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

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

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

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)

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

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)

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

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

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