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This report summarises my findings from the audit work I have undertaken at Hywel Dda Local Health Board (the LHB) during 2012. The work I have undertaken at the LHB allows me to discharge my responsibilities under the Public Audit (Wales) Act 2004 (the 2004 Act) in respect of the audit of accounts and the LHB’s arrangements to secure efficiency, effectiveness and economy in its use of resources.