1. Scaling Automation Mpato Mokobori

3. Pharmaceutical Clinical Support in Gauteng

4. The Numbers of Pharmaceutical Shortfalls in Gauteng Pharmacist Ratio WHO Standard 1/2300 Gauteng Ratio 1/3,897 Current vacancies in pharmacy staff 17% Professional Nurse Students - 1,054 vacancies out of 4706 posts (22%)

5. Loading stock at HJ Hospital

6. Outputs from Phase I Themba Lethu Clinic at the Helen Joseph Hospital Full stock control from bulk storage through to patient dispensing, eliminating stock theft. Reduction in patient waiting times from 3 hours and 38 minutes to less than 30 minutes. A reduction in the required daily dispensing hours in the pharmacy from 11.5 hours to 8.5 hours. In the first six months the pharmacy has reduced the staff requirement by 40% for re-deployment. E.g. ward rounds

7. Engagement with DoH National Level – Minister of Health – Director General of Health – DDG of Health – Chief Director of Pharmaceutical Services Provincial – MEC – (Political Head) – HOD – (Operational Head) – CFO for the province – Chief Director of Pharmaceutical Services Site – CEO Helen Joseph – CEO Steve Biko Academic

8. Engagement with SA Pharmacy Council Board Notice 50 (In Pharmacy Automation) – RTC wrote initial guidelines – Responded to public input process – Regulation in place since November of 2014 Board Notice 49 (Remote Dispensing Units) – RTC wrote initial guidelines – Responded to public input process – Extended input date to June 2015 – Expected regulations in place in August

9. Automation Design – Helen Joseph

10. Automation Design Steve Biko Academic

11. The Services of In- Pharmacy Automation Cost of Automation Capital Infrastructure changes to pharmacy Technical support – equipment servicing, repairs of automation, preventative maintenance. Cost of minor equipment, computers, scanners, printers IT – support of all IT equipment and connectivity and back-ups Pharmacy software set-up and on-going license fees and upgrades (TriMed Hospital System). Integration and maintenance of interface systems – Trimed-Mach4 Update of EDL coding system Training and support of staff (including new staff and refresher training) Pharmacists support of SOPs 12 hour call centre support of all above support functions. Enabling of 24 hour dispensing

12. Out of Pharmacy Automation through Pharmacy Dispensing Units (PDU) All pick-up points will be managed by on-site pharmacist, giving patients access to a pharmacist which they don’t have at clinic sites. Integrated data system between central dispensing and pick up points for reporting and accountability. All patients will receive integrated communication through SMS reminders and follow-up calls for missed visits.

13. Solution Architecture

14. The Current PDU at Themba Lethu Clinic

15. Medicines Behind the PDU

16. Region D – Soweto (4 PDU Sites)

17. Region D – Naledi area

18. Region D – Jabulani area

19. Region D – Klipspruit area

20. Region D – Meadowlands area