Board committees’ current and future focus
The role of the committee includes, but is not limited to, carrying out the responsibilities outlined in section 94 of the Companies Act as well as to assist the Board in the effective discharge of its responsibilities which includes the effectiveness of assurance functions and services as well as the integrity of reports issued.
The overarching role of the Committee entails assisting the Board in providing independent oversight of:
The primary concern of the committee was to ensure effective internal controls and accounting systems as well as effective governance. This was considered in the light of disclaimed audit opinions which were issued by the external auditors for the years ended 31 March 2018, 2019 and 2020 -which were essentially due to credit notes that had been incorrectly issued as invoices resulting in monies paid to SANBS that were not due, coupled with concomitant concerns.
The committee deliberated extensively with management, the external auditors and internal auditors to fully understand the reasons for the deficient controls and to oversee the implementation of remedial action to ensure effective controls over the issuing of credit notes, accounts receivable as well as other accounting transactions with potentially ineffective controls.
Both internal and external audit significantly increased their scope of assurance work, particularly in the areas of revenue and receivables. This was burdensome on all concerned but ultimately bore fruit albeit that a qualified audit opinion has been issued by the external auditors for the year ended 31 March 2021. The qualification is due to the potential impact of the disclaimed audit opinion in the prior year and the resultant effect on the opening balances for the year ended 31 March 2021 in respect of trade receivables, detailed above, and the non-adoption of IFRS9 (Financial Instruments) from the year ended 31 March 2019.
Although a qualified external audit opinion is regrettable it is pleasing that the qualification pertains to prior financial years. The committee considers that an unqualified opinion could be obtained for the year ending 31 March 2022. It should be noted that independent forensic investigations were performed and that there is no evidence of any fraudulent activity.
The Committee has the task of ensuring that all Human Resource policies and practices are fair, competitive and in line with best practice and current legislation to enable the organisation to recruit and retain the best talent for optimal performance against its strategic objectives. The Committee also ensures that staff members are fairly and equitably remunerated for their contribution, both in respect of guaranteed and variable pay.
The overarching role of the Committee is tasked by the Board with, amongst others, the responsibility to ensure that:
The role of the Committee is to oversee the quality and safety of blood and blood products and the safety of donors, blood recipients and employees.
* Independent members of the Committee who are not members of the Board.
The overarching roles of the Committee entails:
The overall focus of the committee is to ensure donor, recipient and staff safety whilst SANBS continues to build on the iHEALTh strategy and strengthen their position as a cornerstone of healthcare.
Monitored and reviewed the ongoing impact of the pandemic with regards to sustaining the requisite delivery of blood products and ensuring the safety of SANBS staff and stakeholders. This included the following:
SANBS collection units experienced difficulties due to decreased access to schools and corporate companies’ widescale work from home policies. Innovative strategies will therefore need to be implemented to increase the future donor pool.
Monitored and reviewed the ongoing impact of the change in donor questionnaire and deferral criteria changes on blood collections. The #ironstrong project culminated in improved donor care.
CGC supports and acknowledges the PBM unit’s ongoing efforts to ensure the evidence-based use of blood and blood products. In this regard, the unit is commended for its development of high-quality, patient-focussed reports targeted at healthcare professionals and managers.
The PBM unit successfully launched their “increased digital footprint” plan to support hospitals and train healthcare workers amidst the pandemic as well as interaction with multiple national focus groups.
Supported the development of a Haemovigilance App for electronic capturing and monitoring of patient adverse events.
Following successful completion of ISO 15189 accreditation throughout the organisation, CGC supports the Board approval to achieve ISO 9001 compliance which will ensure ISO standard quality systems in administrative areas.
Oversight of SANBS participation in several Covid-19 related research projects. Noteworthy was the level of commitment of the SANBS collaboration with the Western Cape Blood Service and the DSI-NRF Centre of Excellence in Epidemiological Modelling and Analysis where a sero-surveillance study was performed. This involved testing of almost 17000 blood donors to estimate the prevalence of antibodies to SARS-COV-2 which indicates past exposure to the virus. More frequent sampling, including linked repeat observations of frequent donors, could substantially improve the utility of blood donor surveillance for national decision making.
The current platelet strategy of 55% apheresis/45% pooled platelets is not optimal in terms of stakeholder coverage and safety compared with benchmarked first world countries. CGC approved the SANBS Platelet Strategy to a stepwise increase towards 80% to 90% pooled platelet strategy with the concurrent pilot implementation of pathogen reduction technology. Although providing a better quality product is the right thing to do, the committee must carefully weigh up not only the benefits associated with this technology, but also the risks and associated costs.
