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)

The NSW public health system employs over 100,000 people in clinical and non-clinical roles across the state. With increasing demand for services, it is vital that NSW Health effectively rosters staff to ensure high quality and efficient patient care, while maintaining good workplace practices to support staff in demanding roles.

NSW Health is implementing 'HealthRoster' as its single state-wide rostering system to more effectively roster staff according to the demands of each location, such as a hospital surgical ward or emergency department.

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

Description pending

Governance arrangements in local health districts and hospitals
Description pending

National Disability Insurance Scheme - impacts on health services
Description pending