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FY2006/07 to FY2008/09 - Department of Defence

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chapter 9RISKS AND MITIGATING ACTIONSThe risks confronting the SAMHS have implications forthe whole <strong>of</strong> the SANDF, as each member (includingretired members) and their dependants remain relian<strong>to</strong>n the SAMHS for health care. The deterioration <strong>of</strong> hospitals,facilities and equipment, the high rate <strong>of</strong> medicalinflation and the unacceptably high workload <strong>of</strong> healthpr<strong>of</strong>essionals are the main risk fac<strong>to</strong>rs.SERVICES TO BE SCALED DOWN,SUSPENDED OR ABOLISHEDNo service is <strong>to</strong> be abolished, but reprioritisation mayresult in non-essential services being scaled down oreven suspended. This will, however, be implemented asa very last resort.PERFORMANCE AND SERVICEDELIVERY IMPROVEMENTThe subprogrammes <strong>of</strong> the Military Health ServiceProgramme intend <strong>to</strong> continue improving their performanceand service delivery in accordance with theinterventions undertaken during FY2005/06 as indicatedagain in Table 9.5 below.ActivitiesPlanned Management InterventionAnticipated BenefitStatusHealth careGeneric medicineProject MedsaveReduction in health care costOngoingArt 38A nursesMedical orderlies and OECPsMedicine codelistsWarehousingPrescriptionsTreatmentBio-medicalPre-packing <strong>of</strong> medicineCode listsGeneric medicineArt 38A nursesReduction in health care costReduction in health care costOngoingOngoingMedical orderlies and OECPsBio-medical capabilityProvision <strong>of</strong> servicesin under-servicedareasDiscounts on service delivery againstprescribed benefit scalesReduction in health care costOngoingRemuneration strategiesCommuted overtimeOral health schemeReduction in health care costHigher productivityOngoingProject MedsaveIncentive <strong>to</strong> remain in SAMHSBenefits for health pr<strong>of</strong>essionals inrural areasScarce kkills allowancesLeadership principlesService deliveryContinuous learningand developmentDisciplineHR managementFull range Leadership, Command andManagement Principles (LCAMPS)TrainingBatho PeleEffect analysisContinuous pr<strong>of</strong>essional developmentprogrammeTrainingBatho PeleInspec<strong>to</strong>r-General’s AuditsEffect analysisDemocratic organisationClient satisfactionClient satisfactionSavings through better proceduresClient satisfactionClient satisfactionOngoingOngoingOngoingOngoingOngoingHuman resources trainingTable 9.5Military Health Service Programme - Performance and Service Delivery Improvement74D E P A R T M E N T O F D E F E N C E

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