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SELECT COMMITTEE ON APPROPRIATIONS: HRP

This project aims to provide funding to enable provinces to plan, manage, modernize, rationalize, and transform hospital infrastructure, technology, and monitoring in line with national policy. The focus is on transforming hospital management and improving the quality of care.

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SELECT COMMITTEE ON APPROPRIATIONS: HRP

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  1. SELECT COMMITTEE ON APPROPRIATIONS: HRP DR JJ MAHLANGUHOD HEALTH :MPUMALANGA

  2. HRP GRANT OBJECTIVESProvision of funding to enable provinces to plan manage modernise rationalise and transform the infrastructure, health technology, monitoring and evaluation of hospitals in line with national policy.To transform hospital management and improve quality of care 1

  3. MPUMALANGA HRP PROJECTS HOSPITAL REVITALISATION PROJECTS 2

  4. CURRENT HOSPITAL PROJECTS 3

  5. CURRENT HOSPITAL PROJECTS CONT.... 4

  6. CURRENT HOSPITAL PROJECTS CONT.... 5

  7. CURRENT HOSPITAL PROJECTS CONT.... 6

  8. PERFORMANCE AND MONITORING • Steering committees in place • Provincial • Local steering committee: Project–based link • Office structure • Appointments according to DORA • Site project managers • All sites • Reports on monthly & quarterly basis • Provincial Treasury • National Department of Health • Joint sites visits with public works • Project management meetings monthly 7

  9. All projects business cases and health briefs are approved by NDoH prior to implementation. • Project implementation plans submitted and approved: Annually • Project manager’s forums attended and reporting done: Quarterly • Submission of monthly, quarterly, and annual reports to NDoH and Provincial Treasury • Implementing agent is DPWRT and IDT (Rob Ferreira) Project list of phases with available budgets are forwarded to DPWRT COORDINATION HRP PROJECTS 8

  10. Phase :2 • Termination of non performing contractors and consultants implemented at Rob Ferreira for the following reasons: • Workmanship and design inadequacies • Irregular variation orders • Very slow progress • This project has since been implemented with phase 4 and is now complete • Phase 4: consultants and contractor progress very well, good workmanship, improved project management, but renovations very costly compared to new construction PERFORMANCE OF CONTRACTORS AND CONSULTANTS: Rob Ferreira Hospital 9

  11. PERFORMANCE OF CONTRACTORS AND CONSULTANTS:Themba Hospital • Poor project management by principal agent approving extension of time to more than doubling the actual contract period and seriously impeding service delivery • Poor performance of consultants and contractors, poor supervision of projects and slow progress. Contractors and consultants have been served with notices • Main contractor not paying sub-contractors • Design architects duplicating bills of quantities in different contracts. • Designs not compliant to health norms and standards • Scope inadequacies leading to variation orders 10

  12. PERFORMANCE OF CONTRACTORS AND CONSULTANTS: Ermelo Hospital • The pharmacy is complete but has leaking roof. The principal agent is unwilling to instruct contractors to repair it even though the roof still under guarantee. This is affecting the life span of pharmaceuticals • Very large variation orders for OPD, casualty and medico-legal mortuary that were submitted after completion of the projects. These have not been budgeted for. 11

  13. There is a collaborative interdepartmental approach between DoH and DPWRT implemented as follows:- • Joint DoH and DPWRT meetings are held monthly • Site meetings held monthly • Unannounced site visits conducted: Ad Hoc • Reports and recommendations by DoH to DPWRT are forwarded REPORTING AND COORDINATION BETWEEN DPWRT AND DoH 12

  14. Revitalisation unit structure is implemented according to DORA • IDIP appointed 1 October 2010 to provide technical assistance • Capacity challenges for the DoH • Absence of Infrastructure manager. The post is readvertised • Absence of resident engineers. Recruitment is in process CAPACITY TO IMPLEMENT HRP 13

  15. CHALLENGES The challenges cited above have an impact on the following: • Spending • Slow moving project affect spending • Performance and monitoring • Poor performance of contractors and consultants • Poor workmanship • Co-ordination • Weak contract management by principal agent • Cost escalations • Irregular variation orders 14

  16. NGIYABONGA THANK YOU

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