Journal articles: 'New South Wales Public Service'

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Thornthwaite, L. "DISCIPLINARY APPEALS IN THE NEW SOUTH WALES PUBLIC SERVICE." Australian Journal of Public Administration 47, no. 1 (March 1988): 58–67. http://dx.doi.org/10.1111/j.1467-8500.1988.tb01046.x.

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McCarry, Greg. "Disciplinary Appeals in the New South Wales Public Service: A Comment." Australian Journal of Public Administration 47, no. 4 (December 1988): 376–78. http://dx.doi.org/10.1111/j.1467-8500.1988.tb01079.x.

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Beattie, Belinda. "What impact has managerialism hadon a New South Wales AreaHealth Service?" Australian Health Review 23, no. 4 (2000): 170. http://dx.doi.org/10.1071/ah000170.

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In a perfect world, the health public sector would be completely efficient and effective. In reality, managers, policy-makers,politicians, academics, public sector employees and business representatives are constantly searching for newways to orientate the public sector towards being more cost-effective, accountable, results- and outcome-orientated, task-specificand better organised and structured. In New South Wales (NSW), this has been most apparent in endeavoursto bring about a change towards the philosophy of 'new managerial thinking' or corporate management. This paperexplores the hypothesis that managerialism has significantly influenced the culture of the New England Area HealthService (NEAHS) and its relationship with its staff. To test this hypothesis, between 1996-1997 a self-administeredquestionnaire survey form was sent to a sample of the NEAHS staff across all work sites and all levels. It is concludedthat during this time, the organisation was struggling with change management issues and the successfulimplementation of managerialist philosophy and its elements as evidenced by staff confusion, doubt and 'cultural shock'.

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Lamond, David A. "ESTABLISHING A SENIOR EXECUTIVE SERVICE: THE NEW SOUTH WALES EXPERIENCE." Australian Journal of Public Administration 50, no. 4 (December 1991): 505–14. http://dx.doi.org/10.1111/j.1467-8500.1991.tb02322.x.

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Higgs, Gary, Samuel Jones, Mitchel Langford, and Jesse Heley. "Assessing the impacts of changing public service provision on geographical accessibility: An examination of public library provision in Pembrokeshire, South Wales." Environment and Planning C: Politics and Space 36, no. 3 (July 2, 2017): 548–68. http://dx.doi.org/10.1177/2399654417715457.

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Public libraries make an important contribution to the wellbeing of local people often acting as community hubs by reducing the isolation felt by vulnerable members of society through promoting social interaction and supporting the wider needs of local communities. However, access to libraries is threatened in Wales, as elsewhere in the UK, by uncertainty stemming from changes in local government service delivery models, austerity-driven cuts in public spending, changing demands on the service from the public and the potential impacts of new developments in digital services and technologies. Drawing on network-based analysis of changes to library services in a predominantly rural authority in South-West Wales, the aim of this paper is to demonstrate how Geographical Information Systems can be used to monitor the impacts of alternative models of provision currently being considered by library authorities. By examining the spatial impacts of changes in services following a period of re-configuration in this library authority, we point the way to methods that enable levels of provision that meet community needs to be sought during times of budgetary pressures and proposed changes to the delivery of public services.

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Mills, Annie E., Judy M. Simpson, Julia M. Shelley, and Deborah A. Turnbull. "Evaluation of the New South Wales Cancer Council Pap Test Reminder Service." Australian Journal of Public Health 18, no. 2 (February 12, 2010): 170–75. http://dx.doi.org/10.1111/j.1753-6405.1994.tb00220.x.

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Durst, Michelle, Margaret Rolfe, Jo Longman, Sarah Robin, Beverley Dhnaram, Kathryn Mullany, Ian Wright, and Lesley Barclay. "Local birthing services for rural women: Adaptation of a rural New South Wales maternity service." Australian Journal of Rural Health 24, no. 6 (July 6, 2016): 385–91. http://dx.doi.org/10.1111/ajr.12310.

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Gilroy, JH. "New South Wales Kangaroo Management Program: 2002 and beyond.." Australian Mammalogy 26, no. 1 (2004): 3. http://dx.doi.org/10.1071/am04003.

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Immediately following the review of the New South Wales (NSW) Kangaroo Management Program (KMP) in 1997, the NSW National Parks and Wildlife Service initiated a strategic planning process involving the NSW Kangaroo Management Advisory Committee. In April 2000 the strategic planning process progressed into a full review of the KMP 1998-2002 and various reports were commissioned. The draft KMP 2002-2006 was released for public comment on 14 July 2001. Key issues considered when preparing the new program were the legislative framework, the inclusion of goals and objectives that can be audited, the merits of damage mitigation as a rationale for commercial kangaroo use and the format and writing style of the KMP 1998-2002. Following analysis of submissions on the draft KMP 2002-2006, the program was finalised and submitted to the Australian Commonwealth Government for approval. The KMP 2002-2006 was approved by the Commonwealth and is valid from 1 January 2002 to 31 December 2006. The KMP 2002-2006 has a single overarching goal to maintain viable populations of kangaroos throughout their ranges in accordance with the principles of ecologically sustainable development. This goal is serviced by six new management-based objectives, each of which is covered by a specific section in the new management program. The new management program no longer relies on identification of damage as justification for commercial kangaroo use, and facility for an adaptive management approach has been added for the first time. Specific arrangements for ongoing program audits, periodic full program reviews and community awareness and participation are further additions to the new management program.

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Reppermund, Simone, Theresa Heintze, Preeyaporn Srasuebkul, Rebecca Reeve, Kimberlie Dean, Melinda Smith, Eric Emerson, et al. "Health and wellbeing of people with intellectual disability in New South Wales, Australia: a data linkage cohort." BMJ Open 9, no. 9 (September 2019): e031624. http://dx.doi.org/10.1136/bmjopen-2019-031624.

