 Jun-04 
 
19  NHS Agreements and Arrangements 
8-Jun-04 Jun-04 
 
20  Biomedical Research Resources 
9-Jun-04 Jun-04 
 
21  Endowment Funds 
9-Jun-04 Jun-04 
 
22  Institute of Geography 
28-Jun-04 
Oct-04 
Added to original plan 
23  Large Animal Hospital and Practice 
30-Jul-04 
Oct-04 
Added to original plan 
24  Control of Staff Appointments in College 
16-Sep-04 Oct-04 
 
and Support Groups 
25  Ordering and Payments processes 
16-Sep-04 
Oct-04 
 
26  School of Arts, Culture and Environment 
23-Sep-04 
Oct-04 
 
27  Financial and Management Information at 
5-Oct-04 
Oct-04 
College Level 
 
 
28  Delegated Authority 
N/A 
N/A 
Added to original plan and 
no report as such 
 
 
 
 
 
 
Continuing 
 
 
 
29  Acquisition and Implementation of 
 
 
 
Corporate IS/IT 
30  Electronic Receipting Application 
 
 
 
31 Space 
Utilisation 
 
 
 
Page 7 

University of Edinburgh  
 
Internal Audit Annual Report 2003-04 
 
Appendix A 
 
 
 
 
Follow up Reviews (14) Date 
to 
Audit 
Recommendations  Recommendations 
Committee 
agreed 
implemented 
 
 
 
 
Festival Lets 
Oct-03 
25 
25 
Estates and Buildings: Financial Control Section 
Oct-03 


Business Rates Management 
Oct-03 


Research Grants and Contracts Administration 
Nov-03 


Management of Intellectual Property 
Nov-03 


Accommodation Services - Commercial Income
Nov-03 8 

Collection 
 
Integrity of Access to Key University Systems 
Jun-04 
12 
12 
Disposal of Waste 
Jun-04 

3  
Corporate Governance 
Jun-04 


Vehicle Policy Compliance 
Jun-04 


Overhead Recovery in Research and Consultancy
Jun-04 4 

Contracts 
 
Pathology Jun-04 


School of Engineering and Electronics 
Jun-04 


ICMB Wellcome Trust Centre 
Jun-04 


 
 
 
 
  
107 
98 
 
 
 
92% 
 
Page 8 

University of Edinburgh  
 
Internal Audit Annual Report 2003-04 
 
 
Appendix B 
 
SUMMARY OF FINDINGS FROM AUDIT ASSIGNMENTS DURING 
2003-2004 
(Listed in the order that the final report was issued) 
 
1.  POSTGRADUATE ADMISSIONS IN MEDICINE AND VETERINARY MEDICINE 
 
Based on analysis of responses to our online questionnaire, for the most part, staff involved in 
postgraduate admissions in the College of Medicine and Veterinary Medicine felt able to demonstrate 
compliance with the Code of Practice, should they be required to do so by the QAA.  Some areas 
relating to Admissions policies and procedures would benefit from clarification. 
 
Issued 11/11/03; No recommendations. 
 
2.  POSTGRADUATE ADMISSIONS IN HUMANITIES AND SOCIAL SCIENCE 
Based on analysis of responses to our online questionnaire, for the most part, staff involved in 
postgraduate admissions in the College of Humanities and Social Science felt able to demonstrate 
compliance with the Code of Practice, should they be required to do so by the QAA.  Some areas 
relating to Admissions policies and procedures would benefit from clarification. 
 
Issued 11/11/03;  No recommendations. 
 
3. VOLUNTARY 
SEVERANCE 
2002-03 
As required by the University's Policy Statement on Severance Payments we provided the full details to 
the Audit Committee of all severance arrangements for staff earning more than £50k per annum, based 
on details provided by the Director of Human Resources and the relevant Human Resources Managers. 
Issued 11/11/03; No recommendations. 
 
4.  EDINBURGH UNIVERSITY PRESS - CORPORATE GOVERNANCE  
We made a number of specific recommendations for consideration by the Board, and one overarching 
recommendation to the Managing Director that our report should be presented to the next Board 
meeting.  Subject to implementing our recommendations, we were satisfied that the Board had 
appropriate and effective processes and procedures in place to support the production of their Annual 
Corporate Governance Statement to the University Court.  In making our recommendations we sought 
to take into account the proportionality of the recommended action to the size of the Company, and the 
residual risk which would remain if the issue was not addressed.  The Managing Director confirmed in 
May 2004 that appropriate action has indeed been taken. 
Issued 3/12/03; 9 recommendations, all agreed. 
 
5. SCHOOL 
OF 
BIOMEDICAL 
AND 
CLINICAL LABORATORY SCIENCES 
There was scope to improve management scrutiny of payments made for the reimbursement of staff 
expenses. A review of E-Financials electronic access and authorisation levels would help to ensure that 
staff are only able to conduct transactions up to the level designated by the Head of School.  
Procedures should be developed to help provide a framework for ensuring compliance with the Data 
Protection Act (2000). 
 
