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Khaedu Rob Ferreira

Other complications

Clarification of the mandate regarding the tertiary status of RF Hospital (and enforcement thereof) is likely to be a long-term resolution

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Inherently political in nature

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Requires a mind-set change from a large portion of the population (mostly poor and many rural)

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Requires upgrading and improvement of primary healthcare clinics and secondary hospitals

Many are still suffering from the legacy of apartheid neglect

Role of provincial vs district vs hospital likely to be politically driven and also long-term in nature

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Any permanent change in the delegation and authority levels will have knock-on effects with other hospitals in the region

Change of levels (and remuneration) of management and professionals is likely to take a long time since this is likely to be a national decision

Changing attitudes of staff and improving the relationship with organised labour will be a challenge due to cynicism having set in, and distrust between management and unions

A major bottleneck is the current recruiting capacity of HRM departments at both hospital and provincial level

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With the best will in the world, the current capacity is simply not able to efficiently handle the massive increase in recruiting requirements in the time frame required

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