About this report 

The Northern Beaches Hospital is a private hospital that also provides public hospital services. The hospital was built in 2018 and is operated by a private operator, Healthscope, in a public-private partnership with the NSW Government.

Healthscope is contracted to operate the public portion of the hospital until 2038. 

This audit assessed how effectively and efficiently the Northern Beaches Hospital public-private partnership delivers public hospital services.

Conclusion 

The Northern Beaches Hospital public-private partnership is not effectively delivering the best quality integrated health services and clinical outcomes to the Northern Beaches community and the State – the standard required under the arrangement and the key objective of the project deed. 

The partnership is at risk of failure, with Healthscope requesting in November 2023, and again in December 2023, that the return of the public portion of the Northern Beaches Hospital be brought forward by 14 years. In its requests, Healthscope noted the risk to the viability of the Northern Beaches Hospital, citing insufficient funding, a lack of integration into the wider health network, and strained stakeholder relationships. 

NSW Health effectively manages the contract with Healthscope day-to-day on behalf of the State, ensuring that public hospital activity at the Northern Beaches Hospital is provided at a lower cost than if the State operated the hospital. However, the public-private partnership structure creates tension between commercial imperatives and clinical outcomes. 

The Northern Beaches Hospital has recorded concerning results for some hospital-acquired complications and has not taken sufficient actions to address some identified clinical safety risks. 

The project deed, which governs the partnership, does not support the hospital’s integration into the local health district and broader health network. This has an impact on patient journeys and access to services for patients in the Northern Beaches. Additionally, Healthscope has no obligation or commitment to implement NSW Health initiatives – such as the Safe Staffing Levels initiative. 

The Northern Beaches Hospital has achieved accreditation to ensure it meets national quality standards for hospital care but some quality and safety concerns remain. 

Recommendations 

The report made three recommendations:  

1. The NSW Government and NSW Health note the findings of the report and consider whether the Northern Beaches Hospital public-private partnership is the appropriate model to deliver the best quality integrated health care in the Northern Beaches region
    
2. Healthscope should resolve:
   1. safety and quality issues
   2. system issues
   3. reporting issues
       
3. NSW Health should consider issues raised for this public-private partnership for any future arrangement.

This chapter reports on the performance of the Northern Beaches Hospital. The first section reviews the performance of the Northern Beaches Hospital in terms of safety and quality. The second and third sections review the operational performance of the emergency department and elective surgery (including general surgery). One of the features of the Northern Beaches Hospital public-private partnership is the requirements of demand and volume management placed on Healthscope, the operator of the hospital. How that interacts with the performance of the emergency department and admitted patient areas is examined here. The fourth section reports on patient experience and complaints.

A key objective of the project deed is for the Northern Beaches Hospital to provide the best quality care for people in the Northern Beaches catchment and the people of NSW. The best quality care is operationalised in the project deed by requiring the Northern Beaches Hospital to perform in the top quartile of comparator hospitals for many measures. Only one of these measures relates to the scope of this audit – patients who left the emergency department after triage without being seen. Comparator hospitals are drawn from national hospitals for these measures.

When comparing results with NSW hospitals, the Northern Beaches Hospital is within the B1 hospital grouping, which includes Blacktown, Sutherland, Hornsby Ku-ring-gai and Campbelltown in metropolitan Sydney, and Orange, Tamworth, Wagga Wagga, Tweed Valley, Coffs Harbour, Port Macquarie and Lismore hospitals in regional NSW.

This chapter focuses on the role of the Northern Sydney Local Health District and Ministry of Health in managing the Northern Beaches Hospital public-private partnership for the State. The first section reviews identification and management of risks arising from this arrangement, including clinical risks and how NSW Health intervenes to address issues. (Chapter 3 also considered this question in relation to results for hospital-acquired complications and for sepsis and deteriorating patients). The second section looks at integration, which is one of the key objectives of the public-private partnership. Integration is the way the hospital fits into the surrounding NSW Health network. The third section then considers the efficiency of this arrangement for NSW Health.

Appendix 1 – Response from entities

Appendix 2 – Northern Beaches Hospital services and role delineation

Appendix 3 – Hospital-acquired complication data

Appendix 4 – 2023–24 abatable key performance indicators

Appendix 5 – About the audit

Appendix 6 – Performance auditing

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Parliamentary reference - Report number #404 released 17 April 2025.

About this report 

The land titles registry is a collection of registers established under the Real Property Act 1900 and related legislation. It is the source of truth for land and property ownership in NSW and underpins significant economic activity.

The registry is owned by the NSW Government. From 1 July 2017, a private operator has operated and maintained the registry under a 35-year concession granted by the NSW Government.

The Office of the Registrar General is the regulator of the private operator’s activity under the concession. It is a business unit in the Department of Customer Service.

This audit examined the effectiveness of the regulator in overseeing and monitoring the operation and maintenance of the registry to ensure its integrity and security.

Conclusion

The Office of the Registrar General has implemented an effective system and supporting processes to oversee and monitor the integrity and security of the land titles registry.

However, the audit found opportunities for the Office of the Registrar General to improve how it conducts its regulatory functions.

Recommendations

The audit recommended that the Office of the Registrar General should:

1. develop and publish its approach to exercising its regulatory functions and powers
2. publish a regulatory charter to ensure greater regulatory transparency
3. review the skills and capabilities required to regulate the land titles registry
4. ensure greater clarity on the rights to use data, and the application of privacy legislation
5. ensure compliance with the NSW Cyber Security Policy, including the requirements relating to third parties
6. perform an audit of the subscriber compliance process.

The land titles registry is a collection of registers that record property-related information

The registers collectively referred to in this report as the ‘land titles registry’ include the:

• Torrens Title Register – the primary register for land held in NSW under the Real Property Act 1900
• Register of Plans – comprises plans, that is a representation of a property’s boundary, submitted for registration by registered surveyors
• General Register of Deeds – established under the Registration of Deeds Act 1825, this was the first land register in NSW recording deeds in the system used prior to the introduction of the Torrens Title System, and includes the register of Causes Writs and Orders, Bills of Sale, Register of Resumptions, Powers of Attorney and other miscellaneous deeds
• Central Register of Restrictions – where participating organisations maintain up to date information about possible, or actual, interests they hold against NSW properties (for example for heritage or infrastructure reasons).

The 35-year concession for a private company to operate and maintain the land titles registry

In April 2017, the NSW Government granted a 35-year concession² to a private operator to operate and maintain the titling and registry services business area of NSW Land and Property Information (LPI). The private operator paid the State $2.6 billion for the concession, as well as committed to pay $8 million (indexed) annually in consideration for the ORG to perform the regulatory and enabling functions contemplated by the concession deed.

The private operator has the right to generate revenue by selling land information products and services, including through search and subscription fees, as well as by charging administrative fees, such as for registering land titles and other transactions. Each year, the operator facilitates over four million searches on titles and images, records 900,000 updates to land title records and creates 50,000 new titles.

NSW Treasury managed the bidding process for the concession and prepared the enabling legislation, the Land and Property Information NSW (Authorised Transaction) Act 2016. The concession deed was executed between the Minister for Finance, the Registrar General and the successful bidder.

The successful bidder was Australian Registry Investments (ARI), which in turn established NSW Land Registry Services (NSW LRS or ‘the private operator’) as a private, single purpose company to operate and maintain the land titles registry. ARI is a consortium of institutional investors and superannuation funds, which at the time of this audit included Aware Super, Macquarie Infrastructure Fund and UTA Registry Investments Trust.

The NSW Government retains ownership of the land titles registry, including the information it contains.

The land titles registry is a critical information asset for NSW as it is the basis of private ownership of property, which in turn supports property-related economic activity. In 2016, it was estimated that the land titles system underpinned over $130 billion dollars of economic activity in NSW each year. As of 2023, the total value of land in NSW was approximately $2.8 trillion.

The land titles registry is a ‘crown jewel’ IT asset under the NSW Government Cyber Security Policy. The land and titling information maintained by the private operator is provided to other government departments and agencies, such as Revenue NSW, Spatial Services and the Valuer General.

A key assurance provided by the NSW Government when granting the concession was that the ORG would be responsible for the regulation of the performance of the private operator under the concession deed. The ORG is a business unit in the Fair Trading and Regulatory Services division of the Department of Customer Service (‘the department’). The Registrar General is a statutory position and has a range of responsibilities, including under the Real Property Act 1900. The establishment of an ‘office’ to support the Registrar General accompanied the granting of the concession in 2017.

The ORG is not a separate auditable entity under the Government Sector Audit Act 1983. As such, the auditee for this performance audit is formally the Department of Customer Service.

NSW Treasury is also an auditee as it managed the scoping study, bidding process, legislation development process and the development of the concession arrangements. NSW Treasury does not have an ongoing role in the routine oversight and monitoring of the land titles registry. The audit has made no recommendations for NSW Treasury and the agency has elected not to provide a formal response to the audit.

Objectives of the concession

The concession deed includes a statement of the Government’s objectives for the concession. These objectives include achieving the following:

a) maintaining the security, integrity, performance and availability of the registers, core assets and core services

b) ensuring the registers are accurate and up-to-date, including that they accurately reflect all registered documents, plans and other matters that are required to be recorded in them

c) maintaining the confidence of the affected parties and the NSW public in the registers and the core services

d) promoting improvements, innovation and increased efficiency, and utilising greater expertise and investment in technology, in the delivery of the core services

e) minimising Torrens Assurance Fund Payments and

f) protecting current competition and the opportunities for future competition in the supply of downstream services by ensuring fair, transparent, predictable and non-discriminatory dealing by the operator with customers and prospective customers.

The deed also includes the private operator’s acknowledgment and agreement that its achievement of these objectives is of critical importance to NSW.

Regulation of the land titles system, including under the concession deed

The ORG has described its role as ‘... a regulator, advisor and litigator, working to ensure the integrity of NSW’s land title system’. While the ORG directly regulates the private operator of the land titles registry under the concession deed (as well as in accordance with any applicable legislation and delegations made by the Registrar General), the system of land titles is a complex one, with many different participants. These participants include:

• ELNOs – which provide the means for transacting parties to collaborate electronically on the preparation of registry instruments; there are currently two ELNOs operating in NSW, although PEXA is by far the dominant market participant compared to its competitor, Sympli
• subscribers – a person or business authorised to complete electronic conveyancing transactions using an ELNO, such as financial institutions, solicitors and licensed conveyancers
• government agencies – selected NSW government agencies and local governments are authorised to obtain information from the system, including Revenue NSW, Valuation NSW, the Surveyor General and local councils
• registered surveyors – who are responsible for conducting survey plans of property boundaries and lodging those plans for registration with the private operator
• information brokers – there are 12 wholesale information brokers with which the private operator has entered into agreements under the concession deed to provide access to NSW titling information held by the private operator
• users of the Central Register of Restrictions – including selected NSW government agencies and non-government entities, such as utility companies providing electricity, water and gas and the Commonwealth Department of Defence.

The data flows within the system are complex and interdependent. Many of the participants are critical to maintaining the integrity and security of the land titles registry. Each class of participant has different governance arrangements and controls for their participation. As shown in Figure 1, the ORG regulates and oversees, to varying degrees, this system of multi-layered rules, relationships and arrangements, with the concession deed between the NSW Government and private operator being at the core of the system.

In granting the concession, the government committed to a ‘robust regulatory regime’ and a ‘tight regulatory framework’ overseen by a ‘strong regulator’

In granting the 35-year concession to the private operator, the NSW Government committed to ensuring that the monopoly functions of providing titling and registry services would be ‘appropriately regulated’.

In commencing the process of granting the concession, the NSW Government set out what it described as a ‘robust regulatory regime’ that would apply to the concession. Of particular relevance to this audit, the government also established that:

• the Registrar General would monitor and enforce the operator’s compliance with regulatory requirements, including the terms of the concession deed
• the Registrar General would have a general power to direct the private operator to perform tasks ‘… in the public interest’.

In the September 2016 second reading speech accompanying the passage of the enabling legislation for the concession through NSW Parliament, the then Treasurer further highlighted that:

• the service standards defined in the concession would include ‘… a penalty regime should the private operator fail to comply’
• the Registrar General would have regulatory oversight of ensuring that the private operator adopted ‘appropriate data security and fraud detection practices’.

The second reading speech also highlighted the role of the Registrar General in overseeing how other participants in the land titling and registry system should perform. This included approving the standard terms on which the concession holder is to deal with its wholesale customers and intermediaries (including ‘subscribers’ to the operator’s services, such as banks, conveyancers and solicitors).

In January 2017, the then Registrar General explained his view that the arrangements for the concession would ensure that the ORG would be able to provide an ‘… independent, credible, stable and well mandated regulatory framework [that] will give confidence to customers and the business itself’. He further explained that:

On 6 April 2017, the then Registrar General further said that his office would follow a ‘modern regulatory approach’, which would include a ‘… focus on material things – where an operator’s actions are not in the spirit of the deed’s objectives’. The audit did not find evidence of how the ORG assesses deviation from the ‘spirit of the deed’s objectives’.

On 12 April 2017, the Premier and the Treasurer jointly announced the successful bidder for the concession. In doing so, their media release drew attention to the:

• ‘tight regulatory framework’
• ‘rigorous legislative and contractual safeguards around the concession to ensure the continued security of property rights and data’
• establishment of a ‘… new external regulator – the Registrar General – to enforce [the operator’s] performance during the concession, with power to monitor and audit performance, and even resume control of the LPI business if required’.

The Registrar General was not a newly established statutory position, although the role was provided with new regulatory functions and powers under the concession deed.

The task of overseeing and monitoring a private company operating and maintaining a monopoly service that uses government-owned systems (and where title is government-guaranteed) poses new and complex challenges for a regulator like the ORG, which previously performed stable and mature administrative and regulatory functions.

The ORG has made only limited use of the compliance and enforcement tools available to it under the concession deed

Seven years into the concession, the ORG is still in the relatively formative stages of settling its approach to the use of its regulatory powers under the concession deed.

The ORG has an experienced and highly qualified workforce, with substantial capability in areas such as property law, as well as a directorate focused on cadastral integrity. It has substantial capacity to administer its longstanding and relatively wide-ranging pre-concession responsibilities. This includes actioning matters under the Torrens Assurance Fund, conducting compliance audits of property plans prepared by registered surveyors and providing advice to government on relevant policy and reform.

In comparison to these longstanding, well-organised and well-understood responsibilities outlined above, the ORG is still forming its approach to exercising the full spectrum of its compliance and enforcement powers under the regulator–operator model. In some instances, this has limited its effectiveness in resolving regulatory issues raised later in this report.

