NDOH Perspectives on Regulated Norms and Standards October 2018

Presentation Outline Legislative Framework Institutional Arrangements DOH measures NDOH views of OHSC Roles and Responsibilities Suggested Approach Wy Forward

Legislative Framework Constitution and Bill of Rights National Health Act Regulations Norms and Standards Other related legislation e.g. Medicines Control Act, PFMA, OHSA etc Related Professional Acts and regulations Policies and guidelines Frameworks

Legislative Imperatives for quality of health care

Institutional Arrangements NATIONAL –Governance &leadership /M& E / Regulatory/ policy setting (Central Hospitals) PROVINCES –Co-ordination /governance/ monitoring (Regional and Tertiary Hospitals ,DHS) DISTRICTS-Implementation of services (PHC,CHC,CDC,DH)

NDOH Measures Internal Audit function –as per any internal audit in any institution Ideal Clinic Framework Ideal Hospital Framework-work in progress –draft available for consultation in Aug/Sept

OHSC Roles and Responsibilities (NDOH Perspectives ) External Audit function –”ÄG “ Inspection Compliance Certification Enforcement Purpose : To assure the public that the specific HE is safe and delivers minimum standard of care as measured against the norms and standards set by the NDOH

Developmental Approach Contextual to SA Evidence- based Guiding Principles /Approach Developmental Approach Contextual to SA Evidence- based Robust measures that have the same intent (expected outcome) to ensure same standard measured Trust relationship between OHSC & DOH /HE

Thank you