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STANDING COMMITTEE ON APPROPRIATIONS

STANDING COMMITTEE ON APPROPRIATIONS. NATIONAL HEALTH GRANT PREPAREDNESS 8 March 2013. NATIONAL HEALTH GRANT. The National Grant Consist of two components: Health Facility Revitalisation Grant National Health Insurance Grant These two components split into Direct Provincial Allocations

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STANDING COMMITTEE ON APPROPRIATIONS

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  1. STANDING COMMITTEE ON APPROPRIATIONS NATIONAL HEALTH GRANT PREPAREDNESS 8 March 2013

  2. NATIONAL HEALTH GRANT • The National Grant Consist of two components: • Health Facility Revitalisation Grant • National Health Insurance Grant • These two components split into • Direct Provincial Allocations • In-Direct National Allocation (Grant In-Kind)

  3. REFORM OF INFRASTRUCTURE GRANTS AND PREPAREDNESS

  4. Why Grant Reform? • The following where the cost driver of grants reform: • HRG and NCSG are Schedule 5 while HIG is Schedule4 • Challenges on project planning • Hospitals under HIG never peer reviewed • HIG does not provide HT in most provinces • HIG does not address organisational development • Change of project scope of work • Budget re-allocation from one project to another or among provinces • Compliance with DORA conditions • AG audit frameworks separately even though the implementation is done jointly • Write to NT every time there is a shift from one grant to another

  5. Why Grant Reform? • Advantage of one Infrastructure Grant: • Three Grants (HRG, HIG and NCSG) will be treated as components in 2013/14 • Provinces are allowed to shift money from one component to another and projects re-gazetting will be done once a quarter through NT • Flexibility to move funds from poor performing project to performing project within the province and within the given envelop • AG will focus on one set of conditional grant framework- easy to comply • Easy to manage by both national and provincial department of health • Available resources can be utilised as one team

  6. NATIONAL HEALTH GRANT

  7. NATIONAL HEALTH GRANT

  8. NATIONAL HEALTH GRANT

  9. INFRASTRUCTURELEVEL OF PREPAREDNESS TO IMPLEMENT PROVINCIAL DIRECT ALLOCATION AND NATIONAL “IN-KIND” ALLOCATION

  10. National Department of Health Infrastructure Unit Grant Management Structure

  11. Two additional hospitals in EC under HRG • New district Hosp in Shoshanguve GP under HRG • Siloam Hospital in LP under HRG • In-Loco site supervision • Somerset East Nursing School and Settlers Nursing school, new schools in 14-15 and 15-16 for two new nursing colleges in EC • Manapo Nursing College in FS- • SG Lourens Nursing College, Garankuwa Nursing College in GP • Thohoyandou Nursing College in LP • Three Nursing Colleges in MP- • Tswaragano Nursing College in NC • Taung Nursing School ; Mmabotho Nursing College in NW • 5 new Clinics in EC under HIG • 7 new Clinics in FS under HIG • 5 new Clinics in PM under HIG • 5 new Clinics (in NW under HIG • Replacement of Tshilidzini hospital ; Elim Hospital in LP under HIG. • In-Loco Supervision. • GPs OA: (10 in NC, 70 in KZN and 30 each in other provinces)

  12. Project Management Project Management Project Management One Project Management Project Management Schematic Concept of contracting options, of various In-Kind funded Projects by NDoH GPs Operational Accommodations Building of new clinics in some NHI districts Nursing Colleges and Schools Revitalization Hospital revitalization in some NHI districts Resident Engineers and Clerks of Works appointed for projects at construction stage, depending on the size, nature and level of supervision Project Professional Service Provider per hospital using the Kahylitsha district hospital design Project Professional Service Provider, using prototype clinic design per province or one for all Project Professional Service Provider per nursing college or school The PMs making sure the installations are properly done to the suppliers specification Existing project structure in the provinces Contractors Contractors Contractors Suppliers Alternatively, design and build contract/s for new ones Alternatively, design and build contract/s for new ones In-Loco Supervision of HIG and NC grant funded projects in provinces In-Loco Supervision of HRG funded projects in provinces • 10 in NC • 70 in KZN • All other provinces 30 each • 5 new Clinics in EC • 7 new Clinics in FS • 5 new Clinics in MP • 5 new Clinics in NW • Two additional hospitals in EC In NHI District, • -One New district Hospital in Shoshanguve in GP In NHI District • Siloam Hospital in LP in NHI District, • Replacement of Tshilidzini hospital and Elim Hospital in LP, NHI District, All projects at construction stage in HRG, HIG and NC&S • Somer Set East Nursing School and Settlars Nursing school, new schools in 14-15 and 15-16 for two new nursing colleges. In EC • Manapo Nursing College in FS • SG Lourens Nursing College, Garankuwa Nursing College in GP • Thohoyandou Nursing College in LP • Three Nursing Colleges, new projects in MP- • Tswaragano Nursing College , new projects in NC • Taung Nursing School ; Mmabotho Nursing College ; new projects in NW

  13. Thank you www.doh.gov.za

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