Work in the Cellular Therapy unit is continuing in creating and supporting new products. The CGC oversight role in cellular therapy is to ensure clearly defined research projects that include novel therapies and products. During the year under review, SANBS created human platelet lysate(HPL), a growth factor used to grow cells, to be used by laboratories in universities. The specialised laboratory will commence growing research grade mesenchymal stem cells for use in clinical trials.
Continued oversight over the progress with BECS implementation. Despite challenges with delays, as a result of the pandemic, the project team were able to successfully deliver on most of the planned milestones for the year.
Monitored oversight of IPC being operationalised across the organisation and reviewed reports indicating a marked decrease in bacterial contamination of platelets to <1%. Audit reports noting good compliance however, also identified areas for potential improvement. IPC awareness created a stepping stone and placed SANBS in a better position to manage Covid-19 requirements.
SANBS approached the Parliamentary Committee who confirmed that they had received SANBS’s submission on NHI Bill to Parliament. No feedback has been received from SAPHRA with regard to regulating the blood services. Whilst awaiting the final NHI Bill and other regulatory changes, SANBS will continue to work towards complying with international standards and good GMP.
The risk of litigation against management or the organisation did not increase and management is confident that effective preventative and mitigating controls are in place. There is cognisance of the increasing difficulty to obtain medical malpractice insurance. SANBS will maintain all current levels of insurance cover across the various classes and provide the insurer with comprehensive information to secure cover at the most competitive price, as there are significant increases in premiums and deductibles across most classes of insurance.
SANBS has embarked on a multi-year project to develop a laboratory for the production of novel products. The facility will conform to international guidelines and requirements, as well as be GMP and JACIE accredited. Production of HPL is being scaled up with keen interest in the product expressed by several academic institutions.
The extended impact of Covid-19 on general SANBS operations, the consumption of human resources in responding to the new demands generated by the epidemic and physical limitation due to “stay-at home” orders, necessitates an amended approach to the implementation of this strategy. A full logistics and financial impact analysis plus a platelet user survey will be part of the assessment of the project prior to implementation.
The Change Impact Analysis and plan for the change process, has been carefully structured and will be rolled out to all staff to ensure buy-in.
Focus will be placed on iron uptake. Customer feedback will inform the creation of a customer services plan for donors to ensure that SANBS meets their needs and responds to their feedback
Increased focus will be placed on this unit. The focus will be to improve coverage, i.e. access to blood products whilst ensuring that patients receive the right blood product, at the right time, for the right reasons and to limit wastage of the products.
CGC recognises the importance of Haemovigilance and independent assessors will be sought for this area with the ultimate goal to have an independent Haemovigilance Officer.
A stakeholder survey will take place to create a customer-centric approach in the way in which SANBS serves its customers.
Oversight and support of multiple national and international collaborations to increase the SANBS profile in various ISBT and AABB committees and sub-committees. Support of original research and collaboration with other South African institutions, encouraging publishing of research in internationally respected health sector journals.
The role of the Committee is the oversight of, and reporting on Company ethics, responsible corporate citizenship, sustainable development and stakeholder relationships. This committee serves as the statutory social and ethics committee as required in terms of the Companies Act, 2008 and its duties are informed by regulation 43 of this Act. In addition, this committee has been charged by the Board to oversee corporate governance aspects that includes the assessment of the performance of the Board and compliance with the MoI and the rules of the Company.
The overarching role of the Committee entails assisting the Board in ensuring that the Company acts ethically and that there is an ethical culture with regards to:
The role of the Committee is primarily to assist the Board with the recruitment of suitably qualified candidates as Non-Executive Board members; and to ascertain whether Board members up for re-election are to be re-appointed. The Committee leads the Board’s Non-Executive Director (NED) succession planning. Furthermore, the Committee supports the SANBS Board in the areas within its mandate.
* Independent members of the Committee who are not members of the Board until 1 December 2020
The overarching role of the Committee entails assisting the Board in ensuring that The Board and its Committees are appropriately constituted with the right skills, qualification and training.
The role of the Committee is to assist the Board with the governance of risk, technology and information. The Committee makes recommendations to the Board for its approval.
Note:Dr K van den Berg (Medical Director appointed 1 June 2021) replaces Dr J Thomson
The overarching role of the Committee entails assisting the Board in overseeing that the following areas support the Company in setting and achieving its strategic objectives:
The highlights for the Committee during the period under review included its oversight of the following:
Oversight of key risks:
Monitoring of key projects with potentially high risks and high strategic importance to the organisation namely:
Ongoing consideration of technology and information including:
The Committee will remain focused on overseeing the management of the risks associated with:
Approval of the updated ERM Policy and Framework, which includes appropriate Risk Appetite and Tolerance levels, as well as evidence of compliance risk management integration and continued compliance monitoring. In the technology and information domain particular areas will remain the focus of the committee, including: