Roles of the DSCT team members

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Roles of the DSCT team members

• Review of documents available

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• Who is this new kid on the block?

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Reason for the DSCT existence

• To ensure equitable access to appropriate and
  improved quality of care for mothers, newborn
  babies and children. Responsible for clinical
  governance and skills development.

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Primary role and focus of the DSCT specialist

• The primary role of the District Clinical
  Specialist is supportive supervision and clinical
  governance and not the direct delivery of
  clinical services.
• The specific focus of the DSCT is maternal and
  child health.

DSCT s in South Africa Ministerial Task Team
Report 2012
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Clinical governance

• To provide the means of developing the
  organisational capability to deliver sustainable,
  accountable, patient focused, quality assured
  healthcare.
• '... a framework through which organisations are
  accountable for continually improving the quality
  of their services and safeguarding high standards
  of care by creating an environment in which
  excellence in clinical care will flourish.'
  (Donaldson and Gray, 1998).
• It's about everything we do to improve the
  quality of care that people received from us',
  '...It's everyone business

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Authority of the DSCT

• The authority of persons occupying DSCT posts
  will arise partially from the posts themselves ,
  but more so from their individual credibility
  based on their knowledge and experience.
• DSCT s in South Africa Ministerial Task Team
  Report 2012

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Management style

• Old functional management with beaurocratic
  structures
• New Matrix management
• In matrix management, leaders suddenly find
  themselves having to master the challenges of
  managing cross-divisional teams over whom they
  have little formal authority.
• .organizational management in which people with
  similar skills are pooled for work assignments.

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Matrix management
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Advert for DSCTposts 1. Knowledge

• Own clinical discipline, legislation ,
  regulations and policy
• QA , programme planning, implementation and
  evaluation
• Information management
• HR and financial management

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2. Skills

• Leadership
• Communication
• Problem solving
• Computer literacy
• and the following attributes - self confidence
  objective, ethical and empathetic

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3. Key performance areas (KPAs)of DCST

• Deliver quality health care for mothers, new
  born and children at district level
• Promote equitable access to the appropriate
  levels of care
• Up to 10 of time in clinical care and 10 in
  research to maintain competency. (80 in
  district)
• Support service delivery a/c discipline at
  district facilities
• Promote clinical effectiveness at facilities
  outreach, protocols etc

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KPAs continued

• Logistics work with DMT to establish and
  maintain systems, surveillance, health
  information, communication, referral guidelines.
  Ensure appropriate infrastructure and resources
• Monitoring and evaluation Critical event
  analysis, morbidity and mortality meetings/audits
  
• Reporting effectively to DSCT, community, NGOs,
  to management structures.

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JOB DESCRIPTION SPECIALIST DYADS
Ministerial Task Team Report 2011
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Medical and nurse specialistsPresentation to
National Health Council 8/2011 on DSCT roles

• Doctor job description
• General
• Promote equitable access and appropriate care
• Assist with strategic operational planning
• Co-ordinate, monitor , support discipline related
  services
• Maintain competency in the discipline

• Nurse job description
• General
• Promote the provision of appropriate primary
  prevention, promotive and curative health care
  services
• Assist with strategic operational planning
• Clinical leadership support in the functional
  areas of expertise

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Medical and nurse specialists

• Doctor job description
• Facility support -
• Clinical focus - packages, outreach
  participation
• Organisational support
• Infrastructure , equipment resources
• Staff development, support

• Nurse job description
• Facility support -
• Clinical focus - packages, outreach
  participation
• Policies protocols
• Organisational support
• Infrastructure , equipment resources
• Staff development, support
• Unit systems management

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Medical and nurse specialists

• Doctor job description
• Systems and logical support
• Information, referral and surveillance
• M E
• Quality improvement programmes and reporting
  systems
• - Mortality audits

• Nurse job description
• Systems and logical support
• Information, referral and surveillance
• M E
• Quality improvement programmes and reporting
  systems
• Appropriate mortality audits

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Group activity

• What is the role of the DCST in the district -
  go beyond objectives and to state practical
  priority functions
• How is the role of the DCST different from other
  stakeholders on the district management team eg
  the district managers, MCH and PHC programme
  managers, operations managers, coordinators and
  information officers?
• How do you give the DSCT posts authority?
• How have you managed these roles thus far? What
  factors have helped hindered this?

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Do we know who we are?
Accepted
Making a difference together