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PurposePeople with intellectual disability (ID) experience high rates of physical and mental health problems, while access to appropriate healthcare is often poor. This cohort was established to develop an epidemiological profile related to the health, health service use, disability services, mortality and corrective services records of people with ID.ParticipantsThe cohort contains 92 542 people with ID (40% females) with a median age of 23 years (IQR: 12–43 years) and 2 004 475 people with a neuropsychiatric or developmental disorder diagnosis (50% females) with a median age of 51 years (IQR: 29–73 years) from New South Wales, Australia. The whole sample contains records for 2 097 017 individuals with most data sets spanning financial years 1 July 2001 to 30 June 2016. A wide range of data from linked population data sets are included in the areas of disability, health, corrective services and targeted specialist support services in public schools, Public Guardian and Ombudsman services.Findings to dateThis study includes one of the largest cohorts of people with ID internationally. Our data have shown that the presence of ID is significantly associated with emergency department presentations and psychiatric readmissions after the first psychiatric admission based on a subcohort of people with a psychiatric admission. Adults with ID experience premature mortality and over-representation of potentially avoidable deaths compared with the general population.Future plansWithin the health service system, we will examine different components, that is, inpatient, emergency adult services, children and younger people services and costs associated with healthcare as well as mortality, cause and predictors of death. The neuropsychiatric and developmental disorders comparison cohort allows comparisons of the physical health, mental health and service use profiles of people with ID and those with other neuropsychiatric disorders.

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Cain, Michael, and Suzie Forrell. "Recruitment and Retention of Community Sector Lawyers: Regional Differences within New South Wales." Deakin Law Review 16, no. 1 (August 1, 2011): 265. http://dx.doi.org/10.21153/dlr2011vol16no1art102.

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The Aboriginal Legal Service, Community Legal Centres, Legal Aid NSW and private solicitors undertaking legal aid work all have a role in meeting the legal needs of disadvantaged communities in rural, regional and remote (RRR) parts of NSW. Yet there are reports that staff shortages are affecting the capacity of these services to perform this work — in some areas more than others. In order to gain a ‘snapshot’ of solicitor availability in RRR areas and to assess any regional differences in their availability to undertake community sector legal work in NSW, the Law and Justice Foundation of NSW has undertaken a census of all public legal assistance positions in NSW. The study examined whether the positions were filled or vacant, how they were filled, and the length of time that they were filled (or vacant). The research also drew upon data from the NSW Law Society and the three main public legal services in NSW to map solicitor availability across NSW against a range of indicators, including socio-economic disadvantage. In addition, interviews were conducted with solicitors working in (and who had left) ‘hard to staff’ areas with a view to better understanding differences in the recruitment and retention of solicitors across RRR areas of NSW. The major findings of the Foundation’s full research report are discussed in this paper.<br /><br />

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KNIGHT, KEN. "Patronage and the 1894 Royal Commission of Inquiry into the New South Wales Public Service." Australian Journal of Politics & History 7, no. 2 (April 7, 2008): 166–85. http://dx.doi.org/10.1111/j.1467-8497.1961.tb01069.x.

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Di Francesco, Michael. "Under Cover of Westminster: Enabling and Disabling a Public Service Commission in New South Wales." Australian Journal of Public Administration 72, no. 4 (December 2013): 391–96. http://dx.doi.org/10.1111/1467-8500.12039.

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Ronnau, Peggy, Arthur Papakotsias, and Glen Tobias. ""Not for" sector in community mental health care defines itself and strives for quality." Australian Journal of Primary Health 14, no. 2 (2008): 68. http://dx.doi.org/10.1071/py08025.

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This paper briefly describes the history and service context of the Psychiatric Disability Rehabilitation and Support sector (PDRSS) in Victoria, and, to a lesser extent, in New South Wales, South Australia and Western Australia. In describing the sector we will call upon the experience of a particular PDRSS - Neami - in operating and developing services, and the challenges it faced in establishing a culture of quality that directly improves consumer outcomes. Elements of this experience may serve as a guide in the development of mental health service policy at state and federal level.

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Edmiston, Natalie, Erin Passmore, David J. Smith, and Kathy Petoumenos. "Multimorbidity among people with HIV in regional New South Wales, Australia." Sexual Health 12, no. 5 (2015): 425. http://dx.doi.org/10.1071/sh14070.

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Background Multimorbidity is the co-occurrence of more than one chronic health condition in addition to HIV. Higher multimorbidity increases mortality, complexity of care and healthcare costs while decreasing quality of life. The prevalence of and factors associated with multimorbidity among HIV positive patients attending a regional sexual health service are described. Methods: A record review of all HIV positive patients attending the service between 1 July 2011 and 30 June 2012 was conducted. Two medical officers reviewed records for chronic health conditions and to rate multimorbidity using the Cumulative Illness Rating Scale (CIRS). Univariate and multivariate linear regression analyses were used to determine factors associated with a higher CIRS score. Results: One hundred and eighty-nine individuals were included in the study; the mean age was 51.8 years and 92.6% were men. One-quarter (25.4%) had ever been diagnosed with AIDS. Multimorbidity was extremely common, with 54.5% of individuals having two or more chronic health conditions in addition to HIV; the most common being a mental health diagnosis, followed by vascular disease. In multivariate analysis, older age, having ever been diagnosed with AIDS and being on an antiretroviral regimen other than two nucleosides and a non-nucleoside reverse transcriptase inhibitor or protease inhibitor were associated with a higher CIRS score. Conclusion: To the best of our knowledge, this is the first study looking at associations with multimorbidity in the Australian setting. Care models for HIV positive patients should include assessing and managing multimorbidity, particularly in older people and those that have ever been diagnosed with AIDS.

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Ming Liang, Zhan, Stephanie D. Short, and Bill Lawrence. "Healthcare reform in New South Wales 1986–1999: using the literature to predict the impact on senior health executives." Australian Health Review 29, no. 3 (2005): 285. http://dx.doi.org/10.1071/ah050285.

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While numerous reviews have examined the changing roles, skills, competencies, and educational needs of health service managers as the result of health care reforms, no study has focused specifically on the impact of New South Wales health reforms on the roles, responsibilities and behaviours of senior health executives in the public health sector. This paper briefly illustrates the significant changes in New South Wales health management since 1986. It also examines the forces behind these changes and predicts their impact on NSW Senior Health Executives based on national and international literature, and provides a foundation for further empirical research.

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Cook, John, and Ray Moran. "MAXIMISING CONTRACTING OUT IN THE WASTE RECYCLING AND PROCESSING SERVICE OF NEW SOUTH WALES." Australian Journal of Public Administration 52, no. 4 (December 1993): 412–16. http://dx.doi.org/10.1111/j.1467-8500.1993.tb00296.x.

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Faruquie, Sahrish Sonia, Elizabeth Kumiko Parker, and Peter Talbot. "An evaluation of current home enteral nutrition services at principal referral hospitals in New South Wales, Australia." Australian Health Review 40, no. 1 (2016): 106. http://dx.doi.org/10.1071/ah15029.

