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Reports

Published

Actions for Visiting medical officers and staff specialists

Visiting medical officers and staff specialists

Health
Management and administration
Service delivery
Workforce and capability

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

Published

Actions for Responding to Domestic and Family Violence

Responding to Domestic and Family Violence

Community Services
Justice
Health
Internal controls and governance
Management and administration
Service delivery

Organisations generally work together to improve the safety of victims when there is an overt and serious crisis, particularly where children are involved. There are no standard ways for victims and perpetrators to access help that might prevent ongoing violence and address underlying issues. This is particularly problematic where there are repeat victims and perpetrators, many of whom have complex mental health, drug and alcohol problems and are difficu

Published

Actions for Government expenditure and transport planning in relation to implementing Barangaroo

Government expenditure and transport planning in relation to implementing Barangaroo

Industry
Treasury
Transport
Compliance
Internal controls and governance
Management and administration
Project management
Service delivery

Barangaroo is an ambitious and significant development on Government-owned Sydney Harbour foreshore. Construction on the 22 hectare CBD site is expected to take 12 years to 2023. Developer contributions to Government of $1 billion are to provide for public domain and other Government development costs, including a six hectare Headland Park. When completed the precinct is to service an anticipated 26,000 workers and residents and up to 33,000 visitors a d

Published

Actions for Attracting, retaining and managing Nurses in hospitals

Attracting, retaining and managing Nurses in hospitals

Health
Internal controls and governance
Management and administration
Service delivery
Workforce and capability

The department has done well to attract and retain nurses. Between 2001-02 and 2005-06 the average number of nurses employed increased to 39,804 with the annual resignation rate falling from 16 to 14 per cent. Overall, the public health sector gained 5,588 nurses, representing an average annual increase of four per cent. Despite the gains, there are indicators that there may still not be enough nurses.   Parliamentary reference - Report number #162 - r

Published

Actions for Helping older people access a residential aged care facility

Helping older people access a residential aged care facility

Health
Community Services
Compliance
Internal controls and governance
Management and administration
Risk
Service delivery
Shared services and collaboration
Workforce and capability

Assessment processes for older people needing to go to an Residential Aged Care Facility (RACF) vary depending on the processes of the Aged Care Assessement Teams (ACAT) they see and whether or not they are in hospital. The data collected on ACAT performance was significantly revised during 2004 making comparisons with subsequent years problematic. ACATs have more responsibilities than assessing older people for residential care. It is not clear whether

Published

Actions for Major infectious disease outbreaks: Readiness to response

Major infectious disease outbreaks: Readiness to response

Health
Internal controls and governance
Management and administration
Risk
Service delivery
Shared services and collaboration
Workforce and capability

NSW Health is working to increase its preparedness to respond to a major infectious disease outbreak. It is also contributing to the development of national policies, strategies and capabilities, which affect its level of preparedness. We found however little evidence that other jurisdictions were significantly further advanced than NSW in preparation and testing of plans for a pandemic. In our view NSW Health needs to balance the costs of over-preparedn

Published

Actions for Regulating the clearing of native vegetation: Follow-up audit

Regulating the clearing of native vegetation: Follow-up audit

Environment
Management and administration

There has been progress towards achieving the Government’s objectives. A new regulatory system has been established that is capable of ending illegal clearing of native vegetation. However this system is not yet fully operational and it is too early to assess its performance.  The Department of Natural Resources is now in a position to achieve the Government’s main objective of reducing illegal clearing, especially in the west of the State. It now must

Published

Actions for Agency use of performance information to manage services

Agency use of performance information to manage services

Treasury
Whole of Government
Management and administration

Overall the results were mixed. There is some good news but this is such a basic and vital issue that we must conclude that a good deal more needs to be done. Three agencies did not have sufficient information to provide a balanced view of services. And two of these agencies could not tell us whether their services actually made a difference to customers. Across the ten programs we found many examples of good practice, but some variation in the quality a

Published

Actions for The Cross City Tunnel Project

The Cross City Tunnel Project

Transport
Treasury
Premier and Cabinet
Planning
Environment
Infrastructure
Management and administration
Procurement
Project management
Risk

In our opinion the Government’s ‘no net cost to government’ requirement was a legitimate (but not the only possible) basis for the tunnel bid process. The Government was entitled to decide that tunnel users meet the tunnel costs. Structuring the bid process on the basis of an upfront reimbursement of costs incurred (or to be incurred) by the Roads and Traffic Authority (RTA) was therefore appropriate. In our opinion, however, the Government, Treasury an

Published

Actions for The New Schools Privately Financed Project

The New Schools Privately Financed Project

Education
Treasury
Infrastructure
Management and administration
Procurement
Project management

In our view the contracts in the New Schools Privately Financed Project were established and let in a way that greatly assists their potential for delivering value for money. The contracts in the New Schools Privately Financed Project are at an early stage of their 30 year lives and the savings and other benefits are not guaranteed. The contracts will need to be carefully managed over the 30 year period to ensure that benefits are realised and that costs