The ORG has eight regulatory compliance and enforcement options available to it under the concession deed and the enabling legislation. The options are listed below, ranked according to their seriousness and frequency, with step-in and termination powers being both the most serious and least likely option to be applied:

• raise issues at governance forums
• informal letters escalating to formal letters
• approvals with conditions attached
• audit and review powers
• financial penalties for breach of service levels
• reserve power directions
• corrective action plans
• step-in and termination powers.

These options can be specific to circumstances and not all are available for all matters. For example, the ORG does have not a broad-based power to issue financial penalties for performance gaps except where specified in the concession deed.

Since the commencement of the concession, most issues with the private operator’s performance have been addressed without escalation beyond the exchange of formal letters. However, this approach has not always led to adequate or timely resolution.

A number of longstanding issues have been raised by the ORG regarding plan examination and subscriber compliance audits, as set out in section 5 of this report. Despite their significant importance to the integrity of the land titles registry and the potential for errors with financial and personal impacts on customers, these matters have not generally been escalated beyond discussions or letters.

The ORG does not have a formalised approach to how it will routinely and effectively exercise its compliance and enforcement functions and powers

The audit assessed whether the ORG has a clear statement of its regulatory posture or its approach to regulation on which to base its regulatory decision making. In its ‘Regulation insights’ report (March 2024), the Audit Office of NSW highlighted that regulators need clear escalation thresholds and enforcement policies to promote credible and proportionate regulatory actions. The concession deed sets out that the materiality of service level breaches is determined based on the operator’s culpability, the impact on the customer and whether the breach has occurred previously.

The ORG lacks a clear approach to how it would effectively exercise the regulatory tools available to it under the concession, such as:

• requiring ad hoc reports that are prepared in a timely manner and to an adequate standard
• issuing penalties for non-compliance
• conducting its own audits
• conducting a major review of the concession (the prospect of which was raised by the ORG with the private operator in 2022 but has not proceeded).

This is despite assurances (as described earlier) from the NSW Government at the commencement of the concession that these tools would be available and used by the regulator.

In September 2023, the ORG developed an initial approach to the use of concession deed levers to provide a ‘practical and proportionate approach’ to exercising its monitoring and oversight functions for the concession. However, neither these principles, nor any alternative, have been drawn upon to inform a codified regulatory or enforcement policy. The ORG advised that it is developing an approach to escalating matters through the hierarchy of available regulatory and enforcement tools.

The ORG is spending less on its regulatory functions than the fee paid by the private operator to support those functions

Under the concession, the private operator provides an annual indexed fee to fund the services delivered by the regulator. The concession deed says that this fee is paid ‘… in consideration for the [Registrar General] performing the regulatory and enabling functions contemplated by this Deed’.

In 2017–18, $8 million was allocated in the NSW Budget ‘… to be spent on regulating the operator of the NSW land title and registry system, ensuring its security and stability while enhancing service levels’.

In 2023–24, the department requested from NSW Treasury a budget of $8.26 million for the ORG, ($260,000 more than the 2017–18 allocation). This was also around 25% less than the mandatory fee paid by the private operator under the concession deed, which was $10.49 million. The balance of the fee paid by the private operator is retained by the NSW Government in the Consolidated Fund for general purposes.

The ORG undertakes a range of policy and reform projects that it tracks separately from its ‘business as usual’ activities. Not all these projects were envisaged when the concession was granted. For example, the interoperability project to support the introduction of national competition in the electronic lodgment network (ELN) is a substantial and complex national reform that has been led by the ORG on behalf of NSW.

NSW’s contribution to this project-based work is undertaken effectively within the same budget parameters and staffing as established when the concession was granted. At the time of the audit, the ORG’s project workplan includes 32 distinct projects, with one additional recent project being reclassified as ‘business as usual’ and two previous projects put on hold. The project plan includes activities relating to significant government reforms such as interoperability and digital survey plans reform, as well as matters that are regulatory in nature or which support regulatory priorities.

The audit heard from some stakeholders that the ORG’s focus on project-based work, including government reform initiatives, risks reducing resources available for its functions to monitor and oversee participants in the land titles registry system to the degree anticipated by government when the concession was granted.

As discussed in sections 6 and 9 of this report, this audit found that the ORG has capability and capacity gaps in specialist skills, particularly in strategic IT and regulatory policy and implementation. It is beyond the scope of this audit to consider whether these gaps could be addressed within the existing funding or whether the ORG required a revised budget that more closely aligns with the fee paid by the private operator.

The complexity of the land titles system limits the extent to which the ORG can oversee potential integrity and security risks on a whole of system basis

The ORG has varying approaches, powers and functions to regulate different participants in the land titles system, the complexity of which is increased by various third-party users and reseller arrangements that apply to land titles data. As discussed later, this complexity limits the ORG’s direct monitoring and oversight of potential risks or non-performance by system participants other than the private operator.

Table 1 provides further information on the regulatory arrangements for stakeholders accessing and informing the land titles registry.

Source: Audit Office analysis.

The ORG does not have a longer-term strategic plan for proactive compliance activities

Since December 2018, the ORG has issued the private operator an annual letter setting out ‘joint priorities’ for the forward year. While each letter is signed and issued by the Registrar General, the private operator has the opportunity to comment on proposed ‘joint’ priorities.

The annual priority letters are not issued under the terms of the concession deed and are statements of the regulator’s expectations, rather than binding obligations on the operator. The priorities are derived primarily from internal staff consultation, but also consider external stakeholders, existing or emerging reform topics, and progress achieved in meeting previous priorities. While the letters set out annual priorities, they are also intended to ‘… track progress on long-term objectives’.

These annual priority letters are effective in demonstrating a considered approach to articulating the regulator’s expectations of the private operator for that period. The ORG sets out specific ‘success measures’ (usually in the form of milestone progress or completion dates) for how priorities will be assessed.

The priorities set out in the annual letters are subsequently discussed and tracked at various governance meetings, as required under the concession deed. However, there have been few consequences if the private operator does not meet its priorities. Over the course of the concession, a number of reoccurring priorities point to intractable issues, about which the ORG has been dissatisfied. This has included matters that go directly to the integrity of the registers, such as the examination of submitted plans and subscriber compliance (particularly as assessed by the subscriber compliance examination process).

Until recently, the ORG did not include its own annual priorities in these letters. Rather, yearly priority letters to the private operator referenced government or joint priorities. In comparison, the most recent priority letter for 2025 provided a clearer articulation of the rationale between the annual priorities and the intended outcomes of the concession deed. The audit did not source evidence that the ORG set longer-term or strategic priorities for how it will proactively exercise its regulatory functions, such as a forward program of compliance activity, ad hoc reviews or audits.

The ORG ensures that the private operator meets its obligations to provide service level performance reporting

The concession deed provides for extensive performance reporting by the private operator against defined service levels or KPIs. While government statements at the commencement of the concession suggested there were 55 KPIs, this is inaccurate as it includes numerous sub-measures. Currently, 14 service level KPIs are reported quarterly on the ORG’s website. The publishing of service level performance has been explained by the ORG as bringing ‘… a new level of transparency to the NSW’s land titles registry’ to better hold to account the private operator and be a feature of the new regulator–operator model.

The private operator exceeded all published services for each of 24 consecutive quarters from the start of the concession until January–March 2024. This may suggest that the existing published service levels are not sufficiently challenging to support continuous improvement in the future. In addition, as discussed below, not all service level KPIs are published.

The ORG has proposed a review of service levels to identify those no longer relevant. This considers the substantial reforms to the land titles registry system have occurred since the concession commenced, including the move to 100% electronic conveyancing. Stakeholders also expressed a view to the audit that the existing published service levels are too focused on time measures, and do not sufficiently address quality and client satisfaction. It was also understood between the regulator and private operator early in the concession that ‘… as we move forward, customer behaviour will change, along with what is important to customers’.

The ORG has granted penalty relief for service level breaches, although there has been no public transparency about these decisions

There have been instances where the ORG has elected not to issue financial penalties where the private operator breached required service levels. While this discretion is a matter for the regulator to exercise, public transparency is lacking as to the underlying breach or the penalty decision. Service levels not achieved are not included among those published on the ORG’s website.

For example, from October 2020 to September 2023, the ORG granted penalty relief for 33 breaches of the private operator’s obligation to ensure specific data feeds to NSW Government agencies and local councils occurred within specified timeframes.³ A series of data feed failures in a legacy IT system was the catalyst for the private operator’s failure to meet the service level. The audit notes that the private operator’s interpretation of the relevant service level varied from the ORG’s interpretation, and suggested a smaller number of breaches than the 33 assessed by the regulator.

This penalty relief was initially granted in October 2020, then extended in May 2022 until September 2023. The ORG granted the penalty relief:

• in recognition of the private operator’s commitment to upgrade the legacy IT system causing the data feed failures
• because the ORG considered the impact on affected customers to be negligible.

As early as December 2019, the ORG had identified to the private operator that upgrading the legacy IT system was a priority. In August 2020, the ORG described the upgrade as ‘… critical to ensure accurate and complete data is provided to customers’ and asked the private operator to ensure that it is completed ‘… without further delay’.

The ORG did not extend its penalty relief beyond 30 September 2023. No breaches were reported to have occurred after this time. The upgrade to the legacy IT system is expected to be completed no earlier than January 2025.

The service level that was not met on up to 33 occasions is not included among the 14 service levels reported publicly on the ORG’s website. There was no public transparency about the operator’s non-compliance, or the ORG’s decision to provide penalty relief to the operator. The ORG did not publish a notice that it had afforded penalty relief to the operator, nor was this mentioned in the department’s annual report. The ORG’s view is that publication of these service level breaches was not required as they only affected government agencies.

This audit has not assessed the merits of the ORG’s evaluation of the service level breaches or its decision to extend penalty relief for non-compliance. The concession deed allows the ORG to make these types of decisions. However, when the concession commenced, the NSW Government stated that a consumer benefit of the concession would be ‘increased transparency’ due to the regulator being able to:

Prior to the concession, it was already the Registrar General’s practice to publish statistics about claims and payments under the Torrens Assurance Fund in the department’s annual reports. Since the concession, the only opportunity for increased transparency is through reporting on service levels and breaches, including about how the ORG responds to breaches, such as by extending penalty relief over extended periods of time.

When the concession commenced, the NSW Government also highlighted that, as the regulator, the ORG would have a range of regulatory options including ‘… a penalty regime should the private operator fail to comply’. The community and stakeholders were not told that the ORG could choose to waive penalties in response to breaches. Nor were the community and stakeholders told the circumstances in which such relief might be extended. This underscores the importance of the ORG being publicly transparent when it makes these decisions, including to explain their justification, so as to ensure that community trust and confidence in the regulator is maintained.

The ORG’s monitoring and oversight of how the private operator manages legacy IT systems is discussed further in section 6.

The detailed terms of the concession are not publicly available and there is a statutory presumption against their disclosure under the Government Information (Public Access) Act 2009

Much of the substantive detail about the regulatory requirements for granting the concession is contained in the concession deed document that was executed between the NSW Government and the private operator. This document is not public. Moreover, the enabling legislation for the concession included an amendment to the Government Information (Public Access) Act 2009. This amendment established that it is to be conclusively presumed that there is an overriding public interest against disclosure of information contained in any document ‒ including the concession deed ‒ prepared for the purposes of, or in connection with, the authorised transaction unless approved by the NSW Treasurer. NSW Treasury was not able to provide an explicit reason why this provision was included in the enabling legislation, other than to note that a similar provision was included in the 2015 electricity network transaction enabling legislation.

Key elements of the concession deed were modelled on the arrangements for the franchising of the Sydney ferries service, including:

• the model for service levels and penalties
• the transfer of administrative powers and functions to the operator
• the approach of adopting minimalist legislation supported by a detailed contract.

This framework is also similar to that adopted for the Greater Sydney Bus Contract. Both contracts (ferries and buses) are publicly available on Transport for NSW’s website (with redactions where necessary to maintain commercial confidentiality).

During consultation on the enabling legislation for the concession, external stakeholders noted that the delegation of key provisions to a confidential document detracts from promoting transparency and community confidence in the regulatory arrangements for the concession.

The ORG has not published a ‘regulatory charter’ as provided for under the concession deed

Clause 29.1(b) of the concession deed provides that the ORG may publish a ‘regulatory charter’ that contains:

• the division of responsibilities between the ORG and the private operator
• ring fencing and non-discrimination requirements
• dispute resolution processes
• the ORG’s rights in relation to reserve power directions
• the ‘customer terms’
• obligations in respect of ELNOs
• complaint handling arrangements.

The ORG has not published a regulatory charter, although some of the content envisaged by clause 29.1(b) is available across the ORG’s website. For example, the ORG’s website provides information about how individuals may apply to have a decision of the private operator reviewed by the ORG.

The ORG reviews an annual customer satisfaction survey conducted by the private operator, which has reported increased rates of satisfaction over the term of the concession

Regarding other measures of performance, the concession deed requires the private operator to conduct an annual customer satisfaction survey. The private operator has reported to the ORG improved levels of customer satisfaction with its services. While the audit has not assessed the survey data, the private operator has reported in its most recent survey that 71% of respondents were satisfied, up from around 50% at the start of the concession. Over the duration of the concession to date, these surveys have been run both internally by the private operator, and more recently by an external survey provider commissioned by the operator.

The private operator is also required to submit at regular intervals (annually or up to 18 months) updates to its technology roadmap and business plan. These documents are assessed by relevant subject matter experts within the ORG or the wider department and feedback is provided to the private operator on their adequacy. For example, a range of annual reporting requirements for FY23 relating to fraud and crime prevention, error reports, business continuity and incident management, and the technology roadmap were provided to Department of Customer Service IT for review.

The ORG has implemented an effective governance structure to support its regulation of the land titles registry system

The ORG has implemented a series of forums with the private operator to discuss strategic and operational matters. As required by the concession deed, these are:

• a Joint Consultation Committee (JCC)
• an Operations and Performance Committee (OPC)
• an Information Technology sub-committee (ITC).

The concession deed specifies that this governance framework is intended to:

• guide and monitor the performance of the concession
• oversee compliance with specified service levels
• resolve issues as required
• establish a framework to maintain an effective relationship between key personnel of the ORG and the operator.

These committees have clear terms of reference, which have been subject to review. The ORG has demonstrated, through meeting papers and minutes, that these committees meet regularly, consider substantive matters as envisaged by the concession deed, and are effectively administered and recorded.

