8 August 2024

Audit reveals risk of multi-million-dollar errors in ACT Health’s payment for outsourced IT services

| Oliver Jacques
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Health Minister Rachel Stephen-Smith expects her department to “recoup any payments” made incorrectly. Photo: Michelle Kroll.

The ACT Health directorate may have paid for products and services that did not match the terms of its multi-million-dollar contract with an IT consultancy, and is unable to confirm whether it got what it paid for, an internal audit has found.

Bureaucrats reportedly paid several invoices worth up to $66 million* to private company NTT for hosting the Digital Health Record, an online portal that enables the public to view their medical records.

ACT Minister for Health Rachel Stephen-Smith says she expects her directorate to do everything it can to “recoup any payments” that have been inappropriately made to NTT or any other provider.

“While I have been kept updated on this work broadly, I am disappointed that I was not explicitly briefed on the NTT invoices audit and the concerns that led to it being undertaken,” she said.

“The findings of this [audit] report are very concerning and are being further investigated. The directorate has proactively referred a number of issues to the Auditor-General and has sought their support in conducting a detailed review of invoices up to June 2023 that may have been paid without appropriate evidence of service delivery.”

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The revelations came after Ms Stephen-Smith responded to questions on notice from Canberra Liberals Health spokesperson Leanne Castley during parliamentary hearings last week.

“This is extraordinary and very concerning that staff within the ACT Health Directorate are unable to confirm what was being paid,” Ms Castley said.

“The fact that the minister claims she was kept in the dark despite this issue being referenced in a report relating to funding pressures highlights a health system that is in disarray because of a lack of leadership from Minister Stephen-Smith.”

digital health record

The Health Minister said the Digital Health Record’s operation won’t be impacted.

The internal audit of NTT, which commenced last year, covered invoice processing under the Health Directorate’s contract with NTT.

Interim director-general of ACT Health Dave Peffer informed directorate staff of the audit findings in an email.

“There’s a significant risk the directorate’s paid for products and services that are inconsistent with our contract,” he wrote.

“At the time of the audit, we didn’t have the ability to accurately confirm we’d received what we were paying for.

“I expect this will come as a surprise to many of you – I know how hard you work to support our health system every day.”

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Ms Stephen-Smith said the invoicing issues won’t have any impact on the Digitial Health Record, which came into operation in 2022.

“While this audit identified serious issues with financial processes in the Digital Solutions Division, I want to assure the Canberra community these issues have had no impact on the practical delivery of the Digital Health Record. The Digital Health Record has improved workflow for clinicians, helped to deliver safer care for patients and enabled consumers to easily access information about their own care,” she said.

“We have and continue to see benefits from the Digital Health Record every day in the provision of high-quality and person-centred care.”

CORRECTION: An earlier version of this story stated that “Bureaucrats reportedly paid 300 invoices worth up to $110 million to private company NTT for hosting the Digital Health Record, an online portal that enables the public to view their medical records.” The correct figure is $66 million.

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Incidental Tourist10:17 pm 09 Aug 24

Last year it was failed Human Resources Information Management System worth $78 million followed by $66 Million pesky error today. I don’t think it’s worth mentioning systems complexity thinker contract as it was too small to pay attention to like a drunken sailor in a pub won’t bend to pick up a few dropped gold coins. Obviously tram stage 2A cost blow out from $577 Million to over $1460 Million is a little unrelated outlier to the otherwise stellar project management practice. I agree with Jack D claiming this is not maladministration. Nope. This pattern is their business as usual routine public money management practice.

What a disaster, such wastage has become typical of this government

More evidence of the incompetence of this government, although we already have more than enough.

Great to know that the occasionally useful Digital Health Record will work. Pity that $66m of our health budget wasted. In any other organisation all staff involved and their supervisors would immediately be suspended pending an investigation, at the minimum and face dismissal or demotion.

Yet again demonstrates the lack of integrity in the Canberra Government and the inability to take action to redress incidents like this. One can only assume that there are many more to be discovered.

i tihnk you find that the multi-million $ overspend paid for by reducing budgets for everyone rather than just health budget, which is why there is anger with these people because of less service everywhere. All these people have already left and everybody knows who they were, they have caused difficulties across the government and destabilised staffing in multiple areas when they should have been stopped long before they self destruct. That is where Integrity Commission should dig as root cause because it was more than money and why nobody did listen. Answer is most people turn blind eye and let them bully their way through, then become uncontrollable, then boom.

Incidental Tourist8:43 am 09 Aug 24

How many more skeletons in Barr’s shop are hidden? Surely no comment from Greens, including best mate attorney-general Ratteburry who seems turning blind eye on gross negligence.

More incompetent corporate governance. What an absolute joke.

OMG. Another financial fiasco involving a senior executive?

Is this why the then-CIO left?

Is this NTT service able to be provided in-house by Shared Services but was instead contracted out at a huge cost to us?

If only Leanne sought an FOI covering the executive brief which initiated this contract and then asked the Minister why in house procurement did not take place… hmmm

Yes Minister

My understanding is that yes, DHR could have been hosted by Shared Services at a lower cost to the ACT.

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