FAQs - December The Nelson Mandela Children s Hospital is tertiary care, paediatric hospital that will provide highly specialised tertiary care.

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1 FAQs - December 2016 What is NMCH? The Nelson Mandela Children s Hospital is tertiary care, paediatric hospital that will provide highly specialised tertiary care. Tertiary care hospitals typically treat complex and sometimes rare conditions. NMCH will also be an academic hospital engaged in training and research Training at NMCH will build the capacity of the specialised care sector in South and Southern Africa. The Centres of Excellence will conduct research aimed at improving our understanding of these types of conditions in the hope that we may develop more effective treatments for them.. Why was NMCH built? Why is it a tertiary care, paediatric hospital? There are an estimated 450 million children and youth on the continent but only 4 specialised, paediatric hospitals. In South Africa, the tertiary paediatric care sector has the biggest backlog. Many children pass away whilst awaiting treatment and surgery. What will NMCH offer? NMCH will be a 200-bed facility upon opening. Later expansion will allow the hospital to accommodate up to 300 beds.

2 The hospital will also be able to accommodate out-patients in the areas of excellence that the hospital will specialise in; out-patients are patients who can receive treatment without needing to be admitted and kept at the hospital. Why is NMCH in Johannesburg? During the feasibility study hospital location sites were identified and evaluated. This parcel of land fulfilled the requirements/criteria of the hospital best. NMCH is built on land generously donated by Wits University. Our location will allow for easy exchange of expert medical knowledge between our research facilities and the Wits Medical School. The existing Children s Hospital, Red Cross Children s Hospital, services the southern portion of the country. NMCH will service the northern South Africa as well as the Southern Africa region. Will NMCH provide accommodation to families and caregivers of families? NMCH can accommodate a limited number of family individuals in the family accommodation on the opt floor of the hospital. The accommodation will be managed by Ronald McDonald House Charities (RMHC) South Africa. This facility will be reserved for families who have travelled from afar, who need to spend an extended period of time at the Hospital, and who cannot afford private accommodation for this period. Admission will be subject to detailed policy criteria. FUND RAISING The total cost of constructing, equipping and staffing the hospital is estimated at R1 billion. Thus far the project has progressed on budget.

3 R880 million has been raised to date. About 60% of this amount has been raised in South Africa. South African children have themselves raised about R for NMCH through the For Kids By Kids fundraising initiative. The construction of NMCH has NOT diverted public funds away from other health care initiatives. Government has committed to funding the annual operational running costs of NMCH. Operations of NMCH will also NOT divert funding from government s other healthcare commitments. There are still opportunities for people, corporates and other organisations to make donations at various levels. Anyone interested in making a major donation can contact the NMCH Trust team directly. The public can donate via EFT, SnapScan or SMS. A full list of donation portals can be found on our website at To donate via text message SMS GIFT to SMS cost R20. Terms, conditions and administrative costs apply. How do I know where my donation is going? NMCH prides itself on responsibility, accountability and transparency. We take the duty placed upon us by the South African people very seriously. Since being audited in 2012, we are happy to report that we have received a clean audit from the appointed firm. Our annual report is available on our website.

4 MANAGEMENT Who owns/administers/operates NMCH? The Hospital project was initiated by the Nelson Mandela Children s Fund (NMCF). NMCF established the Nelson Mandela Children s Hospital Trust (NMCHT). The Trust is responsible for fundraising, advocacy, and the construction, acquisition and maintenance of activities of the facility and it remains a custodian of Hospital. The Trust is supported by Government but is not subject to it. NMCHT Chairperson: Graça Machel NMCHT Deputy Chair: Nana Magomola NMCHT CEO: Sibongile Mkhabela NMCHT Steering Committee Chair: Moss Ngoasheng NMCHT Fundraising Committee Chair: Tito Mboweni NMCH operations will be steered by the Hospital Board. The Board will comprise members nominated by NMCHT and by Government. The Board will appoint an Executive team (including the CEO, CFO and Heads of Clinical and Nursing Services) to take care of daily operations. The governance structure is designed to achieve inclusive representation of NMCHT s strategic partners and ensure maximum and diverse skills representation. The Board ensures that NMCH enjoys the correct legal status, as well as VAT 7 tax compliance, NPO status and adherence to the King III code of corporate governance. How will you ensure that NMCH is successful? How will you prevent corruption and incompetence?

