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Reports

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 Disposal of Sydney Harbour Foreshore Land

Disposal of Sydney Harbour Foreshore Land

Finance
Environment
Internal controls and governance
Management and administration

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 indivi

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

Published

Actions for Managing Hospital Waste

Managing Hospital Waste

Health
Management and administration

In 1998 NSW Health developed Waste Management Guidelines to promote continuous improvement in waste management across the public health sector. Systematic implementation of the Guidelines was impeded in 1999- 2000 by resistance from the waste industry and transport workers. Since then, NSW Health has not actively promoted waste management in public hospitals. As a consequence Area Health Services (AHSs) and hospitals have developed separate and individua

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

Published

Actions for Collecting Outstanding Fines and Penalties

Collecting Outstanding Fines and Penalties

Finance
Compliance
Management and administration
Regulation

SDRO deals well with very high volumes and collects substantial sums of money. However, there are a number of factors which limit the effectiveness of the fine enforcement process and affect SDRO’s capacity to recover debt. SDRO is confronted with conflicting roles as both law enforcer and debt collector. As a law enforcement agency, SDRO treats all matters the same. But as a debt collector, other approaches could be pursued which would recover more outs

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