Issued 12/01/04;5 recommendations, all agreed. 
Page 9 

University of Edinburgh  
 
Internal Audit Annual Report 2003-04 
 
 
6.  TRANSPARENCY REVIEW RETURN 2002-03 
Funding Councils and the Research Councils have indicated that they propose to seek validation that 
Institutions have implemented the methodology appropriately. Therefore this year we reviewed and 
assessed the robustness of the costing methodology applied in greater detail.  This year’s exercise used 
updated time allocation data, substituted the 2002-03 financial data and applied similar cost drivers to 
allocate the expenditure.  We were able to confirm that the University submitted a Transparency Review 
costing return for 2002-03 to the Funding Council signed by the Principal before the deadline of 31st 
January 2004, that the costing systems established by management followed the recommendations in 
the TRAC report, and that the systems were adequate, effective and applied consistently. 
 
Issued 22/01/04;  No recommendations. 
 
7.  HANDLING ENQUIRIES FROM OVERSEAS POSTGRADUATE STUDENTS 
Specific value-for-money issues identified include avoidable costs which are inherent in the current 
system (e.g. need to streamline administration of multiple or blanket enquiries by the same student, the 
scope for ‘filtering’ of enquiries centrally, and independent maintenance of local records), and potential 
income being foregone if enquirants ‘fall through the net’.  We identified two specific risks to the 
University in terms of compliance with the Data Protection Act and Freedom of Information 
requirements.  Our report was issued to the Director of Registry for consideration in relation to the work 
of the Student Systems Project Board, and to the Convener of the Senatus Postgraduate Studies 
Committee for discussion.  Both agreed to take the findings on board in support of their ongoing work in 
this area. 
 
Issued 26/01/04; 1 recommendation, agreed. 
 
8.  OFFICE OF LIFELONG LEARNING 
There would be benefits from restructuring the Office of Lifelong Learning to unify the administrative 
systems through improved financial control, economies of scale and clarity of procedures.  The 
imminent appointment of a new Chief Administrative Officer was expected to help in this regard.  There 
was a need to adjust current procedures for Continuing Professional Development pricing (which were 
under active discussion) and Continuing Personal Education staff appointment processing (which we 
were advised was in hand). 
Issued 06/02/04; 8 recommendations, all agreed. 
 
9. RESEARCH 
FEES 
While there was no reason to suspect that Research Fees are being set at inappropriate levels or 
remitted without good cause, much could be done to improve the transparency of the process for 
costing of Research Fees, remission of fees, and processing of fees.  The recommendations related to 
the role played by Registry in these processes.  We wrote separately to the Convener of the Senatus 
Postgraduate Studies Committee recommending that the need to improve transparency of these 
processes should be discussed, and appropriate action agreed, by that Committee. 
 
Issued 06/02/04; 3 recommendations, all agreed. 
 
10.  RESEARCH GRANT CLAIMS PROCESSING 
There was an opportunity to strengthen lines of accountability and responsibility through greater 
involvement of Heads of Schools in managing research grants within their area of responsibility.  This 
should help the Research Grants Section in the Finance Department resolve disputed research grant 
expenditure. 
 
Issued 09/02/04; 7 recommendations, all agreed. 
 
Page 10 

University of Edinburgh  
 
Internal Audit Annual Report 2003-04 
 
 
11.  VETERINARY CLINICAL STUDIES - HOSPITAL FOR SMALL ANIMALS 
Much work had already been done by Hospital Staff to improve processes and procedures for invoicing, 
credit control, and stock control.  A number of other issues were highlighted in this report, which 
required further management action.  We noted a number of significant issues arising from the financial 
capabilities of the local Finance and Practice Management System used within the Hospital.  These 
were reported to the Hospital for the specific consideration of the new IT manager.  We also found that 
the value for money achieved by the Hospital’s commercial arrangements could not be quantified. 
 
Issued 10/02/04; 3 recommendations, all agreed. 
 
 
12.  LIBRARY ORDERING SYSTEMS 
There was scope to improve the monthly budgetary information provided to the Director of Library 
Services by the incorporation of commitment information.  Budgetary control information was accessed 
from two sources; the Director of Library Services relied on information derived from E-Financials and 
the Liaison Librarians rely on information derived from the Voyager system.  Initial reconciliations 
highlighted variances between the Voyager and E-Financials data sets.  Library staff were continuing to 
reconcile the two data sets in order to understand the reasons for the variances.  Until this is achieved, it 
is not possible to be confident that transactions occurring in the Voyager system are accurately 
represented in E-Financials
 
 
Issued 11/02/04; 3 recommendations, 2 agreed, 1 rejected. 
 
13.  COMMUNICATIONS AND PUBLIC AFFAIRS 
There was scope to improve the procedures relating to cashing up and stocktaking by introducing an 
element of segregation of duties.  The development and implementation of appropriate ‘change control’ 
procedures (preventing and detecting unauthorised changes to core stock and price data) for the new 
Electronic Point of Sale System needed to be considered as a matter of priority. 
 
Issued 02/04/04;  8 recommendations; all agreed. 
 
14.  EXAMINATIONS AND REPORTING OF RESULTS 
Effective control appeared to be in place over the processing and reporting of examination results by 
Registry.  There was a need for Registry to maintain awareness of the residual process risks inherent in 
their system, relating to evidence of authority of external examiners, double-keying of data, and 
exception reporting. 
 
Issued 2/04/04; 1 recommendation, agreed. 
 
