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Reports

Published

Actions for Volume Ten 2013 focusing on Health

Volume Ten 2013 focusing on Health

Health
Asset valuation
Financial reporting
Information technology
Infrastructure
Internal controls and governance
Management and administration
Project management
Risk
Shared services and collaboration

Unqualified opinions were issued for all agencies audited in the following report.

Some of the reports findings include:

  • Most cultural bodies rely heavily on government grants to fund services

  • The Sydney Opera House Trust earns most of its revenue from commercial operations

  • Less than half of the 2014-16 service agreements between HealthShare NSW and its customers have been signed. HealthShare NSW and health entities should finalise their 2014-2016 service agreements by no later than 31 January 2014

  • Five service level agreements with NSW Health Pathology for 2012-13 were never signed. NSW Health Pathology and local health districts/speciality networks should finalise their 2013-14 service agreements by no later than 31 December 2013

  • HealthShare NSW is committed to sharing internal audit findings across NSW Health

  • The Ministry has started a long-term project to review its policy directives

  • A recent review concluded the health sector has mature risk management practices

  • When changes to the Aboriginal Land Rights Act 1983 occur, the Minister should identify and assess any risks from the changes and develop strategies to mitigate against them.

Published

Actions for Building Energy Use in NSW Public Hospitals

Building Energy Use in NSW Public Hospitals

Health
Treasury
Planning
Environment
Internal controls and governance
Management and administration

NSW Health has reduced its energy use and greenhouse gas emissions by two per cent over the last four years. It is pleasing that annual emissions are now 15,000 tonnes less than they were four years ago. However, this was not sufficient to meet its target of an 11 per cent drop in emissions. 

Despite a reduction in energy use, energy cost in NSW Health has increased by nearly 50 per cent over the last four years to $120 million per annum. This is expected to increase by another 50 per cent in the next five years.

 

Parliamentary reference - Report number #231 - released 4 June 2013

Published

Actions for Volume Two 2013 focusing on Universities

Volume Two 2013 focusing on Universities

Universities
Financial reporting
Fraud
Management and administration
Regulation

Except for the matters noted, the Members we reviewed substantially complied with the requirements of the Parliamentary Remuneration Tribunal’s Determination (the PRT Determination) for the year ended 30 June 2012.

The review identified the following material exceptions:

  • nine Member claims were not submitted for payment within 60 days of receipt or occurrence of the expense 
  • eight Members did not return their unspent Sydney Allowance amounts by 30 September 2012
  • sixteen Members did not complete an annual declaration stating the benefits accrued by way of loyalty/incentive schemes, as a consequence of using their allowance and entitlements, were used only for Parliamentary duties and not for private purposes.

There are inherent limitations in undertaking an engagement of this nature. The work was conducted as a review engagement, not an audit. Consequently, the procedures were not designed to detect all instances of non-compliance. The review provides limited assurance and expresses our conclusion about whether the Members reviewed complied with the PRT Determination’s requirements for Member entitlements.

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 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

Published

Actions for Academics' paid outside work

Academics' paid outside work

Universities
Management and administration
Workforce and capability

The Audit Office is of the opinion that, whilst all universities have developed policies to manage POW and to protect IP rights, many of those polices are outdated and require urgent review. Many of them do not adequately protect the universities or provide adequate compensation for the use of their resources or their name. There also seems to be a lack of clarity for accountability to monitor and enforce the policy. Whilst greater attention seems to have been given to protect the intellectual property rights, which mainly arise as a consequence of research projects, there is a need to review and revisit those policies as well.

 

Parliamentary reference - Report number #71 - released 7 February 2000