4 Performance and quality

Performance monitoring and reporting promotes transparency, good governance and effective management. It delineates the roles and responsibilities of agencies and is government's key accountability mechanism. Monitoring and reporting cycles require fair, relevant and consistent measures to effectively scrutinise performance.

DHHS collects data from various sources—such as feedback from staff and clients, clinical activity and local intelligence—to paint a picture of day-to-day performance at community health services.

3 Access and demand

Timely access to primary care services—such as the CHP—is important for Victoria's priority populations, as early intervention may prevent people's conditions from worsening. This can also reduce pressure on the health services providing acute care.

DHHS provides community health services with set CHP funding on an annual basis. With limited resources available, it is important for community health services to manage access and demand at the local level. Similarly, DHHS must monitor the state's access and demand issues to effectively oversee the CHP.

2 Strategic management

DHHS's strategic management of the CHP is important to ensure the program has the resources required to meet its overarching objective. It is also important that DHHS can measure the contribution the CHP makes to long-term health strategies.

In this part of the report, we evaluate whether the CHP supports DHHS's strategic direction and fulfils its overarching objective of delivering effective healthcare to Victoria's priority populations. We also assessed the CHP's evidence base and examined whether its funding model is sound, regularly reviewed and strategically aligned.

1 Audit context

Primary care is a fundamental pillar of Victoria's health system—it includes services such as general practice, pharmaceutical services, allied health and community nursing. Well-coordinated primary care should improve the health and wellbeing of Victorian communities, enable the effective treatment of people with chronic diseases, and enhance outcomes for disadvantaged Victorians.

Audit overview

Primary care is an integral part of Victoria's health system—it includes services such as general practice, pharmaceutical services, allied health, and community nursing. In Victoria, the state and Commonwealth governments both fund the provision of primary care.

About our annual plan

The Victorian Auditor-General's Office provides independent assurance to Parliament and the Victorian community on the financial integrity and performance of the state.
Under the Audit Act 1994, we are required to prepare and table an annual plan before 30 June each year that describes our proposed work program for the coming financial year.

To provide assurance to the Parliament of Victoria and the Victorian community, the Victorian Auditor-General's Office conducts performance audits and financial audits.

Acronyms and abbreviations

AMAF Asset Management Accountability Framework
AHV Aboriginal Housing Victoria
CCTV Closed-circuit television
CSV Court Services Victoria
DEDJTR Department of Economic Development, Jobs, Transport and Resources
DELWP Department of Environment, Land, Water and Planning
DET Department of Educatio

Annual Plan 2018–19

Body
Section 7A of the Audit Act 1994 requires the Auditor-General to develop an annual plan and present it to Parliament, following consultation with Parliament’s Public Accounts and Estimates Committee. As such it is a key accountability mechanism for the Auditor-General and his office. It sets out our work program and also gives Parliament, the public sector and the Victorian community the opportunity to assess our goals and understand our audit priorities.

Appendix E. Comments from CPPs

The following are a representative selection of the comments that were made in response to our survey questions and during CPP forums during site visits and CPP interviews.

Workload

'There are never enough hours in the day and sometimes there is a sense of “damned if you do and damned if you don't”.'

'Demand is such workers no longer feel they are doing a good job—they feel everything they do is “light touch”.'