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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 shortest queue.

 

Parliamentary reference - Report number #121 - released 15 December 2003

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 individual properties should be made in the context of a broader strategy, rather than on a case-by-case basis.

 

Parliamentary reference - Report number #119 - released 26 November 2003

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 patients admitted to elective medical or surgical treatment had waited, on average, 1.8 months, whereas in March 1997 they would have waited on average 1.1 months.

 

Parliamentary reference - Report number #116 - released 18 September 2003

Published

Actions for Northside Storage Tunnel Project

Northside Storage Tunnel Project

Planning
Environment
Infrastructure
Internal controls and governance
Procurement
Project management
Service delivery

The Northside Storage Tunnel was the first major public sector construction project using an alliance approach. In our opinion, the outcome of the project suggests that an alliance approach, when applied to a suitable project and managed appropriately, can support positive project outcomes. And in many respects the Alliance worked well. There are, however, a number of issues that we believe need to be addressed for future alliances.

 

Parliamentary reference - Report number #113 - released 24 July 2003

Published

Actions for Protecting Our Rivers

Protecting Our Rivers

Environment
Internal controls and governance
Regulation
Shared services and collaboration

The Audit Office is of the opinion that responsibility for protecting the quality of river water is not clearly delineated. The current arrangements lack the structure to ensure success. There is no lead entity to co-ordinate efforts to protect river water. New South Wales has no overarching water quality or river health strategy and no water quality management plans to ensure clear outcomes and responsibilities for protecting river water quality and integrated decision-making to protect areas of greatest risk to water quality.

 

Parliamentary reference - Report number #108 - released 7 May 2003

Published

Actions for Environmental impact assessment of major projects in NSW

Environmental impact assessment of major projects in NSW

Environment
Management and administration
Regulation
Service delivery

The Audit Office is of the opinion that the basis for environmental impact assessment of major projects in NSW is sound. The key concept of 'environmental significance' is well defined. The system is closely specified. The Department of Urban Affairs and Planning (DUAP) leads a whole-of-government approach to environmental impact assessment and its assessments are comprehensive. However, the Audit Office considers that there are opportunities for improvement by more actively managing the participants and the performance of the environmental impact assessment system. DUAP needs to strengthen its internal documentation and must ensure the public have greater involvement.

 

Parliamentary reference - Report number #92 - released 28 November 2001

Published

Actions for Controlling and reducing pollution from industry

Controlling and reducing pollution from industry

Planning
Environment
Compliance
Management and administration
Regulation

The regulatory framework introduced under the Protection of the Environment Operations Act 1997, along with other initiatives progressively being implemented by the Environment Protection Authority (EPA), should enhance the overall effectiveness of environment protection in NSW. The Audit Office is of the opinion that the framework is consistent with best practice and once fully implemented, should contribute to the achievement of further improvements in the environmental performance of industry.

However while the legislative framework supports best practice in regulation and enforcement, there are a number of issues which limit the effectiveness of the reforms. Some of the problems, such as the quality of licences and the effectiveness of compliance activities, have been identified by the EPA and may be addressed through recent initiatives.

 

Parliamentary reference - Report number #82 - released 18 April 2001

Published

Actions for Ambulance Service of NSW: Readiness to respond

Ambulance Service of NSW: Readiness to respond

Health
Internal controls and governance
Management and administration
Shared services and collaboration
Workforce and capability

This performance audit indicates that the Service has considerable work to do to reach its aspirations of being recognised amongst leading examples of best practice services. The commitment of the Service to serving the community and the professionalism of the Service's officers is not in question. It is, however, apparent that a number of barriers to performance will need to be overcome for the Service to perform as well as it would wish.

 

Parliamentary reference - Report number #80 - released 7 March 2001