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Khaedu Rob Ferreira

Executive summary (1)

Weak organisation structure and management structures at both hospital and provincial level delay decision-making, but most critically resolving the major human resources and industrial relations issues

Some important processes such as Outpatients need to be overhauled at both a macro (I.e. Province must engage) and a hospital level to solve excessive wait times (3-10 hrs)

While the unions appear obstructive, this is often due to lack of engagement and management attention to key issues

Situation

Actual authority levels at the hospital level are very low, despite this being a R175 million*, 700-person operating unit

Significant confusion and duplication of effort and authority between Province, District and hospital

Absolute shortage of key professional and support staff, with very long lead times to fill

Complications

*Including conditional grants

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