PORTFOLIO COMMITTEE PRESENTATION Ms. Joyce Mogale (Interim CEO) Prof. Perez (Chair ) Supporting a long and healthy life for all South Africans NHLS ANNUAL PERFORMANCE PLAN

PART A 2 2 NATIONAL HEALTH LABORATORY SERVICE

Several changes have been made to the NHLS budget National Functions: The NDOH and National Treasury have agreed to the change in funding of certain national functions (such as the NICD, NIOH, NCR, Teaching and Training) Whilst the NDOH estimated estimated that the total cost of the National Functions is R755m. The National Treasury has only approved an amount of R678.5m Overview of Budget and MTEF Estimates 3 3

Tariff Changes: The direct funding of National Functions will result in the NHLS having to collect 9.06% less in fee revenue. However, as there was no tariff adjustment in the 2014/15 financial year, the NHLS is still applying the 13/14 tariffs. As such the NHLS Board has requested a 5.6% increase for the 15/15 financial year. The net effect is that the against the 15/16 tariff schedule, there will be a reduction of 3.97% across the board that will be effected due to the substitution of funding sources. Overview of Budget and MTEF Estimates 4 4

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PART B 6 6 PROGRAMMES

Programme 1: Administration Programme Purpose To provide support services and ensure compliance with relevant legislation To ensure efficiencies in the administration of the NHLS 7 7

Programme 1: Administration 8 8 Priority Objectives: Ensure effective financial management and accountability through improved audit outcomes Implement and Monitor Global Budget Develop and implement the ICT Governance framework by focusing on the business continuity plan Develop and implement an effective communication strategy Ensure efficient and responsive Resource Services through efficient recruitment processes

Programme 1: MTEF Estimates 9 9

Programme 2: Surveillance of Communicable Diseases Programme Purpose The National Institute for Communicable Diseases (NICD) is a national public health institute for South Africa providing reference microbiology, virology, epidemiology, surveillance and public health research to support the government’s response to communicable disease threats. 10

Programme 2: Surveillance of Communicable Diseases 11 Priority Objectives: Supporting the establishment of a National Public Health Institute for South Africa (NAPHISA) Enhance support for communicable disease prevention, surveillance and control for national and provincial government Emergency Operations Centre to manage communicable diseases outbreaks of public health concern or pandemics Communicable diseases surveillance programs for leading infectious disease associated causes of death. Communications on communicable diseases. Support in communicable diseases outbreak responses Management of national Notifiable Systems platform on behalf of NDoH Optimise technology, business systems and facilities Training and development f epidemiologist in communicable diseases.

Programme 2: MTEF Estimates 12

Programme 3: Occupational Health Programme Purpose The NIOH is a national resource and has great potential to contribute to significant improvements in workers’ health. A major challenge currently faced by the organisation is policy uncertainty with regards to the future governance of the institute. It is essential that policy decisions are made in a transparent and inclusive manner with the aim to benefit all South Africans. 13

Programme 3: Occupational Health 14 Priority Objectives: Improve and strengthen the provision of specialised Occupational Health & Safety services to prevent occupational disease and injury and promote worker health To assist with strengthening the district health system for occupational health through the re-engineering of PHC To develop surveillance systems for occupational health in South Africa Improve the understanding of the patterns and causation of cancer in South Africa, through research.

Programme 3: MTEF Estimates 15

Programme 4: Laboratory Service Programme Purpose To provide efficient, affordable and cost-effective laboratory services that maintains high quality standards 16

Programme 4: Laboratory Service 17 Priority Objectives: To provide laboratory results within clinically acceptable and relevant turnaround times To improve the productivity of NHLS in the pre and post analytical phase. To implement a laboratory optimisation model of service delivery To increase the number of NHLS laboratories that are accredited

Programme 4: MTEF Estimates 18

Programme 5: Academic Affairs, Research & Quality Assurance Programme Purpose To undertake the activities that strengthen the NHLS’ mandate of teaching, training and research. To ensure that quality assurance standards are adhered to, through contribution to service policy development, monitoring and improvement. 19

Programme 5: AARQA 20 Priority Objectives: Improve Total Quality Management Enhance strategic information through translational research Ensure high pass rate registration rates for pathology professional trainees Extend Organisational Research Platform e.g. Prioritisation of resources, appropriate scientific access

Programme 5: MTEF Estimates 21

Conclusion On behalf of the Board, our thanks to the honourable chair and members for your support and guidance. 22

Questions 23