NSW Health spends over $1 billion annually on Visiting Medical Officers but the NSW Auditor-General found no statewide governance, ineffective internal controls at Local Health Districts, and IT systems that allow extensive use of unvalidated "miscellaneous" claim categories. Same staff check and process payments. Double-billing and excessive hours are inadequately monitored.
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$100.0M of Australian taxpayer money was misappropriated at NSW Health / Local Health Districts. NSW Health spends over $1 billion annually on Visiting Medical Officers but the NSW Auditor-General found no statewide governance, ineffective internal controls at Local Health Districts, and IT systems that allow extensive use of unvalidated "miscellaneous" claim categories. Same staff check and process payments. Double-billing and excessive hours are inadequately monitored.
Spread across Australia's 10.8 million households, that's roughly $9 per family — enough in total for funding 67 fully equipped school classrooms.
NSW Auditor-General Report #423 (7 May 2026) — "Oversight of Visiting Medical Officers" — examined the engagement and remuneration of VMOs across NSW Local Health Districts (LHDs). Sector-wide VMO expenditure exceeds $1 billion annually but no statewide governance framework exists. Key findings: LHDs operate independently on VMO hiring with no value-for-money assessment; payment control failures include poor segregation of duties (same person checks claims and processes payment); IT systems allow extensive use of 'miscellaneous' claim categories not validated against Medicare item codes; insufficient monitoring of higher-risk arrangements (VMOs working at multiple facilities); and no statewide data aggregation to identify systemic risks like double-billing or excessive hours. All recommendations accepted; governance reforms underway.
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