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Reports

Published

Actions for Liverpool to Parramatta Bus Transitway

Liverpool to Parramatta Bus Transitway

Transport
Treasury
Infrastructure
Management and administration
Project management
Service delivery

Several of my recent audits have identified a need to improve our public transport system – both for the benefit of travellers and to assist in achieving better air quality. Bus Transitways can provide a good public transport solution for lower density population areas, potentially at a relatively low capital cost. This audit examines the transitway running between Liverpool and Parramatta, the first of several planned for Sydney. This audit should cont

Published

Actions for Purchasing Hospital Supplies: Follow-up of 2002 Performance Audit

Purchasing Hospital Supplies: Follow-up of 2002 Performance Audit

Health
Asset valuation
Financial reporting
Management and administration
Procurement
Service delivery

Periodically we review the extent to which agencies have changed their practices as a result of our audits. This gives Parliament and the public an update on the extent of progress made. In this follow-up audit, we examine changes following our September 2002 report, to assess whether NSW Health has improved its buying of hospital supplies using electronic systems. NSW Health spends over $1.3 billion on hospital supplies. It is the largest expenditure

Published

Actions for Oversight of State Owned Electricity Corporations

Oversight of State Owned Electricity Corporations

Treasury
Asset valuation
Financial reporting
Management and administration
Service delivery

Issues of corporate governance have long been a matter for concern in the private sector. Following recent corporate collapses and scandals, legislators and regulators in a number of countries have focused on strengthening governance in publicly traded corporations. Considerable attention has been given to setting clear expectations for the performance of boards and for the disclosure of information to various stakeholders. Good governance is no less im

Published

Actions for Emergency Mental Health Services

Emergency Mental Health Services

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

It is estimated that one in five people will be affected at some stage by a mental health problem or illness. The increasing prevalence of mental illness means that at some point in time most of us will either be affected or we will know of someone who is. Although most people with mental illness can be treated in the community, at times some may require emergency treatment or admission to hospital for shortterm intensive therapy. Not only are more men

Published

Actions for Transporting and Treating Emergency Patients

Transporting and Treating Emergency Patients

Health
Service delivery
Shared services and collaboration

This audit follows our earlier studies on ambulance response times, on waiting times for elective (i.e. non-urgent) surgery and on the ‘Code Red’ status of hospital emergency departments. Those audits indicated that matching resources to the ever-increasing numbers of people seeking emergency treatment was certainly an issue, but not the only issue. We found that problems were also occurring at the ‘interface’ between different parts of the health system

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 sh

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

Published

Actions for User-Friendliness of Websites

User-Friendliness of Websites

Whole of Government
Information technology
Service delivery

Of the sites examined, users would find that some offered a pleasant and productive experience. Using others would be onerous and frustrating. Some users would not be able in practice to access features on some sites. All sites, even the best, had aspects warranting better attention to users’ needs. The failure of some sites to provide important information about privacy, security and legal matters was of particular concern. For the sites evaluated there

Published

Actions for Use of the internet and related technologies to improve public sector performance

Use of the internet and related technologies to improve public sector performance

Whole of Government
Cyber security
Information technology
Procurement
Service delivery
Shared services and collaboration
Workforce and capability

Notwithstanding the considerable effort, it is not apparent that the Government's vision can be fully achieved without increased efforts. Based on the current position, to ensure that the Government's vision can be achieved the Audit Office is of the view that the following key issues need to be urgently addressed:  more robust mechanisms are needed to monitor, review and report publicly on progress and benefits a greater emphasis sho

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 tim