1. COMMITTEE ROOM M46, MARKS BUILDING CAPE TOWN
RESPONSE TO FINDINGS AND RECOMMENDATIONS BY THE PORTFOLIO COMMITTEE DURING ITS OVERSIGHT VISIT : JUNE 2015
17 AUGUST 2016
COMMITTEE ROOM M46, MARKS BUILDING CAPE TOWN

2. In June 2015, the committee visited the following facilities in the Free State:
- Ikgomotseng Clinic in Soutpan, Lejweleputswa
District.
Medical Depot and
Pelonomi Hospital.

3. Progress on Findings & Recommendations
Ikgomotseng Clinic, Soutpan
Recommendations
Progress
Priorities the issue of infrastructure and staff shortages
Recently the clinic was painted, ceiling repaired, security doors and shelves installed in the pharmacy.
The water tank is to be replaced and connected to the clinic, roof is being sealed, fence replaced and front area paved.
Office furniture was procured for the clinic; 6 L shaped desks,10 four drawer filling cabinets,1 set patient aluminium chairs, 9 dust bins, four cupboards, still to be delivered is 6 personnel chairs, 2 visitors chairs, patient chairs, canteen chairs and tables for the kitchen.
This clinic has been prioritised for infrastructure improvement through massification program for scheduled maintenance and upgrade within the MTEF period.

4. Progress on Findings & Recommendations
Ikgomotseng Clinic, Soutpan
Recommendations
Progress
Priorities the issue of infrastructure and staff shortages
According to WISN the clinic only requires one professional nurse which the district has not been able to fill due to financial constraints and projection of over expenditure.
The post is prioritised in the district critical list of posts to be filled within this financial year.
Ikgomotseng Clinic, Soutpan
Recommendations
Progress
Referred patients have to wait outside the facility in the early hours of the morning to be transported.
Improve ambulance response time
The pick up point and time for EMS was reviewed to 07:00 at the clinic. No patients are expected to queue from 04:00
EMS satellite station will be operational from the 01 September 2016.
The clinic is too small and congested
EMS moved out of the park home to create additional space for consulting rooms.

5. Progress on Findings & Recommendations
Ikgomotseng Clinic, Soutpan
Recommendations
Progress
Address the challenges of payment and training of community health workers, this will ensure that they render effective services
The payment for community care givers was resolved, payment is done consistently through NGO; Life Line Free State. The care givers are paid monthly stipend of R1850. The care givers will be considered for community health worker phase 1 training in the last quarter of this financial.
That the community is made aware of the MomConnect and registration of expectant mothers.
As at end of June 2016, Masilonyana sub district which includes Ikgomotseng clinic has registered on mom connect 1097 out of the 1344 (81.6%) targeted pregnant women.
Urgently address the boarder administrative failures in the Lejweleputswa District
The district management team was stabilized by appointment of an acting district manager, Mr Nkala who is supported by other managers.

6. Progress on Findings & Recommendations
Medical Depot
Recommendations
Progress
Address staff shortages at the Medical Depot
23 posts to the tune of R were prioritised for filling through headhunting, internal and external recruitment process in this financial year. The following posts will be filled:
5 Pharmacists, 4 pharmacy assistants, 5 SCM clerks, 2 HR practitioners, 2 cleaners, 3 security officers and 1 SCM practitioner.

7. Progress on Findings & Recommendations
Medical Depot
Recommendations
Progress
Address system bottlenecks hindering procurement and supply of medicine
Inventory Management system
The system in use, MEDSAS, is an old system
which does not allow batch tracking. However the Pharmacist Assistants in the warehouse are
responsible for ensuring stock rotation in terms of
First Expiry First Out principle.
National Department of Health is currently
investigating a uniform system that will be used by
all provinces.
Review of Levy charged
For 2016/17 financial year the Capital Augmentation has been revised from R2m to R40m in order to aid with the operational costs of the Trading Account, however the levy charged has not been revised.

8. Progress on Findings & Recommendations
Medical Depot
Recommendations
Progress
Address system bottlenecks hindering procurement and supply of medicine
Funding Model of the Trading Account
The task team comprising of members of both the
Department and Treasury were assigned to
investigate a sustainable funding model for the
Trading Account, benchmarking was done in
Western Cape Province and the draft report is
available.
The report recommends that the medical
depot should be incorporated into the department
as a directorate pharmaceutical services

9. THANK YOU