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

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

Despite the issue being on the agenda for many years (formally, at least since 1988), at present there is not a comprehensive record of all government property assets in NSW. Whilst initiatives currently underway are promising, they will require continued priority to achieve tangible results. And careful coordination will be required to avoid duplication and waste.

Parliamentary reference - Report number #93 - released 31 January 2002

The acceptance of audit recommendations by agencies in the current review was high and represented 96 per cent of the recommendations made. In addition, half of the recommendations in the 1998 audits have been adequately addressed and for over 70 per cent of recommendations there has been some measurable change in practices or performance.

But overall, most of these improvements have been incremental. And, for nearly one third of the recommendations, changes have not yet taken effect and there is a risk that the issue or problem contained in the original reports may persist. There is also a danger that current reporting arrangements may not provide Parliament sufficient assurance as to the extent accepted recommendations have been implemented and improvements have been achieved. 

To provide greater transparency and accountability, agencies, following a performance audit, should establish arrangements, such as an audit committee, to follow up on the progress of implementation of the recommendations and report on the progress of the implementation of recommendations in their annual report to Parliament.

Parliamentary reference - Report number #84 - released 21 June 2001

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