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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. 

 

Parliamentary reference - Report number #182 - released 24 September 2008

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 depend on circumstances. A lot will depend on how clear the expectations of the amalgamation are and on how complex it is.

 

Parliamentary reference - Report number #176 - released 5 March 2008

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 synergies in service delivery can be achieved when departments with similar services and customers are amalgamated. The Department of Primary Industries is an example.

 

Parliamentary reference - Report number #175 - released 5 March 2008

Published

Actions for Electronic Procurement of Hospital Supplies

Electronic Procurement of Hospital Supplies

Health
Information technology
Management and administration
Procurement

Reform of procurement in the NSW public health system is a huge, complex and difficult task. Much thought has been given to this reform. An immense amount of planning and preparatory work is required, and is apparent. In our opinion, at this time, the NSW public health system is making only limited progress towards achieving the economies in purchasing that its size and market dominance could deliver. While millions of dollars in savings are potentially available, much needs to be done to realise this. It is critical that all those involved, at all levels, ensure that reform is given priority, and driven through to fruition.

 

Parliamentary reference - Report number #102 - released 25 September 2002

Published

Actions for Bus Maintenance and Bus Contracts

Bus Maintenance and Bus Contracts

Transport
Management and administration
Procurement
Service delivery

State Transit has developed fleet management plans and maintenance standards that meet its regulatory and contractual obligations as a bus operator and are consistent with vehicle manufacturers’ standards and best practice. However, assumptions used in fleet management plans to forecast fleet growth may not result in the most efficient and effective outcome for State Transit. Forecasts fail to take account of opportunities to redesign or reduce services where they exceed contract requirements and are difficult to justify on a commercial basis. Of greater concern are the consequences arising from bus maintenance practices not meeting State Transit’s own standards.

 

Parliamentary reference - Report number #97 - released 29 May 2002

Published

Actions for Government Property Register

Government Property Register

Finance
Asset valuation
Management and administration
Shared services and collaboration

Despite the issue being on the agenda for many years (formally, at least since 1988), at present there is not a comprehensive record of all government property assets in NSW. Whilst initiatives currently underway are promising, they will require continued priority to achieve tangible results. And careful coordination will be required to avoid duplication and waste.

 

Parliamentary reference - Report number #93 - released 31 January 2002