Public Hearing on Performance of Hospital Revitalisation Programme Grant April – September 2010

1. Public Hearing on Performance ofHospital Revitalisation Programme GrantApril – September 2010 Department of Health Western Cape 20 October 2010

2. Content • Financial performance of HRP Grant budget for first two quarters of 2010/11 • Performance and monitoring of HRP Grant in 2010/11 • Coordination of HRP projects • Performance of contractors and consultants • Reporting and coordination between WCDOH and WCDT&PW • Capacity to implement the Hospital Revitalisation Grant programme

3. Financial performance of HRP Grant budget for first two quarters of 2010/11

4. Expenditure per project vs budgetFirst and Second Quarters 2010/11

5. Performance per project per componentFirst and Second Quarters 2010/11

6. George Hospital Infrastructure • Progressing well – finishing and snagging time-consuming • Planning for NHLS and Emergency Centre being finalised Organisational Development • Progressing well

7. George Hospital (cont) Quality Assurance • Progressing well Health Technology • Delays in roll-out of digital radiology impacts on expenditure • Orders placed – awaiting delivery (expenditure will improve in next quarter)

8. George Hospital (cont)

9. Khayelitsha Hospital Infrastructure • Contractor advised that project will be completed six months ahead of schedule – expenditure will exceed budget Organisational Development • Progressing well

10. Khayelitsha Hospital (cont) Quality Assurance • Client/staff satisfaction surveys still to be undertaken Health Technology • No budget provision for 2010/11 – will be addressed during adjustment budget • Equipment list being finalised • Commissioning planned – 1 September 2011

11. Khayelitsha Hospital (cont)

12. Mitchell’s Plain Hospital Infrastructure • Progressing well – expenditure will improve in next two quarters • Contractor indicated that project potentially four months ahead of schedule Organisational Development • Progress slow • Appointment of Facility Project Manager will assist in addressing delays

13. Mitchell’s Plain Hospital (cont) Quality Assurance • Client/staff satisfaction surveys still to be undertaken Health Technology • No budgetary provision for 2010/11 • Equipment list being reviewed

14. Mitchell’s Plain Hospital (cont)

15. Paarl Hospital Infrastructure • Progressing well Organisational Development • Progressing well Quality Assurance • Progressing well Health Technology • Progressing very well

16. Paarl Hospital (cont)

17. Tygerberg Hospital • Infrastructure • No provision for 2010/11 • Organisational Development • Awaiting formal approval of 2010/11 Project Implementation Plan • Quality Assurance • No provision for 2010/11 • Health Technology • No provision for 2010/11

18. Tygerberg Hospital (cont)

19. Valkenberg Hospital Infrastructure • Emergency repairs to historic admin building • Planning of replacement facility Health Technology • No provision for 2010/11 • Equipment list to be developed

20. Valkenberg Hospital (cont)

21. Vredenburg Hospital Infrastructure • Phase 1B – Practical completion achieved on 22 April 2010 • Phase 2A – Slight delay • Phase 2B – In planning Organisational Development • Asset Care Centre is being rolled out which will improve spending

22. Vredenburg Hospital (cont) Quality Assurance • Surveys planned to be undertaken later in year Health Technology • Delayed due to infrastructure

23. Vredenburg Hospital (cont)

24. Worcester Hospital Infrastructure • Phase 3 – in retention • Phase 4 – under construction, slightly behind • New DMC – final account • Phase 5 – in inception Organisational Development • Progressing well

25. Worcester Hospital (cont) Quality Assurance • Quality Assurance Manager appointed which will lead to improved spending Health Technology • Delays in roll-out of digital radiology impacts on expenditure

26. Worcester Hospital (cont)

27. HRP Unit General • Expenditure on track • Key positions in process of being filled

28. Performance and monitoring of HRP Grant in 2010/11 (excluding roll-over)

29. Projected performance per project vs budget for 2010/11 (excl R42.774 million roll-over)

30. Projected performance for 2010/11

31. Monitoring • Monitoring is ongoing • Compliance with DORA and HRP Project Implementation Manual • Alignment with Project Implementation Plans • Reasons for deviations and addressing where possible • Alignment with DOH Strategic Plan • Continuous communication with all roleplayers • Monthly reports to NHRP • Quarterly reports to NHRP • Annual reports • In-year Monitoring Report (IYM) • Infrastructure Reporting Model (IRM)

32. Coordination of HRP projects

33. Coordination of HRP projects Projects • Regular site visits • Orientation of hospital staff on site • Monthly project site meetings (DTPW, DoH, Contractor and Consultants) • Project Commissioning Meetings • Regular Committee meetings for each of HRP components • Facility Project Manager appointed at each of the HRP projects (Mitchell’s Plain in process)

34. Coordination of HRP projects (cont) Programme • Monthly Health Programme Progress Control Meetings (DTPW, DoH and Treasury) • Quarterly HRP Provincial Steering Committee Meetings • Daily informal contact between roleplayers • Monitoring by Treasury and National HRP with reports • Monthly HRP Project Management Meetings

35. Performance of contractors and consultants

36. Performance of contractors and consultants Contractors • The contractors are appointed and managed by the implementing agent (WCDT&PW) Consultants • The consultants are appointed and managed by the implementing agent (WCDT&PW)

37. Reporting and coordination between WCDOH and WCDT&PW

38. Reporting and coordination between WCDOH and WCDT&PW • Working in accordance to signed Service Delivery Agreement, IPMP, IPIP as prescribed by DORA • Continuous liaison and coordination between HRP Facility Project Manager and WCDT&PW Project Leader • Continuous liaison and coordination between WCDT&PW and HRP Programme Manager • Continuous liaison between Chief Directorate: Infrastructure Management and Chief Directorate: Public Works

39. Capacity to implement the Hospital Revitalisation Grant programme

40. Capacity to implement the Hospital Revitalisation Grant programme • New Chief Directorate: Infrastructure Management • Small HRP unit with substantial vacancy rate in senior posts (currently being addressed) • Good progress shown in spite of vacancies

41. Current HRP Unit – Current organogram Positions filled Filling in process Positions vacant

42. Capacity to implement the Hospital Revitalisation Grant programme • Future HRP projects • Tygerberg Hospital (possible PPP) • Brooklyn Chest Hospital (operational narrative and schedules of accommodation) • GF Jooste Hospital (business case being developed) • Helderberg Hospital (business case approved) • Mossel Bay Hospital (business case approved) • Victoria Hospital (business case approved)

43. Thank you Dankie Enkosi