15. EDINBURGH STUDENT PORTAL 
The Edinburgh Student Portal (ESP) has been developed and maintained in a controlled manner and its 
use did not appear to present a significant risk to the University, either financially or reputationally.   The 
ownership of the various elements of the ESP should be formally agreed and documented in order to 
ensure that the ongoing development and eventual incorporation into MyED is not slowed down or 
compromised by any future misunderstanding, and that any functionality that allows students to update 
information via ESP should not be introduced without careful consideration of improving the strength of 
current password security features. 
Issued 31/05/04: 2 recommendations, both agreed. 
 
Page 11 

University of Edinburgh  
 
Internal Audit Annual Report 2003-04 
 
 
16.  DIVISION OF CLINICAL NEUROSCIENCES 
There was a satisfactory level of control within the Division.  However, there was scope to improve 
efficiency of local monitoring and reconciliation procedures.  Some other issues relating to local 
administrative procedures were noted by the Head of Division. 
Issued 4/06/04; 2 recommendations, both agreed. 
 
17.  MANAGEMENT SCHOOL AND ECONOMICS 
There was a satisfactory level of control within the School.  However, there was scope to improve 
guidance on non-standard payments and to improve controls over income collection in the Management 
School section.  Following an Internal Audit special investigation in 1999-2000, the recommendations to 
address the systems weaknesses identified at the time had generally been actioned, and the control 
environment had significantly improved. 
Issued 08/06/04; 5 recommendations, all agreed. 
 
18.  MEDICAL SCHOOL FACILITIES PROVIDED BY CONSORT 
The University is paying a premium to achieve risk transfer to the private sector under the PFI scheme 
for managing the facilities at the New Royal Infirmary at Little France.  The risk transfer cannot be fully 
effective until the performance monitoring data is available.  There was a need for the University to 
pursue Consort regarding their contractual requirements on performance monitoring data. 
Issued 8/06/04; 1 recommendation,  agreed.  
 
19.  NHS AGREEMENTS AND ARRANGEMENTS 
There is a considerable number of agreements and relationships between various University and NHS 
departments.  The complexity of the intertwined relationship, the disparate lines of coordination and 
control, the mismatch of authority and responsibility as evidenced by the Delegated Authorities 
Schedule
, the numerous separate resourcing arrangements, and the lack of clear understanding of 
overall resources committed, meant that the University was not in a position to secure maximum value 
for money.  There was a risk that the University’s interests would be jeopardised by a lack of overall 
negotiating leverage.  It was also difficult to provide an assurance that the University was paying only for 
services received and recovering the full cost of services it provided to the NHS.  We concluded that 
there was a strong case for investing time and effort in quantifying the net costs/benefits of the 
arrangements with the NHS.  This would allow the University to achieve better value for money from the 
relationships, or confirm that the University is already a net beneficiary. 
Issued 08/06/04; 9 recommendations, 8 agreed, 1 was agreed in principle but seen as difficult to 
achieve (relating to all charges to the NHS being immediately charged to a dedicated NHS cost centre) 
and was therefore rejected.
 
 
20. BIOMEDICAL RESEARCH RESOURCES 
The introduction of best practice such as the use of Risk Assessment, Performance Indicators and Disaster 
Recovery/Business Continuity Planning  would help to make operations more resilient and increase the level of 
assurance available to management. There was some scope to review processes and achieve more efficient 
workflows and provide a better level of control. 
Issued 09/06/04; 9 recommendations, 7 agreed, the remaining two will be put to the Ethical Review 
Committee for consideration.
 
 
Page 12 

University of Edinburgh  
 
Internal Audit Annual Report 2003-04 
 
 
21. ENDOWMENT FUNDS 
There was a need to review communications and reporting mechanisms for the control of endowment-
based expenditure, in order to ensure that Heads of Schools are more closely involved in the monitoring 
process.  Practices were resulting in various inconsistent procedures for monitoring endowments, 
duplication of effort in maintaining records, and inadequate management information. 
Issued 09/06/04; 4 recommendations, all agreed. 
 
22. INSTITUTE OF GEOGRAPHY 
We found that nine recommendations from the Internal Audit review of the Department of Geography in 
March 2002 had not been implemented. Agreed procedures to improve control over petty cash and 
income collection had lapsed with the advent of the restructuring process.  The restructuring process 
and amalgamation of the Institute of Geography within the School of Geosciences had required staff 
reorganisation. Documented procedure notes had not been established to aid the continuation of good 
working practices.  Full implementation of the recommendations would help to improve the level of 
control surrounding petty cash and income collection.  Random supervisory checks were to be initiated 
by the School Finance Manager to provide assurance that new procedures were being complied with. 
Issued 28/06/04; 9 recommendations, all agreed. 
 
23.  LARGE ANIMAL HOSPITAL AND PRACTICE 
For the most part, we were satisfied that financial control within the Large Animal Hospital and Large 
Animal Practice was satisfactory.  However, we have made a number of recommendations for 
improvement of the control environment.  We also noted that there was significant scope for shared 
arrangements with the Small Animal Hospital and Practice in respect of IT systems and stock control, 
which may result in VFM improvements. 
 
Issued 30/07/04; 9 recommendations, all agreed. 
 
24.  CONTROL OF STAFF APPOINTMENTS IN COLLEGE AND SUPPORT GROUPS 
The new staff appointment process under the Reengineering the Employment Lifecycle Processes 
(RELP) project has resulted in improved arrangements to help ensure that funding for staff 
appointments is available.  There may be an opportunity to enhance control over research grant staff 
appointments by using the system to ensure that two areas are involved in the appointment process.  
This would achieve a more disciplined process to help ensure that research appointments are made 
within the level of funding that is available. 
Issued 16/09/04; No recommendations, we communicated our views on research grant staff 
appointments to the Director of Corporate Services, who will consider them as part of a comprehensive 
review of research grants processing. 

