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Actions for Volume Ten 2011 Focusing on Health
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 targ
Actions for Visiting medical officers and staff specialists
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
Actions for Prequalification Scheme: Performance and Management Services
There have been tangible improvements in the time it takes NSW Government agencies to engage consultants through the Government’s Prequalification Scheme. The Scheme was introduced in February 2008 to improve agencies’ procurement of consultants. More than 300 service providers have been prequalified and over $300 million worth of consultancy services have been provided. Ideally agencies should know what assignments each consultant has won, for what serv
Actions for Attracting, retaining and managing Nurses in hospitals
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
Actions for Helping older people access a residential aged care facility
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
Actions for Major infectious disease outbreaks: Readiness to response
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
Actions for Support for nurses and junior doctors in high-pressure, high-demand hospital environments
Under the Workplace Health and Safety Act 2011, health is defined as including both physical and mental health. Nurses and junior doctors may be exposed to situational stressors (i.e. risks associated with the tasks they perform and the workplace environment) and conditional stressors (i.e. shift work and work culture). These factors can affect the health, safety and wellbeing of staff and impact on their ability to perform their role. This audit will as
Actions for Provision of health services in custodial settings
The Justice Health and Forensic Mental Health Network delivers health care to adults and young people in contact with the forensic mental health and criminal justice systems. The Network supports a highly vulnerable patient population across community, inpatient and custodial settings. Its patients can include people with many and complex health needs and significant increases in the adult custodial population may have placed additional demands on the de
Actions for Advice on major decisions: redevelopment of the Sydney Football Stadium
The NSW Government makes decisions that involve the spending of significant sums, and that have substantial impacts on citizens. This audit will focus on the advice provided for the redevelopment of the Sydney Football Stadium. This audit may examine the adequacy of planning and risk management approaches and whether these: were informed by appropriate and robust departmental advice complied with relevant procurement and assurance frameworks.
Actions for Health 2020
This audit will analyse the key observations and findings from the most recent financial statement audits of the Health cluster for the year ended 30 June 2020.