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The effectiveness of Official Development Assistance expenditure
Need of more coordination and transparency The audit of the UK's Official Development Assistance revealed among others: fragmented responsibilities and difficulties in review and reporting. These led to difficulties in assessment of effectiveness of the assistance and of progress in implementing the UK Aid Strategy.
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National Audit Office , issued in 2019
Risk cases: 4
Homelessness
Homelessness grows despite increased spendings to reduce it British NAO analyses the root-causes of unsuccessful effort to reduce homelessness in England. They point at a side effect of the Goverment reform of welfare reform and at lack of full impact assessment.
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National Audit Office , issued in 2016
Risk cases: 3
The Shared Services Centre
The necessary environment for the efficient management of the Shared Service Center is lacking The department's administration of the Shared Services Centre (SSC) has been effective for sharing resources between the departments and delivering selected back-office services to a small client base. However, the governance arrangements established to oversight the SSC have not positioned it well for the future and the departments have not yet determined if the arrangement is efficient and resulting in savings. ANAO found instances where the advisory board of SSC was not consulted or involved in decisions relating to the strategic direction, financial arrangements and expenditure priorities. Information reported to the board did not focus on areas of strategic importance and the quality and completeness of this information could be improved. The mechanisms established for setting out responsibilities and obligations and ensuring transparency for services delivered by the SSC was weak. Service standards and levels were not fixed and can change. The delineation of responsibilities between the SSC and its clients was not clear and there was no commitment by the SSC to certify the quality of its control framework.
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The Australian National Audit Office , issued in 2016
Risk cases: 2
Activities of the state in implementing the e-health system - Do the state, doctors and patients benefit from ehealth?
and social services and patients are also becoming more and more demanding about the volume and quality of the services provided. The more extensive and systematic implementation of e-health solutions helps ... . E-health solutions also save patients time. <br/> The purpose of the audit was to assess whether the objectives set to e-Health – higher quality of the health service and more efficient organisation ... Estonia’s population is aging and the share of elderly people is increasing, as fewer children are being born and people are living longer. This creates a constantly growing need for health ... ... Why state, doctors and patients do not benefit from e-Health as much as they could? ... The report reviews whether the objectives set to the e-Health – ambitious multiyear program of Estonian Government - have been achieved. They are: higher quality of the health service and more ... efficient organisation of health care. As SAI Estonia found out, wide range problems started from two basic points: lack of strategic manager and unrealisitc schedule.
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National Audit Office of Estonia , issued in 2014
Risk cases: 3
Informatisation of hospitals
The goals of the audit were: 1. Assesment to what degree service providers are prepared to implement the electronic health information system. 2. Assessment of government activities related ... to the construction of the health information system within the framework of the "Healthcare Informatisation Program" ... ... Sometimes it is really not about the money.. ... Informatisation of healthcare is one of the most money-consuming IT activities of the State. Polish NIK shows how a poor concept can delay modernization of hospitals. The new IT system was expected ... to take some burden off doctors, streamline medical care, prevent fraud and improve efficiency. But will it be created at all?
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Sumpreme Audit Office , issued in 2013
Risk cases: 3
The protection of IT systems and health data in three Danish regions
Security to be improved in IT systems with health data It is Rigsrevisionen’s assessment that the three regions are not protecting the access to IT systems and health data in a satisfactory manner. As a consequence, unauthorised persons might gain access to sensitive and confidential personal data, which could affect there liability and availability of important health data used in the treatment of hospital patients. Based on the results of the study and the current threat scenario, Rigsrevisionen finds that basic security measures against cyber attacks and protection of access to IT systems and health data should be a top priority for Denmark’s five regions. Basic security measures in combination with management and control of user privileges can reduce the risk of compromising the regions’ IT systems and data considerably.
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National Audit Office of Denmark , issued in 2018
Risk cases: 3
Data security and positions with access to confidential information
This government wide audit on information security and positions with access to confidential information has been performed at all ministries ans for each ministry also at one of the agencies ... . The 2007 Civil Service Data Information Security Decree (in Dutch: VIR 2007) is the legal foundation of the first part of this audit (data security). The Security Screening Act (in Dutch: WVO ... ) is the foundation of the second part (positions with access to confidential information). Only four of the organizations we have audited show an acceptible level of compliance with the 2007 Civil Service Data ... ... Shortcomings in information security and in positions with access to confidential information ... Surprising weaknesses were revealed by the NCA in its Government-wide operational audit performed as part of the 2011 audit into the state of central government accounts: Poor quality of data ... protection policy and poor protection of information systems. Also, non vetted positions with access to confidential information.
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Netherlands Court of Audits , issued in 2012
Risk cases: 3
Report on the problems connected with the development and implementation of the digitally based Shared Medication Record
a sufficient framework for carrying through the SMR programme? 2) Has the Ministry of Health and the NHA directed the SMR programme towards delivering within the agreed costs, time and quality parameters ... The purpose of the examination was to assess whether the department of the Danish Ministry of Health, the Danish National eHealth Authority (NHA) and the five regions that are responsible ... for the hospitals have made an adequate effort to develop and implement the Shared Medication Record (SMR). With the SMR, data on the citizens’ medication can be shared across hospitals, general practitioners, etc ... ... Involvement of key participants necessary from the very beginning ... Digitally based Shared Medication Record is basis of the complex healthcare system. Rigsrevisionen analysed unsolved issues related to unclear business case, insufficient analysis of work flows ... and processes leading to implementation problems, governance not involving key players, and IT security organisation.
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National Audit Office of Denmark , issued in 2014
Risk cases: 2
Products sold on the European market: unravelling the system of CE marking
Problems with general picture The Netherlands National Court of Audit was interested in finding out whether anyone keeps track of all the actors involved in the process of system of European Union product markings. The interest was aroused by an observation that the vast majority of the questions raised about the system were prompted by incidents and that the questioners did not generally appear to be interested in the operation of the system as a whole...
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The Netherlands Court of Audit , issued in 2017
Risk cases: 5
Australian Taxation Office: Administration of Australian Business Number Registrations
More elligibility and data integrity needed The Australian Business Number (ABN) and Australian Business Register initiatives were implemented as part of theGovernment's comprehensive reform of the taxation system in 2000. Their introduction involved challenging issues of technology and governance , including the imperative to process and register significant numbers of applications in a short time. Overall, the Australian SAI concluded that the ABN registration process is operating effectively. However, matters relating to the eligibility of some ABN applicants need to be reviewed. Further, some data integrity issues remain outstanding.
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The Australian National Audit Office , issued in 2003
Risk cases: 3
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