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Search filters applied: health AND 2011, 2009, 2002, 2001 .

Published

Actions for Volume Ten 2011 Focusing on Health

Volume Ten 2011 Focusing on Health

Health
Financial reporting
Information technology
Internal controls and governance
Management and administration
Project management
Workforce and capability

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

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 The effectiveness of cautioning for minor Cannabis offences

The effectiveness of cautioning for minor Cannabis offences

Justice
Health
Project management
Service delivery

Over the last ten years the NSW Police Force (Police) has used cautioning to divert over 39,000 minor cannabis offenders from the courts, saving at least $20 million in court costs. People cautioned for minor cannabis offences are also less likely to reoffend than those dealt with by the courts. Adults are more likely to be cautioned for minor cannabis offences today than when cautioning was introduced ten years ago. However this is not the case for youn

Published

Actions for Helping Aboriginal Defendants through MERIT

Helping Aboriginal Defendants through MERIT

Justice
Health
Management and administration
Service delivery

The Magistrates Early Referral into Treatment program (MERIT) diverts adult defendants with drug problems from the local court into a drug treatment program. Recent studies of MERIT outcomes indicate that MERIT is a highly appropriate intervention program for Aboriginal defendants. It has improved the health of participants, including significant reduction in drug use and significant improvement in mental health. Better justice outcomes include lower rat

Published

Actions for Tackling Cancer with Radiotherapy

Tackling Cancer with Radiotherapy

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

Overall radiotherapy services are managed in a reasonably efficient and effective manner. Much is being done to further improve efficiency and effectiveness, and more can be done. While New South Wales has a number of well-established radiotherapy treatment centres, the high capital cost limits their availability in all hospitals. Some patients need to travel long distances and be away from their homes for up to seven weeks. The projected growth in deman

Published

Actions for Grants Administration

Grants Administration

Premier and Cabinet
Treasury
Health
Community Services
Planning
Compliance
Internal controls and governance
Management and administration
Procurement
Risk

We found no significant difference in the funding of government and opposition electorates. However, more money was given to electorates that were safely held by the major parties. These seats received $1.29 for every dollar given to marginal and independent seats with government marginals getting the least. Electorates also receive different levels of funding according to which region they are in. Such variations may reflect valid agency objectives such

Published

Actions for Managing Hospital Waste

Managing Hospital Waste

Health
Management and administration

In 1998 NSW Health developed Waste Management Guidelines to promote continuous improvement in waste management across the public health sector. Systematic implementation of the Guidelines was impeded in 1999- 2000 by resistance from the waste industry and transport workers. Since then, NSW Health has not actively promoted waste management in public hospitals. As a consequence Area Health Services (AHSs) and hospitals have developed separate and individua

Published

Actions for Electronic Procurement of Hospital Supplies

Electronic Procurement of Hospital Supplies

Health
Information technology
Management and administration
Procurement

Reform of procurement in the NSW public health system is a huge, complex and difficult task. Much thought has been given to this reform. An immense amount of planning and preparatory work is required, and is apparent. In our opinion, at this time, the NSW public health system is making only limited progress towards achieving the economies in purchasing that its size and market dominance could deliver. While millions of dollars in savings are potentially

Published

Actions for Ambulance Service of NSW: Readiness to respond

Ambulance Service of NSW: Readiness to respond

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

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.   Parliament