 
25.  ORDERING AND PAYMENTS PROCESSES 
We identified opportunities for efficiency gains through improved ordering practices and procedures. We 
provided Colleges and Support Groups with detailed information in order that they could better target for 
review those areas where improvements could be made. 
 
Issued 16/09/04; no recommendations, but have identified opportunities for efficiency gains. 
 
Page 13 

University of Edinburgh  
 
Internal Audit Annual Report 2003-04 
 
 
26.  SCHOOL OF ARTS, CULTURE AND ENVIRONMENT 
We found that, subject to implementation of our recommendations, there is a satisfactory level of 
internal control in place throughout the School.  There was a particular issue with physical security of 
cash. 
 
Issued 23/09/04; eleven recommendations, all agreed. 
 
27.  FINANCIAL AND MANAGEMENT INFORMATION AT COLLEGE LEVEL 
We found an apparent gap between the needs and aspirations of the College Management Teams and 
the plans and solutions available from systems and support staff.  There is therefore an ongoing risk that 
the management information needs of the College will not be fulfilled.  The number of local workarounds 
in place also highlights the risk that the University may not be leveraging best value for money from its 
substantial investment in corporate systems.  To mitigate these risks, there would appear to be a need 
to improve articulation of the needs and aspirations of the College Management Teams, and of the 
plans and solutions available from systems and support staff, with a view to achieving clearer mutual 
understanding of management information needs in support of decision-making in the short to medium 
term. 
 
Issued 5/10/04; no recommendations, we propose to highlight these risks at the next meeting of the 
Central Management Group.   
 
28. DELEGATED AUTHORITY 
Internal Audit continued to provide assistance to the University Secretary on the preparation of a 
Delegated Authorisation Schedule and related initiatives. The Delegated Authorities Schedule was 
approved by Court in November 2003.  A related Schedule of Delegated Authority: Procurement paper 
was approved by Central Management Group in September 2004. 
 
Continued input during the year, no report as such. 
Page 14 

University of Edinburgh  
 
Internal Audit Annual Report 2003-04 
 
 
 
 
Appendix C
Internal Controls 2003-04: Analysis of the strengths and weaknesses identified in 
the Control Environment 
 
 
 
 
 
Internal Controls 
 
nt

ty
t
ion 

l
 
a


 & 
t
ion 

 
t
i
on 

ion 
s
a
a
 
t
ic

ing 
me
uni
Ref 
Audit assignment 
a
is
ov
is
g
i
e

al
e
nis
i
c

r
v

ge
s
onne
hme
ount
gr
hor
port
 Dut
ga
r
s

c
na
Se
of
Or
Aut
& Appr
Phy
Supe
Pe
Arit
Ac
Ma
VFM 
Op
?  
Postgraduate Admissions in Medicine and Veterinary

 
 
 
 
 
 
 
 
 
Medicine 
Postgraduate Admissions in Humanities and Social

 
 
 
 
 
 
 
 
 
Science 
Voluntary Severance 2002-03 

 
 
 
 
 
 
 
 
 
Edinburgh University Press - Corporate

 
x          
 
 
Governance 
School of Biomedical and Clinical Laboratory

  x  

 
 
 
Yes 
Sciences  
Transparency Review return 2002-03 

 
 
 
 
 
 
 
 
 
Handling Enquiries from Overseas Postgraduate

 
 
 
 
 
 
 
 
Yes 
Students 
Office of Lifelong Learning 

x x   
 
 
 
 

 
Research Fees 

 x x      x    
Research Grant Claims Processing 
10 
 
x    x    

 
Veterinary Clinical Studies - Hospital for Small
11 
 
 
 
 
 
 xx   
Yes 
Animals 
Library Ordering Systems 
12 
 
 
x        

 
Communications and Public Affairs 
13 
x      
 
 

 
 
Examinations and Reporting of Results 
14 
 
 
 
 
 
 
 
 
Yes 
Edinburgh Student Portal 
15 
 
 
 
 
 
 
 
 
 
Division of Clinical Neurosciences 
16 
 
 
 
 
 
 
 
 
 
Management School and Economics 
17 
 
 

 
 x x   
 
Medical School Facilities provided by Consort 
18 
 
x        x x Yes 
NHS Agreements and Arrangements 
19 

xx 
      Yes 
Biomedical Research Resources 
20 
 x      x Yes 
Endowment Funds 
21 
 
x      x Yes 
Institute of Geography 
22 
x x x  x  x x   
Large Animal Hospital and Practice 
23 
 
 x        
 
Yes 
Control of Staff Appointments in College and 
24 
x    
 
 
 
 
 
 
Support Groups 
Ordering and Payments processes 
25 
 
 

 
 
 
 
 
Yes 
School of Arts, Culture and Environment 
26 
 
 x x      
 
 
Financial and Management Information at College 
27 
 
 
 
 
 
 
 

Yes 
Level 
28 Delegated 
Authority 
 
 
 
 
 
 
 
 
Key:  (A blank entry indicates either not assessed, or no particular strengths or weaknesses identified.) 
               = Control Assurance identified,      X =  Control weakness identified, 
           
= Strong Assurance identified,     XX = Inadequate control identified. 
 