The ORG has also established a stakeholder forum that includes senior representatives of key stakeholder groups. This forum is intended to foster multilateral communication between the regulator, operator and stakeholders. Some stakeholders expressed the view to the audit that the focus of this forum has evolved to facilitate feedback and updates from the regulator and operator, rather than provide opportunities for industry stakeholders to ask questions or raise issues. Notwithstanding, the ORG did provide evidence that issues raised by stakeholders at this forum were subsequently escalated to JCC or OPC meetings.

The ORG also has a series of bilateral regular engagements with key stakeholders, as well as specialist or project based working groups with the private operator and other system participants.

The ORG appropriately manages potential conflicts of interest

The ORG has recognised that the separation of the former Land and Property Information unit of the Department of Customer Service into separate regulator and operator entities meant that staff working in each entity may have close pre-existing professional and personal relationships. This heightens the need to identify and manage potential conflicts of interest to ensure credible and transparent regulation.

The ORG manages conflicts of interest by following applicable department policies. The audit reviewed conflict of interest declarations made by all ORG managers at NSW public service clerk levels 11/12 and above for the past three years. The audit found that declarations had been submitted and any conflicts addressed.
 

³ The breaches were of the ‘Core Data for Government Agencies Service Level’, which measures the number and availability of Core Data supplied to certain Government agencies that the operator successfully provides within required timeframes and hours of availability.

The land titles registry system is multi-party, with different powers and tools available to the ORG for each party. In summary, the ORG can address non-performance to varying degrees over:

• the private operator, through the multi-tiered framework described under section one of this report
• the ELNOs, which may be subject to suspension or termination (neither of which are practical options if the system is to function), as well as compliance examinations, remedial directions and application to the NSW Supreme Court for financial penalties
• authorised subscribers, who may have their access to the ELN suspended or cancelled (this regime is currently under review to broaden the Registrar General’s enforcement options)
• registered surveyors, who may be referred to the Board of Surveying and Spatial Information (BOSSI) for professional disciplinary action.

The number of claims and the total annual payments under the Torrens Assurance Fund have declined since 2014–15

The Torrens Assurance Fund (TAF) is a statutory compensation scheme designed to compensate people who, through no fault of their own, suffer loss or damage as a result of the operation of the Real Property Act 1900. This loss or damage can be a result of an error, misdescription or omission in the register. When granting the concession to the private operator, the government gave the assurance that the TAF would continue to operate and be administered by the ORG. The ORG has a longstanding function to receive and determine claims made under the TAF.

Relative to the number and value of matters addressed by the land titles system, the number of claims and total payments paid under the TAF is relatively small. As shown in Figure 2, between 2014–15 and 2022–23, the number of claims varied between seven and 40, while the payments paid under the TAF varied between $93,032.21 and $3,168,143.

This audit has focused on two primary processes when considering how the ORG obtains reasonable assurance about the quality of information held on the registers maintained by the private operator. These are:

• the examination and registration of plans by the private operator
• the registration of dealings by the private operator.

The concession deed requires that the private operator, in undertaking these functions, must, among other things, act in good faith, as well as act reasonably and on reasonable grounds. In each case, plans and documents must be entered promptly and accurately onto the relevant register.

These two processes and their role in supporting the integrity of the land titles registry are discussed in turn below.

The land titles registry is one of the department’s IT ‘crown jewels’

As the principal department for the ORG, the Department of Customer Service has identified the IT system supporting the land titles registry as a ‘crown jewel’ under the NSW Government Cyber Security Policy. Classification as a crown jewel provides the land titles registry with priority within the department when investment, fixes, patching and resource allocation are considered.

The ORG receives dedicated cyber security support from the department’s Office of the Chief Information Security Officer in the form of an identified business support officer. During the audit there did not appear to be a similar dedicated resource from the department’s general ICT division. The ORG has stated that the lack of dedicated support in this area risks that ‘institutional technology expertise is not built up or retained within Government to effectively monitor the [operator’s] management of this asset’.

However, from October 2024, DCS ICT has provided the ORG with a dedicated business partner who attends monthly meetings to discuss ICT matters and attends ICT Committee meetings on an as-needed basis.

While the IT system supporting the land titles registry is a critical IT asset, it is unclear how roles and responsibility are assigned for ensuring compliance with the NSW Government Cyber Security Policy

The NSW Cyber Security Policy provides guidance and mandatory requirements for agencies relating to cyber security. The ORG could not clarify whether it, or the department more widely, is responsible for ensuring compliance with the NSW Cyber Security Policy, as well as the role expected by the private operator. This creates a potential risk that protections contained in the policy will not be extended to the land titles registry and that there may be gaps in accountability.

The 2023–24 version of the policy contains three requirements relating specifically to crown jewels:

• agencies to identify and document external upstream and downstream dependencies of enterprise ICT (including cloud), operational technology and Internet of Things assets (specific requirement 1.6.4)
• agencies must assess and identify crown jewels and classify systems (mandatory requirement 1.7)
• agencies must conduct periodic reconciliation of data assets against data retention requirements (specific requirement 1.8.2).

The department appears to have complied with mandatory requirement 1.7, in that it has identified the land titles registry as a crown jewel. However, it explained that it did not have visibility or control over the upstream and downstream systems used by the private operator. Accordingly, to the extent that it may be responsible, the department acknowledged that it does not comply with specific requirement 1.6.4. While it was not specifically examined, the audit did not receive any evidence that the department complied with specific requirement 1.8.2.

While the department is not fully compliant with the requirements of the NSW Cyber Security Policy, its view is that:

• the concession deed requires the private operator to maintain technical and organisational measures that are no less rigorous than those that applied prior to the concession
• the cyber security measures taken surpass those that would apply under Department of Customer Service policies
• the regulator retains oversight of the private operator’s compliance with its requirements under the concession.

Notwithstanding these assurances, neither the department, nor the ORG itself, provided any evidence demonstrating that the protections provided by the private operator have been reconciled against all the requirements of the NSW Cyber Security Policy, including the specific clauses that apply to crown jewels. As discussed below, neither the department nor the ORG have considered the implications of the private operator being deemed a ‘third-party service provider’ under the NSW Cyber Security Policy.

The NSW Cyber Security Policy allows that not all its requirements must be uniformly implemented across the agency. However, where an agency seeks an exception to the policy, it should ensure that the exception is ‘… documented and approved by an appropriate authority through a formal process’. The ORG did not provide evidence that any exception to the requirements of the Cyber Security Policy (such as non-compliance with specific requirement 1.6.4) had been documented and approved.

The ORG has determined that the private operator is a third-party service provider under the NSW Cyber Security Policy, although the implications of this have not been fully examined by the ORG or the department

During this audit, in November 2024, the ORG obtained advice from Cyber Security NSW that the private operator is a ‘third-party service provider’ under the NSW Cyber Security Policy. The policy has a number of specific requirements relating to third-parties.

Mandatory requirement 1.10 of the NSW Cyber Security Policy requires agencies to ‘identify and manage third-party service provider risks, including shared ICT services supplied by other NSW Government agencies’.

Section 6.12 of the Cyber Security Policy provides agencies with guidance on their responsibilities for managing the cyber security requirements and risks posed by third-party providers to assist agencies implement mandatory requirement 1.10. This section includes responsibilities such as:

• ensuring third-party risks are considered in enterprise risk management processes
• conducting regular management of third-party risks through ongoing risk-based reviews to verify compliance with contractual agreements and security measures.

The designation of the operator as a third-party service provider to the ORG is a recent classification and the implications of this have not been fully considered by the ORG or the department.

The ORG has ensured that cyber security obligations are included in the private operator’s arrangements with its own contractors

The audit also considered what assurance the department or the ORG has obtained regarding the adequacy of cyber security provided by contractors to the private operator. Clause 39 of the concession deed establishes that:

• the private operator must ensure that its third-party service providers and subcontractors comply with all terms of the deed relevant to the operator’s obligations, including to maintain adequate cyber security
• the private operator is liable for all acts and omissions of its subcontractors.

The ORG and the private operator have agreed to a process whereby the latter notifies the regulator when new subcontractors are engaged and provides assurance that subcontractors comply with the requirements of clause 39.

The ORG has also approved a table of clauses that must be included in any subcontracting agreements that the private operator makes with its own third parties. These clauses include obligations for adequate cyber security.

The ORG has ensured security testing is conducted on the core systems and services of the land titles registry

The concession deed imposes requirements on the private operator relating to the security of the land titles registry, including that the private operator must:

• ‘… establish, maintain, enforce and continuously improve reasonable technical and organisational measures’ across a range of specific areas aimed at protecting data and preventing unauthorised access and use
• maintain technical and organisational measures that are no less rigorous than those the land registry was subject to prior to the concession
• engage in third-party audits in relation to its compliance with the applicable information security standard (ISO 27001), and provide these reports to the ORG.

The ORG has relied on subject matter expert advice from within the wider department to determine that the private operator is satisfying these requirements, including by providing third-party certification of its compliance with ISO 27001. The ORG provided evidence of this certification.

Clause 25.1 of the concession deed requires that the private operator must, to the extent reasonably requested by the ORG, test and evaluate the performance of core systems and services, which may include security testing such as ‘… vulnerability testing, penetration testing, manual configuration tests and reviews, self-assurance testing and other vulnerability and threat assessment testing’. This testing and evaluation has included assessment of the operator’s controls relevant to the System and Organisation Control 2 (SOC 2) Security and Availability Trust Services Criteria.

The ORG has ensured that the private operator has completed ISO2001 certification and has conducted SOC 2 assessments. Relevant materials are reviewed by subject matter experts from both the ORG and broader department and discussed at ITC meetings. This audit reviewed a sample of SOC 2 documents and found no significant weaknesses.

Consistent with clause 25.1 of the concession deed, the ORG has also required the private operator to conduct a program of penetration tests on its systems. Penetration testing is a useful mechanism for assessing the potential vulnerabilities of an IT system. However, penetration testing does not offer assurance of the security of a system. Reasonable assurance can only be derived by the effectiveness of security controls, including those implemented to address any vulnerabilities identified by penetration testing.

The ORG assesses and monitors how the private operator responds to vulnerabilities identified by its penetration testing program. The ORG reviewed test reports and discussed these with the private operator during ITC meetings. However, the effectiveness of this monitoring has been hampered by the ORG’s lack of a central registry of issues or vulnerabilities. This limits the ability of the regulator to easily monitor trends and risks or review historic issues.

The concession deed does not specify minimum acceptable standards for the conduct of penetration testing or other forms of system test. Moreover, it is the private operator that is responsible for conducting the testing. When the ORG reviews the results of the operator’s security testing, it also has the opportunity to assess the adequacy of the design and conduct of the tests (including to ensure that the scope and timing of each test provides adequate assurance that vulnerabilities have been identified).

However, as security testing is a requirement of the concession deed, the ORG – as the regulator and consistent with regulatory good practice – should be clear about its expectations for what constitutes appropriately rigorous test methods. These expectations should be effectively and proactively communicated to the private operator, and not left to be raised in retrospective review comments.

The ORG has become increasingly focused on potential risks posed by aging legacy IT systems and how any risks should be mitigated

When granting the concession, the NSW Government’s stated expectation was that the private sector would ‘… have strong incentives to invest in new technology, resulting in significant improvements to the system, and benefits for consumers’. There was an expectation at the outset of the transaction that the successful bidder would, at some time, ‘refresh’ the existing legacy IT systems on which the land titles system operates. While unspecific at the time, a system refresh could include either upgrade or replacement.

However, it was not clear in the bidding documents exactly when and how a successful bidder would be required to address the risks from legacy IT systems. The Information Memorandum provided by NSW Treasury to potential bidders noted that the expected response of the successful bidder:

Commitments to replace legacy systems were included in the private operator’s business plan and technology roadmap submitted as part of its bid, with the business plan committing to the ‘decommissioning of legacy systems by the end of 2019’.

The private operator has ‘de-risked’ some parts of the legacy environment, including the Historical Land Records Viewer and its website, and is currently working (albeit to a delayed schedule) to upgrade a key system, the Integrated Property Warehouse (IPW). However, the replacement of legacy systems ITS (Integrated Titling System) and DIIMS (Document and Integrated Imaging Management System) was removed from the operator’s 2023–24 technology roadmap. An external strategic technology review commissioned by the ORG in 2023 recommended to the regulator that the operator should be asked to re-include this work in future roadmaps. This was so that a ‘complete risk assessment and project complexity, cost and delivery schedule’ could be understood.

While the matter had been raised previously, it appears that since 2023, the ORG has become increasingly concerned about the private operator’s management of legacy IT systems. The ORG has noted that the private operator has not conducted discovery work or risk assessments on these systems. In 2023, the ORG assessed the removal of ITS discovery work from the 2023–24 technology roadmap as ‘highly concerning’ and noted that it would, in response, ‘… consider the full range of levers under the Concession Deed’.

In July 2024, after considering an ‘escalated regulatory response’ to the operator’s perceived reluctance to conduct its own risk assessment, the ORG determined to initiate its own risk-based review of the longevity of the legacy core systems in conjunction with Department of Customer Service ICT personnel.

This performance audit has not assessed the risks posed by legacy IT systems and notes that such questions can raise complex technical issues. It is not necessarily the case that a legacy system is inherently insecure and there is evidence that the private operator has conducted work to insulate the core legacy systems from potential risks. Accordingly, the audit has made no finding about any level of risk posed by the legacy systems underpinning the land titles registry.

The approach taken by the ORG from July 2024 seems consistent with guidance published by the Australian Signals Directorate and the Australian Cyber Security Centre. This guidance highlights the need for agencies to implement a sound strategy to manage legacy IT, starting with developing an understanding of the business and security risks posed by such systems.

The ORG has recognised the importance of privacy to retaining confidence in the land titles system and actively addresses privacy issues with the private operator

The registers operated and maintained under the concession deed are public registers. That is, they can be accessed by anyone (in some circumstances, after the payment of a fee). While there are public interest reasons for this information to be publicly available, public registers can create a tension with individual privacy, where the information held in a register is personal identifiable information about an individual.

This tension can be exacerbated when it is compulsory to record information in a public register, thereby reducing the individual’s choice and control over their personal information. In some circumstances, it has been found that community concerns are exacerbated where public registers are operated and maintained by the private sector, for example, when the UK Government considered privatising its land titles registry.

In its privacy policy, the private operator of the NSW land titles system explains that the personal information that it may collect can include:

• name, address, age or date of birth, contact details
• information collected in connection with maintaining the various registers, including information about an individual’s property dealings, such as transfer and leasehold documents
• information related to the operator’s products or services, such as credit card or bank account details
• verification of identity information, such as passport information, rates notices, Medicare card details and drivers licence details.

