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Reports

Published

Actions for Volume Ten 2013 focusing on Health

Volume Ten 2013 focusing on Health

Health
Asset valuation
Financial reporting
Information technology
Infrastructure
Internal controls and governance
Management and administration
Project management
Risk
Shared services and collaboration

Unqualified opinions were issued for all agencies audited in the following report.

Some of the reports findings include:

  • Most cultural bodies rely heavily on government grants to fund services

  • The Sydney Opera House Trust earns most of its revenue from commercial operations

  • 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

  • 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

  • HealthShare NSW is committed to sharing internal audit findings across NSW Health

  • The Ministry has started a long-term project to review its policy directives

  • A recent review concluded the health sector has mature risk management practices

  • 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.

Published

Actions for Volume Seven 2013 focusing on Superannuation and Insurance

Volume Seven 2013 focusing on Superannuation and Insurance

Finance
Treasury
Compliance
Cyber security
Information technology
Management and administration
Procurement
Project management
Shared services and collaboration

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. 

Published

Actions for Reducing Ambulance Turnaround Time at Hospitals

Reducing Ambulance Turnaround Time at Hospitals

Health
Compliance
Management and administration
Service delivery

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

Published

Actions for Managing Operating Theatre Efficiency for Elective Surgery

Managing Operating Theatre Efficiency for Elective Surgery

Health
Compliance
Management and administration
Service delivery

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

Published

Actions for Building Energy Use in NSW Public Hospitals

Building Energy Use in NSW Public Hospitals

Health
Treasury
Planning
Environment
Internal controls and governance
Management and administration

NSW Health has reduced its energy use and greenhouse gas emissions by two per cent over the last four years. It is pleasing that annual emissions are now 15,000 tonnes less than they were four years ago. However, this was not sufficient to meet its target of an 11 per cent drop in emissions. 

Despite a reduction in energy use, energy cost in NSW Health has increased by nearly 50 per cent over the last four years to $120 million per annum. This is expected to increase by another 50 per cent in the next five years.

 

Parliamentary reference - Report number #231 - released 4 June 2013

Published

Actions for Managing Gifts and Benefits

Managing Gifts and Benefits

Planning
Finance
Transport
Environment
Compliance
Fraud
Internal controls and governance
Management and administration

Overall, the audited entities are managing some aspects of gifts and benefits effectively but other aspects require improvement. We found that all five entities had gifts and benefits policies that addressed some but not all of the attributes of a sound policy. All five have communicated their gifts and benefits policies to staff and external stakeholders, although in each case we identified opportunities to better communicate their policies.

 

Parliamentary reference - Report number #228 - released 27 March 2013

Published

Actions for Managing Drug Exhibits and other High Profile Goods

Managing Drug Exhibits and other High Profile Goods

Justice
Compliance
Information technology
Internal controls and governance
Management and administration
Risk

Some drug exhibits and other high profile goods, such as firearms, ammunition, vehicles and vessels, are held longer than necessary by NSW Police, increasing health and safety risks and storage costs.

 

Parliamentary reference - Report number #227 - released 28 February 2013

Published

Actions for Managing Injured Police

Managing Injured Police

Justice
Internal controls and governance
Management and administration
Service delivery
Workforce and capability

Overall, the NSW Police Force’s approach to managing injured officers since 2006 is appropriate, focusing on notification and early intervention and the development of successful return to work plans. Early intervention and return to work are the key factors in successfully managing injured officers and reducing the cost of workplace injuries. The Force has not done this well in the past. Through the establishment of the safety command, the Force has built a framework for managing injured officers that should optimise early return to work.

Parliamentary reference - Report number #184 - released 10 December 2008

Published

Actions for Delivering Health Care out of Hospitals

Delivering Health Care out of Hospitals

Health
Management and administration
Project management
Service delivery
Workforce and capability

Area Health Services and hospitals have developed programs which can provide clinical outcomes as good for patients as in-hospital care and can reduce the time they spend in hospital. They have operated for several years and show considerable potential. Ageing of the population, increasing costs and higher expectations of health care will continue to challenge health systems. Sometimes, unfortunately, the system struggles to cope. 

 

Parliamentary reference - Report number #182 - released 24 September 2008

Published

Actions for Working with Hotels and Clubs to Reduce Alcohol-Related Crime

Working with Hotels and Clubs to Reduce Alcohol-Related Crime

Justice
Compliance
Management and administration
Regulation
Service delivery
Shared services and collaboration
Workforce and capability

In NSW alcohol-related assaults have almost doubled over the last ten years. In 2006-07 there were 20,475 alcohol-related assaults excluding domestic violence incidents, up from 10,305 in 1997-98. In fact, the number of these assaults is increasing at a faster rate than total assaults. Incidences of alcohol-related malicious damage and offensive conduct have also increased, rising by 87 and 70 per cent respectively. Working with hotels and clubs to reduce alcohol-related crime, however we found that the number of alcohol-related assaults has reduced or stabilised in the last two years in about 14 per cent of Police local area commands.

 

Parliamentary reference - Report number #179 - released 23 April 2008