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Objective This cross-sectional study investigates the home enteral nutrition (HEN) services of public principal referral hospitals in NSW, Australia, comparing their services to best practice guidelines for HEN. Methods HEN service processes were investigated using an online questionnaire and telephone interview with the dietitian primarily working with HEN at each hospital. Results Participating hospitals reported a total of approximately 3200 HEN patients, 76% required oral nutrition support. Only 69% of hospitals had a dietitian allocated to their HEN service and no hospitals had established multidisciplinary teams to manage HEN patients. Post-discharge follow-up, as recommended for tube fed and oral patients, was achieved by 8% and 15% of hospitals respectively. Forty-six per cent of dietitians were satisfied and 46% of dietitians were dissatisfied with current HEN services provided, and reported the following improvements were required: increased clinical resources allocated to HEN dietitian/coordinator; increased outpatient services (home visits, outpatient clinic, multidisciplinary clinic); and an efficient registration process and database. Conclusions HEN services among participating hospitals are inconsistent, demonstrating gaps in service provision. Baseline assessment scores varied, with an average of 61% of recommendations currently in use. Best practice guidelines are not firmly adhered to due to limited funding and allocated resources for HEN. What is known about the topic? HEN is recognised as a cost-effective and reliable way of treating patients requiring nutrition support post hospital discharge. There are best practice guidelines available to ensure quality care is provided to HEN patients in the community or home setting. As there is no national framework in place for HEN in Australia, currently total patient numbers are unknown and each state and territory provides different levels of service delivery and funding for HEN. It is unknown how guidelines in Australia have been implemented and practiced, as no studies were found that have audited HEN services in Australia. What does this paper add? From the participating hospitals we were able to obtain updated data on HEN patient numbers (~3200). This paper reports on baseline scores in meeting best practice HEN guidelines for tertiary referral hospitals in NSW, Australia and identifies gaps in service provision. It is essential to identify reasons that limit adherence to HEN guidelines, as consequences may include unnecessary re-admissions to emergency departments or hospitals, increasing healthcare costs. Our study found notable differences in service provision ranging from 29% to 86% of recommendations of HEN guidelines achieved, and identified a lack of multidisciplinary teams to manage HEN patients. What are the implications for practitioners? We found HEN services among principal referral hospitals are inconsistent and best practice guidelines are currently not adhered to. National guidelines together with local health policies assist in defining the required standard of care, enhance service delivery and promote clinical excellence. We found the NSW Health Agency for Clinical Innovation HEN Implementation Checklist to be a practical tool for obtaining baseline scores for adherence to best practice guidelines. Regulation of HEN will be positive for HEN users by ensuring a more equitable service is available by introducing consistent funding for HEN nationally. However, it is the responsibility of states and local health districts to implement guidelines, contributing to better health and quality of care provided to patients.

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Churchill, Harriet, and Barbara Fawcett. "Refocusing on Early Intervention and Family Support: A Review of Child Welfare Reforms in New South Wales, Australia." Social Policy and Society 15, no. 2 (March 10, 2016): 303–16. http://dx.doi.org/10.1017/s1474746416000038.

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Since 2000, the New South Wales (NSW) Government in Australia has pursued major child welfare reforms. Responding to the ‘crisis in child protection’ and informed by a public health approach, key aims were to prevent child maltreatment and promote child welfare by ‘expanding and enhancing early intervention and family services’. This article critically reviews the aims, approach and main developments in NSW. The article argues that in several respects the reforms extended and enhanced early intervention and family services in cost-effective ways but suffered from implementation problems, limitations in service developments and major reform challenges which inhibited their scope and impacts. These limitations raise critical issues about the reform framework, resource constraints and ideological influences.

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Rissel, Chris. "A Communitarian Correction for Health Outcomes in New South Wales?" Australian Journal of Primary Health 2, no. 2 (1996): 36. http://dx.doi.org/10.1071/py96027.

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For over a decade, there has been a growing focus on health outcomes in the Australian health care system at a national and state level. Designed to improve population health, health outcomes programs are an attempt to re-orient health services. In Australia, New South Wales (NSW) is probably the most advanced state in implementing a health outcomes approach. What is the role of communities in the model of health outcomes proposed by the NSW Health Department? A theoretical perspective of 'community' is presented, which is then used to analyse major policy documents and publications from the NSW Department of Health that advance a health outcomes approach. The interface between health services and communities is particularly important from the perspective of NSW Health Areas and Districts which must implement programs to improve the health outcomes of the communities in their catchment areas. The contribution to improved health outcomes that is possible by working with communities should not be lost in any re-orientation of health services.

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McCarthy, Melissa, Lewis J. Haddow, Virginia Furner, and Adrian Mindel. "Contact tracing for sexually transmitted infections in New South Wales, Australia." Sexual Health 4, no. 1 (2007): 21. http://dx.doi.org/10.1071/sh06019.

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Background: Contact tracing is an important strategy in the control of sexually transmitted infections (STI) because it encourages individuals who may be unaware they have been exposed to an infection to be tested and treated. The aim of this study was to review STI contact tracing procedures in NSW by sexual health clinics (SHC), public health units (PHU) and general practitioners (GP). Methods: A questionnaire study carried out in 2004–2005 of SHC, PHU and a random sample of GP in NSW. SHC and PHU participated in structured interviews and GP completed questionnaires at educational workshops or through a mail-out. Interviews and questionnaires addressed current contact tracing practice and methods of improving the service. Results: All 35 SHC, 6/18 (33%) PHU and 172/212 (81%) of the GP who responded to the survey undertook contact tracing for STI. Chlamydia was the STI most commonly traced by SHC (34/35, 97%) and GP (165/172, 96%). HIV was the STI most commonly traced by PHU (5/6, 83%). Only 23/172 (13%) GP were familiar with the ‘Australasian contact tracing manual’. The commonest barriers to tracing for SHC and GP included patient reluctance (SHC 60%, GP 71%), and the lack of contact details for partners (SHC 46%, GP 60%). GP identified the availability of information for patients (82%) and more training (55%) as necessary resources for optimal contact tracing. Conclusions: SHC and GP frequently undertook contact tracing for some STI; PHU do so less frequently. Barriers to contact tracing are similar for all health-care providers. For GP, there is a need for increased training and the development of written policies and agreed pathways for referral.

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Sims, Margaret, Trudi Cooper, Elaine Barclay, and John Scott. "Making Sense of Indigenous Youth Night Patrols." Administration & Society 51, no. 4 (March 21, 2017): 664–86. http://dx.doi.org/10.1177/0095399717700225.