In recognition of the privacy risks inherent to public registers, and the potential volume of personal information collected, privacy issues are recognised and discussed between the ORG and the private operator, including at JCC meetings between the Registrar General and the chief executive officer of the private operator.

For example, the ORG recognised a potential privacy risk in how the private operator was collecting information for its subscriber compliance audit process. This resulted in the ORG requiring the private operator to put in place a more secure method for collecting this information. Similarly, the private operator itself identified a potential privacy issue regarding the length of time it retained personal information for the same process.

As discussed below, privacy is also considered by the ORG in regard to new non-core service proposals from the private operator.

New services proposed by the private operator are subject to approval by the Registrar General and have been subject to privacy impact assessments

Privacy risks inherent to public registers can become greater where there are pressures to use that information for purposes unrelated to the original purpose of the public register (‘function creep’).

It was explicit in the NSW Government’s announcement regarding the granting of the concession that it was expected, not just permitted, that the private operator would identify, develop and deliver additional services using information collected for the purposes of the registry, while ensuring appropriate recognition of potential privacy concerns.

The concession deed has a mechanism requiring ORG approval of proposed new ‘non-core services’ by the operator. Since the concession was made, there have been four additional non-core services approved. These have each been accompanied by a privacy impact assessment prepared by the private operator and at the instigation of the operator. The ORG does not have standards for an acceptable privacy impact assessment other than the assessment should be prepared by a ‘reputable organisation’. Guidance published by the NSW Privacy Commissioner is that, where possible, privacy impact assessments should be published, which has not been the case for those assessed by the ORG (although commercial and competition issues around potential new information products could offer a justification for not publishing).

The audit assessed a sample of privacy impact assessments submitted to the ORG by the private operator. Consistent with the NSW Privacy Commissioner’s guidance, the assessments were found to be fit for purpose, in that their size and scope appeared consistent with the inherent assessed risk. The same guidance highlights that privacy impact assessments should be more than just compliance checks. This good practice advice is similar to that published by the Australian Office of the Information Commissioner.

The ORG has developed a template for assessing new non-core services. The template requires ORG staff to consider a range of issues, including privacy, when new non-core services are proposed by the private operator.

The ORG has limited visibility of how effectively other system participants ensure privacy of personal information

The ORG maintains a regulatory role over the operator. However, there are numerous other system participants who could adversely impact the integrity and security of the registry, including by impacting the privacy of personal information (whether deliberately or incidentally). The extent of the ORG’s regulatory oversight and powers varies according to the type of system participant.

For example, the ORG has powers under the concession deed to regulate the private operator directly, although it relies on the private operator to conduct compliance activities for subscribers. Its range of regulatory enforcement options also vary between system participants. Similarly, the concession deed provides for the ORG to issue penalties against the private operator, although not against subscribers or surveyors for non-compliance with their respective obligations.

In December 2018, the then Registrar General nominated a ‘joint comprehensive review of all potential privacy risks to LRS’ as a priority for the coming year to be completed by December 2019. By July 2019, minutes of the JCC record this priority as ‘deferred’. Subsequently, a comprehensive review of privacy risks has not been conducted. Such a review may assist in better understanding any potential system-wide privacy risks to the land titles system.

The ORG and NSW Treasury offered strong public assurance at the start of the concession that statutory privacy protections would apply to the land titles registry

The handling of personal information by NSW Government agencies is regulated by the Privacy and Personal Information Protection Act 1988 (PPIP Act). As well as setting out privacy principles with which NSW government agencies are required to comply, the PPIP Act also provides a statutory right for individuals to take complaints about the handling of their personal information to the NSW Privacy Commissioner, who may make binding decisions on agencies. The PPIP Act does not generally extend to private sector companies.

While NSW government agencies are covered by the PPIP Act, most private sector companies in Australia (as well as most Commonwealth government agencies) are covered by the Commonwealth Privacy Act 1988 (Privacy Act). The Privacy Act contains similar protections to the PPIP Act, although the regulator and dispute handler is the Australian Privacy Commissioner. Unlike the NSW Privacy Commissioner, the Australian Privacy Commissioner may make an enforceable determination requiring that a complainant be paid compensation for financial or non-financial loss. Section 39 of the enabling legislation for the transaction that underpinned the concession established that:

This was made clear in the second reading speech to the bill for the enabling legislation, which stated that the PPIP Act ‘… applies to the private operator as if it were a public sector agency in the same way that it currently applies to LPI titling and registry Services’.

In April 2017, NSW Treasury published a fact sheet offering ‘consumer assurance’ that:

Similarly, in March and April 2017, the then Registrar General made public presentations highlighting that the private operator was subject to statutory privacy obligations:

Accordingly, there appears to have been clear intention to offer assurance to the community that statutory privacy protections would apply to the land titles registry once the concession was made.

The ORG has not obtained assurance whether the private operator is covered by the Commonwealth Privacy Act

Despite the strong public assurances outlined above, there was uncertainty when the concession was granted about whether and how the Commonwealth Privacy Act applied to the operator.

As outlined above, the Commonwealth Privacy Act does not cover NSW government agencies. While it does generally cover private sector businesses (such as the private operator), there is an exemption for private sector contract service providers to NSW Government agencies for the purpose of providing services under their contract. Specifically, s. 7B(5) provides that the ‘acts or practices’ of private sector organisation are exempt where:

• the organisation is a contracted service provider for a state contract
• the act is done, or the practice is engaged in for the purposes of meeting (directly or indirectly) an obligation under the contract.

This was recognised in an information memorandum provided to bidders during the bid process for the concession. The information memorandum explained that the successful bidder may be subject to the Commonwealth Privacy Act, including to the exemption available ‘… as a provider of services to State Government’. The information memorandum concluded that ‘Compliance with the Commonwealth Privacy Act will be a matter for the private operator to assess’.

Accordingly, notwithstanding the confidence inherent in government public statements around the time that the concession was made, it appears unclear whether (and to what extent) Commonwealth privacy legislation applies to the land titles registry operator.

The ORG has not clarified whether an individual would complain about a privacy breach to the NSW or Australian Privacy Commissioner

Part 6 of the PPIP Act provides specific provisions for ‘public registers’ operated and maintained by NSW government agencies (noting that the private operator is deemed to be a NSW government agency by s. 39 of the enabling legislation for the transaction).

Part 6 of the PPIP Act sets out two specific protections for public registers held by NSW government agencies, these being:

• an agency keeping a public register must not disclose any personal information kept in the register unless the agency is satisfied that it is to be used for a purpose relating to the purpose of the register or the Act under which the register is kept
• an individual may request that their personal information be suppressed from a public register if they can establish that its open inclusion would affect their safety or well-being.

However, clause 7 of the Privacy and Personal Information Protection Regulation 2019 exempts public sector agencies responsible for keeping certain prescribed public registers from the requirements set out in Part 6 of the PPIP Act. The registers operated and maintained under the land titles registry are included in the list of the public registers that are exempt from Part 6.

Accordingly, the two statutory protections specifically focused on public registers in the PPIP Act do not apply to the land titles registry.

While there are equivalent contractual restrictions in the concession deed, these measures are not accompanied by a statutory right for individuals to complain to the NSW Privacy Commissioner if their personal information is handled in a manner that would otherwise breach Part 6. In these same circumstances, for the reasons discussed above, it is also unclear whether an individual could complain to the Australian Privacy Commissioner if the potential breach relates to the private operator performing functions as a contract service provider to the NSW Government.

This jurisdictional complexity is further complicated by the private operator collecting different types of personal information, namely:

• personal information that must be collected onto registers to meet titling and registry legal requirements, such as the name of the title owner or mortgage information
• personal information that is collected by the private operator to support the operation and maintenance of the register and other products offered by the operator, such as payment and identity verification information.

The private operator publishes a detailed privacy policy on its website. This policy states that the private operator is required to comply with both the PIPP Act and Privacy Act, and to the extent of any inconsistency, it would comply with the latter. While this demonstrates a clear intention to ensure compliance with legislative privacy obligations, further clarity is required as to how this intention can be reconciled with the issues outlined above.

As the lead agency in managing the transaction and overseeing the preparation of its enabling legislation and concession arrangements, NSW Treasury could not provide evidence that the NSW Privacy Commissioner had been consulted during the drafting of either the enabling legislation for the concession transaction or the concession deed document.

The ORG has detailed policy and procedures for ordering the suppression of personal information on the land titles registry, although third-party information reseller arrangements mean that the ORG cannot ensure that personal information will be fully suppressed

The ORG may direct the private operator, as well as other parties, such as specific government agencies that use land registry information, to suppress personal information held on the land titles registry. Information about this option is provided on the ORG website. A suppression may be ordered in response to a request from a member of the public advising that their well-being or safety is at risk because the register may disclose their whereabouts.

In the 12 months to July 2024:

• 107 applications to suppress personal information were assessed
• 60 were accepted
• 47 were declined.

Due to the critical nature of name suppressions and the potential danger to the individual, it is a requirement that a suppression application be actioned on the day it is received by the private operator (when received during business hours).

The ORG has detailed policy and process documents for the suppression of personal information. These documents detail the information that is required to be provided by an applicant, as well as describing the decision-making process and how an accepted application will be actioned. The Suppression Policy requires the private operator and a specific government agency that uses and distributes land registry information to complete the suppression request within one business day.

Analysis performed by the ORG in September and October 2019 found that action in response to at least six suppression applications had been delayed by periods between three and six days. The ORG’s policy on the suppression of personal information now specifies that its privacy contact officer will actively monitor the action time of a suppression direction to ensure that the private operator actions any suppression order within one working day. For a sample period of January to June (inclusive) 2024, the ORG reported that the performance measure was met for each month. However, the complex flows of land titles information, and the multiple parties who may handle it, mean that it could reasonably be expected to take up to two weeks for suppression orders to be given full effect.

The audit reviewed a small sample of successful and unsuccessful suppression applications that had been received and determined during 2023–24. These are discussed below.

A sample of five successful applications highlighted the difficulties that the complexity of the land titles system poses in managing data. From the sample, it was found that the private operator actioned suppression orders in a timely manner. However, the time taken to action suppression orders was longer in the case of the government user.

When the government user receives a suppression notice from the ORG, it informs its seven data customers that they (and in turn their own unknown number of customers or resellers) have seven days to ‘remove all elements of personal information including the property sales information from any record held’. As the ORG is not a party to this data sharing arrangement and has no visibility of the agreements between the various parties, it has no mechanism to offer assurance about the effectiveness of the suppression process.

The ORG was able to demonstrate that the sample of unsuccessful suppression applications had been handled in accordance with its policy, including by explaining the process to the unsuccessful applicant and affording them the opportunity to provide further information.

The ORG is preparing a policy to explain the rights of the private operator, government agencies and other third parties to use land titles registry data for new services and products

The concession deed sets out a number of clearly defined ‘core services’ that the private operator is required to provide. In addition, the private operator may apply to the ORG for permission to use land titles registry data for other ‘non-core’ services. These non-core services can generate revenue for the private operator.

The NSW Government made clear when granting the concession that a policy objective was to promote innovation and improved customer service, including by permitting the private operator to develop new services, while also ensuring that the principles of the NSW Government Open Data policy were maintained. An objective of the Open Data policy is to promote the release of government data ‘… for use by the community, research, business and industry’ and to ‘inform the design of policy, programs and procurement’. The Open Data Policy is not a ‘free data’ policy but is based on the principle of ‘free, where appropriate’.

Under the concession deed, the private operator is entitled to claim compensation for prescribed ‘compensation events’. In broad terms, compensation events include where the private operator loses its exclusive right to maintain and operate the NSW land titles registry, including to facilitate authoritative searches of titles.

On 28 September 2021, the private operator submitted a claim for compensation under the concession deed. This claim concerned the use of data by the Spatial Services business unit of the department to create the NSW Spatial Digital Twin (‘Spatial Digital Twin’).

The Spatial Digital Twin is described by the department as ‘… a cross-sector, collaborative digital workbench for whole-of-government use, that will visualise location information, in a 4D model of the real world (3D plus time)’. It brings together many data elements from multiple sources across government, including information from strata plans registered in the land titles registry.

On 23 October 2021, the NSW Government rejected the private operator’s compensation claim. However, while rejected, the claim has not been withdrawn. The department has assessed the claim as being unfounded and, consistent with financial audit standards, it is not recorded as a liability in the department’s financial accounts. However, the department does include the claim in its ‘emerging issues return’ that agencies are required to provide to NSW Treasury.

It was beyond the scope of this audit to assess the merits of this specific claim. However, at a general level, the matter highlights that there may be different interpretations of the concession deed in regard to the permitted uses of land titles registry data and the related compensation provisions. This includes NSW Government agencies that had existing pre-concession rights to obtain data for specific purposes, as well as other system participants that obtain land titles data, such as ELNOs. If a common understanding is not established, then there are dual risks that:

• the potential for compensation claims may mute innovation in how NSW government agencies, and potentially others, use land titles registry data
• current or further claims for compensation by the private operator for uses of data by third parties may create financial liabilities for the State.

The concession deed includes provisions that permit certain government agencies to obtain land registry data. Those agencies may also enter into individual memoranda of understanding (MOU) with the ORG. These MOUs set out details about how and for what purposes each agency may obtain data. Consistent with the deed, the MOUs also permit agencies to use land titles registry data for ‘similar governmental purposes’ to those purposes specified in the concession deed. There is no guidance on the interpretation of ‘similar governmental purposes’.

The ORG first formally proposed an approach to resolve this matter in August 2021. However, it remains a live issue. The ORG’s annual priorities letter to the private operator for 2023–24 identified the need to achieve ‘clarity around the use of land registry data’, explaining that:

Achieving greater clarity in this matter remains one of the ORG’s annual priorities for both itself and the private operator for 2024–25. The ORG is developing a data use policy intended to assist in addressing risks around data use by clearly communicating to stakeholders the ORG's position on the use of data from the various registers operated under the concession. This policy was still in draft form during this audit.

The ORG has ensured that business continuity and recovery planning has been prepared for the land titles registry

The private operator is required by the concession deed to develop, submit and test a business continuity plan. During the concession, the private operator has met this requirement by providing the ORG with required and related documents, including its Business Continuity Plan, Business Continuity Management System and Disaster Recovery Strategy, as well as a third-party assessment of the adequacy of the planning.

The private operator is required to annually test its continuity planning. The audit team sighted evidence of third-party testing of the business continuity plan, as well as ORG feedback on the adequacy of business continuity plans and engagement with tests.