5 Responsibility, accountability and transparency are three of our most important guiding principles. All trustees, executives and appointments were selected for their credentials and relevant skills. Going forward, this approach to appointments will be maintained. EMPLOYMENT We are currently in the process of recruiting SENIOR management of the hospital. Vacancies for other positions will be posted on the NMCH LinkedIn page and the NMCH website as they are finalised and different aspects of the Hospital start operations. Training and skills development is an important part of the hospital mandate as there is a shortage of Paediatric specialists. TRAINING and DEVELOPMENT The National Skills Fund (NSF) has donated R76 million towards the training of nurses and doctors for the hospital. Training and Skills development is an important part of the hospital mandate as there is a shortage of Paediatric specialists. The National Skills Fund has donated R76 million towards the training of nurses and doctors for the hospital. To date 266 bursaries have been awarded ( nurses); ( nurses); ( ) NMCH is partnering with NMMU; UFS; TUT; - FOR NURSING TRAINING; WITS & UCT FOR DOCTORS, training programmes. Certain courses have been developed specifically to meet the hospital s requirements e.g. the Neonatal Critical Care Course with Wits. Since Doctors have been accepted for fellowships with a further 10 candidates on-boarding in 2017.

6 CLINICAL S ERVICES & OPERATIONS NMCH will comprise 7 Centres of Excellence engaged in treatment and research in different paediatric subspecialties: Cardiology & Cardiothoracic Surgery (heart conditions & heart and chest surgery) Oncology & Haematology (cancer and blood disorders) Nephrology (kidney conditions) Pulmonology (lung & respiratory conditions) Craniofacial Surgery (skull and face surgery) Neurosciences (brain, spinal & nervous conditions) General Paediatric Surgery (various types of surgery related to various diseases or injuries) How will the referral process work at the hospital? Patients must be referred to NMCH by appropriate healthcare workers in the public and private sector. Criteria will be applied to ensure that referrals are appropriate for NMCH. NMCH will use existing and established referral protocols for all patients The referral process will ensure that the patients who need tertiary care most urgently will receive it as soon as possible. NMCH will serve both private and public patients. Patients who have been referred to NMCH, and whose caregivers are unable to pay for treatment, will NOT be shown away. The costs of their treatment will be covered by the Hospital with the aid of funding from Government. Private patients will be paid by medical aid as normal. How will you balance paying with non-paying patients?

7 Financial status will not be a consideration for admission AT ALL. Only clinical criteria will be taken into account. Our referral and admission process will stipulate these criteria very clearly and strict supervision over the process will ensure that it is executed correctly. Can NMCH help us with funding? NMCH can NOT act as a fundraising agent for or donor to other institutions or organisations. We may form partnerships or initiatives with other groups in order to build local healthcare capacity, facilitate knowledge exchange, etc. according to specific policies and reviews. LAUNCH EVENT - 2 DECEMBER 2016 What is the purpose of this event? It is a showcase of the progress that has been made since construction began in We have invited children, donors, trustees, strategic partners to thank them for their contribution to the project. We are also using this opportunity to create public awareness of the status of the project by inviting local and international media to document the progress that has been made. We are also celebrating the end of the construction phase, the near completion of commissioning phase (installation and implementation of protocols and programmes) and the initiation of the team building and staff on-boarding phase. Above all, we arecelebrating Madiba s living legacy on the eve of the 3rd anniversary of his passing. How was the guest list determined? We invited children, donors, partners and officials that have been most intimately involved with the project, and who are directly responsible for our current and future success.

8 We would have loved to share the NMCH project on site with every South African, but of course we have limited resources. We hope that the large and diverse media contingent present here today will do much to bring NMCH to the rest of South Africa and the world. Is the hospital opening for patients? NMCH is not yet open to receive patients. Now that construction is complete, the next phase of getting the Hospital ready will start. This includes finalising clinical protocols and programmes, staff training & induction, implementing business processes and evaluating safety and readiness before treatment starts. Treatment and services will start in phases to ensure safety and manageability. We are aiming to begin treatment in the second quarter of 2017, beginning with dialysis and radiology services first.