Where are we now?
• FacilitiesGreys
TertiaryRegional
Edendale RegionalDistrictConvalescent
NorthdaleDistrict
Where are we now?
• FacilitiesLadysmith
Regional/DistrictNewcastle/Madadeni
Regional/DistrictPeripheral Hospitals
District
Where are we now?• Staff
ConsultantsPMB
7 full time (2 CMO; 1 PMO)8 part time
Ladysmith/Newcastle3 part time
RegistrarsPMB 4
Medical OfficersPMB
(18) full time(6) part time
InternsPMB 20
Where are we now?
• StaffTechnologists
Cardiac 1Neurology 1
TechniciansCardiac 3
Clerical StaffSecretary 1
Where are we now?• Services
TertiaryRenal Unit
Renal Clinic (211)Dialysis Unit (Chronics 459/Acutes 267)Renal Beds (63)
Cardiac UnitCardiac Clinic (1193)Cardiac Procedures (ECGs3458/Echoes180)Cardiac Beds (185)
Infectious Diseases Unit (CDC)CDC Clinic (3130)Infectious Diseases Beds (139)
Where are we now?• Services
TertiaryNeurology Unit
Neurology Clinic 4 months (161)Neurology Laboratory 3 months (81)Neurology Beds (47)
Oncology UnitOncology Beds (157)
Endocrinology UnitEndocrine/Lipid Clinic (168)
Gastro-enterology Unit Gastro-enterology Clinic (346)
Dermatology UnitDermatology Clinic (1685)
Where are we now?• Services
RegionalGreys
Medical Clinic (4179)Diabetic Clinic (730)Medical Beds (634)CCU (166)
Edendale Special Clinic 3 months (904)CDC Clinic (3846)Medical Beds 5B1/5F (1936)ICU (157)
Greys Clinics
0500
10001500200025003000350040004500
Med
ical
CDC
Derm
Card
iac
Diab
etic
Gas
tro
Rena
lEn
doNe
uro
Visits
Greys Beds
0100200300400500600700
Med
ical
Surg
ical
Card
iac
Onc
olog
yIn
f.Dis.
Rena
lNe
uro
Admissions
Where are we now?• Services
District Edendale
MOPD (43560)Medical Beds B/C (1708)
NorthdaleMOPD/Room5 {3/12} (38069)Medical Beds {3/12} (2966)
ConvalescentEdendale
KwaHlengaBantu
Where do we want to go?• Expansion of Tertiary Services
Renal UnitNew Dialysis UnitFull time consultantSatellite Services Ladysmith/Newcastle
Cardiac UnitCardiac Cath LabPermanent pacemakersMore technical staffFull time Head of Department
Where do we want to go?• Expansion of Tertiary Services
Infectious Diseases UnitContinuum of Care/Service NetworkImplementation of ARV programGlobal Fund fundingTraining by rotationEncouragement of Research
Neurology UnitCreation of EstablishmentCreation of Registrar PostsStroke UnitSupport of Services (Epilepsy)
Where do we want to go?• Expansion of Tertiary Services
Oncology UnitDedicated Medical Officer/RegistrarCreation of Dormitory Facility
Endocrinology UnitDedicated BedsFull time consultant
Gastro-enterology UnitDedicated BedsFull time consultant
Where do we want to go?• Expansion of Tertiary Services
Dermatology UnitMedical School support with RegistrarsClinic at Edendale Full time consultant
Rheumatology UnitDedicated ClinicCombined Clinics
Haematology UnitEstablishment of UnitDedicated Clinic
Where do we want to go?
• Expansion of Regional ServicesFurther separation of services at EdendaleFull time consultant at LadysmithFull time consultant at Newcastle/Madadeni
Where do we want to go?
• Co-ordination of District ServicesCo-operation with Family MedicineDistrict Hospitals to establish specialised clinics in:
CDC (HIV)AsthmaHypertensionDiabetesEpilepsy
Where do we want to go?
• Support of PHC ServicesDevelopment of Protocols
• Interactive ProgramClinical AttachmentsHospital Visits
Where do we want to go?
• Expansion of TrainingExpand Registrar Program in PMBEstablish Satellite Programs in
Ladysmith/Newcastle/MadadeniParticipate in new undergraduate programOrganise trainee exchanges beyond our borders
• Expansion of ResearchJoint projects with medical schoolsJoint projects with overseas funders
Where do we want to go?• Public Private Partnerships
Medical Aid patientsScope for departmental private practicePostgraduate Centre at Greys
• HIV/AIDSScope for ARVs with NGO fundingContinuum of care Research baseTraining base
• Partnerships beyond our borders
How are we going to get there?
Partnership with medical schoolPartnership with ProvincePartnership with HPCSAPro-active stance on all issues
What is going to help us?Excellent facility at Greys
Good support from private sector in Pietermaritzburg
Support from and co-operation with medical school
Support from ISS and the SG
Large number of patients with a wide variety of pathologies
Good, enthusiastic trainees
What is going to hinder us?
Facilities at Edendale and some other hospitalsSlow development of ITLack of Clerical StaffLack of Medical Officer StaffLack of delegation of authorityBureaucracy – Establishment not finalisedInadequacy of support services (eg Pathology)