The audit team assessed a sample of business continuity plans provided by the private operator to the ORG against the applicable international standard (ISO 22332). In addition, a sample of incident management and recovery plans were assessed against both ISO 22332: 2022 and ISO 27035.1:2017.

The audit team found that while the plans did not expressly claim to be prepared in accordance with any formal standard, they were broadly consistent with the requirements of the standards. For example:

• there was evidence that sampled plans had been reviewed annually or as required as a result of organisational changes or post incident review
• assumptions for the operation of the plan, and intersections with other key documents were clear
• specific roles and team members, including alternates where available, were identified with defined roles and responsibilities
• where scenarios were detailed, there were specific steps and tasks clearly outlined
• plans contained rating frameworks that defined the criticality of events, and the subsequent recovery objectives.

The private operator also has a business continuity management framework that sits across business continuity plans for specific functions, as well as a disaster recovery strategy. These higher-level documents also provide detail on the operator’s requirements for more specific plans and processes to be tested. The business continuity management framework, for example, requires annual business continuity exercises to take place.

The ORG has a local business unit continuity plan, although this has not been tested

As part of Department of Customer Service business continuity planning, the ORG has a local business continuity plan for its own business unit. This plan addresses three specific critical business functions:

• managing the concession
• administering the TAF
• regulating ELNOs.

Each of these critical business functions has a maximum acceptable outage time of one day, with a recovery time objective of three days. The ORG has not tested these recovery time objectives, or the operation of continuity plans for critical business functions.

The alignment of regulator and operator response and recovery plans is a recent improvement that has been identified through joint scenario testing

A joint exercise was conducted in November 2023. An external cyber security consultant was commissioned to design and deliver a cyber incident response exercise between the department, the ORG and the private operator.

The consultant produced a report that identified strengths across the engaged stakeholders, including the collaborative culture with clear decision-making protocols, awareness of the current threat landscape, and active involvement and identification of areas of improvement.

The report broadly identified the need for interconnected communication plans, harmonised incident response plans and pre-defined authority to act as key opportunities for improvement. This was due to uncertainty regarding who should initiate contact with different parties, the need for enhanced coordination and uncertainty during the exercise about who had the authority to engage with the threat actor.

This seems to be the only joint exercise that has been conducted between the regulator and operator to date. No further joint exercises are currently planned.

The ORG has not tested whether it could use back-up data to operationally manage the land titles registry

The concession deed requires the private operator to provide the ORG with a daily back-up of the ‘core data’ contained in the land titles registry (except for core imaging repository data, which is subject to weekly back-up). This is consistent with pre-concession disaster recovery arrangements where core databases and transaction logs were replicated to an off-site disaster recovery centre daily.

The ORG has taken steps to ensure that the back-up data provided by the operator is reliable. The content of the back-ups provided by the private operator was validated by Department of Customer Service ICT in August 2024, with a regular automated testing protocol now in place. This was not always the case, as ORG audits of back-up data had identified deficiencies earlier in the concession.

While the ORG has access to accurate back-up data, the value of the back-ups and whether the ORG can effectively restore the state back-up (for example, if it is ever required to exercise its step-in powers) has not been determined. The audit was told ‘there is no guarantee’ that existing back-ups could be used to restore the system.

The appropriate use, utility and purpose of the state back-up is a current issue for the ORG. This issue was also identified in the 2023 strategic technology review, which noted the potential for developing a real time replica of the land titles registry data. As a result of this review, the ORG is reviewing best practice for the use of the state back-up, including analysing its purpose, situational need and methods to audit and assess back-ups in the future. These findings are due in mid-2025. Any changes to state back-up arrangements will likely require changes to the concession deed.

If future circumstances require the ORG to rely on the state back-up of the registry data, the ability of the ORG to use the state back-up would be critical, including if there was a technical or operational failure with the private operator. The ORG has commenced initial analysis on the required documentation, procedures and scenarios required to exercise its step-in powers. However, the ORG has not tested how effectively it could restore the state back-up, or how it would use the back-up data in practice, if it was needed.

There is evidence that the ORG has taken steps to identify regulatory weaknesses and areas for improvement

The ORG has several internal processes to identify and review issues around its own performance. These include weekly and fortnightly team meetings at various levels, quarterly executive meetings, and an annual team development day. The ORG also notes that a weekly email identifies good regulatory practice, however there is no formalised approach in terms of a framework that benchmarks the ORG’s performance in comparison to similar regulators or guides its continuous improvement processes.

The ORG has identified several internal improvement areas. These include workforce capability or capacity gaps and managing the risk of regulatory capture.

• Workforce capability: while the ORG has a small IT team, it does not have senior or strategic IT expertise. Workforce capability in this area is a key risk to the long-term regulation of the land titles registry. It was raised by several stakeholders in interviews with the audit team and identified as a risk in both the Strategic Technology Review, and the ORG’s 2023 annual team development day.
• Regulatory capture: ORG staff should refrain from becoming involved in discussions with the private operator and surveyors about plan issues, due to its role as the decision-making authority in administrative reviews.

The ORG is addressing a gap in strategic technology and regulatory practice capability to ensure it can effectively regulate the land titles registry in the long term

The land titles registry is an increasingly technology-focused system, having transitioned since the early 1980s from a paper-based system, where documents were submitted or searched for in-person, to a digital system with remote online access. This means that the ORG is increasingly regulating technology solutions and operations.

While the ORG has identified strategic technology expertise as a gap, it does not yet have a long-term capability development and retention plan. It has also not mapped its existing skills base to ongoing requirements of overseeing the concession deed and regulating the land titles registry. Its existing workforce plans respond to workforce survey findings and focus on developing and retaining its current workforce.

To address this capability gap in the immediate term, the ORG has engaged an external consultant to address strategic technology skills, reallocated its spending on consultancies to fund ongoing roles and requested support from Department of Customer Service ICT.

In 2024, as part of Fair Trading and Regulatory Services, the ORG was provided with a dedicated business information support officer from the department’s cyber security area who supports it with advice related to cyber security. Prior to this the ORG was also able to receive advice from the department’s Chief Information Security Officer. Advice has included risk assessments, responses to ad hoc requests and formal advice on reporting required from the operator. There is a potential risk in relation to this key role being outside the ORG’s structure and therefore not able to be fully managed by the ORG.

Broader Department of Customer Service ICT support has been more limited outside of cyber security. Leadership meetings have occurred inconsistently, for example, limiting ORG’s ability to influence the department’s ICT support.

The NSW Public Service Commission (now located within the Premier’s Department) has published a Strategic Workforce Planning Framework that provides guidance for agencies to understand and prepare for their future workforce needs. This framework identifies three levels of workforce planning.

• Strategic workforce planning: identifies actions and addresses challenges, risks and opportunities, entailing longer term planning covering a 3–5 year period. The framework notes that strategic planning is not ‘resource management to fill immediate operational needs’.
• Tactical workforce planning: specifies how work should be done in a specific area to efficiently achieve goals outlined in the strategic workforce plan.
• Operational workforce planning: Ensures daily work is done effectively.

ORG activity to address this capability gap is mainly tactical and operational. Quarterly executive meetings review resourcing needs with an 18-month time horizon, while the Strategic Workforce Planning Framework recommends a longer time horizon. Executive review assesses anticipated workload and, in addition to specific technological capability, has identified the need for additional capacity across the ORG in the areas of policy, regulation and cadastral integrity.

The ORG advises that it is currently reviewing the most effective approach to engaging strategic technology expertise and relies on expertise from within the Department of Customer Service for guidance on workforce planning.

The ORG’s wider regulatory context also creates capability needs in regulatory policy and practice. The ORG performs regulatory functions over a complex and multi-participant system. Its primary regulated entity, the private operator, has unique characteristics, being a monopoly exercising important titling functions using an asset that remains the property of the NSW Government.

At the same time, there are a range of other system participants, such as lawyers, conveyancers, surveyors and banks, who are primarily regulated by other bodies. The other main group of participants, the ELNOs, are themselves subject to new and dynamic market pressures as the industry evolves from a monopoly to a competitive market. The Australian Registrars' National Electronic Conveyancing Council has described a future-state in which multiple ELNOs inter-operate, resulting in a ‘growing compliance burden for government’ within ten years.

The concession deed contains mechanisms to support continuous improvement in the operation of the concession, including an optional five-year major review clause that has not yet been exercised

The concession deed provides for the ORG to conduct:

• ‘annual reviews’ of the operator’s performance, including its achievement of service levels and a review of its latest business plan, as well as a broad range of other matters
• ‘ad hoc and other reviews’, whereby the ORG may review or ‘spot check’ the operator’s performance of any core service provided under the concession
• a ‘major review’ of the operator’s performance under the deed no more than once every five years, including the extent to which the operator is acting consistently with the objectives of the concession and a broad range of other matters – a major review may also consider whether any changes are required under the concession deed.

The ORG conducts annual reviews of the private operator’s performance, including by reviewing and providing feedback on iterations of the private operator’s business plan. As discussed earlier, the ORG has also required the private operator to provide ad hoc reports on two occasions relating to the quality of the private operator’s plan examinations. While the annual priority letters described earlier in this report (see section 3) also encompass an element of performance review, that process is not a function of the concession deed.

To date, the ORG has not exercised its option to conduct a major review of the concession. The ORG did consider conducting a major review in 2022, but it was determined at the time that progressively evolving the concession using iterative contract variations agreed with the private operator was an adequate course of action.

The range of matters anticipated by the major review mechanism is substantial and would prompt consideration of matters that may not emerge iteratively or ad hoc, including matters that are more than simply routine or operational. For example, the major review mechanism provides for the review of significant and strategic matters, including those ‘… that were not anticipated as at the execution date, but which ought to be addressed having regard to the objectives’. Notwithstanding the long duration of the concession, and the complex and evolving environment in which it operates, the ORG has not commenced preparatory work to scope when, or in what circumstances, a major review would be appropriate.

Appendix 1 – Response from Department of Customer Service

Appendix 2 – Glossary

Appendix 3 – About the audit

Appendix 4 – Performance auditing

© Copyright reserved by the Audit Office of New South Wales. All rights reserved. No part of this publication may be reproduced without prior consent of the Audit Office of New South Wales. The Audit Office does not accept responsibility for loss or damage suffered by any person acting on or refraining from action as a result of any of this material.

Parliamentary reference - Report number #403 released 12 February 2025.

About this report

Bus services in metropolitan Sydney are provided by private operators under contract to the NSW government. Transport for NSW (TfNSW) determines bus timetables, routes, stops, and frequency, while the operators deliver the specified bus services.

This audit assessed the effectiveness of TfNSW’s design and management of metropolitan Sydney bus service contracts. The audit focused on the nine regions where services are provided under the Greater Sydney Bus Contract (GSBC).

Conclusion

TfNSW is not effectively managing bus contracts to ensure that operators are meeting contracted obligations and customer needs. It has not responded strategically to major changes in commuter, work and travel patterns on metropolitan bus services.

TfNSW identified significant gaps in its strategic contract management capacity since 2022 but has not sufficiently addressed these. As a result, it has not undertaken essential medium to long term strategic activities required to effectively manage the GSBCs. It has not conducted a holistic, systematic review of service levels across all regions to fully address the impacts of the post-COVID-19 period, and other changes such as new infrastructure and travel options like the Sydney Metro M1 line.

First stop on time running has stabilised since January 2023. However, operators are not consistently meeting their performance obligations for on time running, cancelled trips and customer complaints.

There are gaps in TfNSW’s contract management specific procedures and delegations. These gaps mean that the risks of inappropriate exercise of delegations, non compliance with contractual requirements and/or inappropriate use of public funds are not fully addressed.

Recommendations

The audit recommends that TfNSW improve the capacity of its bus contracts management team. It should also close the gaps in its contract management specific procedures and delegations, and start regularly auditing operator responses to customer complaints.

TfNSW should implement strategic planning, including enhanced data analytics, aimed at improving bus operator performance.

On time running (OTR), customer complaints, tracking rates, and cancelled and incomplete trips are important key performance indicators (KPIs) as they represent significant facets of the customer experience.⁷ This chapter considers OTR KPIs in detail, since the start of the Greater Sydney Bus Contract (GSBCs).

OTR is defined in Schedule 4 of the GSBC with three KPIs – first, mid and last stop OTR. All three are measured as the percentage of timetabled bus trips that are on time at the specified location. GSBC operators are required to report to Transport for NSW (TfNSW) on these three KPIs every month.

For the first and mid stops ‘on time’ is defined as between 59 seconds early and five minutes and 59 seconds late compared to the timetable.

TfNSW has advised that mid transit stop OTR has been incorrectly calculated for multiple GSBC regions and that it was in the process of re-calculating this KPI for the operators that were affected. As a result, we do not report mid transit stop OTR numbers here or draw any conclusions about them.

OTR for the last transit stop on a route is measured as a percentage of bus trips arriving on time, where ‘on time’ is defined as no later than five minutes and 59 seconds after the timetable arrival time.

First stop OTR has decreased over the duration of the GSBCs, but it has stabilised in the period from January 2023 to May 2024

Figure 8 shows the aggregated first stop OTR performance data across metropolitan Sydney as a whole (excluding region 6) for the duration of the GSBCs. It also reflects advice received from TfNSW that there is a change in bus operator performance in January 2023 and splits the time period accordingly (April 2022 to December 2023 and January 2023 to May 2024).

During the audit, TfNSW emphasised the impact of the bus driver shortage on bus service performance against KPIs, as well as seasonal effects in OTR performance. Therefore, Figure 8 also shows the reported driver shortages for each month from June 2022, as well as the January and February seasonal effects.

Figure 8 shows that, while there is an overall downward trend in performance, first stop OTR becomes stable after January 2023. Prior to that point in time, performance was declining.⁸

This chapter considers operator performance against key performance indicators (KPIs) for bus tracking rates and cancelled and incomplete trips. From the perspective of bus passengers, tracking is important to ensure timetables and real-time data are accurate and reflects the reality of the services they are receiving. Tracking is also essential for the measurement of on time running (OTR) and cancelled and incomplete trips.

This chapter considers operator performance based on customer complaints received. Customer complaints are defined in Schedule 4 of the Greater Sydney Bus Contract (GSBC) as any report of a negative experience in relation to a bus service in the categories of ‘complaint’ and ‘feedback’. This excludes vexatious complaints, and any complaints about issues that are within Transport for NSW’s (TfNSW) control and not the operators.

Customer complaints have increased since the start of the GSBC

The number of customer complaints about bus services over the entire GSBC area has increased over time. The number of complaints per 100,000 boardings in May 2024 is approximately double that in April 2022 (28.9 complaints per 100,000 boarding compared to 14.4), reflecting increasing customer dissatisfaction with the services delivered.