Note:    These assessments were made on the basis of the findings at the time of the audit. 
Page 15 

link to page 44 link to page 44 link to page 44 link to page 44 link to page 44 University of Edinburgh  
 
Internal Audit Annual Report 2003-04 
 
 
 
 
Appendix D 1 
Key Performance Indicators for Internal audit 
 
The SHEFC Code of audit Practice states, “The Head of Internal audit should, in conjunction with 
management and the Audit Committee, establish and implement performance measures and indicators, 
whereby the efficiency and effectiveness of the service can be monitored on an ongoing basis
”. “It is for each 
institution to adopt or develop a set of measures and indicators which are appropriate to its needs and 
circumstances
”. 
 
Year 2000-
Year 2001-
Year 2002-
Year 2003-
Performance measures  
01 
02 
03 
04 
 
 
 
 
 
General 
Performance 
Indicators 
    
Annual cost of service 
£145k1
£165k £174k2
£177k 
Direct audit days available3
602 665 692 717 
Cost per direct audit day 
£240 
£248 
£252 
£247 
Number of audits  
25+2  
28+2  
29+3  
28+3 
to finalise 
to finalise 
to finalise 
to finalise 
Number of recommendations made 
84 
136 
142 
109 
Number of follow up reviews 
16 
12 
15 
14 
 
 
 
 
 
Performance measures indicating efficiency 
 
 
 
 
University of Edinburgh income received / Internal 
 £70M 
 £71.25M 
£78.5M 
£86.8M 
Auditor 
University employees / Internal Auditor 
1457 
1474 
1505 
1510 
% Available time applied to audit work 
84% 
85% 
86% 
85% 
% Allocated audit time actually spent conducting audit 
94% 104% 99% 106% 
work4
% Completion of the annual audit plan by annual report 
98% 99.5% 98%  98% 
date 
 
 
 
 
 
Performance measures indicating effectiveness 
 
 
 
 
% Audit work undertaken by fully qualified staff  
64%  
63% 
92% 
100% 
% Recommendations agreed by management  
94%  
95% 
94% 
98% 
% Agreed recommendations found to be implemented 
94% 77% 87% 92% 
when followed up 
% Audits perceived to add value5
------- 90%  83%  78% 
 
                                                 
1 Staff vacancies in 2000-01. 
2 Not including £7K added from central Contingency Fund to meet cost of IT Penetration Test. 
3 After leave, office admin and training.  Includes specialist contract staff support. 
4 If over 100%, then less training than anticipated. 
5 Derived from Internal Audit performance questionnaire. 
Page 16 

University of Edinburgh  
 
Internal Audit Annual Report 2003-04 
 
 
 
 
Appendix D 2 
 
 
 
Audit Committee 
14 October 2004 
 
 
 
 
 
 
 
 
 
Internal Audit Performance Questionnaire (updated) 
 
In response to a request from the Committee, a process was initiated in 2001-02 of 
seeking feedback from managers of activities which had been the subject of internal 
audit.  Responses are sent direct to the University Secretary who compiled the 
attached consolidated report for the Audit Committee. 
 
Attached, for the information of members, is an analysis of responses received during 
the financial year 2003/04.  It includes responses to work carried out at the end of the 
previous financial year and excludes assignments completed within the last two 
months.  This updated version incorporates a further eight returns received late. 
 
 
 
November 2004 
 
Page 17 

University of Edinburgh  
 
Internal Audit Annual Report 2003-04 
 
 
 
 
Internal Audit Performance Evaluation Questionnaires (updated) 
 
Based upon feedback from the 27 Audit Assignments listed at the foot of the page. 
 
 
YY Y  N NN 
Other 
 
1. Were you given adequate notification of the audit? 
14 12    1 
 
 
2. Were you informed adequately of the audit objectives and scope? 
13 13  1   
 
 
3. Were the appropriate staff consulted for the audit area covered? 
10 15  2   
 
 
4. Did staff conduct themselves in a professional manner during the 
15 11    1 
 
audit? 
5. Were you given the opportunity to discuss the report with the 
11 15    1 
 
auditor prior to finalisation? 
6. Were the recommendations in the report practical and realistic? 
6 15 4  2   
 
7. Was the report produced to a professional standard? 
11 14  2   
 
 
8. Do you feel that the audit was worthwhile and has added value to 
8 13 4  2   
your work? 
Percentage %
41 
50 


 
 
 
Key 
YY fully 
satisfied 
Y Satisfied 

not satisfied  
NN fully 
dissatisfied 
 
 
Completed Audit Assignments subject to performance evaluation   
 
Returns received (27) 

Returns not received (8) 
• 
Biomedical & Clinical Lab Science School 
• Endowment 
Funds 
• 
Biological Research Resources 
• 
Handling enquiries & applications from os / pg applicant
• 
Clinical Vet Services – Large Animal Hospital 
• 
Legal Services VFM 
• 
Clinical Vet Services – Small Animal Hospital 
• Library 
Ordering 
System 
• 
CPA / EPOS 
• 
Payment of Creditors – Accounts Payable 
• 
Division of Clinical Neurosciences 
• 
Postgraduate Admissions – MVM 
• 
Edinburgh Student Portal (x2) 
• 
Research Fees (Bench Fees) 
• 
Examinations & reporting of results 
• 
Research Grant Claims Processing 
• Geography 
 
