1 / 62

Budget Presentation

Budget Presentation. Northern Cape Province. Health Portfolio Committee – Monday 7 th June 2004. Vision. Our Vision is to provide excellent, holistic, people-centred and affordable health care in the Northern Cape. Mission.

brigman
Download Presentation

Budget Presentation

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Budget Presentation Northern Cape Province Health Portfolio Committee – Monday 7th June 2004

  2. Vision Our Vision is to provide excellent, holistic, people-centred and affordable health care in the Northern Cape

  3. Mission We are committed to achieving our vision through a decentralized, accountable, accessible and constantly improving health care system within available resources. Our caring, multi-skilled effective personnel will use evidence-based, informative health care and maturing partnerships for the benefit of our clients and patients.

  4. Review of2003 / 2004

  5. Deficit Analysis

  6. Deficit Analysis • Clearing of suspense account • Pharmaceuticals R 20’994 m • Works R 3’492 m • Backlog payments • Inflation • Food supplies • Fuel • Medicine • Laboratory

  7. Expenditure by Programme

  8. Revenue

  9. Budget Allocation and Distribution

  10. Budget

  11. Programme Distribution

  12. Personnel vs Non – Personnel

  13. Capital vs Current

  14. GFS Classification

  15. Conditional Grants

  16. Specific Budget Pressures

  17. Inter-Provincial Equity

  18. Inter-Provincial Equity • Correction to 17% of provincial equitable share including own revenue would add to the Health coffers: R 44’960 million

  19. Health Sector Inflation • Adjustment after currency slide of December 2001 • National task team investigated impact on health budgets • Recommendation to Health & Treasury 10x10 • Stores & Livestock 22,7% • Equipment 29,2% • Prof & Spec 13,25% • NC Health Department recommended adjustment was never received: R 35 million

  20. Improved Access to Services • Upgrading tertiary services at Kimberley Hospital R 36 million required • Upgrading secondary services at Gordonia Hospital R 14 million required • Equipping of district hospitals R 46 million required • Clinics R 2 million required

  21. Emergency Medical Services • Ambulance equipment • Rescue equipment • Human resources • Amount Required: R 15 million

  22. Other Pressures PRESSUREREQUIRED • Assistive devices R 2,500m • Nursing College R 10,000m • Maintenance R 9,000m • Health Promotion R 2,000m • Cross boundary flows R 21,000m

  23. National Pressures

  24. Free Health Care for the Disabled • Number of Disabled: 40’681 • Estimated 4.8% of population in Sept 2003 • Patient Day Equivalents (PDE): 9’904 • PDE = (in patient days) + (outpatient visits/3) • Cost per PDE: R 1’024 • Cost of treating disabled patients will require additional spending: R 10’180 million

  25. Anti-Retroviral Treatment R 72’800 million • Current funding R14,0 million • Shortfall R58,8 million IMPLEMENTATION COST OF YEAR 1 (2004 / 2005) Strengthening R43’400 million Human Resources Training, etc. R29’400 million Drugs and Lab costs

  26. Rural & Scarce Skill Allowance • Costed impact R35,8 million • Current fundingR12,4 million Shortfall R23,4 million

  27. Programme 1:ADMINISTRATION • Office of the MEC • Management

  28. Sub- programme 1.1: Office of the MEC Key Strategic Objectives • To provide strategic political leadership • To provide the administrative framework and support function to allow the MEC for Health to discharge his duties. • To support public accountability and participation.

  29. Sub- Programme 1.2: Management Key Strategic Objectives • To develop a strategic plan for the department and maintain the strategic direction • To develop a financial plan for the department for the MTEF period • To maintain a system of effective management of all departmental assets

  30. QUALITY ASSURANCE • Conducts regular quality audits and responds with quality improvement plans • Supports the fundamentals of Batho Pele • Recent Awards: • Premier’s Excellence Gold Award • Cecila Makiwane • Platinum

  31. Programme 2:DISTRICT HEALTH SYSTEM • District Management • Priority Programmes • Support Services

  32. Programme 2: District Health System District Priorities • The Districts remain the area of primary service delivery • Underlying strategies include: • Improving Access • Improving Quality • Ensuring minimum service package is available throughout

  33. Other District Health challenges include: • To improve the nutritional status in the community • To ensure the retention of Health Professionals, esp. prof nurses • To raise the profile of mental health and substance abuse • To ensure a 2 crew per EMS vehicle • Ensure rational drug use of essential drug use at primary level • To render quality care to all mothers and babies

