Reports
Actions for Volume Ten 2013 focusing on Health
Volume Ten 2013 focusing on Health
Unqualified opinions were issued for all agencies audited in the following report.
Some of the reports findings include:
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Most cultural bodies rely heavily on government grants to fund services
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The Sydney Opera House Trust earns most of its revenue from commercial operations
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Less than half of the 2014-16 service agreements between HealthShare NSW and its customers have been signed. HealthShare NSW and health entities should finalise their 2014-2016 service agreements by no later than 31 January 2014
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Five service level agreements with NSW Health Pathology for 2012-13 were never signed. NSW Health Pathology and local health districts/speciality networks should finalise their 2013-14 service agreements by no later than 31 December 2013
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HealthShare NSW is committed to sharing internal audit findings across NSW Health
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The Ministry has started a long-term project to review its policy directives
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A recent review concluded the health sector has mature risk management practices
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When changes to the Aboriginal Land Rights Act 1983 occur, the Minister should identify and assess any risks from the changes and develop strategies to mitigate against them.
Actions for Volume Seven 2013 focusing on Superannuation and Insurance
Volume Seven 2013 focusing on Superannuation and Insurance
Unqualified audit opinions were issued on the NSW Government controlled insurance and compensation entities’ 30 June 2013 financial statements, except the NSW Self Insurance Corporation (SICorp). SICorp’s audit opinion was qualified due to non-compliance with Australian Accounting Standards applicable to general insurance contracts. The auditor’s reports drew attention to the significant uncertainty in estimating outstanding claims liabilities of $14.0 billion in the Workers’ Compensation Nominal Insurer and $2.1 billion in the Lifetime Care and Support Authority. The audit of the Building Insurers’ Guarantee Corporation was not complete at the time of this report and is excluded from this commentary.
Actions for Reducing Ambulance Turnaround Time at Hospitals
Reducing Ambulance Turnaround Time at Hospitals
NSW Health has put in place initiatives to reduce the time ambulance crews have to wait at a hospital before they are able to leave and attend to other calls. Despite these actions, ambulance crews are waiting longer at NSW hospitals. Crews now wait on average nearly 32 minutes at a hospital before handing over a patient, up from about 24 minutes seven years ago.
Parliamentary reference - Report number #233 - released 24 July 2013
Actions for Managing Operating Theatre Efficiency for Elective Surgery
Managing Operating Theatre Efficiency for Elective Surgery
Waiting times for elective surgery will continue to increase if NSW Health does not improve its management of operating theatres. On the positive side NSW public hospitals are performing more elective surgery than in previous years and are treating patients substantially within national clinical timeframes. However, more operations will be needed as targets are getting tighter and demand is growing.
Parliamentary reference - Report number #232 - released 17 July 2013
Actions for Management of Historic Heritage in National Parks and Reserves
Management of Historic Heritage in National Parks and Reserves
The National Parks and Wildlife Service is spreading its resources too thinly, running the risk that the heritage significance of important assets will eventually be lost.
Parliamentary reference - Report number #230 - released 29 May 2013
Actions for Code Red: Hospital Emergency Departments
Code Red: Hospital Emergency Departments
All three hospitals followed the Department of Health’s guidelines for judging capacity and had systems in place to notify hospital staff and ambulance crews of changes in status. We found discrepancies in the records kept by all three hospitals when compared to the records maintained by the Department of Health. Our view however, is that these records do not need to be a perfect match for the intended purpose, which is to guide ambulance crews to the shortest queue.
Parliamentary reference - Report number #121 - released 15 December 2003
Actions for Waiting Times for Elective Surgery in Public Hospitals
Waiting Times for Elective Surgery in Public Hospitals
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
Actions for Freedom of Information
Freedom of Information
Freedom of Information (FOI) Coordinators and their staff were supportive of the legislation. However, the agencies examined can do considerably more to fully achieve the intentions of the Act. On the positive side, all three agencies had processes in place to handle requests and had made a number of changes to improve the effectiveness of the FOI process. Fees and charges had also been kept to a minimum. No processing fees were requested in the majority of cases, and if charged, were not unreasonable.
Parliamentary reference - Report number #114 - released 28 August 2003
Actions for Northside Storage Tunnel Project
Northside Storage Tunnel Project
The Northside Storage Tunnel was the first major public sector construction project using an alliance approach. In our opinion, the outcome of the project suggests that an alliance approach, when applied to a suitable project and managed appropriately, can support positive project outcomes. And in many respects the Alliance worked well. There are, however, a number of issues that we believe need to be addressed for future alliances.
Parliamentary reference - Report number #113 - released 24 July 2003
Actions for The Millennium Train Project
The Millennium Train Project
State Rail has made significant improvements since the purchase of the Tangara. It improved measures necessary for handling contracts dealing with technically complex and innovative projects, although some other problems have been encountered, with new lessons to learn. The design and manufacture of new trains requires a significant investment in both time and cost. The Millennium Train has come at a considerably higher price than originally expected. And it is very late compared to the Government’s original announcements, as the development/design took longer than planned.
Parliamentary reference - Report number #112 - released 17 June 2003