This report includes comments on financial audits of government agencies in the Health sector. In 2010-11, Ambulance Officers spent an extra 77,200 hours waiting at emergency departments for patients to transfer to hospital care. In 2010-11, only 66 per cent of patients were moved from the emergency department to an inpatient bed within eight hours of their arrival. This is significantly down on last year’s 73 per cent and well below the 80 per cent target.

We found that hospitals are generally able to deploy their VMOs and staff specialists to be at the place and time required. However, a hospital’s ability to manage supply and demand at a local level is limited. This limitation will become more critical with the current national health reforms when public hospital funding will depend on their ability to set and meet activity targets and priorities. NSW Health cannot be sure that all payments made to VMOs are for agreed and delivered services. Across the hospitals visited we found limited checking of VMO claims for payment, limited quality information on staff specialist activities and limited hospital-level analysis of trends or inconsistencies in activities and treatments.

Parliamentary reference - Report number #219 - released 14 December 2011

The report includes comments on financial audits of government agencies in the Transport and Ports sectors. The audit of corporations’ financial statements for the year ended 30 June 2011 resulted in unmodified audit opinions within the Independent Auditor’s Reports. A key recommendation from the report is that Sydney Ports Corporation should continue working with other government authorities and industry stakeholders to improve the effectiveness of program initiatives for increasing container freight movements by rail. The Corporation should review the underlying causes hindering growth in the rail mode and develop and implement strategies to address the unfavourable trend.

Information relating to the NSW public sector wide sickness absence levels, unlike in some other states, are presently not maintained or monitored centrally. The salaries and wages paid to individuals whilst on sickness absence on a public sector wide basis in 1996-97 was estimated to be $368.3m. This estimate does not take into account any flow -on effect resulting from sickness absence, eg overtime or other replacement cost.

Improved management of sickness absence provides an opportunity for the NSW public sector to gain benefits, including the reduction of salary costs associated with people on sickness absence. The salary differential between the sickness absence level currently existing and the sickness absence level reported for the private sector, is around $123m per annum. To assist with the management of sickness absence within the NSW public sector, The Audit Office of NSW developed a Better Practice Guide. This Guide has been referred to the Premier’s Department for consultation as a prelude to its completion and release.

Parliamentary reference - Report number #52 - released 27 August 1998

This Volume, Volume Two: The Survey - Detailed Findings, is the second of a two part Performance Audit Report on Management of Sickness Absence New South Wales Public Sector. The first volume, Volume One: Executive Briefing, identifies the main issues of sickness absenteeism identified during the audit.

This Report Volume, Volume Two: The Survey - Detailed Findings, presents the more detailed findings of the audit which were gathered from:

• the review and analysis of responses received from agencies to The Audit Office’s management of sickness absence survey

• fieldwork visits to selected public and private sector organisations, during the course of the audit, which supplemented the survey. 

Parliamentary reference - Report number #52 - released 27 August 1998