In 2014, the State entered into a Public Private Partnership (PPP) with a private operator to deliver the Northern Beaches Hospital. The Northern Beaches Hospital opened in late 2018 and provides free public patient services as well as a range of services for private patients. 

This audit will examine whether the Northern Beaches Hospital PPP is efficiently and effectively delivering public hospital services.  

In doing so, the audit will answer the following questions: 

1. Do NSW Health agencies ensure the effective and efficient delivery of public funded hospital services from the Northern Beaches Hospital? 
   1. Do NSW Health agencies effectively identify and monitor risks to the success of the Northern Beaches Hospital?
   2. Do NSW Health agencies collect the information required to ensure effective delivery of public hospital services at the Northern Beaches Hospital?
   3. Do NSW Health agencies effectively manage the Northern Beaches Hospital contract to ensure effective delivery of public hospital services at the Northern Beaches Hospital? 
   4. Is the Northern Sydney Local Health District using the Northern Beaches Hospital Public Private Partnership to achieve efficient service delivery? 
2. Is the operator of the Northern Beaches Hospital effectively delivering public hospital services in selected clinical areas? 
   1. Does the Northern Beaches Hospital meet contract requirements for performance, planning and reporting? 
   2. Does the Northern Beaches Hospital provide quality care consistent with equivalent public health facilities in NSW?

Included within the scope: 

• The parties to the Northern Beaches Hospital contract deed: Northern Sydney Local Health District, the Ministry of Health (as the delegate for the Health Administration Corporation) and the private sector operator, NBH Operator Co (a subsidiary of Healthscope Ltd.). 
• Comparison against benchmarks for peer or near-peer NSW Health hospitals. 
• The audit will focus on two areas of clinical activity: Emergency Department activity and General Surgery. 
• The main period of focus for this audit is from July 2022 to June 2024.

Excluded from the scope: 

• The decision to deliver the Northern Beaches Hospital via a Public Private Partnership. 
• The design and construction phases of the Northern Beaches Hospital Public Private Partnership. 
• Quality as it relates to an assessment of the specific effectiveness of clinical activities or scopes of practice. However, the audit may comment on whether the agencies have themselves adequately considered and assessed clinical evidence as part of performance monitoring and oversight of clinical services. 
• Merits of government policy objectives.

You can share information relating to this scope with the audit team. Submissions can be made anonymously. Please note that submissions will close on COB Friday 15 November 2024. 

You can contribute to this audit either through the contribute to this audit button in left hand menu (comment icon on top right for mobile) or through this link

We may use your submission to identify key themes, risks or issues which may then be further investigated during the audit. In some instances, we may use extracts of submissions in our audit report as examples of feedback provided where appropriate. If we use extracts of a submission, we will not identify the source of the submission in the report. 

However, please note: 

• We will not examine individual matters, nor can we investigate all issues or concerns raised. In general, the audit team will look for confirmatory evidence from other sources (such as documentation, data and audit interviews). 
• We will not share submissions with any party, including NSW Health or the private operator of the Northern Beaches Hospital, nor do we publish submissions on our website.  
• While we will consider all submissions, we may not contact you to discuss your submission. 
• We are not able to answer questions or provide information collected during the course of the audit. 
• Performance audits focus on assessing whether public money is spent efficiently, effectively, economically and in compliance with the law. The Auditor-General is not permitted to question the merits of government policy objectives. Click here for more information on how we undertake performance audits. 
   

The Audit Office is required by section 38 of the Government Sector Audit Act to keep information obtained during an audit confidential and the Audit Office takes its responsibilities under these sections very seriously.  

All information that the Audit Office receives, and working papers that the Audit Office creates during an audit, are classed as excluded information in Schedule 2 of the Government Information (Public Sector) Act 2009 (GIPA Act). An access application under the GIPA Act cannot be made for excluded information.
 

If you have questions or comments about individual matters, you can: 

• make a complaint about the provision of healthcare to the Health Care Complaints Commission online or by calling 1800 043 159 
• make a complaint about a NSW government agency to the NSW Ombudsman online or by calling 1800 451 524 
• make a complaint about corruption to the Independent Commission Against Corruption online or by calling 02 8281 5999. 

Click here for more information on our confidentiality and reporting obligations for submissions received via our website.