0940 dr faleh sch for ireland national healthcare conference 26 05 15

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Professor Dr. Faleh Mohamed Hussain Ali Assistant Secretary General for Policy Affairs, Supreme Council of Health, State of Qatar Visiting Professor, Imperial College London, United Kingdom 28 May 2015, National Healthcare Conference, Convention Centre, Dublin, Ireland QATAR: CREATING A WORLD-CLASS HEALTH SYSTEM

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Page 1: 0940 dr faleh sch for ireland national healthcare conference  26 05 15

Professor Dr. Faleh Mohamed Hussain Ali

Assistant Secretary General for Policy Affairs, Supreme Council of Health, State of QatarVisiting Professor, Imperial College London, United Kingdom

28 May 2015, National Healthcare Conference, Convention Centre, Dublin, Ireland

QATAR: CREATING A WORLD-CLASS HEALTH SYSTEM

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CHALLENGESAPPROACHIMPLEMENTATION

CONTENTS

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CHALLENGESAPPROACHIMPLEMENTATION

CONTENTS

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Note: Special administrative territories, unincorporated territories, constituent countries, associated territories and administrative regions were excluded.

Qatar

UAE

Bahrain

Kuwait

Oman

KSA

UK

11.0

10.9

5.6

4.8

4.3

2.4

0.1

UAE

Qatar

Kuwait

Bahrain

KSA

Oman

UK

83.7

73.8

60.2

54.7

31.4

30.6

12.4

2nd

1st

Average Annual Population Growth (%), 2003-2013 Expatriate Population (%), 2013

FLUCTUATING DEMAND

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65+ Population (%), 2013 Males per 100 Females, Latest Year

UAE

Qatar

Bahrain

Kuwait

Oman

KSA

UK

0.4

1.1

2.2

2.3

2.8

2.9

17.5

2nd

Qatar

UAE

Bahrain

Kuwait

Oman

KSA

UK

OECD

280.9

226.0

166.7

147.5

144.4

122.7

97.2

96.8

1st

IMBALANCED DEMOGRAPHY

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18+ Overweight (%), 2012 18+ Low Physical Activity (%), Latest Year

Qatar

Kuwait

UAE

Bahrain

KSA

Oman

UK

OECD

78.1

75.4

74.0

71.7

69.6

67.4

63.4

58.0 OECD

UK

UAE

Qatar

Kuwait

Bahrain

KSA

Oman

26.1

37.3

38.4

41.6

56.6

57.0

61.0

69.92nd

HEALTH BEHAVIOUR

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Notes: 1. Special administrative territories, unincorporated territories, constituent countries, associated territories and administrative regions were excluded2. For road traffic mortality rate, 2013 Qatar data was used. For the rest of the countries 2010 data was the latest available

Road Traffic Mortality Rate, Latest Year DALYs (per 100,000 Population), 2012 NCDs out of DALYs (%), 2012

UK

OECD

Bahrain

UAE

Qatar

Kuwait

KSA

Oman

3.7

7.4

10.5

12.7

13.7

16.5

24.8

30.4

UK

OCED

Kuwait

Qatar

Bahrain

UAE

KSA

Oman

20,376

20,531

22,687

22,923

25,533

25,546

27,174

27,260

UK

OCED

UAE

Bahrain

Qatar

KSA

Kuwait

Oman

84.2

82.1

81.1

80.4

79.6

78.1

76.8

72.3

RTA AND NCD

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Notes: 1. Special administrative territories, unincorporated territories, constituent countries, associated territories and administrative regions were excluded.2. Qatar’s OOP % of household spending is for 2014. UK and OECD data is for 2013.3. Except for Qatar, for all other countries household expenditure includes final consumption expenditure of households and non-profit institutions serving households because these two could not be separated

