1 Northern Cape Department of Health HOSPITAL REVITALISATION PROGRAMME January 24 th 2012

HEALTH FACILITIES PLANNING  Prioritization of projects is informed by the Service Transformation Plan (STP)  The agreed upon project list for the Hospital Revitalisation Programme is submitted to the implementing agent (a minimum period of twenty-four months prior to implementation to allow the planning processes)  Project budget is allocated per project stage hence multi-year budgeting

HOSPITAL PROJECTS Project NameStatusType of Project Project CostConstruction Date Mental Health HospitalConstruction stageSpecialised HospitalR1.07bil2004 Upington HospitalConstruction stageRegional HospitalR950mil2006 De Aar HospitalConstruction stageRegional HospitalR850mil2006 Postmansburg HospitalPlanning stageDistrict HospitalR400mil2014 Kuruman HospitalFeasibility studyRegional HospitalR1.0bil2018 Kimberley HospitalFeasibility studyTertiary HospitalR1.6bil2021 Hartswater Hospital Feasibility study in 2016District HospitalR400mil2023 Kakamas Hospital Feasibility study in 2020District HospitalR400mil2027 Springbok Hospital Feasibility study in 2014District HospitalR700mil2025

MENTAL HEALTH HOSPITAL  PROJECT DESCRIPTION: CONSTRUCTION OF A MENTAL HEALTH HOSPITAL  Construction of a 296 beds facility  266 Health  30 Social Development  STATUS  Construction commenced in 2004 & terminated in 2009 – Slow progress  70% construction of the hospital complete – Legal dispute  New contractor appointed in Nov 2011  site handed over 21 December 2011  PROJECT SCHEDULE  To complete in 36 months 24 months for main Hospital Building, Internal road and Guardhouse 12 months for Staff Accommodation  PROJECT COST  R420million spend to date  R50mil 2011/12  R200mil 2012/13  R200mil 2013/14  R200mil 2014/15

UPINGTON HOSPITAL  PROJECT DESCRIPTION: CONSTRUCTION OF A REGIONAL HOSPITAL  327 beds  267 general hospital beds and  60 beds for TB unit  STATUS  Phase 1: Earthworks Construction commenced in Completed.  Phase 2: Main Hospital: Construction commenced in 2008 (super structure).  89% construction of the hospital (completion March 2012)  Phase 3 : Staff Accommodation: Under construction (completion March 2012)  Phase 4: Internal roads under construction (completion July 2012)  Phase 5: External roads and EMS procurement stage (completion July 2012)  Phase 6: TB Unit: to complete end of July 2012  R128million of 2011/12 budget spend to date

DE AAR HOSPITAL PROJECT DESCRIPTION: CONSTRUCTION OF A REGIONAL HOSPITAL  158 beds  95 general hospital beds and  63 TB units  STATUS  Construction commenced in 2006 and completed 2007 (earth works only).  Re-sizing of hospital design and service delivery  Construction of Staff Accommodation commenced in October It is now 50% complete.  Construction of Main Hospital Building has commenced. Site was handed over in November 2011 (delayed by 3.5 months). 5% complete.  Projected completion in 2014  Construction of the Reservoir and the Perimeter Fence is complete.  Construction of the TB Unit has commenced. Site was handed over in September 2011 (delayed by 3 months). 9% complete.  R38.7million spend to date

PROF Z.K MATTHEWS HOSPITAL PROJECT DESCRIPTION: CONSTRUCTION OF NEW DISTRICT HOSPITAL  STATUS  Reached completion in June 2008  Officially opened in October 2008  Additional work (pharmacy) completed in 2010

KIMBERLEY HOSPITAL PROJECT DESCRIPTION: CONSTRUCTION OF NEW TERTIARY HOSPITAL  STATUS  Feasibility studies (EIA, Geo-tech & business case) to commence in 2016

KURUMAN HOSPITAL PROJECT DESCRIPTION: CONSTRUCTION OF NEW DISTRICT HOSPITAL  STATUS  Feasibility studies (EIA, Geo-tech & business case)  Completion of business case in 2012  Completion of project brief in 2013  Construction projected to commence in 2016  Project cost estimate R1bil  ISSUES OF CONCERN  Diversion of funds to Mental Health shall results in delays on the construction of Kuruman Hospital

POSTMASBURG HOSPITAL PROJECT DESCRIPTION: CONSTRUCTION OF NEW DISTRICT HOSPITAL  STATUS  Project scope brief developed  Development of designs  Targeted to commence in 2013  PROJECT COST  Project cost estimate R400mil  ISSUES OF CONCERN  Project budget might be used to complete Mental Health Hospital  Further postponement for construction of a new hospital to 2015 (& all other future hospital projects)  Financial impact to other new hospitals