• 
ICMB/Wellcome Trust Centre 
 
• 
IT Penetration Testing (x2) 
 
• 
Management School & Economics 
 
• 
Medical School facilities provided by Consort (x3) 
 
• 
NHS Agreements & Arrangements (x4) 
 
• 
Office of Lifelong Learning 
 
• 
Postgraduate Admissions – HSS 
 
• 
Postgraduate Admissions – Science & Engineering 
 
• 
Subsidiary Companies – UoE Press 
 
• 
Transparency Review 2001/02 
 
• 
Transparency Review 2002/03 
 
 
 
Page 18 

University of Edinburgh  
 
Internal Audit Annual Report 2003-04 
 
 
 
 
Appendix E 
Risk Management - Assessment of its adequacy and effectiveness 
 
Requirement 
The model Corporate Governance statement included in the Scottish Higher Education Funding 
Council’s Accounts Direction in Circular HE/21/04 requires that Institutions should disclose as a 
minimum that: 
•  There is an ongoing process for identifying, evaluating and managing the significant risks 
faced by the institution. 
•  The process has been in place for the year under review and up to the date of approval of 
the Annual Accounts. 
•  The governing body regularly reviews the process. 
•  The process accords with the Turnbull guidance. 
 
The Turnbull guidance requires that risk assessment and internal control should be embedded in 
ongoing processes.  Management’s role is to implement the governing body’s policies on risk and 
control.  The governing body is required to review the effectiveness of internal control. 
Internal audit is required to report upon the adequacy and effectiveness of the risk management 
process as part of its assessment of the overall control environment.  Guidance from the Institute 
of Internal Auditors suggests assessment using the following parameters: 
•  The extent to which objectives of the risk management process has been set and 
communicated at all levels within an organisation, and are supported by consistent 
business strategies, plans and budgets; 
•  The adequacy of the mechanisms for identifying, analysing and mitigating key business 
risks arising from both external and internal sources; and 
•  The existence of mechanisms for identifying and reacting to both routine and more dramatic 
changes that could affect the organisations ability to achieve its objectives. 
 
Findings 
Risk Management Committee 
1.  The Risk Management Committee (RMC) met throughout 2003-04 and will continue to 
meet for the foreseeable future.  During 2003-04 their work has focussed on consolidating 
and further developing the Risk Management processes in the University. 
2.  The Annual Report of the RMC was presented to the Central Management Group (CMG) 
on 22 September 2004, and will be considered by the University’s Audit Committee on 14 
October and by the Finance and General Purposes Committee (FGPC) on 18 October.  The 
report will support the Audit Committee and Court in their assessment of the effectiveness 
of the overall framework of internal control, and will inform the production of the Corporate 
Governance Statement for inclusion in the Annual Report and Accounts. 
19 
 
 

University of Edinburgh  
 
Internal Audit Annual Report 2003-04 
 
 
 
 
Risk Registers 
3.  All risks included in the first University Risk Register have been reviewed; the outcome was 
reported to and discussed by RMC. 
4.  The overview Risk Register is profiled against the University’s main strategic objectives. 
5.  The Overview Risk Register and Risk Management Guidance Manual are published on the 
University’s intranet. 
6.  All Registers allocate responsibilities for mitigating the risks identified to specific individuals. 
7.  Work on the College, Support Group, and Subsidiary Company Risk Registers has been 
completed.  Ownership of these registers has been devolved to the relevant management 
team, and they are reviewed regularly and on an ongoing basis by RMC. 
 
Other assurances 
8.  Each Head of College, and Support Group, has signed a positive declaration stating the 
key risks that have materialised in their areas of responsibility during the year.  RMC has 
reviewed these declarations and is satisfied that no major risks relating to the adequacy of 
the risk management process have materialised. 
9. Planning documents submitted by Colleges and Support Groups continue to take 
cognisance of risk assessments associated with achieving budgetary goals. 
10. Disaster recovery and business continuity plans are in place to respond to any dramatic 
changes affecting the University’s ability to meet its objectives. 
11. Risk assessment continues to be a standard requirement on papers for formal University 
committees. 
12. A risk assurance map has been drawn up by RMC, identifying the sources of assurance 
they used to come to their opinion on the University’s management of its key risks.  This 
map indicates that assurance has been taken from internal audit work for 13 out of 25 
(52%) of the risks identified in the risk register. 
13. We have also reviewed progress against the route map presented to the RMC (RMC 02-03 
5 B) for implementing an embedded risk management culture.  We are satisfied that all 
items on the map have been implemented as planned. 
 
Conclusion 
There is an ongoing process for identifying, evaluating and managing the University’s significant 
risks.  It is part of a structured review process and is ultimately reviewed by Court.  Guidance is 
available on how to identify and analyse risk and what the options are to mitigate risks.  The risk 
management process has matured throughout the year and steps are continuing to ensure that risk 
management becomes embedded further as an ongoing process. 
 
