1. UNIVERSAL HEALTH COVERAGE 30 SEPTEMBER 2014 SOUTH AFRICA RESPONSE

2. Most important points UHC is not an “if but a when” Not business as usual ? How to increase access within available resources Collaboration Governance - determining priority to payment of service providers,

3. WHERE ARE WE 10 point plan - strategic plan to improve health system National Programmes and the Essential medicines programme (STG and EML) Annual performance plan PHC Hospital level (adult and paediatric) Tertiary level Building a platform for HTA National Core Standards (quality standards) OHSC

4. WHERE ARE WE NHI pilot districts (one in each province) Central Chronic Medicine Dispensing and Distribution, Central procurement unit Procurement strategies (therapeutic class tendering) Green paper on NHI (white paper soon to be published)

5. WHAT IS NEEDED Legislative framework – law enabling implementation of UHC Information (epidemiology to when patient receives medicines) Clarify funding sources Collaboration with private sector (adapt business rules) New models of service delivery Capacitate the workforce – scale up service, meet expectations System – not just a health issue, skills sets needed (demand planners, forecasting analysts, legal, logistics) Public participation and patient education