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Reports

Published

Actions for Waiting Times for Elective Surgery in Public Hospitals

Waiting Times for Elective Surgery in Public Hospitals

Health
Information technology
Internal controls and governance
Management and administration
Service delivery

We recognise that managing waiting times is a difficult and complex task. Waiting times are influenced by many factors, some of which are outside the control of NSW Health. There are, however, steps which NSW Health could, and should, take to ensure that the processes to manage waiting times are efficient and effective. By all measures used by NSW Health, patients are waiting longer for elective treatment today than six or seven years ago. In March 2003 patients admitted to elective medical or surgical treatment had waited, on average, 1.8 months, whereas in March 1997 they would have waited on average 1.1 months.

 

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

Published

Actions for Dealing with Unlicensed and Unregistered Driving

Dealing with Unlicensed and Unregistered Driving

Justice
Transport
Information technology
Regulation
Shared services and collaboration

In our opinion there are inadequacies in the current arrangements for detecting unauthorised driving. For example better information is needed on the extent of unlicensed driving. This may require giving the NSW Police power to conduct random licence and registration checks. In addition, there are technological and legal constraints to the efficient and effective detection of unauthorised driving.

 

Parliamentary reference - Report number #115 - released 4 September 2003

Published

Actions for Freedom of Information

Freedom of Information

Transport
Premier and Cabinet
Education
Management and administration
Regulation
Service delivery

Freedom of Information (FOI) Coordinators and their staff were supportive of the legislation. However, the agencies examined can do considerably more to fully achieve the intentions of the Act. On the positive side, all three agencies had processes in place to handle requests and had made a number of changes to improve the effectiveness of the FOI process. Fees and charges had also been kept to a minimum. No processing fees were requested in the majority of cases, and if charged, were not unreasonable.

 

Parliamentary reference - Report number #114 - released 28 August 2003

Published

Actions for Delivering Services Online

Delivering Services Online

Transport
Information technology
Internal controls and governance
Service delivery
Shared services and collaboration

A staged, systematic and careful approach and extensive business re-engineering effort underpinned the Roads and Traffic Authority's (RTA) steady progress in providing customers with a range of reliable and secure online registration services. The RTA’s consistent and disciplined pursuit of new and challenging e-business opportunities is commendable.

 

Parliamentary reference - Report number #111 - released 11 June 2003

Published

Actions for CityRail Passenger Security

CityRail Passenger Security

Transport
Service delivery
Shared services and collaboration

StateRail has invested significantly over the last five years in passenger safety and security. Security guards on trains from 7.00 pm were introduced in 1998. More recently, additional lighting, 5,700 closed circuit television cameras (CCTV) and emergency help points have been installed on CityRail stations. In addition, CityRail has employed some 100 transit officers to patrol its network and intends to employ another 200 transit officers in 2003. While substantial steps have been taken to reduce crime and improve passenger safety and security, the results have been mixed. Overall, the risk of a passenger becoming a victim of a crime on CityRail has increased.

 

Parliamentary reference - Report number #106 - released 12 February 2003

Published

Actions for Managing Hospital Waste

Managing Hospital Waste

Health
Management and administration

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

 

Parliamentary reference - Report number #105 - released 10 December 2002

Published

Actions for Managing Grants

Managing Grants

Community Services
Industry
Planning
Management and administration
Service delivery

In our view, the agencies we studied cannot be sure that the grants they allocate align with their corporate objectives, and that program outcomes are achieved. This is mainly due to problems with grant selection and the evaluation of results. It was good to see that most of the grants programs had funding objectives which were fairly clear. But we found problems across most programs which could affect the fair and equitable selection of grants, such as, often no procedures for assessing applications, no assessment guidelines for advisory committees, often no clear rationale for assessments and poor documentation of the reasons for decisions.

 

Parliamentary reference - Report number #104 - released 4 December 2002

Published

Actions for Outsourcing Information Technology

Outsourcing Information Technology

Whole of Government
Information technology
Management and administration
Procurement

Agencies have managed the planning of outsourcing in a competent way. All agencies satisfactorily managed the contractual aspects of outsourcing. The Audit Office is of the opinion, however, that there is no objective evidence to demonstrate that agencies have achieved their goals in outsourcing IT. Most agencies had identified the current and expected costs and risks of outsourcing. Agencies were not able to demonstrate that the actual costs of outsourcing matched the expected costs.

 

Parliamentary reference - Report number #103 - released 23 October 2002

Published

Actions for Electronic Procurement of Hospital Supplies

Electronic Procurement of Hospital Supplies

Health
Information technology
Management and administration
Procurement

Reform of procurement in the NSW public health system is a huge, complex and difficult task. Much thought has been given to this reform. An immense amount of planning and preparatory work is required, and is apparent. In our opinion, at this time, the NSW public health system is making only limited progress towards achieving the economies in purchasing that its size and market dominance could deliver. While millions of dollars in savings are potentially available, much needs to be done to realise this. It is critical that all those involved, at all levels, ensure that reform is given priority, and driven through to fruition.

 

Parliamentary reference - Report number #102 - released 25 September 2002

Published

Actions for Managing Risk in the NSW Public Sector

Managing Risk in the NSW Public Sector

Transport
Management and administration
Risk

The Audit Office is of the opinion that, while agencies are aware of the need to manage risk, their risk management falls short of better practice. Many agencies do not consider their risk management to be adequate. The survey suggests that some agencies, mainly those in the Public Trading Enterprise Sector have approached risk management in a systematic way and in accordance with the principles of better practice standards. Others, mainly departments not subject to commercial imperatives, have yet to progress the management of risk beyond the traditional response of insuring against the more common types of risk. Thus there is a danger that with a number of agencies, risk may not be managed adequately, especially in the General Government Sector.

 

Parliamentary reference - Report number #98 - released 19 June 2002