Complaints are measured using several key performance indicators (KPIs) that represent factors such as the number of complaints per 100,000 boardings and the time it takes operators to respond to complaints. Figure 12 represents the number of customer complaints per 100,000 boardings across the GSBC operators over the GSBC period.

Appendix 1 – Response from Transport for NSW

Appendix 2 – The evolution of bus contracting in NSW from 2003

Appendix 3 – About the audit

Appendix 4 – Performance auditing

© Copyright reserved by the Audit Office of New South Wales. All rights reserved. No part of this publication may be reproduced without prior consent of the Audit Office of New South Wales. The Audit Office does not accept responsibility for loss or damage suffered by any person acting on or refraining from action as a result of any of this material.

Parliamentary reference - Report number #402 - released 29 January 2025.

About this report

Results and key themes from our audits of the state agencies’ financial statements for the year ended 30 June 2024.

It also includes observations on the following areas of focus:

• risk management
• capital projects
• shared service arrangements.

Findings

The Treasurer did not table the audited Total State Sector Accounts (TSSA) in Parliament as required by the Government Sector Finance Act 2018, and Responsible Ministers did not table 16 annual reports in Parliament by the required date.

Audit results

Unqualified opinions were issued for all but one agency.  The quality of financial statements submitted for audit improved, with reported misstatements down to a gross value of $3.9 billion in 2023–24, compared to $10.8 billion in 2022–23.

Key themes

Errors in accounting for assets led to financial statements adjustments of $1.4 billion. 

Our audits identified deficiencies in key controls across financial management, payroll, contract management and procurement.

Risk management

Risk management maturity is low across most agencies. Some of the largest 40 agencies self-assess their risk maturity as requiring improvement.

Capital projects

There is a lack of transparency in the NSW budget papers relating to significant capital projects. The estimated total costs for some major projects are not published as the amounts are considered commercially sensitive. The budget papers do not provide a complete and accurate reflection of the actual costs of large infrastructure projects.

Shared service arrangements

Three of the five agencies that provide shared services to 108 customer agencies did not obtain independent assurance over the effectiveness of their control environment. 

Recommendations

The report makes recommendations to agencies to improve controls and processes in relation to:

• financial reporting
• financial management
• risk management
• shared service arrangements
• capital projects.

Financial reporting is an important element of good governance. Confidence in, and transparency of, public sector decision making is enhanced when financial reporting is accurate and timely.

This chapter outlines our audit observations relating to the financial reporting of State Government agencies.

Appropriate financial controls help ensure the efficient and effective use of resources and administration of agency policies. They are also essential for quality and timely decision making.

This chapter outlines observations and insights from our audits of financial statements of the 40 largest agencies in the State sector. These agencies are listed in Appendix 3.

This chapter outlines audit observations, conclusions and recommendations from our review of agencies’ risk maturity, assessment processes, governance, systems and culture across the 40 largest agencies in the state sector. These agencies are listed in Appendix 3.

This chapter outlines observations, conclusions and recommendations from our review of the 15 most significant capital projects in the State.

Shared service arrangements can centralise corporate services functions such as finance, human resources, procurement and information technology (IT). Across NSW Government agencies, many business processes and IT functions are provided on a shared services model, that is, one agency operates a business function or IT platform that is used by other agencies rather than each agency maintaining their own. These services are shared by several agencies (‘customers’), but generally are operated and managed by one agency or department (‘provider’).

This chapter outlines audit observations, conclusions and recommendations from our review of shared service arrangements provided and received by the 40 largest agencies in the state sector. These agencies are listed in Appendix 3.

This report outlines the findings on shared service arrangements.

Appendix 1 – Status of audits of consolidated entities

Appendix 2 – Status of audits of non-consolidated entities

Appendix 3 – Forty largest State agencies contents

© Copyright reserved by the Audit Office of New South Wales. All rights reserved. No part of this publication may be reproduced without prior consent of the Audit Office of New South Wales. The Audit Office does not accept responsibility for loss or damage suffered by any person acting on or refraining from action as a result of any of this material.

About this report

Local councils in NSW manage a large proportion of roads across the state. Roads often represent a significant proportion of total council
expenditure.

How councils manage roads is impacted by their revenue, local conditions, and the needs of residents, businesses and other road users.

This audit was undertaken within the wider context of natural disasters and weather events that have significantly impacted the road network in NSW in recent years.

It assessed whether three councils had effectively managed their road assets to meet the needs of their communities, makes detailed findings and recommendations to each audited council, and identifies key lessons for the wider local government sector.

Key findings

All councils can improve how they link community consultation with planned service levels. Formalising these processes could help better demonstrate how current service levels meet community needs.

Clarence Valley Council

• has established a strategic priority for road asset management but not formal governance arrangements or a long-term capital works program
• is delivering and reporting on its work to respond to natural disasters but does not report against targets for road asset quality and service
• has set benchmarks for road asset maintenance, replacement and renewal but needs clear service levels.

Gwydir Shire Council

• did not have aligned, up-to-date asset plans during the audit period
• did not have a long-term capital works program but adopted a prioritisation program for capital works in August 2024
• did not effectively implement formal governance, or coordinate management oversight, to manage its road assets.

Wollondilly Shire Council

• has a strategic framework for road asset management and has used long-term plans to guide its asset capital and maintenance works
• has reported asset management outcomes against a planned capital works program but could improve how it uses KPIs to demonstrate performance.

This is the first performance audit of the local government sector that I am tabling in Parliament as Auditor-General for New South Wales.

Our performance audits are designed to provide valuable information to parliamentarians, sector stakeholders and the public. Ultimately, our aim is to ensure transparency, a principle that underpins effective and efficient use of public resources.

The management of roads and associated assets is a critical issue for local councils across the state. In recent years, many councils have had to contend with the immediate and ongoing effects of natural disasters.

These natural disasters, along with increased community expectations, population changes and complex regulatory obligations all contribute to financial sustainability risks for councils. Some councils have used short-term funding allocations (including emergency relief grants) to cover the costs of managing long-term assets. These councils do not have the capacity to generate sufficient income from their own sources, and therefore depend on assistance from other levels of government. Councils’ ability to plan and budget for the long term has also been disrupted by the need for new or restored infrastructure outside asset life cycles.

Several reports and inquiries in recent years have highlighted these significant financial sustainability risks. The parliamentary inquiry into the ‘Ability of local governments to fund infrastructure and services’,¹ due to be tabled soon, will be a critical input to a long-term solution.

The three councils audited in this report – Clarence Valley, Gwydir Shire and Wollondilly Shire –each experienced significant natural disasters, including fires, storms and floods during the audit period. Despite this, each audited council was able to deliver a large volume of road asset management works.

This report provides valuable lessons from these audited councils that can help all councils manage their roads more effectively in the face of evolving risks and competing resource demands.

I acknowledge this has been a difficult time for some councils across NSW. This report supports councils with practical steps to manage their roads as effectively as possible, improve their resilience to climate challenges and meet legislative requirements.

¹ The inquiry into the ‘Ability of local governments to fund infrastructure and services’ by the NSW Legislative Council Standing Committee on State Development commenced on 14 March 2024 to inquire into, and report on, the ability of local governments to fund infrastructure and services.

Background

Local councils in New South Wales (NSW) manage over 180,000 km of local and regional roads combined. These roads are crucial to travel within local government areas and across the state, improving community accessibility. Reliable roads ensure commercial and public transport can run on time, increase safety and keep the environment clean.

As roads age and deteriorate, they become more expensive to repair. Road surfaces and formations are vulnerable to both extreme heat and water exposure. These kinds of exposure have varying effects on the ways roads degrade, depending on the amount of traffic and the kinds of vehicles that use them.

Local conditions, business and road-user needs, and the impacts of natural disasters vary between councils and influence the way each council manages its roads. Regularly maintaining roads can keep roads functional and safe and prevent costly, unbudgeted repairs and replacements.

In the 2022–23 financial year (FY2022–23), the estimated total replacement cost of council road assets across NSW was around $102 billion. In the same year, local councils reported collective road asset maintenance expenditure of around $1 billion.

Since 2017, financial audits of local councils have identified asset management-related issues, including gaps in asset management processes, governance and systems. The Audit Office’s ‘Local Government 2023’ report outlined 266 asset management-related findings across the local government sector, including gaps in revaluation processes, maintenance of information in asset management systems and accounting practices.

Councils also provide a wide range of other services and infrastructure, including water and sewer infrastructure and services, waste management, environmental protection, housing, and community transport. Through integrated planning and reporting, councils determine how they will allocate resources to their services and infrastructure. Understanding community expectations for assets and services, alongside technical requirements, supports effective planning for function, cost and quality.

Audit objective

This audit assessed how effectively three councils – Clarence Valley Council, Gwydir Shire Council and Wollondilly Shire Council – are managing their road assets to meet the needs of their communities.

The audit assessed whether the selected councils:

• have a strategic framework in place for managing their road assets
• have effective governance, data and systems for road asset management
• are managing their road assets in line with planned service levels and quality outcomes.

Overview of findings

This audit assessed how effectively Clarence Valley Council, Gwydir Shire Council and Wollondilly Shire Council managed their road assets to meet the needs of their communities.

In assessing each Council’s performance, this audit concluded:

Clarence Valley Council has effectively established a strategic priority for road asset management, but delivery of this priority was not supported by formal governance arrangements or a long-term capital works program. While the Council is delivering and reporting on a large volume of road asset works in response to natural disasters, it does not report on consolidated targets for road asset quality and service. The Council has set benchmarks for maintenance, replacement and renewal of roads. It now needs to enhance this with clear service levels to ensure community needs and expectations are met.

Detailed conclusions and recommendations for the Council are outlined in sections 2.2 and 2.3. Recommendations include that Clarence Valley Council:

• updates and implements its asset management plan and associated improvement actions
• reviews and implements key performance indicators (KPIs)
• captures lessons learned from its natural disaster responses
• implements a long-term capital works program.

Gwydir Shire Council did not have aligned, up-to-date long-term asset management plans to support a strategic framework for road asset management across the audit period. The Council did not effectively implement formal governance and coordinated management oversight for its road assets. The Council implemented updates to its asset management plans in June 2024 and governance arrangements in July 2024.

The Council has reported on the large volume of works it is delivering, including in response to natural disasters, but is not reporting in the context of information about targets and quality benchmarks. The Council does not have a long-term capital works program, but adopted a prioritised rolling program of works in August 2024 to guide its priorities and efforts over time.

Detailed conclusions and recommendations for the Council are outlined in sections 3.2 and 3.3. Recommendations include that Gwydir Shire Council:

• implements its asset management plans and associated improvement actions
• formalises and documents community priorities and service level expectations for roads
• captures lessons learned from its natural disaster responses.

Wollondilly Shire Council has effectively applied a coordinated and strategic framework to deliver road asset management. The Council has long-term plans to guide its efforts and uses data to inform its approach. The Council has delivered a large volume of works in response to natural disasters during the audit period. The Council is reporting its road asset management outcomes and can demonstrate progress against a clearly defined capital works program, but its use of performance indicators could be improved.

Detailed conclusions and recommendations for the Council are outlined in sections 4.2 and 4.3. Recommendations include that Wollondilly Shire Council:

• finalises and implements its transport asset management plan
• reviews performance indicators for road assets
• formalises and documents community priorities within its integrated planning and reporting (IP&R) and asset management frameworks.

Key observations of good practice

While each council was separately audited, this report also identifies practices that contribute to effective road asset management across all local councils.

These include:

1. a good understanding and articulation of the community’s vision, priorities and purpose for local roads
2. asset management documents that are current and aligned with broader strategies and financial plans
3. long-term capital works planning that considers associated ongoing costs, and is supported by systematic prioritisation of works
4. clear and documented decision making processes
5. transparent performance reporting on progress and outcomes
6. reliable, accurate and assured data and systems
7. continuous improvement through both formal reviews and capturing lessons learned
8. resilience and responsiveness to natural disasters with a planned approach to disaster recovery.

Further lessons for local government can be found in Appendix 3.

Appendix 1 – Response from entity

Appendix 2 – Council expenditure profile

Appendix 3 – Lessons for local government road asset management

Appendix 4 – About the audit

Appendix 5 – Performance auditing

© Copyright reserved by the Audit Office of New South Wales. All rights reserved. No part of this publication may be reproduced without prior consent of the Audit Office of New South Wales. The Audit Office does not accept responsibility for loss or damage suffered by any person acting on or refraining from action as a result of any of this material.

Parliamentary reference - Report number #401 - released 21 November 2024.

The Local Small Commitments Allocation Program provided grants up to $400,000 in each of the 93 NSW electorates in 2023-24. The grants aimed to help fund small local projects for the purpose of enhancing community wellbeing and providing benefits to communities in NSW.

This audit will assess whether the Local Small Commitments Allocation Program was administered in compliance with the section 10.3A of the Government Sector Finance Act 2018 and the Grants Administration Guide. 

NSW Police Force IT systems and processes are built around the Computerised Operational Policing System (COPS), which has been in place since 1994. The Police Technology Program aims to replace legacy COPS infrastructure, introduce new capabilities and approaches to enhance the operational efficacy of the NSW Police Force.

In 2013 the NSW Police Force was allocated $45m to replace COPS. It developed a proof of concept in 2017 for a replacement system (NewCOPS), but did not deliver on this system.

NSW Police Force began the system development process again, under the title of the Integrated Policing Operations System (IPOS) program. An initial business case for the IPOS program was developed in 2018 and finalised in 2019. In 2020, the NSW Police Force selected a single vendor to provide an integrated solution for core policing functions. In 2022, the NSW Police Force terminated the contract with the selected vendor and is currently pursuing a multi-vendor approach. $104.8m had been spent on the IPOS program up to 30 June 2024 (NSWPF Annual Report 2023-24).

This audit may assess the efficiency and effectiveness of the NSW Police Force in planning and sourcing key components to upgrade core policing technology.

About this report

Internal controls are key to the accuracy and reliability of agencies’ financial reporting processes. This report analyses the internal controls and governance of 26 of the NSW public sector’s largest agencies for the 2023–24 financial year.

Findings

There are gaps in key business processes, which expose agencies to risks. These gaps are identified in 121 findings across the 26 agencies—including 4 high risk, 73 moderate risk and 44 low risk findings. All four high-risk issues related to IT controls and 19% of control deficiencies were repeat issues. Thirty-five per cent of agencies had deficiencies in control over privileged access.

