Click here to load reader
Upload
sharon-stevens
View
214
Download
0
Embed Size (px)
Citation preview
Presentation to Health CommitteeD KahnDepartment of Surgery
Presentation to Health CommitteeImpact of CSPImplementation of CSPHealth budgetTransformation
Comprehensive Service PlanExcellent planPrimary Health Care approachAppropriate care at the appropriate levelImprove level 1 services
Comprehensive Service PlanExcellent planPrimary Health Care approachAppropriate care at the appropriate levelImprove level 1 servicesBUT.
Comprehensive Service Plan
Major concerns about the impact on the Level 2 and Level 3 (Tertiary) services
GF JOOSTEVICTORIA
GF JOOSTEVICTORIA
THEATRE TIME
No of Theatre Lists / weekPASTCURRENT
HPB52VASCULAR62COLORECTAL72ONCOLOGY52NEUROSURGERY5.52.5ORTHOPAEDICS4617UROLOGY94.5ENT157CARDIAC145
GF JOOSTEVICTORIA
Comprehensive Service Plan Current surgical services are working wellCSP will impact on:Service deliveryTeaching medical studentsTraining of registrars
Implementation of CSPLevel 2 service in GSHLevel 2 surgeonNo additional theatre time/beds
Implementation of CSPRationale : 40 50% of the service is Level 2 (Study by Dr Belinda Jacobs)
Implementation of CSP
? Should we appoint a Senior Specialist (Level 2) to do 5% of the work
Health ServiceBudget drivenNeeds drivenQuotas
TransformationFully support transformationCannot agree with the policy of demographic targets which affects Indians
Thank you