Hamish McKay 
Chief Internal Auditor 
7th October 2004 
 
20 
 
 

 
 
 
 
Annex 2 
5C 01 
For information: open business 
Draft Minutes of the 55th Meeting of the Audit Committee to be 
held at 5.30 p.m. on 18 November 2004 in the Lord Provost Elder 
Room, Old College  
 
Present:
  
 
Dr J. Markland (Convener) 
 
 
 
Mr G. Scott 
Mr F. Hitchman 
Mr J. Stretton 
 
 
 
Mr D. Bentley 
 
In Attendance:  
The University Secretary, Mr M. Cornish 
Chief Internal Auditor, Mr H. McKay 
Assistant Director of Finance, Mr J. Taylor 
Mr G. Macrae, KPMG 
Mr M. Rowley, KPMG  
Mr D. Rennie, KPMG 
Mr. D. Stainbank, KPMG 
Executive Secretary to the Committee, Ms S. Welham  
 
Apologies: 

Professor A.D. Milne 
 
The Committee welcomed Mr D. Rennie and Mr D. Stainbank of KPMG who were attending the meeting. 
 
1. 
Minutes of the Meeting held on 14 October 2004  (Paper A) 
 
 
The Minutes of the previous meeting were approved as a correct record. 
 
 
2. 
Matters Arising:  
 
 

From 14 October 2004 meeting: 
 
2.1 
From Item 3: Internal Audit Annual Report 2003-04: Performance Evaluation (Paper B) 
 
 
The Committee noted the updated results for the Internal Audit performance questionnaire. 
 
 2.2  From Item 7.1: Report 2003-09: Financial and Management Information at College Level  
(Paper C) 
 
 
The Committee noted that the Central Management Group had discussed the Internal Audit 
report on Financial and Management Information at College level and that the Internal Auditor 
had been asked to undertake additional work in this area, as noted in Paper C. 
 
2.3 
From Item 7.5: Report 2003-36F: Institute of Geography: Report from Head of College 
 
 
  
The Head of the College of Science and Engineering had confirmed that action had been taken 
on the remaining recommendations in Report 2003-36F. 
 
ANNUAL ACCOUNTS 
 

Draft Reports and Financial Statements for FY to end 31 July 2004 (Paper D) 
 
 
The Assistant Director of Finance introduced the Annual Accounts for 2003-04.  He drew the 
Committee’s attention to the External Auditor’s unqualified report on pages 14 and 15 of Paper D. 
 
21 
 
 

 
 
 
 
 
The Committee went through the draft reports and financial statements in great detail and made a 
number of drafting points which would be taken into account when the report was redrafted for 
submission to the Finance and General Purposes Committee on 29 November 2004. 
[JT] 
 
 
Finance would consider for the 2004/05 reports whether to increase the information provided in the 
Taxation Status section to include some categories that the University was not formally required to 
provide. 
[JT] 
 
 
Finance had experienced difficulties in preparing the full amount of information for the external 
auditors in a timely manner because of staff illness.  The Committee noted the concerns which Finance 
and the external auditors expressed about this.  Finance, with the assistance of KPMG, would review 
operational matters following the completion of the 2003-04 accounts, to improve processes for next 
year.  The new Director of Finance would be considering such matters as resourcing within his first 
few months of appointment.  The Committee would wish to receive a report on the outcome of that 
exercise. 
[JT] 
 
 
As a separate issue, not connected with the approval of the 2003-04 accounts, the Committee would 
welcome a statement from the Finance and General Purposes Committee noting that the University had 
considered its financial exposure arising from pensions schemes and that this was adequately reflected 
and appropriate action was being taken. 
[JT] 
 
 
The Committee noted that in addition to the annual accounts the University produced some summary 
information for inclusion in the Annual Review, which contained extracts from the reports and 
accounts.  The Committee noted that it was helpful to be clear on the purposes of the various 
documents, and to clarify how to obtain the full accounts.  The University would discuss relevant 
issues with the Convener of the Audit Committee if this seemed appropriate. 
[MDC, NALP] 
 
4. 
Final Corporate Governance Statement for 2003-04 (Paper E) 
 
The University Secretary introduced the Corporate Governance Statement which had been amended to 
take account of discussion at the previous Audit Committee meeting and the Finance & General 
Purposes Committee meeting held on 18 October 2004 and which had been seen by the Court at a 
recent meeting.  The Committee noted the supporting documents, including extracts from the 
Combined Code on Corporate Governance as amended by the British Universities Finance Directors 
Group (BUFDG), and their relationship to the component parts of the Scottish Higher Education 
Funding Council’s (SHEFC) Accounts Direction.  Subject a minor change to the opening sentence, the 
Audit Committee approved the statement for submission to the University Court as part of the Annual 
Financial Report and Accounts. 
 
 
EXTERNAL AUDIT 
 

Presentation by KPMG on Audit Findings and Management Letter (Paper F) 
 
 
KPMG gave a presentation to the Committee on their Audit findings and took the Committee through 
each section of the Report.  KPMG noted that the University was at the “top end of the sector” in the 
way in which risks were recorded and documented and had “the most robust approach [to risk] in any 
institution [with which they were associated]”.  The University had made great advances during the 
year.  The Committee noted that a number of corrections would be made to the final report and made 
the following points in discussion: 
 
 
(i) 
SHEFC “required” rather than “requested” that Universities specify how they met the 
requirements of the principles in Section 1 of the Combined Code on Corporate Governance 
22 
 
 

 
 
