STANDING COMMITTEE ON APPROPRIATIONS

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STANDING COMMITTEE ON APPROPRIATIONS

• NATIONAL HEALTH GRANT PREPAREDNESS
• 8 March 2013

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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)

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• REFORM OF INFRASTRUCTURE GRANTS AND PREPAREDNESS

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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

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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

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NATIONAL HEALTH GRANT

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NATIONAL HEALTH GRANT

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NATIONAL HEALTH GRANT

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INFRASTRUCTURELEVEL OF PREPAREDNESS TO
IMPLEMENT PROVINCIAL DIRECT ALLOCATION AND
NATIONAL IN-KIND ALLOCATION
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National Department of Health Infrastructure
Unit Grant Management Structure
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• 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

• 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

• 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)

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• Schematic Concept of contracting options, of
  various In-Kind funded Projects by NDoH

Project Management
Project Management
One Project Management
Project Management
Project Management
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
In-Loco Supervision of HIG and NC grant funded
projects in provinces
In-Loco Supervision of HRG funded projects in
provinces
Alternatively, design and build contract/s for
new ones

• 5 new Clinics in EC
• 7 new Clinics in FS
• 5 new Clinics in MP
• 5 new Clinics in NW

• 10 in NC
• 70 in KZN
• All other provinces 30 each

• 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 NCS

• 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

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Thank you www.doh.gov.za