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Hospital Revitalization Grant Performance Report: Free State

This report provides an overview of the performance of the Free State Hospital Revitalization Program, including updates on approved projects, expenditure, specific issues and challenges, and key interventions.

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Hospital Revitalization Grant Performance Report: Free State

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  1. Hospital Revitalization Grant Performance Report: Free State

  2. Free State Health Hospital Revitalization Program • The program started in 2003/04 financial year with Pelonomi and Boitumelo Hospitals as approved projects, • Five additional business cases( Ladybrand, Trompsburg, Mangaung, FSPC and Dihlabeng) completed and approved in 2006/07 financial year • Ladybrand and Trompsburg completed phase 1 of their construction and the award for Phase 2 contracts were done in August and October 2010 respectively • For Free State Psychiatric we are completing technical documentation and Bill of Quantities. Process to be completed by end November 2010, • 2 Hospitals at initial planning stage, Mangaung District and Dihlabeng Regional Hospitals,

  3. Expenditure- to Date

  4. Boitumelo Hospital expenditure 2nd Quarter 2010/11 Procurement for IT infrastructure will be spent this financial year and equipment is in the process of being bought for finished phases of the hospital

  5. Pelonomi Hospital expenditure 2nd Quarter 2010/11 Procurement for IT infrastructure will be spent this financial year

  6. HRP - Grant Management 2nd Quarter 2010/11 Vacant site project manager’s posts are in the recruitment phase and will be filled this month

  7. Overall Grants Performance

  8. Performance per grant as at BAS 28/09/2010

  9. Revitalization GrantBoitumelo Regional Hospital Projects Performance

  10. BOITUMELO HOSPITAL HOSPITAL REVITE GRANT

  11. BOITUMELO HOSPITAL HOSPITAL REVITE GRANT (Continues)

  12. Specific Issues • Poor performance by contract 10 (casualties) contractor, as a result the contract is terminated, the new contractor in a process of being advertised while the legal processes are continuing with the previous contractor, • Procurement of Health Technology equipments is being fast tracked

  13. Revitalization GrantPelonomi Regional Hospital Projects Performance

  14. PELONOMI HOSPITAL HOSPITAL REVITE GRANT 14

  15. Issues and Challenges • The ICU contractor appointed and the site handed over to the contractor on the 4th June 2010, the progress is slow. Equipment in the process of being ordered • Delays in planning due to un-finalised service package for Pelonomi hospital in relation to other health facilities in Mangaung, • Delays due to decanting resulting in claims for extension of time,

  16. Revitalization GrantVarious Institutions Projects Performance

  17. OTHER INSTITUTIONS HOSPITAL REVITE GRANT

  18. Issues • Dihlabeng Regional Hospital for planning of the new hospital – waiting for appointment of Professional Team. • Mangaung DistrictHospital- The Brief is finalised, the land secured, awaiting the appointment of the land surveyor, concept design planned for presentation to the Peer Review Committee end November 2010, • Trompsburg and Ladybrand Hospitals- Delays in appointment of a contractor contributes to under expenditure, • FS Psychiatric Hospital - Finalizing Technical Documentation and Bill of Quantities,

  19. Performance andMonitoring of HRP • Monthly Site Meetings with the contractors, implementing agent and the professional team, • Quarterly Review meetings with the professional team, contractors and implementing agent, the reviews are coordinated by the Department of Health – the sessions are a platform used to monitor physical and financial progress of each project, • In between there are coordination meetings on specific issues which may be on a critical path for progress, • Monthly Bi-lateral meetings with the DPW&RD to monitor the progress and identify challenges, • High level bi-monthly meetings of both Health and the implementing agent HOD’s,

  20. Immediate Recovery Plan • Accelerate projects and prevent R105m under expenditure • Renegotiate with newly appointed contractors to accelerate project and work through holiday • Negotiate with National Health and Treasury to utilise funds for 2011 priorities and release back to the HRG in new year • Target Capital items EMS, Mobiles, Equipment linked to infrastructure

  21. Key Challenges • Lack of internal capacity: Poor planning (project implementation cycle, budget cycle, cash flow estimates) • Delays in bid evaluation and adjudication • Poor contract management • Delayed decision making • Decanting challenges

  22. Key Interventions • Appointment of Chief Engineer • Appointment of Managerial Accountant • Review of structure and current personnel functions • Joint Planning with PW & RD • Synchronization of project cycle, cash flows and budgets • Support from National Health expertise

  23. THANK YOU

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