Reports
Actions for Internal Controls and Governance 2017
Internal Controls and Governance 2017
Agencies need to do more to address risks posed by information technology (IT). Effective internal controls and governance systems help agencies to operate efficiently and effectively and comply with relevant laws, standards and policies. We assessed how well agencies are implementing these systems, and highlighted opportunities for improvement. 1. Overall trends New and
Actions for Managing demand for ambulance services 2017
Managing demand for ambulance services 2017
NSW Ambulance has introduced several initiatives over the past decade to better manage the number of unnecessary ambulance responses and transports to hospital emergency departments. However, there is no overall strategy to guide the development of these initiatives nor do NSW Ambulance's data systems properly monitor their impact. As a result, the Audit Office was unable to assess whether NSW Ambulance's approach to managing demand is improving the effi
Actions for Planning and evaluating palliative care services in NSW
Planning and evaluating palliative care services in NSW
NSW Health’s approach to planning and evaluating palliative care is not effectively coordinated. There is no overall policy framework for palliative and end-of-life care, nor is there comprehensive monitoring and reporting on services and outcomes. Palliative care is an essential component of modern health care services and an increasingly important part of the wider health and social care s
Actions for 2016 - An overview
2016 - An overview
This report focuses on key observations and findings from 2016 audits and highlights key areas of focus for financial and performance audits in 2017. The quality and timeliness of financial reporting continued to improve across the NSW public sector in 2016. Only one qualified audit opinion was issued and most agencies signed their financial statements on time. We found the Government’s cluster governance arrangements were unclear and inconsisten
Actions for Relocating Agencies to Regional Areas
Relocating Agencies to Regional Areas
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
Actions for Emergency Mental Health Services
Emergency Mental Health Services
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
Actions for Managing Air Quality
Managing Air Quality
Air is fundamental to our existence. The quality of our air is a key issue for everyone. It directly affects our health. It also affects our environment, and can even affect our economy. And air pollution does not respect geo-political boundaries. Pollution produced locally may have regional and global implications. The substances which may pollute our air can interact in complex ways, which even the best scientists do not fully understand. Strategies
Actions for Regulating the Clearing of Native Vegetation
Regulating the Clearing of Native Vegetation
Native vegetation is a complex and difficult area to regulate. There is an inherent tension between economic development and conservation. In our opinion, the complexities and the lack of accountability have contributed to the present position, whereby a whole-of-government approach to the protection of native vegetation in NSW has not been developed. There are currently no objectives or targets to measure progress in conserving native vegetation. O