THE (per capita, current PPP $), 2013 OOP % Household Spend, Latest Year

Oman

UAE

UK

Kuwait

Qatar

Bahrain

KSA

OECD

0.9

1.2

1.3

1.3

1.4

1.7

2.1

3.0

Qatar-Adjusted

OECD

Qatar

UK

Kuwait

UAE

Bahrain

KSA

Dubai

Oman

6,319

3,610

3,532

3,311

2,375

2,233

1,900

1,681

1,309

796

Qatar-Adjusted

Qatar

UK

OECD

Kuwait

UAE

Bahrain

KSA

Oman

Dubai

5,552

3,103

2,766

2,627

1,962

1,570

1,333

1,079

637

420

GGEH (per capita, current PPP $), 2013

SUSTAINABILITY

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CHALLENGESAPPROACHIMPLEMENTATION

CONTENTS

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PUBLIC PROVIDERS (HMC, PHCC, NAUFAR)

Funding and Oversight

OTHER PROVIDERSNATIONAL HEALTH INSURANCE COMPANY

SUPREME COUNCIL OF HEALTH

FOOD SAFETY AUTHORITY QATAR COUNCIL FOR HEALTH PRACTITIONERS

Funding Oversight

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HEALTH IN VISION 2030

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NHS GOALS

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Policy, Regulation & Research

Workforce, Integration and Quality

Healthcare Delivery

Goal 3. Preventative Healthcare3.1 Public Health Governance 3.2 Nutrition and Physical

Activity

3.3 Tobacco Cessation 3.4 Consanguinity Risk Reduction

3.5 Communicable Disease Prevention

3.6 National Screening Program

3.7 Occupational Health 3.8 Maternal & Newborn Health

3.9 Implement Road Safety Strategy

3.10 Food Safety Authority

3.11 Emergency Preparedness 3.12 Env. Health & Air Quality

Goal 1. Comprehensive World Class Health System1.1 Primary Care as the Foundation

1.2 Configuration of Hospital Services

1.3 Continuing Care Design 1.4 Mental Health Design

1.5 Emergency Care Services 1.6 Community Pharmacies

1.7 Diabetes Service Design 1.8 National Cancer Program

1.9 Oral Health Service Design*

Goal 4. Skilled National Workforce4.1 Workforce Plan

4.2 Recruitment Retention

4.3 Professional Ed.

4.4 Optimizing Skill Mix

Goal 6. Effective and Affordable Services

6.1 Budgeting Process

6.2 Treatment Abroad

6.3 Health Insurance

6.4 Healthcare Infr. MP

6.5 Capital Expenditure

Goal 2. Integrated System of Healthcare

2.1 Quality 2.2 Disease Mgt

2.3 Healthcare Data

2.4 E-health Est.

2.5 Private Sector 2.6 Lab integration & std.

Goal 7. High Quality Research7.1 Research Governance

Goal 5. Healthcare Policy5.1 SCH Capacity Build-up 5.2 Qatar Council HC Prof.

(QCHP)

5.3 Healthcare Facilities Regulation

5.4 Healthcare Products Reg.

5.5 Patient Advocacy Framework

NHS PROJECTS

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NHS SUB-STRATEGIES

National Workforce

Plan

TBC Autumn

2015

Community Pharmacy

Strategy

2013/14 Unpublishe

d

Preventative Care

Strategy

TBC Early 2016

E-Health & IT Strategy

TBC Late 2015

NHS Project 1.6

National Education

Plan

TBC Late 2015

NHS Project 6.4 NHS Project 4.1 NHS Project 2.3/2.4 NHS Project 4.3 NHS Project 3.1

NHS Project 1.8 NHS Project 1.8 NHS Project 1.1 NHS Project 2.6 NHS Project 1.4 NHS Project 2.1

Oral Health Action Plan

TBC 2016

NHS Project 1.9

Diabetes Strategy

TBC 2015

NHS Project 1.9

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CHALLENGESAPPROACHIMPLEMENTATION