 
 
issued by the London Stock Exchange in June 1998, incorporating internal control guidance as 
amended by BUFDG.  Thus far, SHEFC had chosen not to adopt the Committee of University 
Chairmen (CUC) Guide for Members of Governing Bodies of Universities and Colleges.  The 
expectation was that SHEFC would require Universities to comply with the CUC Guide, or to 
explain why they differed from its provisions.  At the appropriate stage the management action 
would be to take the CUC Guide to Court for consideration.  (section 4.1, page 11) 
 
 
(ii)  KPMG would discuss with management and the Audit Committee the external auditor’s 
responsibility to consider fraud (International Standard on Auditing ISA 240, section 5.2.1, 
Pages 16-17) for next financial year. 
[JT] 
 
 
(iii) 
The Audit Committee would discuss value for money activities during the coming year. (section 
5.3, page 18) 
[MDC, HMcK] 
 
 
(iv)  The Finance Department had analysed and pursued debts for uncollected funds of subsidiaries 
and was actively managing current debt.  Management and the external auditors were 
considering whether it was now appropriate to write off the irrecoverable debts which were five-
to-six years old, for which full provision had been made. 
 
FOR DISCUSSION 
 
6. 
Annual Report of the Audit Committee to the Court for FY 2003-04  (Paper G) 
 
 
Subject to the addition of the topic for its 2004 annual seminar, the Committee approved the Annual 
Report for submission to the University Court. 
 
 
7. 
Audit Committee Annual Seminar 
 
 

The University Secretary had discussed the possibility of a joint seminar with his counterparts at 
Heriot-Watt University, Napier University and Queen Margaret University College.  They had 
welcomed the suggestions.  The seminar would focus on comparisons of audit committee business and 
operation to develop good practice and an external speaker would be invited to make a presentation.  It 
was hoped to hold the seminar in late March or early April. 
[MDC, SMW] 
 
INTERNAL AUDIT 
 
8. 
Internal Audit Reports 
 
 

8.1  Report 2003/14: Electronic Receipt of Payments (Paper H) 
 
 
 
The Committee noted the report. 
 
 
8.2  Report 2003/16: Acquisition and Implementation of IS/IT (Paper I) 
 
 
 
The Committee noted the report. 
 
 
8.3  Report 2004/41: Disposal of Waste (2) (Paper J) 
 
 
 
The Committee noted the report and that there appeared to be valid justifications for the delays in 
meeting some of the delivery dates. 
 
23 
 
 

 
 
 
 
9. 
Follow Up Reviews 
 
 

9.1  Report 2002/16F: IT Network Security (Paper K) 
 
 
 
 
The Committee noted the report. 
 
 
9.2  Report 2002/18F: Estates and Buildings Stores (Paper L) 
 
 
 
 
The Committee noted the report. 
 
 
9.3  Report 2002/21F: Learning Technology Section (Paper M) 
 
 
 
The Committee noted the report. 
 
 
9.4  Report 2003/22F: Library Ordering Systems (Paper N) 
 
 
 
The Committee noted the report. 
 
 
9.5  Report 2003/35F: Communications and Public Affairs (Paper O) 
 
 
 
The Committee noted the report. 
 
10.  Internal Audit - Progress Report (Paper P) 
 
 
The Committee noted the report.  It was agreed that the Internal Auditor would hold discussions with 
one of the members of the Committee about the scope for sequencing follow-up reviews to pursue high 
priority recommendations before those of a lower priority. 
[HMcK] 
FOR INFORMATION 
 
11.  Voluntary Severance Details 2003-04 (Paper Q) 
 
 
The Committee noted the paper which was reported to the Committee for information as a control 
measure.  The Committee invited the Court to consider the harmonising of severance reporting 
thresholds, which were currently different for SHEFC, the Annual Accounts and the University’s 
Policy Statement on Severance Payments.  The Committee also invited the Court to consider what was 
the most appropriate control process. 
[MDC] 
 
 
12.  Law and Regulation Return (Paper R) 
 
 
The Committee noted the paper which was reported to the Committee for information. 
 
13.  External Auditors: Term of Office (Paper S) 
 
 
KPMG confirmed that they would be prepared to continue in office for a further one or two years if 
requested to do so. 
 
[The External Auditors then left the room.
 
The Audit Committee, mindful of the need to formally review external audit arrangements at least 
every three years, as set out in the SHEFC Code of Audit Practice, considered whether to recommend 
the reappointment of the current external auditors.  The Committee agreed that it should recommend to 
the University Court that the external auditors be reappointed for an extension period of two years: 
2004/05 and 2005/06.  The Committee needed to conduct a market testing exercise of the external audit 
service every five years, at least, and would consider the process for this in the spring. 
[MDC, JT] 
24 
 
 

 
 
 
 
 
14.  Date of Next Meeting:   
 
The Committee noted that the date of the next meeting was 5.30 p.m. on Thursday 10 February 2005. 
 
15.  A.O.C.B. 
 
 
There was no other competent business. 
 
 
Ms. S Welham 
Executive Secretary 
3 December 2004 
 
25 
 
 

University of Edinburgh 
 
Summary of Internal Audit service provision 
Requested under FOI 
 
 
 
 
Year Cost  Supplier 
2003-04 
£177K 
in house team 
2004-05 
£182K 
in house team 
2005-06 
£188K 
in house team 
2006-07 
£201K 
in house team 
2007-08 
£215K 
in house team 
 
 
 
 
 
Kate Crichton 
26 February 2009 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

Document Outline