Reports
Actions for Mental health post-discharge care
Mental health post-discharge care
On 17 December 2015 the NSW Acting Auditor-General, Tony Whitfield, released a report on the care that is provided to mental health patients in the first seven days after they are discharged from acute mental health units.
The audit examined models of care provided by five Local Health Districts: Northern NSW, Sydney, Western Sydney, Central Coast, and Murrumbidgee. The audit looked at how well these Local Health Districts implemented the Ministry of Health’s policy directive on the transfer of mental health patients from hospitals to the community.
Parliamentary reference - Report number #263 - released 17 December 2015
Actions for Volume Twelve 2015 Part One Trade & Investment and TAFE
Volume Twelve 2015 Part One Trade & Investment and TAFE
Serious system limitations prevented TAFE NSW from providing sufficient and appropriate evidence to support recorded student revenue of $477 million, student receivables and accrued income of $47.6 million and unearned revenue of $398 million.
These limitations resulted in:
- a qualified audit opinion being issued for TAFE NSW;
- delays in enrolling students;
- inability to fully reconcile cash balances;
- difficulties in reconciling student enrolments with revenues recorded in the financial statements;
- large volumes of manual processing.
Actions for Volume Eleven 2015 Education and Communities
Volume Eleven 2015 Education and Communities
The number of students enrolled in NSW public schools has increased by over 21,000 during the past five years taking total enrolments in 2014 to 763,698.
While growth in student numbers is concentrated in metropolitan Sydney, enrolments in Northern Sydney increased by 20 per cent in the past ten years.
Actions for Volume Ten 2015 Health
Volume Ten 2015 Health
NSW Health, on average, met the emergency department triage response time targets across all triage categories in 2014-15 for the second consecutive year. However, fewer health entities met all triage targets in 2014-15, according to a report released by the New South Wales Acting Auditor-General, Tony Whitfield.
NSW Health improved its emergency department treatment performance in 2014-15, but did not achieve its target of 81 per cent of patients being admitted, transferred or discharged within four hours of presenting. In 2014-15, the State average was 74.3 per cent compared to 73.9 per cent in 2013-14. Only five local health districts achieved the 81 per cent target in 2014-15.
Actions for Volume Eight 2015 Family and Community Services
Volume Eight 2015 Family and Community Services
Placement reviews are not undertaken for all children and young people in statutory care. Caseworkers are required to review placements annually to assess the health, wellbeing, education and social life of the child. Over three-quarters of children and young people received placement reviews in 2014-15 compared to about half of them in the previous twelve months.
Actions for Activity based funding data quality
Activity based funding data quality
NSW Health has adequate arrangements to ensure that the data it uses for activity based funding is of reasonable quality. Activity Based Funding (ABF) represented 75 per cent of the funds provided to Local Health Districts (LHDs) and Speciality Health Networks in 2013-14.
For ABF to work it requires detailed information about patient activity in health services and costs of providing care.
Parliamentary reference - Report number #261 - released 4 November 2015
Actions for Community Housing
Community Housing
On 16 September 2015 the NSW Acting Auditor-General, Tony Whitfield, released a report on community housing. The audit examines the Department of Family and Community Services’ transfer of public housing to non-government community housing providers.
The Department has worked collaboratively with community housing providers and industry groups to develop the community housing sector. Although there have been some delays, it has managed the transfer of public housing reasonably well and has improved the sustainability of the sector.
Parliamentary reference - Report number #259 - released 16 September 2015
Actions for Transferring out-of-home care to non-government organisations
Transferring out-of-home care to non-government organisations
The audit assessed how well the Department of Family and Community Services has transferred the management of children in out-of-home care to non-government organisations (NGOs).
The Department has put considerable effort into developing the out-of-home care sector and is progressing well towards its goal of transferring all children in statutory care to NGOs. Since 2011, the number of children with an accredited NGO has more than doubled. This is a positive outcome as children are more likely to receive quality care because these providers meet NSW standards for outof-home care.
However, it is difficult to assess whether overall outcomes for children in care have improved. This is because the Department has yet to determine what wellbeing outcomes it wants to achieve, such as improvements in a child’s health, education and welfare. The Department is currently developing a quality assurance framework which will include such outcomes. We also found that the number of children in care returned to their birth family has declined, and the number of adoptions has remained relatively unchanged.
Parliamentary reference - Report number #257 - released 2 September 2015
Actions for Identifying productivity in the public sector
Identifying productivity in the public sector
This report examines selected areas of government activity to see if sufficient information was available to identify and assess changes in productivity. The areas examined were primary and secondary school public education, acute inpatient care in NSW public hospitals, CityRail, the NSW Police Force, and the NSW Local Court.
Productivity is commonly defined as the amount of output per unit of input.
Parliamentary reference - Report number #256 - released 16 July 2015
Actions for Implementing performance audit recommendations
Implementing performance audit recommendations
NSW Government agencies have sound processes for implementing performance audit recommendations in Auditor-General’s Reports to Parliament. There are many cases of good practice. For example, some agencies formed a steering committee and developed a detailed plan to implement recommendations. Another incorporated the implementation of recommendations into both its business plan and the work plans of individual officers who were managing projects. Most agencies also used their Audit and Risk Committees to monitor recommendations.
We found some cases where agencies can improve how they coordinate actions to address recommendations. Most agencies were not revisiting these actions to determine whether they remain appropriate.
Parliamentary reference - Report number #254 - released 24 June 2015