WHEN THE SUN RISES

WE WORK HARD TO DELIVER

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DEPARTMENT OF HEALTH

Key Challenges in the Department

Select Committee on Social ServicesParliament, Cape Town

M514, Marks Building, 5th Floor

02 June 2015

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1. Outcome and Sub-outcomes

2. Challenges

3. Impact per Challenge

4. Remedial Measure Taken

5. Turnaround Strategic Plan

6. Balance Score Card

7. Weekly Monitoring Tool

8. Decision expected from Select Committee on Social Services

PRESENTATION OUTLINE

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SUB-OUTCOMES

1.Universal Health coverage progressively achieved through implementation of National Health Insurance (NDoH)

2.Improved quality of health care

3.Implement the re-engineering of Primary Health Care

4.Reduced health care costs (NDoH)

5.Improved human resources for health

6.Improved health management and leadership

7.Improved health facility planning and infrastructure delivery

8.HIV & AIDS and Tuberculosis prevented and successfully managed

9.Maternal, infant and child mortality reduced

10. Efficient Health Management Information System developed and implemented for improved decision making

OUTCOME 2: A LONG AND HEALTHY FOR ALL SOUTH AFRICANS

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KEY CHALLENGES

The following are Departmental Key Challenges:

Strategic Leadership

Hospital Management

Medico-Legal Services and Litigations

Health Information Management and Health Information Systems

Corporate Services – Document Management

Communication and Social Mobilisation

Human Resource Management and Development

Financial Management

Health Infrastructure Management and Development

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KEY CHALLENGES

Strategic Leadership

• Poor management of policies and guidelines

• Ineffective governance structures

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KEY CHALLENGES

Hospital Management

• Poor leadership and organisational culture (transversal across all areas of concern)

• Non-compliance to core norms and standards

• Non compliance to NHI readiness status

• Inappropriate provisioning of Non-negotiables

• Inadequate management of emerging risks (disease, outbreaks emergencies etc)

• Pharmaceutical depot challenges

• The warehouse non-compliant with Medicine and Related Substances Control Act, 101

of 1965

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KEY CHALLENGES

Medico-Legal Services and Litigation

• High outstanding litigations due to inadequate management of litigation risks

Corporate Services

• Inadequate record management system

Health Information Management and Health Information Systems

• Lack of integrated health information system

• Lack of cohesive and integrated IT system (transversal to include relevant

departments)

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KEY CHALLENGES

Communication and Social Mobilization

• Uncoordinated Advocacy and Communications Strategy

• Weak social compact with the Public

• Inadequate telecommunication infrastructure in health facilities

Human Resources Management and Development

• Poor HR Management/inconsistent leadership challenge

• Inadequate HR Plan

• Out of adjustment appointment-Organogram

• Challenge on the right staff mix

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KEY CHALLENGES Financial Management

• Senior financial positions inconsistently filled resulting in:

Non-Compliance with PFMA, Treasury regulations and SCM Processes

Ineffective Risk Management

Asset Management, Contract Management, Liability Management

Extended turn-around-time to meet service provider commitments.

Inadequate contract management of general conditions of contract as per Tender Act

Accruals

Inadequate Fleet Management System

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KEY CHALLENGES

Health Infrastructure Management and Development

• Key senior positions vacant for a long period

• Historic dependency on DPWRT, both of which contributed to:

Poor state of Infrastructure

Inadequate capacity for planning and delivery

Funding backlogs for refurbishment and renovations

Poor spending capacity due to inability to attract skilled built environment

personnel

Poor Management of Contractors

Lack of capacity for effective Project Management

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REMEDIAL MEASURES TAKEN

TURNAROUND STRATEGIC PLAN

BALANCE SCORE CARD (MONITORING TOOL FOR IMPLEMENTATION OF TAS)

WEEKLY MONITORING TOOL (WEEKLY EVALUATION OF OPERATIONAL ACTIVITIES)

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TURNAROUND STRATEGIC PLAN

TURNAROUND STRATEGIC PLAN(Please see attached Turnaround Strategic Plan)

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BALANCE SCORE CARD

BALANCE SCORE CARD (MONITORING TOOL FOR IMPLEMENTATION OF TAS)(Please see attached Balance Score Card)

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WEEKLY MONITORING TOOL

WEEKLY MONITORING TOOL (WEEKLY EVALUATION OF OPERATIONAL ACTIVITIES)(Please see attached Weekly Monitoring Tool)

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DECISION EXPECTED FROM SELECT COMMITTEE ON SOCIAL SERVICES

To note: 1.Key Challenges experienced by the Department, 2.The Turnaround Strategic Plan and 3.Endorse the Turnaround Strategic Plan

DEPARTMENT OF HEALTHMPUMALANGA PROVINCEREPUBLIC OF SOUTH AFRICA

Thank You