Shared IT services

Six agencies provide IT shared services to 120 other customer agencies. All six had control deficiencies—three of these were high risk. Four agencies provide no independent assurance to their customers about the effectiveness of their own IT controls.

Cyber security

Eighteen agencies assessed cyber risk as being above their risk appetite. Fourteen of these agencies had not set a timeframe to resolve these risks and two agencies have not funded plans to improve cyber security.

Fraud and corruption control

Agencies need to improve fraud and corruption control. Instances of non-compliance with TC18-02 NSW Fraud and Corruption Policy were identified, including gaps such as a lack of comprehensive employment screening policies and not reporting matters to the audit and risk committee.

Gifts and benefits

Management of gifts and benefits requires better governance and transparency. All agencies had policy and guidance but all had gaps in management and implementation—such as not publishing registers nor providing ongoing training.

Information Technology

Nine agencies did not effectively restrict or monitor user access to privileged accounts.

Recommendations

The report makes recommendations to agencies to implement proper controls and improve processes in relation to:

• organisational processes
• information technology
• cyber security
• fraud and corruption, and
• gifts and benefits.

Read the PDF report

Internal controls are processes, policies and procedures that help agencies to:

• operate effectively and efficiently
• produce reliable financial reports
• comply with laws and regulations
• support ethical government.

This chapter outlines the overall trends for agency controls and governance issues, including the number of audit findings, the degree of risk those deficiencies pose to the agency, and a summary of the most common deficiencies found across agencies.

This chapter outlines our audit observations, conclusions and recommendations arising from our review of agency controls to manage key financial systems.

This chapter outlines our audit observations, conclusions and recommendations arising from our review of agencies' cyber security.

This chapter outlines our audit observations, conclusions and recommendations from our review of agencies' fraud and corruption control framework, policies and practices. Our Internal Controls and Governance 2018 found a number of fraud and corruption control gaps in NSW Government.

The NSW Treasury Circular TC18-02 NSW Fraud and Corruption Control Policy (the Circular) requires NSW government agencies to develop, implement and maintain a fraud and corruption control framework. The Circular sets out minimum standards for a NSW Government agency’s fraud and corruption control framework.

Previous Audit Office report on agency fraud and corruption control

This chapter outlines our audit observations, conclusions and recommendations arising from our review of agencies' managing of gifts and benefits.

Click here for the Easy English version of the report snapshot

The Easy English version is intended to meet the needs of some people with lower literacy skills, some people with an intellectual disability, and some people from different cultural backgrounds.

The Easy English document is not the final audit report that has been prepared and tabled in NSW Parliament under s.38EB and s.38EC of the Government Sector Audit Act 1983. It should not be relied on or quoted from as the final audit report.

About this report

Australian and state legislation protects the right of students with disability to a quality education, free from discrimination. These require that students with disability be supported to access and participate in education on the same basis as their peers without disability.

This audit assessed whether the NSW Department of Education is effectively supporting students with disability in NSW public schools.

Findings

The Department has effectively designed approaches and developed reforms under its 2019 Disability Strategy and related measures.

But it still hasn’t resolved longstanding issues with funding, access to targeted supports, monitoring school practice and tracking outcomes for students with disability.

This is despite the Department being made aware of these performance gaps for almost two decades across multiple audits, parliamentary inquiries and the recent national Disability Royal Commission.

Recommendations

The report makes five recommendations to address these gaps, including that the Department should:

• annually monitor the experiences and outcomes of students with disability to be able to identify and address emerging issues, and promote good practice
• reform funding to be better aligned to student needs
• enhance guidance and support to schools and families on making reasonable adjustments for students with disability.

Background

Australian legislation protects the right of students with disability to a quality education, free from discrimination, and describes the obligations of education providers to these students.

Under the federal Disability Discrimination Act 1992 (Cth) and related legislated Disability Standards for Education 2005 (the Disability Standards), education providers have legal responsibilities to make education and training accessible to students with disability, including in enrolment, participation, curriculum and support services. This is to be done through providing ‘reasonable adjustments’ or measures and actions that assist students with disability to access education on the same basis as students without disability.

The NSW Department of Education (the Department) is responsible for supporting students with disability in NSW public schools. The Department and schools provide a range of adjustments and targeted supports, in consultation with the student and/or their parents/guardians. In 2023, approximately 206,000 children or young people in NSW public schools (around one-quarter of all public school students) had disability and received adjustments in NSW.

The state Education Act 1990, Disability Inclusion Act 2014 and Anti-Discrimination Act 1977 also protect the right of students with disability in NSW to a quality, accessible education free from discrimination. For public schools in NSW, legislative obligations are articulated in key policy and practice documents including the Inclusive Education Statement and Policy, NSW Wellbeing Framework for Schools, and Achieving School Excellence in Wellbeing and Inclusion tool and associated resources.

A number of key reviews conducted over the last two decades have considered the experiences of students with disability and the effectiveness of school and departmental practices in meeting their needs. In 2017, a NSW Parliamentary inquiry found that while there were many instances of excellence, the inclusive approach to education provision promoted in legislation and policy was not the reality experienced by many students with disability in NSW schools at that time. In response, the Department released its Disability Strategy in 2019 with a commitment to building a more inclusive education system in which all children thrive academically, physically, emotionally, and mentally. The strategy focused on four key reform areas:

• investing in teachers and other support staff
• developing new resource models and support to meet individual student needs
• streamlining processes and improving communication and access to information
• building an evidence base to measure progress.

Audit Objective

This audit assessed whether the Department of Education is effectively supporting students with disability in NSW public schools. It reviews relevant evidence relating to the six calendar years 2018–2023, guided by the following questions:

1. Has the Department designed and delivered approaches that effectively support students with disability?
2. Is the Department addressing the needs of students with disability?

Conclusion

The Department of Education has effectively designed approaches and developed reforms aimed at improving the support provided to students with disability. However, key initiatives that target longstanding and well-known issues have not been implemented in a timely way, limiting the effectiveness of the Department’s support for students with disability in NSW public schools.

The Department, in its 2019 Disability Strategy, committed to building a more inclusive education system, ‘one where all students feel welcomed and are learning to their fullest capacity’. Under the strategy the Department commenced new initiatives and strengthened existing ones to modify school funding, improve teacher skills and resources, enhance accessible school infrastructure, and increase engagement with students and families.

However, key initiatives have been in place for less than eighteen months, and some remain outstanding. The Department’s efforts have not resolved longstanding issues including unmet demand for targeted supports, gaps in professional learning and practice guidance for school staff, and inconsistent central monitoring of school practice and outcomes data. This is despite the Department being made aware of these issues for almost two decades across multiple audits, parliamentary inquiries and the recent national Disability Royal Commission.

Since 2018 the proportion of NSW public school students with disability has grown from one-fifth to one-quarter. While the Department is making efforts across a range of disability reform areas, many students, families and schools continue to feel they have not been adequately supported.

The Department does not know how effectively it is meeting the needs of students with disability because it has not consistently monitored outcomes for students with disability or schools’ inclusive education practices. Our own analysis of the Department’s data shows that there has been improvement in some student learning outcomes, but deterioration in some measures of student wellbeing.

Key findings

The Department effectively designed its Disability Strategy based on evidence and broad stakeholder input, and provides a range of supports to schools for students with disability

The Department defines an inclusive education system as one where all students feel welcomed and are learning to their fullest capacity. Under the 2019 Disability Strategy it committed to building this, and put in place a variety of measures to support schools in meeting the needs of students with disability.

In designing the strategy, the Department responded to the recommendations from the 2017 Parliamentary inquiry, and undertook a literature review analysis of evidence-based practices and personalised learning approaches. The Department also consulted widely, including with schools, experts and people with disability.

The Department introduced 15 new initiatives, and strengthened a similar number of existing ones, to better support students with disability in NSW public schools. These included initiatives aimed at:

• reforming the basis for relevant funding to better reflect student need
• increasing the provision of inclusive education courses in tertiary education and professional learning, and teaching resources for educators and school staff
• increasing access to allied health and school counsellor/psychologist services
• creating more inclusive learning spaces in school infrastructure
• improving communication to, and exploring ways to obtain better feedback from, students and parents/guardians.

The Department has established governance arrangements focused on inclusive education, and provides professional development and teaching resources for schools. Some specialist central staff roles are funded in regional teams and in schools across the state to advise schools in making reasonable adjustments for individual students with disability. The Department provides disability-specific funding on top of base school allocations, and funds infrastructure integration works in response to individual student needs for accessible school grounds. A full list of initiatives and supports for students with disability in NSW public schools is at Appendix two.

The Department’s efforts to reform support for students with disability have not been timely

Performance gaps in Department and school supports for students with disability have been repeatedly identified through public reviews over the last two decades. This includes unmet demand for targeted supports, gaps in professional learning and practice guidance for school staff, and inconsistent central monitoring of school practice and outcomes data. The 2017 Parliamentary inquiry, which the 2019 Disability Strategy responded to, found many of the same issues that were identified in our 2006 audit Educating Primary School Students with Disabilities conducted eleven years earlier. These concerns were also highlighted in a 2010 NSW Parliamentary inquiry and in five-yearly reviews of the federal Disability Standards. The Disability Strategy initiatives came thirteen years after many of the same risks were identified in our 2006 audit. Had these been implemented sooner, an entire cohort of students with disability who completed primary and secondary education in that time may have had a different schooling experience.

While the Department has delivered almost all the Disability Strategy initiatives since it commenced in 2019, the few that are outstanding are fundamental to determining the success of the Disability Strategy:

• reforming all streams of disability funding to be based on student needs, so that schools have more resources, and those resources will be more flexible
• consistently tracking outcomes for students with disability, families and teachers to understand what is changing in their lived experiences of education.

The Department did not examine whether actions in the Strategy were addressing the intent of previous recommendations

The reform areas and initiatives in the Disability Strategy reflected evidence from previous reviews, as well as contemporary research literature and broad stakeholder consultation. Stakeholders we heard from - including academics, advocates and peak bodies - broadly agreed that the strategy addressed the right areas for action.

The strategy reform initiatives targeted areas that had been repeatedly identified as issues in previous public inquiries held over the past twenty years including: insufficient funding, workforce constraints, gaps in professional learning, inadequate outcomes tracking, and limited engagement with students and families.

While the Department advised that it has implemented the accepted recommendations from previous reviews into disability support and inclusive education, the Department’s approach to tracking recommendations does not include assessing whether the action taken has met the intent of the relevant recommendation. Without this, there is a risk that previously identified gaps and performance issues are not addressed and persist or recur in the future.

While the Department’s governance arrangements were suitable for the design and implementation of the Disability Strategy, the Department did not consider why areas that had been repeatedly identified were still not resolved. This audit found that students, families and schools continue to feel the impact of issues that the recommendations from past reviews aimed to improve, raising questions about the accountability for, and effectiveness of, the Department’s responses.

The Department does not know how effectively it is meeting the needs of students with disability

Schools are legally required to provide individualised supports to students with disability where these are needed for students with disability to be able to access and participate in education on the same basis as their peers without disability. The Department captures schools’ data on the reasonable adjustments they are making for students with disability through the annual Nationally Consistent Collection of Data on students with disability (NCCD).

Where students with disability receive targeted supports such as placement in a support class or specific school funding to learn effectively in a mainstream class, schools are also required to annually review student needs in consultation with the student, their families and teachers, and respond to any changes.

The Department provides schools with guidance and specialist staff to support making reasonable adjustments for students with disability to access and participate in education on the same basis as their peers. However, the Department does not independently verify school evidence on adjustments made and does not have visibility of where reasonable adjustments provided are not meeting students’ needs (for example, where targeted supports are not available) unless a complaint is made or escalated to the Department.

Stakeholders we heard from – both from schools and families – said that there can still be conflicting views about what reasonable adjustments are required in particular situations, and that information provided is vague. The Department has accepted the recommendations of previous reviews and the Disability Royal Commission to improve its guidance and resources for schools and families about reasonable adjustments.

The Department also has a legislative and policy obligation to understand and address the particular needs and potential barriers to accessing supports that may be experienced by students with disability who also have other identities or characteristics such as being Aboriginal, living in rural or remote areas, socioeconomic disadvantage, or speaking English as an additional language or dialect (also known as intersectionality).

While the Department has taken some steps to consider intersectionality for students with disability in its policies and resources, it has not reduced the impacts where these create compounding factors of disadvantage. The Department was unable to demonstrate that it was meeting the needs of these students.

The Department’s criteria for accessing targeted supports for disability has not been updated in over 20 years

If a student with disability has moderate to high needs and requires specialist support that cannot be met with existing school funding and staffing resources, their school may apply to the Department for targeted supports through the ‘access request’ process. Applications are decided by a panel of regional departmental staff including learning and wellbeing staff; primary, high school and Schools for Specific Purposes principal representatives; and a senior education psychologist.

Access to almost all targeted supports is limited to eligible students with disability who have a confirmed medical diagnosis that falls within the Department’s 2003 disability criteria. These criteria exclude those students with undiagnosed disability or with diagnosed disabilities that fall outside the Department’s criteria, such as attention-deficit/hyperactivity disorder (ADHD) and dyslexia.

Despite limitations with the current criteria being highlighted in multiple parliamentary inquiries over the past 13 years, the Department has not updated these criteria since 2003. It advises that updated criteria will be released from term four, 2024.

The Department does not have a clear and accurate picture of demand compared to supply, or the time taken for targeted supports to be provided to students

The Department tracks if applications for targeted supports have been supported, deferred, declined or withdrawn through the access request panel process. However, the rationale for why an application has been deferred or declined is not consistently recorded in the system.

The Department does not maintain waiting lists for students deemed eligible for targeted supports where the support is not available. In particular, for support classes, while the Department has centralised statewide oversight of class numbers and locations to inform decisions about establishing new classes each year, it does not have a clear picture of demand at local geographic levels at any point in time.

Although recommended in our 2006 audit, the Department still does not monitor the time taken for targeted supports to be provided to eligible students after an application has been approved for provision, so cannot tell how long students with identified needs are waiting for supports to reach them.

The Department has not consistently monitored outcomes for students with disability

The Department started to develop a framework to measure the outcomes of students with disability, at a system level, in 2019. These include wellbeing, independence and learning growth outcomes, informed by measures including students’ perceptions, supports provided, educators’ understanding and skills, and satisfaction of parents/guardians. The framework is comprehensive and evidence-based, and includes existing datasets to minimise the administrative burden on schools. The Department tested proposed measures to validate their reliability.