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We use Weick’s sense-making and Lipsky’s street-level bureaucracy to tease out understandings and perspectives about youth night patrol services in New South Wales, Australia. We examine synergies, tensions, and contradictions in the different ways participants make sense of the purpose of youth night patrols and their role in service delivery. Although all the service were based on the same model, used the same program logic, and reported against the same measureable outcomes, they all looked different on the ground. We explore these differences in the light of participants’ sense-making efforts, demonstrating that a unitary policy does not necessarily result in similarity of program delivery.

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Duckett, S. J. "STATE OF THE HEALTH SERVICE: STRUCTURAL CHANGE IN NEW SOUTH WALES HEALTH ADMINISTRATION - OR SISYPHUS REVISITED." Community Health Studies 7, no. 2 (February 12, 2010): 193–200. http://dx.doi.org/10.1111/j.1753-6405.1983.tb00412.x.

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Munro, Thomas, Bronnie Anderson-Smith, Heng Lu, Heather H. Worth, and Vickie Knight. "Online triage tool improves the efficiency of a sexual health service." Sexual Health 18, no. 5 (2021): 432. http://dx.doi.org/10.1071/sh21045.

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Background Rising demand for sexual health services requires publicly funded service providers to ensure they are seeing members of priority populations. Sydney Sexual Health Centre in New South Wales, Australia developed an innovative online triage tool called ‘Am I OK?’ to support this goal. Methods This paper outlines the findings of a review that examined the use of the triage tool using retrospective cross-sectional analysis of 2017 data. Results The tool has achieved its purpose in ensuring that non-priority populations are referred to other services, consequently saving a significant amount (approximately 6months equivalent) of phone triage nurse time. Conclusion More work may need to be done to ensure that the tool is not creating a barrier for priority populations wishing to access the service.

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Latham, Ian. "Case in Re Moore and Others; Ex Parte New South Wales Public Service Professional Officers' Association and Another." Federal Law Review 15, no. 4 (December 1985): 344–47. http://dx.doi.org/10.1177/0067205x8501500404.

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Industrial Law (Cth) — Restraint of State industrial commission jurisdiction — Validity of restraining order - Necessity to specify what matter is removed from State jurisdiction — Requirement of interstate industrial dispute for valid restraining order — Relationship between matter and parties — Validity of empowering Commonwealth provision — Conciliation and Arbitration Act 1904 (Cth) s 66

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Iedema, Rick, Eamon Merrick, Donella Piper, Kate Britton, Jane Gray, Raj Verma, and Nicole Manning. "Codesigning as a Discursive Practice in Emergency Health Services: The Architecture of Deliberation." Journal of Applied Behavioral Science 46, no. 1 (March 2010): 73–91. http://dx.doi.org/10.1177/0021886309357544.

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This article addresses the issue of how government agencies are increasingly attempting to involve users in the design of public services. The article examines codesign as a method for fostering new and purposeful interaction among service-delivery staff and their customers. Codesign brings together stakeholders who, in the past, have had limited input into the way public services are experienced. By participating in this emerging discourse practice, codesign stakeholders can construct new ways of relating and deliberating. The data presented in this article are drawn from a codesign study initiated by the New South Wales Department of Health in an effort to improve the experience of staff, patients, and caregivers. The article concludes that codesign presents service consumers, professionals, and government officials with new opportunities as well as new challenges. Its opportunities reside in codesign bringing stakeholders together across previously impervious boundaries, producing new understandings, relationships, and engagements. Its challenges reside in these new understandings, relationships, and engagements only becoming possible and only continuing to be relevant if and when stakeholders are prepared to adopt and adapt to the new discourse needed to realize them, implicating them in what has been referred to as the “design competency spiral.”

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Tang, Diana, Elizabeth K. Parker, Sahrish S. Faruquie, Nadia L. Hames, and Peter Talbot. "Evaluation of home enteral nutrition services at public hospitals in New South Wales, Australia." Nutrition & Dietetics 76, no. 1 (April 6, 2018): 6–13. http://dx.doi.org/10.1111/1747-0080.12420.

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Bolsewicz, Katarzyna, Susan Thomas, Donna Moore, Colleen Gately, Andrew Dixon, Paul Cook, and Peter Lewis. "Using the Tailoring Immunization Programmes guide to improve child immunisation in Umina, New South Wales: we could still do better." Australian Journal of Primary Health 26, no. 4 (2020): 325. http://dx.doi.org/10.1071/py19247.

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In the Central Coast Local Health District of New South Wales, Australia, childhood immunisation (CI) rates are around 95%, but pockets of underimmunisation exist. Using the World Health Organization’s Tailoring Immunization Programmes, we identified areas of potential low vaccine coverage using Australian Immunisation Register (AIR) data (2016–18) and investigated factors that influence CI. Individual and group interviews with carers, community members and service providers (n=52 participants) were conducted. Data were analysed thematically and the themes presented to stakeholders for feedback before finalisation. During 2018, Umina had 218 children at least 1 month overdue for at least one vaccination. Five themes emerged: (1) broader socioeconomic factors may apply pressures that influence CI; (2) parents largely supported immunisation and knew of its benefits to their children and the community; (3) immunisation service providers are committed, experienced and collaborate with community partners; (4) there is potential to increase access to free immunisation services in Umina; and (5) AIR data and reminder systems could be better used to inform service delivery and prompt parents before immunisations are due. This study identified opportunities to improve CI coverage in Umina and new information useful in developing a tailored immunisation strategy. Awareness of the pressures socioeconomic factors may have on families could help plan and deliver supportive primary health care that includes equitable access to immunisation.

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Ramsden, Robyn, Sarah Davies, Richard Colbran, Amelia Haigh, Meegan Connors, Shannon Nott, Estrella Lowe, et al. "Collaborative care: Primary health workforce and service delivery in Western New South Wales—A case study." Australian Journal of Rural Health 29, no. 5 (September 29, 2021): 768–78. http://dx.doi.org/10.1111/ajr.12796.

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Conquest, Jennifer Hanthorn, John Skinner, Estie Kruger, and Marc Tennant. "A Comparison of Three Payment Systems for Public Paediatric Dental Services." Asia Pacific Journal of Health Management 13, no. 1 (May 30, 2018): i21. http://dx.doi.org/10.24083/apjhm.v13i1.35.

