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Published

Actions for Purchasing Hospital Supplies: Follow-up of 2002 Performance Audit

Purchasing Hospital Supplies: Follow-up of 2002 Performance Audit

Health
Asset valuation
Financial reporting
Management and administration
Procurement
Service delivery

Periodically we review the extent to which agencies have changed their practices as a result of our audits. This gives Parliament and the public an update on the extent of progress made. In this follow-up audit, we examine changes following our September 2002 report, to assess whether NSW Health has improved its buying of hospital supplies using electronic systems. NSW Health spends over $1.3 billion on hospital supplies. It is the largest expenditure

Published

Actions for Implementing Asset Management Reforms

Implementing Asset Management Reforms

Justice
Planning
Finance
Treasury
Asset valuation
Financial reporting
Infrastructure
Internal controls and governance
Management and administration
Project management

Hospitals, schools, public housing, roads, bridges, buses and trains are just some of the assets used by government in providing services to citizens. The NSW Government’s asset base is impressive in size - with a value of around $167 billion and with government plans to spend around $8 billion acquiring or replacing assets in the current year. Another $2 billion is spent each year on maintenance. Good asset management is very important to government;

Published

Actions for Managing and Measuring Success: Department of Juvenile Justice

Managing and Measuring Success: Department of Juvenile Justice

Justice
Compliance
Internal controls and governance
Management and administration
Service delivery

Criminal or anti-social juvenile behaviour affects us all. Some of us may be victims of juvenile crime, some may be apprehensive about their personal safety, while others may know of young people who have been in trouble with the law. And, as taxpayers, all of us contribute to the costs of juvenile justice. Currently about one in every 200 young people in NSW is convicted of a crime each year. The Department of Juvenile Justice works with these young of

Published

Actions for Coordination of Rescue Services

Coordination of Rescue Services

Justice
Internal controls and governance
Management and administration
Regulation
Service delivery
Workforce and capability

Nearly 11,000 rescues are carried out each year in New South Wales, the majority involving motor vehicle accidents. In metropolitan areas we have three emergency services providing general land rescue - NSW Police, the Ambulance Service and the NSW Fire Brigades. The two volunteer services, the State Emergency Service and the Volunteer Rescue Association, generally cover the remainder of the State. Rescue arrangements in NSW are different to all other

Published

Actions for Managing Disruptions to Cityrail Passenger Services

Managing Disruptions to Cityrail Passenger Services

Transport
Management and administration
Service delivery
Workforce and capability

About one in every twelve Sydney people travels by train each weekday. Unplanned disruptions to services are inevitable, even on the best-run railways. Because of the complexities of Sydney’s rail network, a single event can disrupt many services. From a passenger’s perspective, three issues are important – how quickly the disruption is fixed (“When will my train arrive?”) the accuracy of information provided about the disruption (“Should I change

Published

Actions for Follow-up of Performance Audit: Bus Maintenance and Bus Contracts

Follow-up of Performance Audit: Bus Maintenance and Bus Contracts

Transport
Asset valuation
Compliance
Financial reporting
Infrastructure
Management and administration
Procurement
Project management
Service delivery
Workforce and capability

Periodically we review the extent to which agencies have implemented the recommendations they accepted from our earlier audits. This gives Parliament and the public an update on the extent of progress made. In this follow-up audit, we examine changes following our May 2002 report on how well the: State Transit Authority maintained its buses Ministry of Transport administered contracts for the provision of regular passenger bus services.   P

Published

Actions for Emergency Mental Health Services

Emergency Mental Health Services

Health
Management and administration
Service delivery
Shared services and collaboration
Workforce and capability

It is estimated that one in five people will be affected at some stage by a mental health problem or illness. The increasing prevalence of mental illness means that at some point in time most of us will either be affected or we will know of someone who is. Although most people with mental illness can be treated in the community, at times some may require emergency treatment or admission to hospital for shortterm intensive therapy. Not only are more men

Published

Actions for Transporting and Treating Emergency Patients

Transporting and Treating Emergency Patients

Health
Service delivery
Shared services and collaboration

This audit follows our earlier studies on ambulance response times, on waiting times for elective (i.e. non-urgent) surgery and on the ‘Code Red’ status of hospital emergency departments. Those audits indicated that matching resources to the ever-increasing numbers of people seeking emergency treatment was certainly an issue, but not the only issue. We found that problems were also occurring at the ‘interface’ between different parts of the health system

Published

Actions for Code Red: Hospital Emergency Departments

Code Red: Hospital Emergency Departments

Health
Service delivery
Shared services and collaboration

All three hospitals followed the Department of Health’s guidelines for judging capacity and had systems in place to notify hospital staff and ambulance crews of changes in status. We found discrepancies in the records kept by all three hospitals when compared to the records maintained by the Department of Health. Our view however, is that these records do not need to be a perfect match for the intended purpose, which is to guide ambulance crews to the sh

Published

Actions for Waiting Times for Elective Surgery in Public Hospitals

Waiting Times for Elective Surgery in Public Hospitals

Health
Information technology
Internal controls and governance
Management and administration
Service delivery

We recognise that managing waiting times is a difficult and complex task. Waiting times are influenced by many factors, some of which are outside the control of NSW Health. There are, however, steps which NSW Health could, and should, take to ensure that the processes to manage waiting times are efficient and effective. By all measures used by NSW Health, patients are waiting longer for elective treatment today than six or seven years ago. In March 2003