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REPORT TO THE NCOP ON HOSPITAL REVITALISATION GRANT PERFORMANCE AS AT END OF 2010/11 QUARTER 2

REPORT TO THE NCOP ON HOSPITAL REVITALISATION GRANT PERFORMANCE AS AT END OF 2010/11 QUARTER 2. DR S DHLOMO MEC FOR HEALTH- KWAZULU NATAL AND Ms M GOVENDER MEC FOR HUMAN SETTLEMENTS AND PUBLIC WORKS- KWAZULU NATAL. CONTENT. Spending on grant for first 2 quarters Projected 2010/11 Outcome

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REPORT TO THE NCOP ON HOSPITAL REVITALISATION GRANT PERFORMANCE AS AT END OF 2010/11 QUARTER 2

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  1. REPORT TO THE NCOP ONHOSPITAL REVITALISATION GRANT PERFORMANCEAS AT END OF 2010/11 QUARTER 2 DR S DHLOMO MEC FOR HEALTH- KWAZULU NATAL AND Ms M GOVENDER MEC FOR HUMAN SETTLEMENTS AND PUBLIC WORKS- KWAZULU NATAL

  2. CONTENT • Spending on grant for first 2 quarters • Projected 2010/11 Outcome • Performance and monitoring by project and category • Co-ordination of Hospital Revite projects • Performance of contractors and consultants • Reporting and co-ordination between Health and Public Works • Capacity to implement programme • Way forward 2

  3. TRENDS IN GRANT FINANCIAL PERFORMANCE 2005/06 TO 2009/10 • HRG budgets have grown rapidly over the past five years • Planning and project management has not kept pace, resulting in under expenditure due to delays – explained later 3

  4. 2010/11 MTEF HRG ALLOCATIONS • Grant allocation increases by a nominal 27 percent from R449.5 million in 2009/10 to R500,8 in 2010/11 • Projected allocations are expected to increase further than currently shown due to rescheduling on the 2009/10 under spent funds, currently negotiated with the National Treasury. • To be finalised during Adjustment Estimates process 4

  5. BUDGET REVISIONS (cumulative) • The original budget was revised in conjunction with NDoH as part of the optimisation plan; • Adjusted budget is as per DG (NDoH) directive, to be formalised in the Adjustments Estimates 5

  6. QUARTER 2 FINANCIAL PERFORMANCE-by project 6

  7. QUARTER 2 FINANCIAL PERFORMANCE-by category 7

  8. QUARTER 2 FINANCIAL PERFORMANCE-Infrastructure 8

  9. QUARTER 2 FINANCIAL PERFORMANCE-Health Technology 9

  10. QUARTER 2 FINANCIAL PERFORMANCE-Organisational Development 10

  11. QUARTER 2 FINANCIAL PERFORMANCE-Quality Assurance 11

  12. QUARTER 2 FINANCIAL PERFORMANCE-Grant Management 12

  13. Q2 EXPENDITURE PERFORMANCE AGAINST REVISED BUDGET 13

  14. PERFORMANCE AND COORDINATION MONITORING OF THE PROGRAMME • Each project has a Joint Project Management Team which is involved with implementation and monitoring • Programme Steering Committee meetings held quarterly • Additional Operational and Strategic monthly meetings held for all infrastructure programmes • Health Weekly Progress meetings held to ensure timeous interventions on each project • DPW in the process of procuring a web-enabled project management tool by February 2011 to ensure effective management of project milestones – to interface with WIMS 14

  15. PERFORMANCE OF CONTRACTORS AND CONSULTANTS • Contractors • No contract terminations in 2010/11, however where necessary procedures will be followed • Delays experienced through tender appeals process have negative impact on expenditure (Lower Umfolozi War Memorial Hospital and King George V Creche) • Need to enhance tender technical evaluation process • Consultants • Review of Professional Service Providers terms of appointment currently underway e.g. imposition of penalties • Introduction of Project Managers to manage professional disciplines within each project to eliminate risk & conflict of interest 15

  16. REPORTING AND CO-ORDINATION BETWEEN DOH AND DPW • Monthly Infrastructure Programme Management Committee meetings are in place with the DOH and Implementing Agents • Monthly Progress Reporting through the Standard Reporting Format • Co-ordination by provincial treasury through the IDIP Technical Management Committee in place • Political Leadership will be involved through the establishment of the Provincial Programme Steering Committee. 16

  17. CAPACITY TO IMPLEMENT PROGRAMME Health • Lack of Project Management System by IAs make Grant management ineffective • Intervention: DPW in the process to source the web-based project management tool • Limited Project Managers within Health. • Intervention: Process to fill the GM: Infrastructure and critical project managers posts including dedicated Health Technology and Quality Assurance specialists has started 17

  18. CAPACITY TO IMPLEMENT PROGRAMME Public Works Lack of Project Management System by IAs make Grant management ineffective Intervention: DPW in the process to source the web-based project management tool Limited Project Managers within Health. Intervention: 11 project managers have been appointed with effect from 01 September 2010, 25 project managers interns to be appointed by January 2011 18

  19. PROJECT UPDATES: PUBLIC WORKS King George V Hospital Outstanding variation orders and expansion of contracts approved 3 projects currently forwarded for advertising Creche project in Appeals process, Hearing scheduled for 26 October 2010 Lower Umfolozi War Memorial Hospital. Construction of the hospital has started Optimisation plan developed to ensure projected cashflows are met 19

  20. PROJECT UPDATES: PUBLIC WORKS Ngwelezane Hospital 4 tenders in adjudication stage, contractors to be on site on December 2010 Rietvlei Hospital. Poor performance by contractor has resulted to poor expenditure, however, the contractor has been assisted to improve performance Phase 3B (Staff Accommodation) preparing for tender in Mid-November 2010 20

  21. PROJECT UPDATES: PUBLIC WORKS Edendale Hospital Delays due to review of the Master Plan by National Department of Health. However National Health have committed to finalise this matter before end of October 2010 Dr John Dube and Madadeni Hospitals. Professional team to be appointed by end of October 2010. 21

  22. PROJECT UPDATES: IDT Dr Pixley ka Seme Hospital Delays in approving design by National Health. National Health have committed to finalise this by end of October 2010 Hlabisa Hospitals. Construction of the Hospital suspended. Enabling works to proceed to construction in January 2011 22

  23. WAY FORWARD Health Weekly meetings are held to expedite decisions The dept will make use of Health Technology service providers in the interim to expedite equipment purchases, until vacancies are filled Stricter financial reporting is in place with all expenditures being closely monitored. HR have been requested to fast track the recruitment of new staff. 23

  24. WAY FORWARD • Public Works • DoPW is currently in a process of procuring the Project Management tool and planned to be finalised by February 2011. • Effective implementation of IDIP and ensuring that infrastructure plans are submitted in July of the planning year to promote forward planning. • Interventions as presented in each hospital will be followed up. • Projection to be revised inline with fast-track plan by end of October 2010. 24

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