On 17 December 2015 the NSW Acting Auditor-General, Tony Whitfield, released a report on the care that is provided to mental health patients in the first seven days after they are discharged from acute mental health units.
 
The audit examined models of care provided by five Local Health Districts: Northern NSW, Sydney, Western Sydney, Central Coast, and Murrumbidgee. The audit looked at how well these Local Health Districts implemented the Ministry of Health’s policy directive on the transfer of mental health patients from hospitals to the community.

Parliamentary reference - Report number #263 - released 17 December 2015

NSW Health, on average, met the emergency department triage response time targets across all triage categories in 2014-15 for the second consecutive year. However, fewer health entities met all triage targets in 2014-15, according to a report released by the New South Wales Acting Auditor-General, Tony Whitfield. 
 
NSW Health improved its emergency department treatment performance in 2014-15, but did not achieve its target of 81 per cent of patients being admitted, transferred or discharged within four hours of presenting. In 2014-15, the State average was 74.3 per cent compared to 73.9 per cent in 2013-14. Only five local health districts achieved the 81 per cent target in 2014-15.

NSW Health has adequate arrangements to ensure that the data it uses for activity based funding is of reasonable quality. Activity Based Funding (ABF) represented 75 per cent of the funds provided to Local Health Districts (LHDs) and Speciality Health Networks in 2013-14.
 
For ABF to work it requires detailed information about patient activity in health services and costs of providing care.

Parliamentary reference - Report number #261 - released 4 November 2015

This report examines selected areas of government activity to see if sufficient information was available to identify and assess changes in productivity. The areas examined were primary and secondary school public education, acute inpatient care in NSW public hospitals, CityRail, the NSW Police Force, and the NSW Local Court.

Productivity is commonly defined as the amount of output per unit of input.

Parliamentary reference - Report number #256 - released 16 July 2015

NSW Government agencies have sound processes for implementing performance audit recommendations in Auditor-General’s Reports to Parliament. There are many cases of good practice. For example, some agencies formed a steering committee and developed a detailed plan to implement recommendations. Another incorporated the implementation of recommendations into both its business plan and the work plans of individual officers who were managing projects. Most agencies also used their Audit and Risk Committees to monitor recommendations.
 
We found some cases where agencies can improve how they coordinate actions to address recommendations. Most agencies were not revisiting these actions to determine whether they remain appropriate.

Parliamentary reference - Report number #254 - released 24 June 2015

The independent assurance given to the NSW Government and sponsor agencies on the viability of large capital projects throughout their lifecycle is inadequate. Government policy is regularly not followed and not properly communicated to those responsible for implementing such policy.
 
This audit sought to test the effectiveness of the NSW capital project assurance system - which includes gateway reviews and reporting - but significant levels of non-compliance identified in our case studies prevented this. The NSW Commission of Audit also identified this issue in 2012. Gateway reviews are conducted by independent reviewers at key stages of a project’s life cycle and provide an independent assessment on a project’s readiness to proceed to the next stage.

Parliamentary reference - Report number #252 - released 7 May 2015

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

This performance audit indicates that the Service has considerable work to do to reach its aspirations of being recognised amongst leading examples of best practice services. The commitment of the Service to serving the community and the professionalism of the Service's officers is not in question. It is, however, apparent that a number of barriers to performance will need to be overcome for the Service to perform as well as it would wish.

Parliamentary reference - Report number #80 - released 7 March 2001