Reports
Actions for Home Care Service
Home Care Service
We recognise that Home and Community Care Services (HCS) operates in an increasingly difficult and changing environment. However, HCS does not have the capacity to meet these needs. Currently at least 50 per cent of those eligible to receive a service will miss out. Under the current system, there are inequities in service delivery. The ability to receive a service depends on when the applicant calls, where they live and if this coincides with service hours becoming available at the local HCS branch. In addition, applicants who miss out on a service may not automatically be referred to another provider. HCS needs to better manage both demand and expectations regarding access to the services it provides.
Parliamentary reference - Report number #127 - released 13 October 2004
Actions for Transporting and Treating Emergency Patients
Transporting and Treating Emergency Patients
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 – when patients arrive in ambulances at emergency departments or when they need to be admitted from emergency departments to hospital wards.
Parliamentary reference - Report number #125 - released 28 July 2004
Actions for Code Red: Hospital Emergency Departments
Code Red: Hospital Emergency Departments
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 shortest queue.
Parliamentary reference - Report number #121 - released 15 December 2003
Actions for Disposal of Sydney Harbour Foreshore Land
Disposal of Sydney Harbour Foreshore Land
Our view is that decisions need to be made on a more strategic basis, if the Government’s aspirations for Sydney Harbour’s foreshores are to be met. At present there are high-level ‘aspirations’, but there is no overarching strategy or plan for Sydney Harbour that can guide individual decisions. Decision-making appears to be triggered when a proposal is made to dispose of a particular property. Decisions to dispose of, retain, or change the use of individual properties should be made in the context of a broader strategy, rather than on a case-by-case basis.
Parliamentary reference - Report number #119 - released 26 November 2003
Actions for Waiting Times for Elective Surgery in Public Hospitals
Waiting Times for Elective Surgery in Public Hospitals
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 patients admitted to elective medical or surgical treatment had waited, on average, 1.8 months, whereas in March 1997 they would have waited on average 1.1 months.
Parliamentary reference - Report number #116 - released 18 September 2003
Actions for Dealing with Unlicensed and Unregistered Driving
Dealing with Unlicensed and Unregistered Driving
In our opinion there are inadequacies in the current arrangements for detecting unauthorised driving. For example better information is needed on the extent of unlicensed driving. This may require giving the NSW Police power to conduct random licence and registration checks. In addition, there are technological and legal constraints to the efficient and effective detection of unauthorised driving.
Parliamentary reference - Report number #115 - released 4 September 2003
Actions for Freedom of Information
Freedom of Information
Freedom of Information (FOI) Coordinators and their staff were supportive of the legislation. However, the agencies examined can do considerably more to fully achieve the intentions of the Act. On the positive side, all three agencies had processes in place to handle requests and had made a number of changes to improve the effectiveness of the FOI process. Fees and charges had also been kept to a minimum. No processing fees were requested in the majority of cases, and if charged, were not unreasonable.
Parliamentary reference - Report number #114 - released 28 August 2003
Actions for The Millennium Train Project
The Millennium Train Project
State Rail has made significant improvements since the purchase of the Tangara. It improved measures necessary for handling contracts dealing with technically complex and innovative projects, although some other problems have been encountered, with new lessons to learn. The design and manufacture of new trains requires a significant investment in both time and cost. The Millennium Train has come at a considerably higher price than originally expected. And it is very late compared to the Government’s original announcements, as the development/design took longer than planned.
Parliamentary reference - Report number #112 - released 17 June 2003
Actions for Delivering Services Online
Delivering Services Online
A staged, systematic and careful approach and extensive business re-engineering effort underpinned the Roads and Traffic Authority's (RTA) steady progress in providing customers with a range of reliable and secure online registration services. The RTA’s consistent and disciplined pursuit of new and challenging e-business opportunities is commendable.
Parliamentary reference - Report number #111 - released 11 June 2003
Actions for CityRail Passenger Security
CityRail Passenger Security
StateRail has invested significantly over the last five years in passenger safety and security. Security guards on trains from 7.00 pm were introduced in 1998. More recently, additional lighting, 5,700 closed circuit television cameras (CCTV) and emergency help points have been installed on CityRail stations. In addition, CityRail has employed some 100 transit officers to patrol its network and intends to employ another 200 transit officers in 2003. While substantial steps have been taken to reduce crime and improve passenger safety and security, the results have been mixed. Overall, the risk of a passenger becoming a victim of a crime on CityRail has increased.
Parliamentary reference - Report number #106 - released 12 February 2003