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Khaedu Rob Ferreira

Executive summary (2) – some suggestions

1.

Urgently review the decision-making processes between the 3 spheres of authority

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Consider delegating authority in critical areas like budget and HR down to the Hospital level

2.

Reinforce the hospital management team

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Restructure roles and responsibilities

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Hire (even on a short-term contract) key IR, HR and technical skills

3.

Engage with organised labour

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Remove key contentious issues such as career progression and training

>

Consider a one-off testing of staff seeking promotion

1.

Fill roles through promotion where possible

2.

Aggressive recruitment campaign headed by a dedicated hospital HR project manager

In outpatients, develop an overall strategy to move patients back to primary healthcare and/or spread the load of patients across the day by:

1.

Communication campaign at Province and District level

2.

Schedule repeat appointments in the afternoon

3.

Create a dedicate 0800 toll-free number for appointment scheduling

4.

Reengineer the registration process with particular regard to filing, where the process is collapsing (critical consequences)

Review budget priorities in the province (e.g. more wards being built while we are chronically short of staff to run existing)

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