Health

2017-18

Managing demand for ambulance services (in progress)

Ensuring that ambulance resources are used as efficiently as possible is a key challenge for NSW Ambulance. Demand for ambulance services has been increasing and the nature of that demand is changing due to population growth, demographic changes and an increasing focus on providing integrated health care services. In recent years, NSW Ambulance has introduced a range of demand management initiatives that aim to improve the efficiency of the use of ambulance emergency resources and provide the right type of care to patients. These include changes to the classification process for 000 calls, referring some patients to health services other than hospital emergency departments, and increasing the range of patient treatment options that paramedics have. This audit will assess the extent to which NSW Ambulance’s demand management initiatives have improved the efficiency of ambulance services.

Health roster benefits realisation (in progress)

NSW Health aims to promote, protect, develop, maintain and improve the health and wellbeing of the people of New South Wales. Ensuring that staff are effectively rostered to meet demands on the health system is key to achieving this.  Effective rostering is also important to manage stress on clinical and frontline staff, who often have demanding and difficult jobs.

HealthRoster is a new rostering system that replaces multiple legacy systems around the state, allowing managers to more effectively roster clinical and frontline staff by time of day, day of week and skill level. Expected benefits from implementation include improved transparency of shift allocation, improved roster data to inform decision making and improved access to the system for clinical and frontline staff.

This audit will assess the effectiveness of the HealthRoster system in delivering business benefits.

Risk management culture and capability (in progress)

See full details under Treasury.

2018-20

Aboriginal health plan

The social determinants of health — which include education, employment, housing and, importantly, the consequences of colonisation, which have had a devastating impact on the social, economic and physical living conditions of Aboriginal people for over 200 years — directly contribute to the health disparities experienced by many Aboriginal people. The Aboriginal Health Plan is a result of the NSW Government's commitment to close the health gap between Aboriginal and non-Aboriginal people in NSW. The strategic directions of the Plan consider key issues, such as how to build respectful, trusting and effective partnerships between NSW Health and the Aboriginal communities it serves. The Plan contains a strong focus on strengthening performance monitoring, management and accountability. This audit may consider how effectively and efficiently NSW Health is measuring performance and ensuring accountability for Aboriginal Health.

Follow-up on activity based funding - management demand and hospital cost/quality variation

Governance arrangements in local health districts and hospitals.

National Disability Insurance Scheme - impacts on health services