CONTENTS

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• 63% Complete

• 65/218 Targets Complete

• 28/107 Outputs Complete

• 5/40 Projects Closed

PROGRESS

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GOVERNANCE

• Project Manager, supported by:• Program Support Manager• 2 x Support Managers

• Senior Responsible Person

• Steering Group (monthly)

• Ministerial Board (quarterly)

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•Internal Monthly Reporting

•NHS Executive Summary published each April

•Annual Report published each April

•NHS Annual Event held each June

•NHS Website

REPORTING

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Planned Facility Entity 2014 Status Expected Opening

MC Facilities1. MC Center Food Handler Building SCH construction 20152. Mesaimeer SML MC Unit SCH construction 20153. Ras Laffan SML MC Unit SCH construction 20154. Mesaieed SML MC Unit SCH construction 20165. New Industrial Area SML MC Unit SCH construction 20166. New Industrial Area SML MC Unit (standalone) SCH construction 20167. Ras Laffan SML MC Unit SCH construction 2016

Health Centers8. Al Ghuwairiya Health Center PHCC construction 20159. Al Karaana Health Center PHCC construction 2015

10. Al Roda Health Center PHCC construction 201511. Mesaimeer SML Health Center SCH construction 201512. Leabaib Health Center (formerly Al Nuaim) PHCC construction 201513. Rawdat Al Khail Health Center PHCC construction 201514. Umm Slal Health Center PHCC construction 201515. Al Jamaa Health Center PHCC construction 201616. Al Waab Health Center PHCC construction 201617. Al Wajba Health Center PHCC construction 201618. Mesaieed SML Health Center SCH construction 201619. Muaither Health Center PHCC construction 201620. New Industrial Area SML Health Center (standalone) SCH construction 201621. New Industrial Area SML Health Center SCH construction 201622. Ras Laffan SML Health Center SCH construction 201623. Al Khor Health Center PHCC design 201724. Al Mashaf Health Center PHCC design 201725. Al Shamal Health Center PHCC design 201726. South Wakra Health Center PHCC design 201727. Umm Seneem Health Center (formerly Ain Khalid) PHCC design 201728. Al Sadd Health Center PHCC design 201829. Al Hilal Health Center PHCC design 201930. BaniHajer Health Center PHCC design 201931. Madinat Khalifa Health Center PHCC design 201932. Umm Ghuwailina Health Center PHCC planning 2019

Hospitals33. Communicable Disease Hospital HMC construction 201534. Ambulatory Care Center HMC construction 201635. Mesaieed SML Hospital SCH construction 201636. New Industrial Area SML Hospital SCH construction 2016

Planned Facility Entity 2014 Status Expected Opening

37. Qatar Rehabilitation Institute HMC construction 201638. Ras Laffan SML Hospital SCH construction 201639. Women’s Wellness and Research Center HMC construction 201640. New Mental Health and Psychiatry Hospital HMC planning 201841. New Cancer Hospital HMC design 201942. Al Shamal Hospital HMC N/A 202143. New Tertiary Hospital HMC planning 2022

Other Specialized Facilities44. Blood Donor Service Unit HMC planning 201545. New Pediatric Rehab Clinic HMC design 201546. Medical City Clinics HMC planning 201647. Mesaieed Central Food Lab Branch SCH planning 201648. naufar Center SCH construction 201649. Al Maha Center for Children and Young Adults HMC design 201750. Hamad Bin Khalifa Translational Research Institute HMC construction 201751. Central Laboratory Tower HMC design 201852. New Doha International Airport Central Food Lab Branch SCH planning 201853. Specialty Clinical Center HMC design 201854. Diagnostic and Treatment Center HMC planning 201955. Diagnostic and Treatment Center HMC planning 201956. Diagnostic and Treatment Center HMC planning 201957. Diagnostic and Treatment Center HMC planning 201958. Diagnostic and Treatment Center HMC planning 201959. National Health Laboratory SCH design 201960. Specialist Ambulatory Centre HMC planning 2020