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Objective: This study investigated the delivery of paediatric (0-17 years) government dental services in New South Wales (NSW), Australia through public dental clinics and the commissioned payments models of Fee-for-Service and Capped-Fee. Method: De-identified patient data from government provided dental care and the commissioned services was sourced from NSW Oral Health Data Warehouse for evaluation and interpretation using descriptive analysis during the period 1 January 2012 to 31 December 2013. Result: The breakdown of dental care provided the associated cost analysis for the study’s cohort that resulted in both years, more than 50 percent dental services offered to paediatric patients were preventive care in all payment systems. The most common preventive items offered were fluoride treatment, dietary advice, oral health education and fissure sealants. Conclusion: There was little difference in the mix of dental care provided between study years and age groups through the three payment systems in NSW. The difference between the government services and those provided via the Fee-for-Service and Capitation payment systems was negligible. This has important implications for the delivery of dental care to public dental care, particularly when patients may not live close to a public dental clinic and also with the interest nationally in giving patients greater choice.

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Liang, Zhanming, and Peter F. Howard. "Competencies required by senior health executives in New South Wales, 1990 - 1999." Australian Health Review 34, no. 1 (2010): 52. http://dx.doi.org/10.1071/ah09571.

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It is accepted that health care reforms and restructuring lead to the change of the tasks and competencies required by senior health care managers. This paper examined the major tasks that senior health executives performed and the most essential competencies required in the NSW public health sector in the 1990s following the introduction of major structural reforms. Diverse changes, restructuring and reforms introduced and implemented in different health care sectors led to changes in the tasks performed by health care managers, and consequently changes in the competencies required. What is known about the topic?The literature confirms that health reform affects senior health care managers’ acquisition and demonstration of new skills and knowledge to meet new job demands. What does this paper add?This paper provides a detailed description of the competencies required for senior health care managers in New South Wales in the 1990s after the introduction of the area health management model, the senior executive service and performance agreements. It confirms that restructuring and reform in the health care sector will lead to changes of the tasks performed by health care managers and, consequently, changes in the competencies required. What are the implications for practitioners?The competencies required by health care managers are affected by distinct management levels, diverse health care sectors and different contexts in which health care systems operate. The competencies identified for senior health executives in this study could guide educational programs for senior health managers in the future.

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Riggs, Damien W., and Clemence Due. "Representations of Surrogacy in Submissions to a Parliamentary Inquiry in New South Wales." Techné: Research in Philosophy and Technology 16, no. 1 (2012): 71–84. http://dx.doi.org/10.5840/techne20121617.

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Whilst feminist commentators have long critiqued surrogacy as a practice of commodification, surrogacy as a mode of family formation continues to grow in popularity. In this paper we explore public representations of surrogacy through a discourse analytic reading of submissions made in Australia to an Inquiry regarding surrogacy legislation. The findings suggest that many submissions relied upon normative understandings of surrogates as either ‘good women’ or ‘bad mothers’. This is of concern given that such public representations may shape the views of those who utilize surrogacy services in ways that limit attention to the ethics of surrogacy.

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Lower, Tony, Lyn Fragar, Julie Depcynzksi, Jeffrey Fuller, Kathy Challinor, and Warwick Williams. "Social network analysis for farmers' hearing services in a rural community." Australian Journal of Primary Health 16, no. 1 (2010): 47. http://dx.doi.org/10.1071/py09043.

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This study aimed to define current hearing health service networks for farming families in a major regional centre in New South Wales, in order to identify approaches that can strengthen local service provision. A pilot survey of individuals and agencies that potentially work with farmers was undertaken and a social network analysis completed to assess the self-reported links of agencies with each other. Thirteen agencies with a role in hearing health service provision participated with results indicating that nurse audiometrists, WorkCover NSW and agricultural retailers have the lead role in disseminating relevant information within the network. For client referrals the nurse audiometrist, private audiometry services, general practitioners, ear, nose and throat specialists and industry groups played the major roles. Social network analysis can assist in defining hearing health networks and can be used to highlight potential actions that can strengthen networks to enhance services for farmers and their families.

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Stardust, Zahra, Johann Kolstee, Stefan Joksic, James Gray, and Siobhan Hannan. "A community-led, harm-reduction approach to chemsex: case study from Australia’s largest gay city." Sexual Health 15, no. 2 (2018): 179. http://dx.doi.org/10.1071/sh17145.

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Rates of drug use remain substantially higher among gay and bisexual men (GBM) and people living with HIV (PLHIV) in Sydney, New South Wales, Australia. The use of drugs to enhance sexual pleasure within cultures of Party and Play creates opportunities to discuss sexual health, mental health, consent and wellbeing. Community organisations with a history of HIV prevention, care, treatment are well-placed to respond. ACON’s (formerly the AIDS Council of New South Wales) multi-dimensional response to ‘chemsex’ includes: direct client services support for individuals seeking to manage or reduce their use; health promotion activities that support peer education; partnerships with research institutions to better understand cultures of chemsex; and policy submissions that call for drug use to be approached as a health, rather than a criminal, issue. The approach speaks the language of Party and Play subcultures; employs culturally relevant terminology and imagery; uses content designed, created and delivered by peers; and operates within a pleasure-positive, harm-reduction and community-led framework. These interventions have led to increased service uptake, strong community engagement, robust research partnerships and the recognition of GBM as a priority population in relevant strategies.

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Bourne, C., and C. Murray. "P6.048 Reorienting Public Sexual Health Service to Priority Populations, STIS and Issues in New South Wales, Australia, 2006–2012." Sexually Transmitted Infections 89, Suppl 1 (July 2013): A384.1—A384. http://dx.doi.org/10.1136/sextrans-2013-051184.1201.

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Wilson, Erica, Noah Nielsen, and Jeremy Buultjens. "From lessees to partners: exploring tourism public–private partnerships within the New South Wales national parks and wildlife service." Journal of Sustainable Tourism 17, no. 2 (March 18, 2009): 269–85. http://dx.doi.org/10.1080/09669580802495774.

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Ward, James, Joanne Bryant, Heather Worth, Peter Hull, Sarina Solar, and Sandra Bailey. "Use of health services for sexually transmitted and blood-borne viral infections by young Aboriginal people in New South Wales." Australian Journal of Primary Health 19, no. 1 (2013): 81. http://dx.doi.org/10.1071/py11032.

