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Reports

Published

Actions for Reducing Ambulance Turnaround Time at Hospitals

Reducing Ambulance Turnaround Time at Hospitals

Health
Compliance
Management and administration
Service delivery

NSW Health has put in place initiatives to reduce the time ambulance crews have to wait at a hospital before they are able to leave and attend to other calls. Despite these actions, ambulance crews are waiting longer at NSW hospitals. Crews now wait on average nearly 32 minutes at a hospital before handing over a patient, up from about 24 minutes seven years ago.

 

Parliamentary reference - Report number #233 - released 24 July 2013

Published

Actions for Managing Operating Theatre Efficiency for Elective Surgery

Managing Operating Theatre Efficiency for Elective Surgery

Health
Compliance
Management and administration
Service delivery

Waiting times for elective surgery will continue to increase if NSW Health does not improve its management of operating theatres. On the positive side NSW public hospitals are performing more elective surgery than in previous years and are treating patients substantially within national clinical timeframes. However, more operations will be needed as targets are getting tighter and demand is growing.

 

Parliamentary reference - Report number #232 - released 17 July 2013

Published

Actions for Managing Gifts and Benefits

Managing Gifts and Benefits

Planning
Finance
Transport
Environment
Compliance
Fraud
Internal controls and governance
Management and administration

Overall, the audited entities are managing some aspects of gifts and benefits effectively but other aspects require improvement. We found that all five entities had gifts and benefits policies that addressed some but not all of the attributes of a sound policy. All five have communicated their gifts and benefits policies to staff and external stakeholders, although in each case we identified opportunities to better communicate their policies.

 

Parliamentary reference - Report number #228 - released 27 March 2013

Published

Actions for Managing Drug Exhibits and other High Profile Goods

Managing Drug Exhibits and other High Profile Goods

Justice
Compliance
Information technology
Internal controls and governance
Management and administration
Risk

Some drug exhibits and other high profile goods, such as firearms, ammunition, vehicles and vessels, are held longer than necessary by NSW Police, increasing health and safety risks and storage costs.

 

Parliamentary reference - Report number #227 - released 28 February 2013

Published

Actions for The Impact of the Raised School Leaving Age

The Impact of the Raised School Leaving Age

Education
Management and administration
Service delivery

The Department monitors the attendance of all students who remain enrolled at government schools, and responds when these students fail to attend. For young people that have been granted an exemption from attending school, the Department monitors apprentices, trainees and those completing the equivalent of Year 10 of secondary education at TAFE. However, the Department does not monitor young people post Year 10 in full-time work or vocational education programs until they turn 17 years of age. In accordance with the law, it is a parent’s responsibility to make sure that a child is attending school or involved in an approved alternate activity until they turn 17 years of age.

 

Parliamentary reference - Report number #226 - released 1 November 2012

Published

Actions for Managing Overtime: RailCorp and Roads and Maritime Services

Managing Overtime: RailCorp and Roads and Maritime Services

Transport
Management and administration
Workforce and capability

Overtime is a significant cost for RailCorp and Roads and Maritime Services, adding about ten per cent to the cost of regular salaries. RailCorp’s overtime cost was $133.7 million in 2010–11, and at Roads and Maritime Services it cost $49.3 million.

 

Parliamentary reference - Report number #223 - released 20 June 2012

Published

Actions for Managing IT Services Contracts

Managing IT Services Contracts

Finance
Health
Justice
Compliance
Information technology
Internal controls and governance
Procurement
Project management
Risk

Neither agency (NSW Ministry of Health and NSW Police Force) demonstrated that they continued to get value for money over the life of these long term contracts or that they had effectively managed all critical elements of the three contracts we reviewed post award. This is because both agencies treated contract extensions or renewals as simply continuing previous contractual arrangements, rather than as establishing a new contract and financial commitment. Consequently, there was not a robust analysis of the continuing need for the mix and quantity of services being provided or an assessment of value for money in terms of the prices being paid.

 

Parliamentary reference - Report number #220 - released 1 February 2012

Published

Actions for Visiting medical officers and staff specialists

Visiting medical officers and staff specialists

Health
Management and administration
Service delivery
Workforce and capability

We found that hospitals are generally able to deploy their VMOs and staff specialists to be at the place and time required. However, a hospital’s ability to manage supply and demand at a local level is limited. This limitation will become more critical with the current national health reforms when public hospital funding will depend on their ability to set and meet activity targets and priorities. NSW Health cannot be sure that all payments made to VMOs are for agreed and delivered services. Across the hospitals visited we found limited checking of VMO claims for payment, limited quality information on staff specialist activities and limited hospital-level analysis of trends or inconsistencies in activities and treatments.

 

Parliamentary reference - Report number #219 - released 14 December 2011

Published

Actions for Responding to Domestic and Family Violence

Responding to Domestic and Family Violence

Community Services
Justice
Health
Internal controls and governance
Management and administration
Service delivery

Organisations generally work together to improve the safety of victims when there is an overt and serious crisis, particularly where children are involved. There are no standard ways for victims and perpetrators to access help that might prevent ongoing violence and address underlying issues. This is particularly problematic where there are repeat victims and perpetrators, many of whom have complex mental health, drug and alcohol problems and are difficult to work with. New South Wales has trialled a number of projects to improve the way that organisations work together to support vulnerable people in particular communities.

 

Parliamentary reference - Report number #218 - released 8 November 2011

Published

Actions for Improving road safety: Young drivers

Improving road safety: Young drivers

Transport
Finance
Project management
Regulation
Service delivery

The audit concluded that the RTA’s licence testing and regulation has been generally effective in ensuring the safety of young drivers. There has been a significant reduction in crash and fatality rates involving young drivers over the last decade, more so than for drivers 26 years and older. This has coincided with the introduction by the RTA of an enhanced GLS. International and national research has demonstrated graduated licensing systems to be effective in reducing crashes and saving lives. Despite these improvements, young drivers are more likely to be involved in fatal crashes than other drivers.

 

Parliamentary reference - Report number #217 - released 19 October 2011