ANNUAL RETURNS 24 JANUARY 2019 NORTHERN CAPE PROVINCE

ANNUAL RETURNS 24 JANUARY 2019 NORTHERN CAPE PROVINCE

Outline • Background – NHA and OHSC Procedural Regulations • Purpose of the Annual Returns • Information required • Submission of information • Progress to date • Feedback on submissions • Summary 1

Background National Health Act 61 of 2003 (Amended Act 12 of 2013) • Section 79(2)b: The Office may collect or request any information relatingto the prescribed norms and standards from health establishments and users OHSC Procedural Regulations CHAPTER 2; SECTION 4(1) Collection of or request for information • All health establishments that are required by the Office to provide information relating to norms and standards, in terms of section 79(2)(b) of the Act, must do so by 31 March of each year 2

Purpose PLANNING • Planning of Inspections: Inspections strategy i. e. sampling • Update list of health establishments and categories for the annual performance target • Provide inspection teams with an overview of the health establishment for planning COMPLAINTS MANAGEMENT PROGRAM • Assist with preliminary screening of complaints 3

Purpose REPORTING • Analysis of the inspection outcome in relation to resources (inputs) e. g. infrastructure, staff complement, budget utilisations • Linking compliance status with the possible contributory factors. • Comparative analysis of similar health establishments RECOMMENDATIONS • Section 79(1)e: The Office must identify areas and make recommendations for interventions by a national/provincial department of health/health department of a municipality where necessary to ensure compliance with prescribed norms and standards 4

Information required Divided into 7 sections; • Facility overview ü Name, District , province, classification, number of approved and usable beds, common languages • Contact information ü Name of the PIC, facility address and contact details • Infrastructure ü Year facility built, year facility refurbished, size of building, single/multiple storey, back–up generator, running water, information system, perimeter enclosure, security system, lifts 5

Information required • Hours of Operation ü OPD and Pharmacy (day, week) • Human Resources ü ü Full time, part time, vacant Administration, medical, nursing, support staff • Service Offered ü Package of service • Governance/Budget/Expenditure/Quality ü Expenditure on medicine, laboratory, human resources patients experience of care survey score, staff satisfaction survey score and self -assessment score, including dates 6

OHSC Annual Returns system • Online system • Requires registration; CEO/hospital manager and data capturer • Rights; – Data capturer: Capture and submit for CEO’s review – CEO: Verify and approve • Date and time for each submission is recorded • Activities related to access by the 2 users recorded • Submission status: Draft, submitted to the CEO, re-submitted to data capturer, approved by the CEO 7

Progress to date • Annual Returns workshops conducted to orientate provinces on the submission process • Northern Cape workshop on 7 February 2017 • Pilot in 4 provinces, January to March 2017 • 167 submissions received(83%) • Follow-up workshop 27 February 2018 • Formal request for submissions • 4 hospital submissions received (25%) 8

Submissions by province Province Submission received Total number Percentage of HEs submissions (hospitals) per province EC FS GP KZN LP MP NW NC Total 56 31 36 63 30 32 16 4 268 92 32 37 75 42 32 21 16 347 9 61% 97% 84% 71% 100% 76% 25% 77%

Northern Cape submissions Facility Status Hartswater(Connie Vorster) Hospital Submitted De Aar (Central Karoo) Hospital Submitted Kimberley Hospital Submitted West End Psychiatric Hospital Submitted Tshwaragano Hospital Awaiting the CEO’s approval Springbok (Dr Van Niekerk) Hospital Draft Kakamas Hospital Draft Postmasburg Hospital Draft Prof ZK Matthews Hospital Draft Manne Dipico( Colesberg) Hospital Draft 10

Profiles NC Summary. docx 11

Summary • All HEs to submit by 31 March each year • Facilities to register 2 users, including the CEO/hospital manager • CEO/hospital manager to ensure correctness of information before approval • Clinic data to be obtained from the ideal clinic database

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