Hospital Revitalization Grant Hospital Revitalization Grant Infrastructure Performance Review : Western Cape Infrastructure Performance Review : Western Cape

April-September 2010April-September 2010

Presentation to Select Committee Presentation to Select Committee on Appropriationson Appropriations

20 October 201020 October 2010

Hospital Revitalization GrantPresentation Outline

1. Programme Overview2. Budget spending for first two quarters3. Expected Budget Performance for year4. Inter-departmental Reporting and Co-

ordination 5. Performance of Contractors &

Consultants6. Project Monitoring and Co-ordination7. Capacity to implement HRP Grant

programme

Hospital Revitalization GrantProgramme Overview

• 3 Projects completed (in retention, final account)

• 7 Projects under construction

• 3 Projects in planning

Hospital Rationalization Grant: Budget spending

for first two quarters 2010/11

  INSTITUTE SERVICE2010/11 BUDGET

Apr-SeptEXP.

PRED. EXP.

COMMENTS

R m R m R m

1 George Hospital Upgrade Phase 3 28,750 13,271 26,885 Construction 44% Complete

2 Khayelitsha Hospital New Hospital 191,103 109,597 245,616 Construction 50% Complete

3 Mitchells Plain Hospital New Hospital 120,500 32,989 92,251 Construction 10% Complete

4 Paarl Hospital Hospital Upgrade 90,000 61,232 88,688 Construction 94% Complete

5 Paarl Hospital New Psychiatric Block 2,000 0 1,830 Planning Stage 1

6 Paarl TC Newman Hosp CHC Upgrade 16,000 12,127 18,685 Construction 80% Complete

7 Valkenberg Hospital Hospital Upgrading 6,500 0,085 2,665 Planning Stage 1

8 Valkenberg Hospital Emergency Repairs to Admin 1,500 3,207 3,207 Retention / Final Account

9 Vredenburg Hospital Phase 1B - Internal Work 0,020 0,266 288 Retention / Final Account

10 Vredenburg Hospital Phase 2A - Upgrading 11,000 6,726 13,858 Construction 78% Complete

11 Vredenburg Hospital Phase 2B - Upgrading 8,000 2,158 4,282 Planning (Stage 3)

12 Worcester Hospital Phase 3 - Upgrading 0 0,924 2,624 Retention / Final Account

13 Worcester Hospital Phase 4 - Upgrading 30,000 11,637 30,936 Construction 45% Complete

  Total   505,373 255,509 533,106R27.7m projected over- expenditure 

Roll-over funds of R42,8m excluded

Hospital Revitalization GrantExpected Budget Performance for 2010/11

Budget R 505 573 000

Predicted over-expenditure

R 27 733 000

Roll-over(to be confirmed)

R 42 774 000

Predicted under-expenditure (roll-over included)

R 15 041 000

Hospital Revitalization GrantInter-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

Hospital Revitalization GrantPerformance 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

Hospital Revitalization GrantProject 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

Hospital Revitalization GrantProgramme 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

BUILT SECTOR PROFESSIONALS

CATEGORY OF EMPLOYMENT QUANTITY TOTAL

Architects Permanent RegisteredContract RegisteredCubanRetired Professional registered Consultant Registered

4 3121

11 FULL CAPACITY

Quantity Surveyors Permanent RegisteredPermanent CandidateContract CandidateCubansRetired Professional ConsultantQs In Training Student Candidate

3 4 1 0001

9 FULL CAPACITY

Electrical Engineers Permanent RegisteredContract Registered As Candidate EngineerCubanRetired Professional Registered EngineerConsultant Registered Engineer

12111

6 2 VACANT ELECTRICAL ENGINEERS POST

Mechanical Engineers Permanent Registered Engineer Contract Registered As Candidate EngineerCubanRetired Professional Registered Engineer Consultant Registered Technician

14111

8 2 VACANT MECHANICAL ENGINEERS POST

Civil &Structural Engineers Permanent Registered EngineerContract Registered As Candidate EngineerCubanRetired Professional Registered EngineerConsultant

11130

6 2 VACANT CIVIL & STRUCTURAL ENGINEER POST

40 6 VACANT BUILT SECTOR PROFESSIONAL POST

Thank You Thank You

EnkosiEnkosi

DankieDankie