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The objective of the present study was to describe use of health services for sexually transmitted infections (STI), blood borne viral infections (BBV) and drug and alcohol issues by young Aboriginal people in New South Wales (NSW). A cross-sectional survey was conducted at two Aboriginal sports and cultural events in NSW, in 2007 and 2008, among Aboriginal people aged 16–30 years to ascertain their knowledge of STI, BBV, associated risk behaviours and health service access in NSW. A total of 293 young Aboriginal people completed the survey; 58% were female, the mean age was 20 years, and almost 70% were single. Just over one-third (34%) of participants had been tested for an STI in the past 12 months, and over half (58%) reported that they had ever had an STI test (including HIV). Of respondents who had had an STI test in the past 12 months, 54.0% had done so at an Aboriginal Community Controlled Health Service (ACCHS) and 29% by a GP. Just over one-third (36%) of participants had ever had a test for hepatitis C, 45% of whom had received their test at an ACCHS. Participants were also asked about the types of services they had used for advice about STI and BBV. Of the 69% who had sought STI advice, ACCHS was the most common clinical location for doing so (36% for STI and 26% for hepatitis C). This study highlights the important role that ACCHS play in the provision of STI and BBV testing care and management for a cohort of young Aboriginal people in NSW.

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Garay, Jasper, Anna Williamson, Christian Young, Janice Nixon, Mandy Cutmore, Simone Sherriff, Natalie Smith, Kym Slater, and Michelle Dickson. "Aboriginal Young People’s Experiences of Accessibility in Mental Health Services in Two Regions of New South Wales, Australia." International Journal of Environmental Research and Public Health 20, no. 3 (January 18, 2023): 1730. http://dx.doi.org/10.3390/ijerph20031730.

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This article assesses the accessibility of mainstream mental health services (MMHSs) in two regions of New South Wales (NSW), Australia, based on experiences and perspectives of Aboriginal young people aged 16–25. Semi-structured yarning interviews were conducted with thirteen Aboriginal young people in two regions of NSW. Thematic analysis was undertaken by all research team members to identify major themes from the data and conceptual connections between them. The identified themes from individual analysis and coding were triangulated during several analysis meetings to finalise the key themes and findings. Aboriginal young people had no experience of engaging with early-intervention MMHSs. MMHSs were identified as inaccessible, with most participants unaware that MMHSs existed in each region. Due to MMHSs being inaccessible, many Aboriginal young people presented to emergency departments (EDs) during a crisis. Aboriginal Community Controlled Health Services (ACCHSs) were identified as key providers of accessible, culturally meaningful, and effective social and emotional wellbeing (SEWB) service support for Aboriginal young people in NSW. If health and wellbeing outcomes are to improve for Aboriginal young people in NSW, MMHSs must increase accessibility for Aboriginal young people requiring SEWB support.

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Ali, Hammad, Basil Donovan, Bette Liu, Jane S. Hocking, Paul Agius, James Ward, Christopher Bourne, John M. Kaldor, and Rebecca J. Guy. "Chlamydia prevention indicators for Australia: review of the evidence from New South Wales." Sexual Health 9, no. 5 (2012): 399. http://dx.doi.org/10.1071/sh11183.

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Background: Annual notifications of chlamydia (Chlamydia trachomatis) diagnoses have increased steadily in Australia in the last decade. To guide public health programs, we developed 10 national chlamydia prevention indicators and report on each indicator for New South Wales (NSW). Methods: Using systematic methods, we reviewed the literature to report on the 10 health and behaviour indicators for 15- to 29–year-old heterosexuals in NSW from 2000. We included data with two or more time points. Results: Chlamydia notification rates (Indicator 1) in 15- to 29–year-olds have increased by 299%, from 237 per 100 000 population in 2001 to 946 per 100 000 population in 2010; and the percent of 15- to 34-year-olds with an annual Medicare-rebated chlamydia test (Indicator 2) increased by 326%, from 1.9% in 2001 to 8.1% in 2010. Since 2004, sentinel surveillance showed a 28% increase in chlamydia prevalence (Indicator 3) in 15- to 29-year-old females tested at their first sexual health service visit (from 8.5% in 2004 to 10.9% in 2010) but no significant increase in males. No NSW-specific chlamydia incidence (Indicator 4) was available. Pelvic inflammatory disease hospitalisation separations rate decreased from 0.58 per 1000 in 2001 to 0.44 per 1000 in 2010 in 15- to 29-year-old females (Indicator 5).Secondary school surveys in 2002 and 2008 showed chlamydia knowledge increased in males. The sexual risk-taking behaviour of young people remained unchanged (Indicators 6–10). Conclusions: Although notifications have risen steeply, the modest increase in chlamydia prevalence maybe a more realistic reflection of transmission rates. Strategies are needed to increase testing and to modify sexual risk behaviour. Crucial gaps in epidemiological data were identified.

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Haering, Ron, Vanessa Wilson, Annie Zhuo, and Peter Stathis. "Towards a more effective model of wildlife care and rehabilitation: A survey of volunteers in New South Wales, Australia." Australian Zoologist 40, no. 4 (January 2020): 605–27. http://dx.doi.org/10.7882/az.2019.018.

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The provision of wildlife rescue and rehabilitation services in New South Wales (NSW) relies heavily on the volunteer sector. The NSW Government regulates the sector and is responsible for identifying measures for its support and delivery of services. To inform this process, we undertook an extensive review of the sector. We report here on the results from our survey of NSW volunteer wildlife rehabilitators, who have collectively reported over 1,000,000 rescues of sick and injured free-living wildlife over the past 16 years. The survey provided a unique insight into the demographics of the sector, the challenges faced, and the value of their contribution to wildlife rehabilitation. Volunteers’ views on the operation of wildlife rehabilitation providers cover five key areas: governance, training, standards of care, service capacity and reporting, as well as the support received from other stakeholders, NSW Wildlife Council (the peak body for the sector), veterinary professionals and government. We found that the volunteer wildlife rehabilitation sector in NSW provides a significant public good that is of high value to the environment, community and government. We make recommendations for investment and strategic improvements to the capacity of the sector to continue to deliver services including transitioning wildlife rehabilitation providers towards a system of accreditation in the future.

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Majoor, Jennifer W., and Joseph E. Ibrahim. "Developing the Esperanto of quality." Australian Health Review 24, no. 3 (2001): 7. http://dx.doi.org/10.1071/ah010007a.

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Professionalism is a complex and ill-defined concept and the impending Report of the Public Inquiry into thepaediatric cardiac surgery service at the Bristol Royal Infirmary continues to heighten debate on the subject.Bolsin offers examples of operational definitions from the Privy Council (United Kingdom), the state healthauthorities in New South Wales and Victoria, and the High Court of Australia. He also provides an implicitdefinition of professionalism that encompasses the collection and use of personal performance data forindividual health care providers and organisations.

