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PRESENTATION TO THE SELECT COMMITTEE ON FINANCE

This presentation covers trends in conditional grant spending related to Forensic Pathology Services, Hospital Revitalization, HIV & AIDS initiatives, and more. It discusses achievements, challenges, and capital expenditure in various healthcare projects.

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PRESENTATION TO THE SELECT COMMITTEE ON FINANCE

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  1. PRESENTATION TO THESELECT COMMITTEE ON FINANCE 03 September 2008

  2. VISION Health Service Excellence For All!

  3. CONDITIONALGRANTS

  4. GRANTS • Forensic Pathology Services • Hospital Revitalisation • Comprehensive HIV & AIDS • National Tertiary Services • Health Professions Training & Development • Infrastructure Grant to Provinces

  5. TRENDS IN ALLOCATION

  6. TRENDS IN ALLOCATION (cont.) • The total conditional grant allocation shows an annual growth of 35.3% • The main contributors are; • The introduction of Forensic Pathology Services. • Hospital Revitalization • Infrastructure Grant to Provinces • National Tertiary Services • HIV & AIDS

  7. CONDITIONAL GRANT SPENDING TRENDS 2006/07 & 2007/08

  8. CONDITIONAL GRANT SPENDING TRENDS 2006/07 & 2007/08 • Hospital Revitalization • Withdrawal of Upington & De Aar Hospitals due to implementation of Peer Review • Slow progress on New Mental Health due to capacity of contractor • Infrastructure Grant to Provinces Infrastructure • Late implementation of the infrastructure plan

  9. CONDITIONAL GRANT SPENDING 30 JUNE 2008

  10. CONDITIONAL GRANT SPENDING (cont.)Q1-2008/09 • Department received 25% of allocated budget • Spent 17% of total allocation at 30 June 2008 • Experienced under expenditure on four grants; • Infrastructure Grant to Provinces • National Tertiary Services Grant • Health Professions Training & Development • Hospital Revitalisation

  11. CAPITALEXPENDITURE

  12. CAPITAL EXPENDITUREQ1-2008/09

  13. HOSPITAL REVITALISATION

  14. BUDGET VS EXPENDITURE

  15. PROF ZK MATTHEWS HOSPITALBarkly West

  16. ACHIEVEMENTS & CHALLENGES • Achievements • Practical completion of the building infrastructure works • Procurement of health technology equipments • 30% delivery of health technology equipment • Challenges • Delay in finalization of minor outstanding works (snag list) • Delay in the delivery of health technology equipments

  17. DE AAR HOSPITAL

  18. ACHIEVEMENTS & CHALLENGES • Achievements • Compilation of revised service package as per STP guidelines • Challenges • Capacity challenge in HRP office

  19. NEW MENTAL HEALTH HOSPITAL

  20. ACHIEVEMENTS & CHALLENGES • Achievements • Construction – 60% • Challenges • Slow progress on site due to capacity of contractor

  21. FORENSIC PATHOLOGY SERVICES

  22. ACHIEVEMENTS

  23. CHALLENGES

  24. CHALLENGES

  25. INFRASTRUCTURE GRANT TO PROVINCES

  26. BUDGET VS EXPENDITURE

  27. 2007/08 PROJECTS • Achievements • Construction – average 60% • Challenges • Late inclusion of staff accommodation • Late decision on site allocation for Groblershoop maternity • Late start construction work at Dibeng

  28. 2008/09 PROJECTS • Achievements • Commencement of earthworks for: • Hartswater • Olifantshoek • Pampierstad • Challenges • Delay in the advertisement of tender- Hondeklipbaai • Delay in finalisation of service package for Pampierstad CHC

  29. Achievements Tenders awarded for: Kimberley Hospital Lifts Kimberley Hospital Boilers Challenges Late submission of final account PROJECTS FUNDED THROUGH ROLL OVERS

  30. COMPREHENSIVE HIV & AIDS

  31. EXPENDITURE

  32. ACHIEVEMENTS • 6 CCMT dieticians / nutritionists were appointed • A successful HIV and AIDS consultative stakeholder conference was held to facilitate the development of the Provincial Strategic Plan • Calvinia ART Service point now fully operational due to appointment of a medical officer • 5 Districts and 8 Local AIDS Councils established

  33. ACHIEVEMENTS ART Programme • 1st Quarter 2008 • Total Assessed: 2,077 • On Treatment: 708

  34. CHALLENGES & REMEDIAL ACTION

  35. NATIONAL TERTIARY SERVICES

  36. OUTPUTS

  37. CHALLENGES & REMEDIAL ACTION • Challenges • Specialist skills shortage (Dr’s & nurses) • Increased patient load • Referral pathways • Remedial Actions • Posts advertised • Review of agreement with F/S & W/C and respective academic institutions • Streamline referral system • Strengthen outreach programme

  38. HEALTH PROFESSIONS TRAINING & DEVELOPMENT

  39. ACHIEVEMENTS • Supported training of: • Doctors - 65 • Radiographers - 18 • Post-basic Nursing Programmes - 31 • Clinical Psychologists - 5 • Pharmacists - 2 • Medical Registrars – 4 • Nursing students – 232 • Two (2) medical students completed and are doing internship in 2008

  40. CHALLENGES • Full implementation of the Registrar programme • Structured skills transfer programme in the regional hospital

  41. MONITORING • Each grant managed by member of senior management • Monthly slot in senior management meetings for financial reports • Quarterly slot in senior management meetings for output reports

  42. THANK YOU!

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