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Reports

Published

Actions for Mental health post-discharge care

Mental health post-discharge care

Health
Internal controls and governance
Service delivery

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

Published

Actions for Sydney metropolitan bus contracts

Sydney metropolitan bus contracts

Transport
Internal controls and governance
Management and administration
Procurement
Project management
Service delivery

On 9 September 2015, the Acting Auditor-General of New South Wales, Tony Whitfield, released a report on Sydney Metropolitan Bus Service Contracts.
 
All scheduled bus services in the Sydney metropolitan area are provided under contracts with the public and private operators. The contracts allow Transport for NSW (TfNSW) to determine what bus services are provided and to whom. This audit assessed the effectiveness of TfNSW’s design and management of these contracts.
 
Bus services provided under the Sydney Metropolitan Bus Service Contracts have largely been effective and efficient. Operators are mostly meeting their key performance indicators. Customer satisfaction is better than under the previous contracts and improving, patronage is increasing, and the unit costs of providing services are now lower than under the previous contracts. 
 
However, punctuality remains a problem. Private operators are mostly starting their trips on time, but rarely meeting their mid and end-of-trip targets. State Transit Authority’s (STA) punctuality is improving but is worse than private operators, and other areas of performance are generally below private operators.
 
The current situation is a substantial improvement over what we found in our 2010 audit on the previous contracts.

 

Parliamentary reference - Report number #258 - released 9 September 2015

Published

Actions for Managing length of stay and unplanned readmissions in NSW public hospitals

Managing length of stay and unplanned readmissions in NSW public hospitals

Health
Management and administration
Service delivery

NSW Health has achieved considerable success over recent years in reducing average length of stay despite increasing pressure on hospital admissions by older and chronically ill patients. This success has been driven by changes in the way health services are delivered, such as the increasing use of same day care for treatments that previously required overnight hospital stays. 
 
There is a good level of length of stay information available and this information is actively used to manage the time patients spend in hospital.
 
Available data suggest that the rate of unplanned readmissions has not reduced in NSW despite various statewide and local strategies. NSW Health is undertaking research to better understand unplanned readmissions, their causes and the best ways to address them.
 
There are many local and statewide initiatives that aim to reduce length of stay and unplanned readmissions. However, the impact of some local and statewide initiatives on length of stay and unplanned readmissions are not well understood and quantified due to the lack of evaluations conducted.

 

Parliamentary reference - Report number #250 - released 23 April 2015

Published

Actions for Security of critical IT infrastructure

Security of critical IT infrastructure

Transport
Planning
Compliance
Information technology
Internal controls and governance
Management and administration
Risk

Roads and Maritime Services and Transport for NSW have deployed many controls to protect traffic management systems but these would have been only partially effective in detecting and preventing incidents and unlikely to support a timely response. There was a potential for unauthorised access to sensitive information and systems that could have disrupted traffic.
 
Until Roads and Maritime Services’ IT disaster recovery site is fully commissioned, a disaster involving the main data centre is likely to lead to higher congestion in the short-term as traffic controllers would be operating on a regional basis without the benefit of the Traffic Management Centre.

 

Parliamentary reference - Report number #248 - released 21 January 2015

Published

Actions for Signal failures on the metropolitan rail network

Signal failures on the metropolitan rail network

Transport
Information technology
Infrastructure
Internal controls and governance
Project management
Risk
Service delivery

Between 2004 and 2006, the number of signalling failures, signalling downtime and the number of trains delayed as a result of signal failures all fell. RailCorp’s on-time running performance improved over the same period. The fall in failures is a clear indication of improved performance. Changes in the definition of on-time and to the timetable during 2005 and 2006 however make it difficult to determine whether improvements in response downtime and signalling delays are due to a true performance improvement. To build upon this strong base, RailCorp needs to determine with more confidence the number and duration of signalling failures the network can tolerate without impacting on service levels.

 

Parliamentary reference - Report number #170 - released 15 August 2007

Published

Actions for Connecting with public transport

Connecting with public transport

Transport
Information technology
Infrastructure
Internal controls and governance
Management and administration
Project management
Service delivery
Workforce and capability

We see considerable potential for the Ministry of Transport to plan and manage interchanges more effectively, so as to make better use of our public transport network. We believe that the Ministry now needs to focus more on multi-modal transport planning and interchange performance. It needs to assign responsibility for the coordination and oversight of inter-modal operations to an entity resourced for the purpose. Without this it will continue to be very difficult to identify and address unmet needs, seek and secure stakeholder funding, and monitor and evaluate system performance.

 

Parliamentary reference - Report number #168 - released 6 June 2007

Published

Actions for Readiness to respond: Follow-up audit

Readiness to respond: Follow-up audit

Health
Information technology
Internal controls and governance
Management and administration
Service delivery
Shared services and collaboration
Workforce and capability

The Ambulance Service of New South Wales has substantially implemented the 28 recommendations of the 2001 audit report that it accepted. It has also introduced significant new initiatives to improve performance that were not part of the 2001 recommendations. It has made substantial changes to its organisation and operations to implement these changes. Many of the changes are still proceeding. The Service has addressed a key finding of the 2001 audit report - that it did not have adequate, relevant or credible management data for decision making. The Service now has five years of operational data from the Computer Aided Dispatch (CAD) system.

 

Parliamentary reference - Report number #167 - released 6 June 2007

Published

Actions for Responding to homelessness

Responding to homelessness

Health
Community Services
Internal controls and governance
Management and administration
Project management
Service delivery
Shared services and collaboration

Many projects, both Partnership Against Homelessness and by individual agencies, have shown good results or led to improvements. One example is helping mental health patients maintain stable housing. Another is providing street outreach services to homeless people in inner Sydney. Despite these efforts, we were unable to determine how well the government is responding to homelessness statewide. This is because there are no statewide performance measures or targets on homelessness. Also there is limited benchmarking, and no formal means of spreading information on homelessness initiatives and projects.

 

Parliamentary reference - Report number #165 - released 2 May 2007