The Health Services Union says the bulging $33 billion NSW health budget must be scrutinised by a royal commission because it is not reaching patients or practitioners.
A union-commissioned report entitled "Reform Critical - A Fragmented Health System at Breaking Point" accuses the state's coalition government of "chronic misallocation of resources and warped priorities".
"Some providers have incentives to provide more services to boost their incomes rather than being guided by patient health," the union said on Sunday.