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Visser, Hannah, Megan Passey, Emma Walke, and Sue Devlin. "Screening for latent tuberculosis infection by an Aboriginal Community Controlled Health Service, New South Wales, Australia, 2015." Western Pacific Surveillance and Response Journal 10, no. 4 (December 30, 2019): 24–30. http://dx.doi.org/10.5365/wpsar.2018.9.2.010.

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Objective: Ongoing transmission of tuberculosis (TB) continues in Indigenous communities in New South Wales (NSW), Australia. In a pilot project, a Public Health Unit TB team partnered with an Aboriginal Community Controlled Health Service (ACCHS) in a community with a cluster of TB to augment screening for latent TB infection (LTBI) using interferongamma release assay (IGRA). This study examined screening data and programme outcomes at 12 months post hoc to advise practice and policy formulation. Methods: We conducted a retrospective, cross-sectional analysis of demographic and clinical data of ACCHS patients, stratified by IGRA testing status. Differences in sex and age distribution between the groups and cases of a genetically and epidemiologically linked TB cluster in Aboriginal people in NSW were assessed using non-parametric tests. Results: Of 2019 Aboriginal and Torres Strait Islander people seen by general practitioners during the study period, 135 (6.7%) participated in the screening. Twenty-four (17.8%) participants were IGRA positive. One person was diagnosed with active TB. Twelve participants received a chest X-ray at the time of the positive test, and six participants had an additional chest X-ray within 12 months. None commenced preventive treatment for LTBI. Discussion: ACCHS screening for LTBI reached individuals in the age group most commonly affected by TB in these Aboriginal communities. No conclusions can be made regarding the population prevalence due to the low screening rate. Further strategies need to be developed to increase appropriate follow-up and preventive treatment.

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Saunders, Carla, and David J. Carter. "Right care, right place, right time: improving the timeliness of health care in New South Wales through a public–private hospital partnership." Australian Health Review 41, no. 5 (2017): 511. http://dx.doi.org/10.1071/ah16075.

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Objective The overall aim of the study was to investigate and assess the feasibility of improving the timeliness of public hospital care through a New South Wales (NSW)-wide public–private hospital partnership. Methods The study reviewed the academic and professional grey literature, and undertook exploratory analyses of secondary data acquired from two national health data repositories informing in-patient access and utilisation across NSW public and private hospitals. Results In 2014–15, the NSW public hospital system was unable to deliver care within the medically recommended time frame for over 27 400 people who were awaiting elective surgery. Available information indicates that the annual commissioning of 15% of public in-patient rehabilitation bed days to the private hospital system would potentially free up enough capacity in the NSW public hospital system to enable elective surgery for all public patients within recommended time frames. Conclusions The findings of the study justify a strategic whole-of-health system approach to reducing public patient wait times in NSW and highlight the need for research efforts aimed at securing a better understanding of available hospital capacity across the public and private hospital systems, and identifying and testing workable models that improve the timeliness of public hospital care. What is known about the topic? There are very few studies available to inform public–private hospital service partnerships and the opportunities available to improve timely health care access through such partnerships. What does this paper add? This paper has the potential to open and prompt timely discussion and debate, and generate further fundamental investigation, on public–private hospital service partnerships in Australia where opportunity is available to address elective surgery wait times in a reliable and effective manner. What are the implications for practitioners? The NSW Ministry of Health and its Local Health Districts have the potential to realise a key objective, namely to deliver the ‘right care, in the right place, at the right time’, through the core value of collaboration, using available infrastructure.

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Parolin, B. P. "Effects of Rationalization of Rural Passenger Services on Travel Activity Patterns." Transportation Research Record: Journal of the Transportation Research Board 1557, no. 1 (January 1996): 48–57. http://dx.doi.org/10.1177/0361198196155700108.

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One aspect of rationalization of rural passenger services in the state of New South Wales, Australia is examined: the travel and activity consequences for rural consumers of the substitution of longer-haul bus services for rail passenger services. Interview surveys of bus passengers in selected communities and town residents who previously used train services or presently use bus services were used to develop travel-activity profiles in the pre- and postrationalization period. The extent and nature of reorientation of travel-activity patterns were assessed to determine the effects of service substitution. Results indicate that most respondents were able to adjust their travel-activity patterns and benefit from the service substitution's greater number of travel choices, despite relatively low levels of mobility. The new bus services provide a higher level of service and are well patronized by respondents. Rural public transportation patronage in the study communities is now higher compared with that in the prerationalization period. Furthermore, no evidence was found of a link between rationalization and decline in services provision. The conclusion is drawn that new rural bus services have been overwhelmingly accepted and are well patronized in the study communities. They have also attracted many car users. Longer-haul bus services are now an integral part of the network of rural passenger services and of travel-activity patterns.

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Dolins, Sigma, Helena Strömberg, Yale Z. Wong, and MariAnne Karlsson. "Sharing Anxiety Is in the Driver’s Seat: Analyzing User Acceptance of Dynamic Ridepooling and Its Implications for Shared Autonomous Mobility." Sustainability 13, no. 14 (July 13, 2021): 7828. http://dx.doi.org/10.3390/su13147828.

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As connected, electric, and autonomous vehicle (AV) services are developed for cities, the research is conclusive that the use of these services must be shared to achieve maximum efficiency. Yet, few agencies have prioritised designing an AV system that focuses on dynamic ridepooling, and there remains a gap in the understanding of what makes people willing to share their rides. However, in 2017, the Australian transport authority Transport for New South Wales launched over a dozen trials for on-demand, shared public transport, including AVs. In this paper, we investigate the user willingness-to-share, based on experiences from one of these trials. Four focus groups (19 participants in total) were held in New South Wales with active users of either the trialled on-demand dynamic ridepooling service (Keoride) or commercial ridepooling (UberPool). Through thematic analysis of the focus group conversations, the cost, comfort, convenience, safety, community culture, and trust in authority emerged as factors that influenced the willingness-to-share. When presented with driverless scenarios, the focus group participants had significant concerns about the unknown behaviour of their co-passengers, revealing sharing anxiety as a significant barrier to the adoption of shared AVs. This paper identifies previously disregarded factors that influence the adoption of AVs and dynamic ridepooling and offers insights on how potential users’ sharing anxiety can be mitigated.

