By conducting a cost and activity analysis of NSW Ambulance service performance, a performance baseline was established to support future budget discussions and assist the alignment of funding and service activity.

In April 2015, Francis Health was engaged by NSW Ambulance, in conjunction with the NSW Ministry of Health, to conduct a cost and activity analysis of Ambulance service performance.  The purpose of this analysis was to provide an agreed performance baseline to support future budget discussions around required funding levels and to assist the alignment of funding and service activity. 

The project team were also tasked with identifying and defining opportunities for improvement in service performance and organisational efficiency.  A key task was to succinctly define and agree the service lines NSW Ambulance provides to patients, to function as cost and activity buckets for analysis.  

Our tailored approach

In order to develop an understanding of this complex business it was necessary to develop a cost and activity model for the entire NSW Ambulance service.  A pragmatic approach was taken to this work - leveraging existing data sets, and a methodology which applied Activity-Based Funding (casemix) principles wherever possible.

Our joint solution

The Francis Health team engaged key stakeholders across NSW Ambulance throughout and using the findings of the cost model as a basis, was able to develop an Improvement Portfolio comprising a range of programs and improvement initiatives.  

The recommended improvement opportunities and efficiencies included those that could be delivered across:

  • ICT Systems and Business Information
  • Opportunities to reduce the cost of service
  • Opportunities to increase service efficiency and overall performance.