Download Reform of Infrastructure Grants and Preparedness

STANDING COMMITTEE ON
APPROPRIATIONS
NATIONAL HEALTH GRANT PREPAREDNESS
8 March 2013
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NATIONAL HEALTH GRANT
• The National
components:
Grant
Consist
of
two
– 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
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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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INFRASTRUCTURE
LEVEL 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
National Health Grant (Grant
in-kind/indirect grant) -2
Components
Health Facility
Infrastructure Grant (Direct
Grant)-3 Components
HRG Sub
Component
HIG Sub
Component
NC& S Grant
Component
HRG Sub
Component
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Infrastructure
Grant Component
NHI Grant
Component
HIG Sub
Component
NC&S Grant
Component
National Department of Health
Grant Management Structure
National Health Grant (Grant inkind/indirect grant) -2
Components
Health Facility Infrastructure Grant
(Direct Grant)-3 Components
R5124 M F/Y 13/14
HRG Sub Component
HIG Sub Component
NC& S Grant
Component
R3752 M, F/Y 13/14
R1296 M, F/Y 13/14
R76 M, F/Y 13/14
Infrastructure Grant
Component
R807 M, 13/14 F/Y
HRG Sub Component
HIG Sub Component
R332 M 13/14 F/Y
R401M 13/14 F/Y
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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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NHI Grant
Component
NC&S Grant
Component
R74 M 13/14 F/Y
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 FSSG Lourens Nursing College, Garankuwa Nursing College in GP
Thohoyandou Nursing College in LP
Three Nursing Colleges in MPTswaragano Nursing College in NC
Taung Nursing School ; Mmabotho Nursing College in NW
Schematic Concept of contracting options, of various In-Kind funded Projects by NDoH
Project Management
Project Management
Project Management
One Project Management
GPs Operational
Accommodations
Building of new clinics
in some NHI districts
Hospital revitalization
in some NHI districts
Nursing Colleges and
The PMs making sure the
installations are properly
done to the suppliers
specification
Project Professional
Service Provider, using
prototype clinic design
per province or one for all
Contractors
Suppliers
• 10 in NC
• 70 in KZN
• All other provinces 30
each
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5 new Clinics in EC
7 new Clinics in FS
5 new Clinics in MP
5 new Clinics in NW
Project Professional
Service Provider per
hospital using the
Kahylitsha district
hospital design
Schools Revitalization
Project Professional
Service Provider per
nursing college or
school
Contractors
Contractors
Alternatively,
design and build
contract/s for new
ones
Alternatively,
design and build
contract/s for new
ones
• 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,
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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 MPTswaragano Nursing College , new projects in NC
Taung Nursing School ; Mmabotho Nursing College ; new projects in NW
Project Management
Resident Engineers and Clerks of
Works appointed for projects at
construction stage, depending on
the size, nature and level of
supervision
Existing project
structure in the
provinces
In-Loco
Supervision of
HRG funded
projects in
provinces
In-Loco
Supervision of HIG
and NC grant
funded projects
in provinces
All projects at
construction stage in
HRG, HIG and NC&S
Thank you
www.doh.gov.za
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