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Parks, James, Amanda Hunter, Anne Taylor, Bridget Addis, Madeline Setterfield, Kimberley Dean, and Shannon Nott. "Design, development and implementation of the virtual, coordination, access, referral and escalation service in western New South Wales." Australian Journal of Rural Health 29, no. 5 (September 29, 2021): 794–800. http://dx.doi.org/10.1111/ajr.12800.

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Hoolahan, Bryan, Brian Kelly, Helen J. Stain, and Didi Killen. "Co-morbid drug and alcohol and mental health issues in a rural New South Wales Area Health Service." Australian Journal of Rural Health 14, no. 4 (August 2006): 148–53. http://dx.doi.org/10.1111/j.1440-1584.2006.00792.x.

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O’Dea, Bridianne, Catherine King, Melinda R. Achilles, Alison L. Calear, and Mirjana Subotic-Kerry. "Delivering A Digital Mental Health Service in Australian Secondary Schools: Understanding School Counsellors’ and Parents’ Experiences." Health Services Insights 14 (January 2021): 117863292110176. http://dx.doi.org/10.1177/11786329211017689.

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This study examined school counsellors’ and parents’ experiences of a school-based digital mental health service (Smooth Sailing) that screened students’ mental health and provided automated psychological care. The Smooth Sailing service was offered to 4 secondary schools in New South Wales, Australia, for a 6-week trial period with 59 students taking part. The participating school counsellors (n = 4) completed a semi-structured interview to explore their experiences. Parents of students who had consented to being contacted (n = 37/59) were invited to complete an anonymous online survey about their child’s participation. Six parents completed the survey. The school counsellors expressed overall support for the service and cited the ease of service use, its ability to identify students at-risk, and the provision of psychoeducation to students as clear benefits. They identified some barriers to the service, such as parental consent and suggested strategies to improve uptake and engagement, such as incentives, more frequent screening and use with older students. Parents also reported positive experiences with the service, expressing appreciation for mental health screening in schools and a new system to connect them and their child to school counselling services. Taken together, these findings provide initial support for delivering the Smooth Sailing service in secondary schools. Trial registration: This trial was registered with the Australian and New Zealand Clinical Trial Registry (ACTRN12617000977370).

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Assareh, Hassan, Helen M. Achat, Jean-Frederic Levesque, and Stephen R. Leeder. "Exploring interhospital transfers and partnerships in the hospital sector in New South Wales, Australia." Australian Health Review 41, no. 6 (2017): 672. http://dx.doi.org/10.1071/ah16117.

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Objective The aim of the present study was to explore characteristics of interhospital transfers (IHT) and sharing of care among hospitals in New South Wales (NSW), Australia. Methods Data were extracted from patient-level linked hospital administrative datasets for separations from all NSW acute care hospitals from 1 July 2013 to 30 June 2015. Patient discharge and arrival information was used to identify IHTs. Characteristics of patients and related hospitals were then analysed. Results Transfer-in patients accounted for 3.9% of all NSW admitted patients and, overall, 7.3% of NSW admissions were associated with transfers (IHT rate). Patients with injuries and circulatory system diseases had the highest IHT rate, accounting for one-third of all IHTs. Patients were more often transferred to larger than smaller hospitals (61% vs 29%). Compared with private hospitals, public hospitals had a higher IHT rate (8.4% vs 5.1%) and a greater proportion of transfer-out IHTs (52% vs 28%). Larger public hospitals had lower IHT rates (3–8%) compared with smaller public hospitals (13–26%). Larger public hospitals received and retransferred higher proportions of IHT patients (52–58% and 11% respectively) than their smaller counterparts (26–30% and 2–3% respectively). Less than one-quarter of IHTs were between the public and private sectors or between government health regions. The number of interacting hospitals and their interactions varied across hospital peer groups. Conclusion NSW IHTs were often to hospitals with greater speciality services. The patterns of interhospital interactions could be affected by organisational and regional preferences. What is known about the topic? IHTs aim to provide efficient and effective care. Nonetheless, information on transfers and the sharing of care among hospitals in an Australian setting is lacking. Studies of transfers and hospital partnership patterns will inform efforts to improve patient-centred transfers and hospital accountability in terms of end outcomes for patients. What does this paper add? Transfer-in patients accounted for 3.9% of all NSW admissions; they were often (61%) transferred to hospitals with greater speciality services. The number of IHTs and sharing of care among hospitals varied across hospital peer groups, and could have been affected by organisational and regional preferences. What are the implications for practitioners? The findings of the present study suggest that different patterns of IHTs may not only have resulted from clinical priorities, but that organisational and regional preferences are also likely to be influential factors. Patient-centred IHTs and the development of guidelines need to be pursued to enhance the care and functionality of healthcare. Patient sharing should be acknowledged in hospital and regional performance profiling.

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OVERLAND, JANE, MICHAEL MIRA, and DENNIS K. YUE. "The pattern of diabetes care in New South Wales: a five-year analysis using Medicare occasions of service data." Australian and New Zealand Journal of Public Health 24, no. 4 (August 2000): 391–95. http://dx.doi.org/10.1111/j.1467-842x.2000.tb01600.x.

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Thomas, Susan, Helen Higgins, Julie Leask, Lisa Menning, Katrine Habersaat, Peter Massey, Kathryn Taylor, Patrick Cashman, and David N. Durrheim. "Improving child immunisation rates in a disadvantaged community in New South Wales, Australia: a process evaluation for research translation." Australian Journal of Primary Health 25, no. 4 (2019): 310. http://dx.doi.org/10.1071/py19016.

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The World Health Organization’s Tailoring Immunization Programmes approach was used to develop a new strategy to increase child vaccination coverage in a disadvantaged community in New South Wales, Australia, including reminders, outreach and home visiting. After 18 months, the strategy hasn’t been fully implemented. A process evaluation was conducted to identify barriers and facilitators for research translation. Participants included child health nurses, Population Health staff, managers and general practitioners. The Capability–Opportunity–Motivation model of behaviour change (COM-B) was used to develop questions. Twenty-four participants took part in three focus groups and four interviews. Five themes emerged: (i) designing and adopting new ways of working is time-consuming and requires new skills, new ways of thinking and changes in service delivery; (ii) genuine engagement and interaction across fields and institutions helps build capacity and strengthen motivation; (iii) implementation of a new strategy requires clarity; who’s doing what, when and how?; (iv) it is important not to lose sight of research findings related to the needs of disadvantaged families; and (v) trust in the process and perseverance are fundamental. There was strong motivation and opportunity for change, but a need to enhance service capability. Areas requiring support and resources were identified.

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Journal articles on the topic 'New South Wales Public Service'

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