presentation to health committee d kahn department of surgery

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Presentation to Health CommitteeD KahnDepartment of Surgery
Presentation to Health CommitteeImpact of CSPImplementation of CSPHealth budgetTransformation
Comprehensive Service PlanExcellent planPrimary Health Care approachAppropriate care at the appropriate levelImprove level 1 services
Comprehensive Service PlanExcellent planPrimary Health Care approachAppropriate care at the appropriate levelImprove level 1 servicesBUT.
Comprehensive Service Plan

Major concerns about the impact on the Level 2 and Level 3 (Tertiary) services
GF JOOSTEVICTORIA
GF JOOSTEVICTORIA
THEATRE TIME

No of Theatre Lists / weekPASTCURRENT

HPB52VASCULAR62COLORECTAL72ONCOLOGY52NEUROSURGERY5.52.5ORTHOPAEDICS4617UROLOGY94.5ENT157CARDIAC145
GF JOOSTEVICTORIA
Comprehensive Service Plan Current surgical services are working wellCSP will impact on:Service deliveryTeaching medical studentsTraining of registrars
Implementation of CSPLevel 2 service in GSHLevel 2 surgeonNo additional theatre time/beds
Implementation of CSPRationale : 40 50% of the service is Level 2 (Study by Dr Belinda Jacobs)
Implementation of CSP

? Should we appoint a Senior Specialist (Level 2) to do 5% of the work
Health ServiceBudget drivenNeeds drivenQuotas
TransformationFully support transformationCannot agree with the policy of demographic targets which affects Indians
Thank you

Kahn Anaximander

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