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Reports

Published

Actions for Delivering Health Care out of Hospitals

Delivering Health Care out of Hospitals

Health
Management and administration
Project management
Service delivery
Workforce and capability

Area Health Services and hospitals have developed programs which can provide clinical outcomes as good for patients as in-hospital care and can reduce the time they spend in hospital. They have operated for several years and show considerable potential. Ageing of the population, increasing costs and higher expectations of health care will continue to challenge health systems. Sometimes, unfortunately, the system struggles to cope.    Par

Published

Actions for Implementing Successful Amalgamations

Implementing Successful Amalgamations

Finance
Internal controls and governance
Management and administration
Project management
Service delivery
Shared services and collaboration

The Better Practice Guide (BPG) aims to provide guidance for those implementing an amalgamation. It provides a series of questions identifying what needs to be done to achieve a successful amalgamation following the formal announcement of the amalgamation and the Administrative Orders for the new arrangements being finalised. The BPG’s aim is to alert those managing an amalgamation to actions that should be considered. How the Guide is applied will

Published

Actions for Managing Departmental Amalgamations

Managing Departmental Amalgamations

Industry
Finance
Internal controls and governance
Management and administration
Project management
Service delivery
Shared services and collaboration

Both Commerce and DPI substantially achieved their stated amalgamation savings objectives as set by government. The departments are expected to achieve savings targets of about $150 million and $190 million respectively over their first four years. Our analysis indicates that there are two key factors in successful amalgamations. The first is effective early planning by departments based on clear objectives, supported by quick action. Second, significant

Published

Actions for Relocating Agencies to Regional Areas

Relocating Agencies to Regional Areas

Premier and Cabinet
Internal controls and governance
Management and administration
Service delivery
Shared services and collaboration
Workforce and capability

Decisions to relocate government agencies to non-metropolitan areas are not made purely for cost reasons. They can also serve government policy objectives, such as promoting regional economic development. Regardless of the policy objectives that may exist, I would expect that decisions on individual agency relocations would be based on sound business cases. Those business cases would show how the relocation achieves any relevant government objectives, w

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 In-year Monitoring of the State Budget

In-year Monitoring of the State Budget

Finance
Premier and Cabinet
Compliance
Financial reporting
Internal controls and governance
Management and administration

The annual Budget is one of the most important and visible statements about a government’s financial intentions. Once a Budget is released, it is important to monitor variations from the projections it contains. This is done for two reasons - first, to ensure that individual agencies are properly managing their budget allocations and that any genuine emerging need for additional funding is met. second, to ensure that any changes to the State’s overa

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