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Reports

Published

Actions for Delivering Health Care out of Hospitals

Delivering Health Care out of Hospitals

Health
Management and administration
Project management
Service delivery
Workforce and capability

Area Health Services and hospitals have developed programs which can provide clinical outcomes as good for patients as in-hospital care and can reduce the time they spend in hospital. They have operated for several years and show considerable potential. Ageing of the population, increasing costs and higher expectations of health care will continue to challenge health systems. Sometimes, unfortunately, the system struggles to cope. 

 

Parliamentary reference - Report number #182 - released 24 September 2008

Published

Actions for Implementing Successful Amalgamations

Implementing Successful Amalgamations

Finance
Internal controls and governance
Management and administration
Project management
Service delivery
Shared services and collaboration

The Better Practice Guide (BPG) aims to provide guidance for those implementing an amalgamation. It provides a series of questions identifying what needs to be done to achieve a successful amalgamation following the formal announcement of the amalgamation and the Administrative Orders for the new arrangements being finalised. The BPG’s aim is to alert those managing an amalgamation to actions that should be considered. How the Guide is applied will depend on circumstances. A lot will depend on how clear the expectations of the amalgamation are and on how complex it is.

 

Parliamentary reference - Report number #176 - released 5 March 2008

Published

Actions for Managing Departmental Amalgamations

Managing Departmental Amalgamations

Industry
Finance
Internal controls and governance
Management and administration
Project management
Service delivery
Shared services and collaboration

Both Commerce and DPI substantially achieved their stated amalgamation savings objectives as set by government. The departments are expected to achieve savings targets of about $150 million and $190 million respectively over their first four years. Our analysis indicates that there are two key factors in successful amalgamations. The first is effective early planning by departments based on clear objectives, supported by quick action. Second, significant synergies in service delivery can be achieved when departments with similar services and customers are amalgamated. The Department of Primary Industries is an example.

 

Parliamentary reference - Report number #175 - released 5 March 2008

Published

Actions for Code Red: Hospital Emergency Departments

Code Red: Hospital Emergency Departments

Health
Service delivery
Shared services and collaboration

All three hospitals followed the Department of Health’s guidelines for judging capacity and had systems in place to notify hospital staff and ambulance crews of changes in status. We found discrepancies in the records kept by all three hospitals when compared to the records maintained by the Department of Health. Our view however, is that these records do not need to be a perfect match for the intended purpose, which is to guide ambulance crews to the shortest queue.

 

Parliamentary reference - Report number #121 - released 15 December 2003

Published

Actions for Disposal of Sydney Harbour Foreshore Land

Disposal of Sydney Harbour Foreshore Land

Finance
Environment
Internal controls and governance
Management and administration

Our view is that decisions need to be made on a more strategic basis, if the Government’s aspirations for Sydney Harbour’s foreshores are to be met. At present there are high-level ‘aspirations’, but there is no overarching strategy or plan for Sydney Harbour that can guide individual decisions. Decision-making appears to be triggered when a proposal is made to dispose of a particular property. Decisions to dispose of, retain, or change the use of individual properties should be made in the context of a broader strategy, rather than on a case-by-case basis.

 

Parliamentary reference - Report number #119 - released 26 November 2003

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 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 The Millennium Train Project

The Millennium Train Project

Transport
Infrastructure
Procurement
Project management
Service delivery

State Rail has made significant improvements since the purchase of the Tangara. It improved measures necessary for handling contracts dealing with technically complex and innovative projects, although some other problems have been encountered, with new lessons to learn. The design and manufacture of new trains requires a significant investment in both time and cost. The Millennium Train has come at a considerably higher price than originally expected. And it is very late compared to the Government’s original announcements, as the development/design took longer than planned.

 

Parliamentary reference - Report number #112 - released 17 June 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