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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 Hospital emergency departments: Delivery services to patients

Hospital emergency departments: Delivery services to patients

Health
Management and administration
Service delivery
Workforce and capability

There have been notable changes in the provision of emergency department services over the last decade, principally by increasing the number, seniority and training of staff and upgrading facilities. More recently, programs have focussed on achieving improvements in emergency department waiting times (the time taken to see a doctor) and access block (delay in accessing a hospital bed). However, these programs have had limited effect. Although waiting times for seriously ill patients have decreased, waiting times for around 95% of emergency department patients have increased or remain unchanged and performance against benchmarks for access block has declined each year.

Although The Audit Office identified opportunities to improve patient flow in the emergency department, benefits will be limited by access block and the congestion caused by being unable to move patients to a ward. Only a better balance of resources between inpatient access programs (that is booked and emergency department patients) will bring about improvements in access block.

 

Parliamentary reference - Report number #72 - released 15 March 2000