While there are many complexities in comparing progress and experiences across all students with disability due to the diversity across this cohort, and a range of data limitations that needed to be addressed, the implementation of this framework was not timely. Although the domains, outcomes and metrics for the disability outcomes framework were endorsed by the Department executive in 2022, the framework was still not fully operational in September 2024. Since executive endorsement, the Department has updated the framework to reflect the final accepted recommendations of the Disability Royal Commission and to ensure alignment with the NSW Government’s 2023-2027 Plan for Public Education. It advises that it has started to implement the framework in a staged approach.

The Department has the ability to link data which identifies students with disability with a variety of its other datasets, such as student attendance, suspensions and expulsions, participation and results in the National Assessment Program – Literacy and Numeracy (NAPLAN) and the Higher School Certificate (HSC). The Department uses these linked datasets to inform the development of statewide policy and guidance on practice in schools periodically. However, it is not using the datasets to regularly monitor school practice, identify and address emerging issues, or identify and promote ‘what works’ to support students with disability.

The Department’s School Excellence Framework involves schools self-assessing and peer-reviewing their performance in learning, teaching and leading at least once every five years, but this has not had a specific focus on inclusive education to date. A policy monitoring process involves schools reporting on their compliance with specific policies annually, but this did not include the Disability Standards until 2024. Schools provide some information in their public annual reports about their disability funding expenditure, but this reporting is not outcomes-focused.

The Department runs annual surveys of students, parents/guardians and teachers called ‘Tell Them From Me’. This survey gives students with disability and their families a direct voice to schools and the Department, although the survey is voluntary and not accessible for some students with complex learning and communication needs (the Department is developing a suite of accessible tools to be able to seek feedback from these students in the future). However, the Department does not regularly analyse the Tell Them From Me survey response data to understand whether the experiences of students with disability or their families are changing since the Disability Strategy and related efforts.

Complaints are another way by which the Department can obtain insight into school practice and student outcomes. However, the Department does not have oversight of the number, type or trends in complaints that arise and are resolved at the school level, including those concerning students with disability.

The Department was aware from the 2017 Parliamentary inquiry and the Disability Royal Commission that students with disability and their families can be reluctant to make complaints to their principal about their school, perceiving a conflict of interest and risk of negative consequences. However, the Department was not seeking feedback from complainants about the resolution of their complaint when these were made at the school level, or from students with disability and their families more broadly (in the absence of complaints). The Department advises that it is taking steps in 2024 to seek and address feedback from parents/guardians on their experience in raising concerns at the school level.

The Department has not tracked the impact of the Disability Strategy on the experiences of students, families and schools

Although the Disability Strategy outlined a vision for inclusive education and success measures that sought changed experiences of students, families and teachers, the Department did not establish a time horizon by which the strategy vision and success measures were expected to be realised, nor baseline information against which change could be assessed.

While it evaluated some individual initiatives under the strategy, it did not have an evaluation framework in place for the strategy as a whole and has not assessed how the experiences of students, families and schools have or haven’t changed as a result of the implementation of the Disability Strategy overall.

The Department has taken steps to reform the distribution of disability funding, but this was not timely, and evidence on whether resourcing is adequate to meet the needs of students with disability remains unclear

The Department has publicly acknowledged that ‘effectively resourcing schools is crucial to building an inclusive education system and improving outcomes for, and experiences of, students with disability.’

Stakeholders to this audit – including parents/guardians, school staff and advocacy organisations – consistently said that existing funding to support students with disability is not sufficient to meet their learning needs. Most of the previous public reviews also identified inadequate funding as a key challenge to providing inclusive education.

The Department allocated annual disability-specific funding to NSW public schools totalling approximately $1.1 billion in 2018 rising to $1.9 billion in 2023. This represents an annual average cost above the base allocations of $7,300 per student with disability in 2018 and $9,300 in 2023.

The Department commenced a program of work in 2020 to review and reform the disability-specific funding provided to schools. This sought to change the distribution of funding so that resourcing is linked to a student’s functional needs at school and reflects a school’s efforts to support a student with disability relative to these needs, rather than relying on students’ medical diagnoses or academic performance.

During the audit review period the Department:

• forecasted future funding needs
• revised the funding model for the disability equity loading allocated to mainstream schools to use towards all their students with disability who need supports, regardless of diagnoses – the Department estimated this would more than double the number of students who could be supported by this funding
• provided supplementary funding to Schools for Specific Purposes for 2020–2024, and
• sought government approval and resourcing to change the thresholds for targeted funding support for individual students with disability who have moderate to high learning needs in mainstream classrooms (not yet implemented).

While the Department made important advances in funding reforms, these efforts were not timely, coming around a decade after being recommended by the 2010 Parliamentary inquiry.

Nationally, evidence on the costs to schools to make adjustments to support students with disability is not clear. A 2019 federal review into the Australian Government disability loading for states and territories concluded that there was significant variation in these cost estimates and recommended that joint work be undertaken by the Australian, state and territory governments to produce more nuanced estimates.

In late 2023, the Disability Royal Commission made several recommendations to review disability funding and transparency in the education sector, which the Australian Government and state and territory governments jointly accepted in principle in July 2024.

The Department’s data shows mixed results for students with disability

Our analysis of the Department’s data showed that there had been some improvements for students with disability in the time of the Disability Strategy. This includes an overall reduction in the number of suspensions and expulsions for students with disability, and an increase in the number of students with disability receiving HSC results.

However, there was limited individual student growth in NAPLAN exams over this time, and deterioration in some measures of student wellbeing relating to self-reports of a sense of belonging and experiences of bullying at school. Aboriginal students with disability were worse off than their non-Aboriginal peers with disability in relation to suspension, expulsion, individual student growth and reported experiences of bullying.

Recommendations

By January 2026, the Department of Education should:

1. At least annually, monitor the experiences and outcomes of students with disability to:
   1. identify and address emerging issues
   2. identify and promote good practice
   3. take effective steps where there is a need to improve longer-term student outcomes, and
   4. consider the impacts of intersectionality.
2. Continue to expand the use of NCCD data to support funding allocation in accordance with the needs of students with disability.
3. Work with the Australian Government on reviews of the disability loading settings to ensure NSW public schools are adequately funded to support students with disability.
4. Work with stakeholders to enhance guidance and practical support to public schools and families on reasonable adjustments for students with disability, including ways to resolve conflicting views in a timely manner.
5. Improve the planning and delivery of targeted supports by:
   1. obtaining a clear and timely picture of the supply of, and demand for, targeted supports at a local and statewide level to identify and address constraints
   2. monitoring the time taken for targeted supports to be provided to eligible students, and addressing delays so that adequate support is put in place once need is identified
   3. reducing the administrative burden for schools in applying for targeted supports, and
   4. making the basis for decisions transparent to schools and families.

Under the Disability Strategy, the Department released the Inclusive Education Statement to provide direction and guidance on supporting the inclusion of students with disability in NSW public schools (section 3.2 above). The statement expressed a commitment of the Department to ‘building a more inclusive education system… where every student is known, valued and cared for and all students are learning to their fullest capability.’ 

However, as the Department does not consistently monitor outcomes for students with disability or schools’ inclusive education practices (section 3.6 above), it does not have oversight of whether the Inclusive Education Statement is being given effect and achieving desired outcomes for students with disability, parents/guardians and schools. 

Our 2006 audit Educating primary school students with disabilities found that it was not possible to determine whether the performance of ‘special education’ services had improved over time as there had been no mechanism in place to measure results. It recommended that the Department develop a suite of performance indicators to monitor and manage supports for students with disability at a school, region and state level. This is still not being done systematically, and the Department cannot tell whether things are improving for students with disability in NSW. 

Our analysis of the Department’s data shows that over the audit review period 2018-2023 there has been improvement in some measures of school practice such as the use of suspensions and expulsions, and improvement in some student learning outcomes, but deterioration in some measures of student wellbeing. 

Self-reported survey data shows improvements in the experiences of students with disability in primary school but these have worsened for students in secondary school 

Statewide data from the annual Tell Them From Me student survey shows that secondary students with disability are less likely to agree with statements related to receiving support from teachers in 2023 compared to 2018 (47% agreeing in 2018 declining to 44% in 2023). Results for students with disability in primary school to similar survey questions have remained steady with around 70% agreeing that their teacher supports them in both 2018 and 2023. 

A higher proportion of primary school students overall reported that they had never been bullied in 2023 compared to 2018. For students with disability in primary schools, the proportion reporting that they had never been bullied lifted from 66% in 2018 to 69% in 2023, however there was variability across individual years. For primary school students without disability, 75% reported that they had never been bullied in 2018, compared to 76% in 2023. 

The proportion of students with disability in secondary school reporting that they had never been bullied increased from 65% in 2018 to 69% in 2020, but then dropped to 66% in 2023. By comparison, the rate of students without disability reporting that they had never been bulled improved between 2018 and 2020 (from 75% to 78%) but then worsened in 2023 (74%). 

Students with disability in both primary and secondary schools were less likely to agree with questions about having a sense of belonging at school in 2023 compared to 2018. For secondary school students with disability, 49% agreed with questions relevant to belonging in 2018, which dropped to 43% in 2023. In primary schools, where survey results indicate there was a greater sense of belonging amongst all students than in secondary schools, there was also a drop for students with disability from 62% in 2018 to 57% in 2023.

There has been an overall increase in parents/guardians completing the Tell Them From Me parent/guardian survey since 2018. Survey results show that parents/guardians of children with disability are less likely to have their child enrolled at their first choice of public school than parents/guardians of children without disability. The proportion of parents/guardians of children with disability reporting that their child was enrolled at their first choice has slightly worsened between 2019 (when the question was first included in the survey) and 2023, from 87% in 2019 to 85% in 2023. The proportion of parents/guardians of students without disability who said their child was enrolled at their first choice of public school remained steady between 2019 to 2023 at close to 90%. 

There was limited individual student growth in NAPLAN results for the majority of students with disability 

Individual student growth is a measure of the progress of individual students in their NAPLAN results across their educational journey from Year 3 to Year 9. NAPLAN is an annual national assessment for all students in Years 3, 5, 7 and 9. It tests skills in reading, numeracy, writing, spelling and grammar. 

For most of the audit review period, all students participating in NAPLAN were assessed against national minimum standards in each exam as being below, at, or above standards. NAPLAN assessments and reporting changed in 2023, with four proficiency standards replacing the previous 10-band structure and the national minimum standards. For this reason, NAPLAN results from 2023 cannot be compared with those from earlier years. 

Our analysis of the Department’s data found that, for students with disability who participated in a NAPLAN exam more than once between 2018 and 2022: 

• 60% had no change in whether they placed below, at or above the national minimum standards (compared to 83% of students without disability). 
• 11% had an improvement, either moving from below the national minimum standards to be at the standards, or moving from being at to above the standards (compared to 4% of students without disability). 
• 22% had a decline, either moving from being above the national minimum standards to be at the standards, or from being at the standards to being below them (compared to 9% of students without disability). 

Exhibit 23 provides a breakdown of our analysis of student growth for each test type for students with disability between 2018 and 2022.

Appendix one – Response from agency

Appendix two – Relevant initiatives and supports 

Appendix three – NCCD definitions 

Appendix four – The Department’s principles of inclusive education 

Appendix five – Student behaviour management and restrictive practices 

Appendix six – Relevant funding for NSW public schools 

Appendix seven – The Department’s Disability Criteria (2003) 

Appendix eight – About the audit 

Appendix nine – Performance auditing

© Copyright reserved by the Audit Office of New South Wales. All rights reserved. No part of this publication may be reproduced without prior consent of the Audit Office of New South Wales. The Audit Office does not accept responsibility for loss or damage suffered by any person acting on or refraining from action as a result of any of this material.

 Parliamentary reference - Report number #400- released 26 September 2024.

If you have questions or feedback about individual matters, you can:

• contact the NSW Department of Education through the website
• make a complaint to the NSW Ombudsman online or by calling 1800 451 524.

About this report

Over 1,100 native animals, plants and ecological communities are listed as threatened in New South Wales. The Department of Climate Change, Energy, the Environment and Water (DCCEEW) delivers programs and activities aiming to reduce the risk of extinction for threatened species and ecological communities. 

This audit assessed whether DCCEEW has effectively delivered outcomes to support threatened species and ecological communities across New South Wales including delivery of the statutory Biodiversity Conservation Program (Saving our Species). 

Findings

DCCEEW uses a risk‑based approach to guide and deliver a range of programs aiming to improve the outcomes for threatened species and ecological communities.

However, DCCEEW has not effectively determined departmental priorities, coordinated programs to align efforts, or reported on the overall outcomes it is delivering for threatened species and ecological communities. 

Further, DCCEEW does not capture sufficient data to monitor species that it is not actively managing, creating a risk that it cannot readily identify or respond to further decline.

Under the Saving our Species program, DCCEEW is delivering conservation actions for less than one‑third of all threatened species and ecological communities. This number has reduced over time, in line with reduced program funding. 

Gaps in core program planning and risk management frameworks create program delivery risks. 

Recommendations

The report made several recommendations to DCCEEW, focusing on:

• Strengthening Saving our Species program compliance, governance, planning and risk management frameworks.
• Developing a long‑term framework to coordinate and align efforts across DCCEEW for the delivery of threatened species outcomes.
• Expanding activities to improve coordination with other parts of government delivering activities that impact on outcomes for threatened species.

This chapter assesses the effectiveness of DCCEEW’s ability to report on threatened species outcomes across its various programs and activities, and its strategic planning for the delivery of these outcomes at a departmental level.

Under Part 4, Division 6 of the BC Act, DCCEEW is required to deliver a Biodiversity Conservation Program. The program’s statutory objectives are to:

• maximise the long-term security of threatened species and ecological communities in nature
• minimise the impacts of key threatening processes on biodiversity and ecological integrity.

Under Section 4.36 of the BC Act, the program must have:

• strategies to achieve the objectives of the program in relation to each threatened species and threatened ecological community
• a framework to guide the setting of priorities for implementing the strategies
• a process for monitoring and reporting on the overall outcomes and effectiveness of the program.

Appendix one – Response from agency

Appendix two – Legislative and regulatory provisions relevant to threatened species

Appendix three – Programs and activities relevant to threatened species

Appendix four – Comparison of statutory provisions for the conservation of threatened species

Appendix five – About the audit

Appendix six – Performance auditing

© Copyright reserved by the Audit Office of New South Wales. All rights reserved. No part of this publication may be reproduced without prior consent of the Audit Office of New South Wales. The Audit Office does not accept responsibility for loss or damage suffered by any person acting on or refraining from action as a result of any of this material.

 Parliamentary reference - Report number #399 released 15 August 2024.