  34. COMMUNICABLE DISEASES • HCBC coverage in all districts • HIV & AIDS: • 155 professionals trained in ART, 300 in opportunistic infections management • 116 VCT sites achieved and strategically placed • HIV Prevalence rate stable (the slight decline not yet significant) • TB undergoing review • Disease surveillance continues • Director Appointed • 5 Sites accredited for ART

  35. MATERNAL, CHILD AND WOMEN’S HEALTH • Roll out of youth friendly services in 3 districts • Collaboration of the youth and adolescent programme with other youth structures • Implementation of IMCI at district level • Improvement of maternal and pediatric health care services • Establishment of a dedicated HIV and AIDS clinic at GDH for children

  36. HEALTH PROMOTION • Launch of health promoting schools • Monitoring for compliance of the tobacco legislation • Monitoring of emerging diseases • Dissemination of the results of the youth risk behavioral survey

  37. MENTAL HEALTH AND SUBSTANCE ABUSE • Psychiatric services are being integrated at PHC level • The establishment of psychiatric community based services in the province • Started with the training of Mental health care providers at facility level

  38. REHABILIATION DISABILITY AND CHRONIC DISEASE • The Northern Cape has the greatest number of cataract surgery tours in the country • Assistive devices have been prioritized, to reduce waiting lists • Access to services for chronic diseases in remote areas continues to increase

  39. INTEGRATED NUTRITION PROGRAMME • Vitamin A supplementation is being implemented according to National guidelines • Monitoring of menus at primary schools continues • Establishing of food gardens at clinics and schools will progress in collaboration with the Dept of Agriculture

  40. ORAL HEALTH • Plans are underway to ensure the full package of primary oral health services is delivered to rural and remote areas • This includes projects to: • provide an appropriately trained and dedicated workforce • ensure that rehabilitative services are provided to edentulous patients

  41. ENVIRONMENTAL HEALTH • Involvement in Port Control is increasing in Kimberley and Upington • Inspections are conducted at hazardous substance premises in compliance with legislation • Support is given for follow up of contacts of some communicable diseases patients e.g. hepatitis

  42. PHARMACEUTICAL SERVICES • Monitoring of tracer drugs to ensure optimal levels at all facilities on a weekly basis • Use of stock cards in the absence of a computerized system • Training of pharmaceutical assistants • The implementation of the rural and scarce skills allowance for pharmacist

  43. INFORMATION MANAGEMENT • A Ten Year Review has been completed internally • Bi-annual Indicator Reviews were implemented as management tools • KHC Nerve Centre supports Information Management at all Hospitals • Training of PHC nurses in the software continues (DHIS, STI module, TB module)

  44. Programme 3:EMERGENCY MEDICAL SERVICES

  45. EMS Strategic Priorities • The establishment of a two-crew Ambulance in all the major centres (De Aar, Springbok, Kuruman, Upington and Jan Kempdorp). • Procurement of sufficient and appropriate vehicles to affect a 60% separation of Emergencies/Planned Patient Transport. • Implementation of the three year vehicle replacement plan

  46. Programme 4:PROVINCIAL HOSPITAL • Kimberley Hospital

  47. The Complex • Kimberley Hospital • West End Hospital • KHC Rehabilitation Centre Services • level 1, 2 and 3 services • 35 beds for private patients Twinning • Oxford-Radcliffe, England • Chicago, USA • France

  48. Internal Medicine General Cardiology Dermatology Lipidiology Clinical Immuniology Clinical Hematology Intensive Care Burn Unit Colorectal Surgery General Surgery 11. Hepatobiliary Surgery Vascular Surgery Opthalmology Ear, Nose and Throat Neurosurgery 16. Orthopedic 17. Plastic & Reconstructive Surgery 18. Accident & Emergency 19. Neonatal ICU 20. Medical Oncology 21. Tertiary Oncology 22. Nephrology (Renal Dialysis) 23. Spinal Injury Management 24. Complex Radiology (CT Scan) Tertiary Services Package

  49. KHC Objectives • Improving secondary hospital & outreach services • Developing specialist tertiary services • Valuing and respecting users of the services • Valuing and developing staff • Improving infrastructure and technology • Making best use of human and financial resources

  50. Programme 5:HEALTH SERVICES AND TRAINING

More Related