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Presentation to Health Committee. D Kahn Department of Surgery. Presentation to Health Committee. Impact of CSP Implementation of CSP Health budget Transformation. Comprehensive Service Plan. Excellent plan Primary Health Care approach Appropriate care at the appropriate level
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Presentation to Health Committee D Kahn Department of Surgery
Presentation to Health Committee • Impact of CSP • Implementation of CSP • Health budget • Transformation
Comprehensive Service Plan • Excellent plan • Primary Health Care approach • Appropriate care at the appropriate level • Improve level 1 services
Comprehensive Service Plan • Excellent plan • Primary Health Care approach • Appropriate care at the appropriate level • Improve level 1 services • ………BUT…….
Comprehensive Service Plan • Major concerns about the impact on the Level 2 and Level 3 (Tertiary) services
GF JOOSTE VICTORIA
GF JOOSTE VICTORIA
GF JOOSTE VICTORIA
Comprehensive Service Plan • Current surgical services are working well • CSP will impact on: • Service delivery • Teaching medical students • Training of registrars
Implementation of CSP • Level 2 service in GSH • Level 2 surgeon • No additional theatre time/beds
Implementation of CSP • Rationale : 40 – 50% of the service is Level 2 • (Study by Dr Belinda Jacobs)
Implementation of CSP • ? Should we appoint a Senior Specialist (Level 2) to do 5% of the work
Health Service • Budget driven • Needs driven • Quotas
Transformation • Fully support transformation • Cannot agree with the policy of demographic targets which affects Indians