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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 Volume Eight 2013 focusing on Transport and Ports

Volume Eight 2013 focusing on Transport and Ports

Transport
Industry
Compliance
Financial reporting
Procurement
Project management
Regulation
Workforce and capability

Unqualified audit opinions were issued on the above corporations’ 30 June 2013 financial statements. During the year, Treasury issued TC 13/01 ‘Mandatory early close procedures for 2013’. This Circular aimed to improve the quality and timeliness of agencies’ annual financial statements. In 2012-13, application of the circular was made mandatory for State owned corporations. As a result, the port corporations were required to perform the early close procedures. All the port corporations were successful in performing the procedures, which helped them submit financial statements by an earlier due date. The early close procedures also resulted in general improvements to the quality of most financial statements.

The report recommends all transport entities should do more to reduce excessive annual leave balances to ensure they will comply with new targets set by the Premier, RailCorp, Sydney Trains and NSW Trains should minimise the amount of overtime bonuses paid to train drivers and that Transport for NSW should set targets to measure the overall satisfaction of train users.

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 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 The coordination of bushfire fighting activities

The coordination of bushfire fighting activities

Justice
Management and administration
Service delivery
Shared services and collaboration
Workforce and capability

The NSW model of rural fire fighting is complex, and requires an extensive amount of coordination and cooperation to function properly. This has inherent risks. In general, the model has been made to work quite well and much improvement in rural fire fighting has been achieved over the past decade. The efforts of all concerned should be recognised and applauded especially since any change must be developed cooperatively between a number of agencies and groups.

Nevertheless, past tensions and difficulties have left pockets of disagreement and resistance. The rural fire fighting culture which was developed over the course of a century has always been highly dedicated, as it is today. However, changed organisational, technical, legal, financial and environmental factors have necessitated major and continuing changes.

 

Parliamentary reference - Report number #57 - released 2 December 1998

Published

Actions for Planning statewide services

Planning statewide services

Health
Information technology
Management and administration
Service delivery
Shared services and collaboration

The Audit Office is of the view that:

  • there is no system wide plan for the location of emergency departments. This function is undertaken by each Area Health Service

  • coordination between the Department and the NSW Ambulance Service could be improved in aspects such as the collocation of facilities and direct communications between ambulances and emergency departments

  • there is no policy framework that recognises the increasing role and impact of private providers

  • the Department’s guidelines do not take into account demographic factors, the number of patients treated or the acuity of presentations as criteria for determining the size of an emergency department or the level and scope of emergency services that should be available at that location.

  • the Department has introduced a range of initiatives over a period of time to improve the performance of emergency departments such as the establishment of the Integrated Bed Management Committee. Some have been quite effective, whilst others have had mixed success. There has been an overall improvement in emergency department waiting times for urgent cases. However, there has been little improvement in waiting times for less urgent cases and a decline in performance for access block (the time taken to be admitted to a hospital ward from the emergency department after a decision has been made that this is required).

 

Parliamentary reference - Report number #54 - released 21 October 1998

Published

Actions for Police response to fraud

Police response to fraud

Justice
Fraud
Information technology
Management and administration
Service delivery
Workforce and capability

This audit was initiated following concerns expressed by the Department of Agriculture about the Police’s handling of a suspected fraud that it had first reported in 1996. The Department’s main concern related to the long delays before a full Police investigation took place.

Nevertheless, the current review highlighted a number of areas that, in the opinion of The Audit Office, require closer examination and resolution by the Police Service in implementing their changes. This report highlights those areas and provides recommendations for the Police to consider in its implementation of its reforms. Key areas requiring attention include: service standards are not clearly defined for the police response to fraud, without which it is difficult to ensure that police objectives and public expectations are met; restrictive employment arrangements which limit management’s ability to obtain the appropriate mix of people with skills to investigate fraud and inadequate information systems to support operational, tactical and strategic decision-making.

 

Parliamentary reference - Report number #53 - released 14 October 1998

Published

Actions for Police response to calls for assistance

Police response to calls for assistance

Justice
Internal controls and governance
Management and administration
Service delivery

While central communications units are responsible for broadcasting calls from the public for assistance to police cars; these units have no authority over those police cars. And while local police commands are responsible for police deployment, they have no ready capability to communicate with their police cars. The report also found that Local police management have limited contemporaneous knowledge of what their response resources are doing, and little useful management information that can tell them what they have done over prior periods. Current systems of response fail to distinguish adequately between calls of various types. All tend to be allocated for response by a police car, even where the caller’s needs may be equally well met by alternatives which are less resource intensive.

The NSW Police Service has begun to address these limitations. But it understands that more needs to be done before the service can realise improvements in response performance, and evidence levels of efficiency and effectiveness. In particular, the NSW Police Service should: formulate a strategy for improving response overall, before it commits itself to major new investments in this area and, as part of this strategy it should clarify accountabilities throughout the response “system” and develop a framework of indicators and standards to help it (and the public) monitor response performance.

 

Parliamentary reference - Report number #47 - released 10 March 1998