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

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

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

The NSW Police and Department of Corrective Services (DCS) have committed to improve performance and productivity in their organisations. Both agencies have introduced several initiatives to promote the health, safety and welfare of their personnel. In addition the DCS policy provides for acknowledgements and sanctions based on the amount of medically uncertified leave taken by the employee. There are additional steps that could be taken to improve the management of sick leave.

Parliamentary reference - Report number #100 - released 23 July 2002

Over 96 per cent of the audit recommendations made were accepted by the agencies. And more than half of these recommendations have been implemented. In addition, many of the problems identified in the 1999 audits have been addressed. For over 90 per cent of recommendations there has been some measurable change in practices or performance.

In general, the approach taken by the agencies to monitor and report on the progress of implementation could be improved. Agencies should establish arrangements, like an audit committee, to follow up on the progress of implementation of the recommendations and report on the progress of the implementation of recommendations in their annual report to Parliament.

Parliamentary reference - Report number #86 - released 14 September 2001

The acceptance of audit recommendations by agencies in the current review was high and represented 96 per cent of the recommendations made. In addition, half of the recommendations in the 1998 audits have been adequately addressed and for over 70 per cent of recommendations there has been some measurable change in practices or performance.

But overall, most of these improvements have been incremental. And, for nearly one third of the recommendations, changes have not yet taken effect and there is a risk that the issue or problem contained in the original reports may persist. There is also a danger that current reporting arrangements may not provide Parliament sufficient assurance as to the extent accepted recommendations have been implemented and improvements have been achieved. 

To provide greater transparency and accountability, agencies, following a performance audit, should establish arrangements, such as an audit committee, to follow up on the progress of implementation of the recommendations and report on the progress of the implementation of recommendations in their annual report to Parliament.

Parliamentary reference - Report number #84 - released 21 June 2001

Correctional Industries (CIs) have come a long way in NSW.  CIs have grown to employ rates of inmates which rank amongst the highest in the world.  This is a commendable achievement by the Department. Whilst there are other notable achievements to date, the Audit Office believes that CIs have developed to a stage where they can, and should, tackle even more challenging issues.

The audit is found that to optimise the development of inmates for employability purposes, further actions are needed to improve CIs’ effectiveness. Among these is the option to shift the inmate development focus towards providing inmates with broader, foundational employability skills which are transferable to the wide variety of work they may pursue upon release. There would also be benefit in using more specific performance indicators to monitor and assess CIs’ achievements against this objective.

Parliamentary reference - Report number #83 - released 13 June 2001

In recent years the Department of Housing (DoH) has made a major effort to improve both the quality of service to tenants and its processes for maintenance. In addition, the funding for maintenance has also been increased. There is, however, a need to ensure that the maintenance of assets is adequately planned for and funded from the start. Without adequate maintenance, the value of an asset will deteriorate more rapidly and can result in significant losses.

DoH needs to give greater emphasis to completing property condition surveys in order to improve the way in which maintenance is planned and organised. There is also a need for DoH to establish a performance reporting framework in order to assess the efficiency and effectiveness of the maintenance function in an objective way. The framework should benchmark maintenance across regions and with public housing authorities in other States.

Parliamentary reference - Report number #81 - released 11 April 2001

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

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