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Appearing before the legislature's public accounts committee, Pickup said his office thought long and hard about the way it chose to characterize the lack of controls.
"The scope and extent of the performance audit is yet to be determined," according to the report.
"Knowing what poeple knew about these significant internal control weaknesses, it was probably just a matter of time before something like this came to light," he said.
When it comes to fraud across government, Pickup said not enough is being done to mitigate the risk, despite a government-wide zero-tolerance policy adopted this past June.
A new phone line will instead be set up for patients to book their own appointments.
As reported by Brett Bundale in the Canadian Press this summer, Nova Scotia was the only province in Canada where women needed a doctor’s referral before booking an abortion.