1. Hospital Revitalization Grant Infrastructure Performance Review : Western Cape April-September 2010 Presentation to Select Committee on Appropriations 20 October 2010 20 October 2010

2. Hospital Revitalization Grant Presentation Outline 1.Programme Overview 2.Budget spending for first two quarters 3.Expected Budget Performance for year 4.Inter-departmental Reporting and Co- ordination 5.Performance of Contractors & Consultants 6.Project Monitoring and Co-ordination 7.Capacity to implement HRP Grant programme

3. Hospital Revitalization Grant Programme Overview 3 Projects completed (in retention, final account) 7 Projects under construction 3 Projects in planning

4. Hospital Rationalization Grant: Budget spending for first two quarters 2010/11 INSTITUTESERVICE 2010/11 BUDGET Apr-Sept EXP. PRED. EXP. COMMENTS R m 1George HospitalUpgrade Phase 328,75013,27126,885Construction 44% Complete 2Khayelitsha HospitalNew Hospital191,103109,597245,616Construction 50% Complete 3Mitchells Plain HospitalNew Hospital120,50032,98992,251Construction 10% Complete 4Paarl HospitalHospital Upgrade90,00061,23288,688Construction 94% Complete 5Paarl HospitalNew Psychiatric Block2,00001,830Planning Stage 1 6Paarl TC Newman HospCHC Upgrade16,00012,12718,685Construction 80% Complete 7Valkenberg HospitalHospital Upgrading6,5000,0852,665Planning Stage 1 8Valkenberg HospitalEmergency Repairs to Admin1,5003,207 Retention / Final Account 9Vredenburg HospitalPhase 1B - Internal Work0,0200,266288Retention / Final Account 10Vredenburg HospitalPhase 2A - Upgrading11,0006,72613,858Construction 78% Complete 11Vredenburg HospitalPhase 2B - Upgrading8,0002,1584,282Planning (Stage 3) 12Worcester HospitalPhase 3 - Upgrading00,9242,624Retention / Final Account 13Worcester HospitalPhase 4 - Upgrading30,00011,63730,936Construction 45% Complete Total 505,373255,509533,106 R27.7m projected over- expenditure Roll-over funds of R42,8m excluded

5. Hospital Revitalization Grant Expected Budget Performance for 2010/11 BudgetR 505 573 000 Predicted over-expenditureR 27 733 000 Roll-over (to be confirmed) R 42 774 000 Predicted under-expenditure (roll-over included) R 15 041 000

6. Hospital Revitalization Grant Inter-departmental Reporting and Co-ordination Projects Site visits by DTPW project team at least once a month Monthly project site meetings (DTPW, DoH, Contractor and Consultants) Rational Programme Management (RPM) system for recording project Programme Monthly progress meetings information and progress between DTPW, DoH and Treasury Daily informal contact Monitoring by Treasury with reports to National

7. Hospital Revitalization Grant Performance of Contractors and Consultants Good contractor performances in general –Quality – strictly controlled –Adherence to programme – mostly on schedule - Khayelitsha and Mitchell’s Plain: early completion - Vredenburg Ph 2A: slight delay expected - Worcester Ph 4: lagging - JV seems to be problematic Consultants generally competent –Input / guidance required from DTPW professionals varies across disciplines and projects

8. Hospital Revitalization Grant Project Monitoring and Co-ordination Co-ordination between Principal Agent (or Project Manager on larger projects) and internal Project Co-ordinator DoH Project Manager Clerk of Works provides daily on site quality control and co-ordination with DoH Project Manager and Principal Agent

9. Hospital Revitalization Grant Programme Implementation Capacity Sufficient capacity for HRP Programme Large number of capital projects places professional staff under high work load stress. Micro-structure being finalised - IDIP assessment of capacity requirements - HR Plan Developed to increase built sector professional staff Architectural –Fully staffed Quantity Surveying – fully staffed Electrical Engineering – two vacant posts Mechanical Engineering – two vacant posts Civil & Structural – two vacant posts Number of built sector professionals have been appointed additional to the establishment in order to attend to the internal capacity

10. BUILT SECTOR PROFESSIONALS CATEGORY OF EMPLOYMENTQUANTITYTOTAL ArchitectsPermanent Registered Contract Registered Cuban Retired Professional registered Consultant Registered 4312143121 11 FULL CAPACITY Quantity SurveyorsPermanentRegistered Permanent Candidate ContractCandidate Cubans Retired Professional Consultant Qs In Training Student Candidate 34100013410001 9 FULL CAPACITY Electrical EngineersPermanentRegistered Contract Registered As Candidate Engineer Cuban Retired Professional Registered Engineer ConsultantRegistered Engineer 1211112111 6 2 VACANT ELECTRICAL ENGINEERS POST Mechanical EngineersPermanentRegistered Engineer Contract Registered As Candidate Engineer Cuban Retired Professional Registered Engineer ConsultantRegistered Technician 1411114111 8 2 VACANT MECHANICAL ENGINEERS POST Civil &Structural EngineersPermanentRegistered Engineer Contract Registered As Candidate Engineer Cuban Retired Professional Registered Engineer Consultant 1113011130 6 2 VACANT CIVIL & STRUCTURAL ENGINEER POST 40 6 VACANT BUILT SECTOR PROFESSIONAL POST

11. Thank You EnkosiDankie