Reports
Actions for Mental Health Workforce
Mental Health Workforce
Compared to the mental health workforce in most other Australian states and territories, the NSW workforce is more concentrated in acute hospitals for adult patients and is marginally smaller for its population. NSW Health increased its mental health workforce between 2006 and 2009. It has improved the geographical distribution of clinicians across the state to more closely match need. It has also increased the number of staff working with younger and older mental health patients. These are positive achievements in a time of financial stringency.
Parliamentary reference - Report number #210 - released 16 December 2010
Actions for Volume Eleven 2010 focus on Health and Ports
Volume Eleven 2010 focus on Health and Ports
The report includes comments on his financial audits of NSW Government health agencies for 2009-10. It found Health Support Services need to agree the respective responsibilities for implementing effective standardised internal controls with its customers and the Department. Control deficiencies have increased the risk that irregularities are not prevented or detected. The standardised internal controls should be implemented at Health Support Services and its customers as soon as practicable.
Actions for Helicopter Emergency Medical Service Contract
Helicopter Emergency Medical Service Contract
We found that the contract process was satisfactory. Ambulance data show that the performance of CHC is meeting contract requirements with the exception of the availability of the Wollongong helicopter. Ambulance’s ability to transport patients to the right hospital at the right time has improved. However the cost of the new Greater Sydney helicopter contract is three times higher than before.
Parliamentary reference - Report number #206 - released 22 September 2010
Actions for Volume One 2010
Volume One 2010
The report includes comments on his annual audit of entitlements paid to Members of NSW Parliament and financial audits of WorkCover, Justice Health, Waste Recycling Processing Corporation and some other NSW Government agencies.
In his audit the Auditor-General had called for a system to be developed to ensure accrued loyalty/reward benefits are used to reduce Members’ parliamentary business travel expenditure, rather than be forfeited when a Member leaves Parliament. He also called for better controls over the Logistic Support Allocation used for transport, communications, printing, stationery, office supplies and equipment.
Actions for Managing Forensic Analysis: Fingerprints and DNA
Managing Forensic Analysis: Fingerprints and DNA
Fingerprints and DNA play a critical role in solving crime and serving justice, but DNA evidence can result in more arrests, more prosecutions and more convictions. We found that while police effectively prioritise fingerprint evidence, it could better manage the screening and analysis of both fingerprint and DNA evidence to reduce delays.
Parliamentary reference - Report number #195 - released 10 February 2010
Actions for Helping Aboriginal Defendants through MERIT
Helping Aboriginal Defendants through MERIT
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 rates of imprisonment and reduced rates of reoffending.
Overall, the ability to identify MERIT clients, the eligibility criteria, the location and the ability of MERIT teams to engage with Aboriginal defendants are key factors that limit MERIT’s capacity to treat Aboriginal defendants. MERIT needs to overcome these barriers. If MERIT is to be a truly mainstream program, it must adapt to meet the needs of all who should participate.
Parliamentary reference - Report number #189 - released 5 August 2009
Actions for Tackling Cancer with Radiotherapy
Tackling Cancer with Radiotherapy
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 demand for radiotherapy services will further challenge NSW Health and it needs to more clearly demonstrate how it will have the right facilities in the right place at the right time.
Parliamentary reference - Report number #188 - released 23 June 2009
Actions for Grants Administration
Grants Administration
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 as meeting State Plan targets or addressing socio-economic disadvantage.
But while agencies publish who gets what, they do not adequately evaluate or explain what grant programs have achieved. As a result, there is a risk that New South Wales may not get the best value for its spending. We recommend that agencies regularly evaluate their grant programs and publish the results.
Parliamentary reference - Report number #186 - released 6 May 2009
Actions for Ambulance Service of NSW: Readiness to respond
Ambulance Service of NSW: Readiness to respond
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