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PRESENTATION TO THE SELECT COMMITTEE ON FINANCE

PRESENTATION TO THE SELECT COMMITTEE ON FINANCE. 03 September 2008. VISION. Health Service Excellence For All!. CONDITIONAL GRANTS. GRANTS. Forensic Pathology Services Hospital Revitalisation Comprehensive HIV & AIDS National Tertiary Services Health Professions Training & Development

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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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