Support Facility Projects61. Modular Offices HMC construction 201562. 200 MVA Energy Centre/Parking HMC planning 201663. Central Security Control Centre HMC planning 201664. 40 MVA Energy Centre HMC planning 201865. C-Ring Bridging Parking Structure HMC planning 201866. Central Laundry HMC planning 201867. Distribution Centre and RAILS HMC planning 201868. New Medihotel HMC planning 201869. Water Management Centre HMC planning 201870. High Density Housing HMC planning 201971. Office Phase 1 HMC planning 201972. 80 MVA Energy Centre HMC planning 202073. New Ambulance Headquarters HMC design TBD

SUPPLY: 73 NEW FACILITIES

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Renovation Project Entity 2014 Status Expected Completion

MC Facilities1. MC Center Renovation and Expansion SCH planning 2017

Health Centers2. Abu Baker Siddiq: Renovation and Extension PHCC construction 20163. Abu Nakhla Health Center Renovation PHCC construction 20164. Airport Health Center Renovation and Extension PHCC construction 20165. Al Daayen Health Center Renovation PHCC construction 20166. Al Gharrafa Health Center Al Rayyan Renovation PHCC construction 20167. Al Jumilya Health Center Renovation PHCC construction 20168. Al Kaaban Health Center Renovation PHCC construction 20169. Al Khor Health Center Renovation PHCC construction 2016

10. Al Rayyan Health Center Renovation PHCC construction 201611. Al Shamal Health Center Renovation PHCC construction 201612. Al Sheehaniya Health Center Renovation PHCC construction 201613. Madinat Khalifa Health Center Renovation PHCC construction 201614. Mesaimeer Health Center Renovation PHCC construction 201615. Muntaza Health Center Renovation PHCC construction 201616. Omar Bin Al Khattab Health Center Renovation and Parking PHCC construction 201617. Umm Ghuwailina Health Center Renovation and Extension PHCC construction 201618. Umm Slal Health Center Renovation PHCC construction 201619. Wakra Health Center Renovation PHCC construction 201620. West Bay Health Center Renovation and Extension PHCC construction 2016

Hospitals21. HGH Operating Theater Extension Phase 1 and Parking HMC construction 201522. HGH Operating Theater Extension Phase 2 HMC design 2015

Renovation Project Entity 2014 Status Expected Completion

23. HGH Surgical Intensive Care Unit HMC construction 201524. NCCCR Breast Triple Assessment Centre HMC construction 201525. RH Old Outpatient Department Ward Refurbishment HMC construction 201526. WH Neonatal Intensive Care Unit Extension HMC construction 201527. HBK Campus Upgrade and Safety Mitigation HMC design 201728. Rumeilah Off Campus HMC design 201729. AK Hospital Extension Phase 2 HMC design 201830. HGH Trauma and Emergency Expansion HMC design 201831. HH Expansion Phase 1 HMC planning 202032. AW Master Plan HMC planning 202833. HH Expansion Phase 2 HMC planning TBD

Other Specialized Facilities34. Bone and Joint Centre HMC construction 201535. Central Food Laboratory Interim Relocation SCH design 201536. HGH Pediatric Emergency Centre Al Sadd HMC construction 2015

Support Facility Projects37. Headquarter Fit-Out PHCC construction 201538. Car Park Expansion HMC design 201639. Landscaping Expansion HMC design 201640. Medical Support Buildings HMC construction 201641. New Offices Project HMC design 201642. RH New Multi-Storey Car Park HMC construction 201643. Women’s Recreation Centre HMC design 201644. Headquarter Fit-Out QCHP design 201745. Education Center Extension HMC design TBD

SUPPLY: 45 EXPANSION/RENOVATION

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Please visit our websites:www.sch.gov.qawww.nhsq.info

THANK YOU!