Meeting the needs, interests and expectations of our Stakeholders
Engaging, understanding, responding to and meeting the needs of our stakeholders to create value for them and SANBS
The SANBS has always valued the contributions of our diverse stakeholders. Through robust engagement, we empower them to assist us in achieving our goals, mitigating risks and optimising opportunities. Stakeholder surveys are undertaken from time to time. Emphasis on these will increase going forward. The information that follows describes our frequency of engagement with our stakeholders, their needs, interests and expectations, risks and opportunities and how we respond to these. We also provide our assessment of the current relationship against a desired relationship and give details of the status of current engagements with our various stakeholders.
We group our stakeholders as follows:
Employees – include the people we employ, our Board and the unions that represent our people. Given the important role of each of these stakeholders – details are provided below
Donors – these comprise anyone who donates blood, the donor structures including National Council, Zone Donor Committees and branch donor committees. We describe the relationship with blood donors separately below
Regulators – comprises of the National Department of Health, SANAS, SAHPRA, SABTS and the ISO Standards
Medical fraternity – includes doctors, nurses, patients and medical aid schemes
Suppliers
SA and international blood partners - Local and international health and transfusion medicine
Given the important role the media plays in conveying SANBS’ purpose, adverts etc we include details about them below
Employees
Stakeholder Group
SANBS EMPLOYEES Ongoing engagement
Capitals
iHEALTh
Risks
Materiality Themes
Responsible
Executive Management
Current Relationship
Good
Desired Relationship
Trusted
Needs, interests & expectations
Reward and recognition
Conducive and safe working environment/ job satisfaction
Job security
Growth and development
Transformation
Diversification
Integration
Remote and/or WFH capability
Regard for overall wellness
Key Risks
Loss of key employees
Disengaged Employees and underperformance
Industrial action
Damage to SANBS' reputation by disengaged employees
Lack of disclosure or transparency
Opportunities
Empower and engage
Skills development
Diverse and inclusive workforce
Multiskilling – cross functional teamwork
Performance management
Recognition and Reward
Building trust
SANBS Response
Talent management
Succession planning
Transformation plan
Effective performance management system
Role diversification
DNA
360 feedback
Remuneration Policy
Implementation of heightened disclosure in Integrated Report
Remote Working Policy
Virtual training and Learning Cafe
Status of Current Engagements
SANBS' DNA process - In the 2020/2021 cycle 1 972 employees participated in the process (FY20: 1 805) and in our final score, we achieved our target of the 10% increase to 1.31 from the previous score of 1.19
542 leaders and specialists completed a 360° assessment to help ensure sustainable leadership capability (FY20: 446)
SANBS is successfully instilling a feedback culture that is easier and more rewarding for participants
SANBS' Leadership fit to competency profile (benchmarks) identified innovation and change as areas where increased
leadership development focus is required
BOARD
Stakeholder Group
BOARD Regular engagement
Capitals
Risks
Materiality Themes
Responsible
CEO & Company Secretary
Current Relationship
Good
Desired Relationship
Trusted
Needs, interests & expectations
Relevant. accurate and timeous information and reporting
Achievement of strategic objectives
Improved governance and ethics
Key Risks
Transparency
Inaccurate reporting
Under performance
Poor decision making
Potential liability for directors
Opportunities
Integrated business planning
Digitalisation
Organisational alignment and transformation
Creation of blood committee
SANBS Response
Improved planning and communication
Performance reviews
Business scorecard reporting
Automation
King IV gap analysis
Ethics assessment and framework implementation
Board evaluations
Status of Current Engagements
Improved planning & communication
Performance reviews
Business scorecard reporting
Ethics assessment & framework implementation
Board evaluations
EMPLOYEES: UNIONS
Stakeholder Group
EMPLOYEES: Unions Ongoing engagement
Capitals
iHEALTh
Risks
Materiality Themes
Responsible
Chief Human Capital Officer
Current Relationship
Good
Desired Relationship
Trusted
Needs, interests & expectations
Fair and equitable working conditions
Employee safety
Annual wage negotiations
Transparency
Consultation
Fair and equitable remuneration
Key Risks
Misaligned expectations
Industrial action
Negative publicity
Reputation damage
Genie coefficient
Opportunities
Improved working conditions
Improved engagement and planned meetings
Greater understanding of the SANBS environment
Further transparency in Integrated Report to build trust
SANBS Response
Continued engagement and consultation
Bargaining forum meetings
Long-term agreements
Communication improvement
DNA Formula
360 Degree Assessment
Remuneration Policy
Disclosure of remuneration in Integrated Report
Status of Current Engagements
The relationship between business and the unions is a healthy one. With the onslaught of Covid-19 in the world and the impact it has had on business alike, both unions have been working tirelessly with business in protecting the health of our frontline staff and assisting business in its different initiatives that are aimed at minimising the impact to business and the general wellbeing of SANBS staff. We hope this current collaborative approach will continue for long after the Covid-19 pandemic
We have also involved the unions in one of our biggest Digi projects>BECS to be our champions of change
DONORS: BLOOD DONORS
Stakeholder Group
BLOOD DONORS Ongoing engagement
Capitals
iHEALTh
Risks
Materiality Themes
Responsible
Executive: Transfusion Donor Services and Marketing
Current Relationship
Trusted
Desired Relationship
Trusted
Needs, interests & expectations
Donor pool
Iron deficiency
Platelet donors
Adequate donor
Health and education
Donor satisfaction levels
Key Risks
Insufficient pool – over bleeding
Donor health issues
Unhappy donors
Donor retention
Reputation of SANBS
SANBS employee sabotage
Eligible donors
Opportunities
Sustainability
Diversified donor pool
Synthetic blood
Pathogen inactivation
More frequent donations
Digitalisation
Donor education and experience (SANBS Theme Park)
SANBS Response
Digitalisation
Donor-focused research
Education Iron defficiency and disease prevention
Donor satisfaction surveys
Donor rewards programme
Increased awareness regarding platelet donation
Donor education and magazine Iron replacement initiative
Status of Current Engagements
Restrictions imposed in response to the Covid-19 pandemic had a direct impact on our ability to access donors and make blood donation convenient for existing and potential donors
Donor pool reduced by 22%, seeing a loss of 121 378 donors when compared with the previous year. Of particular significance is the loss of 86 583 young donors, aged 16 to 25 years, impacting on sustainability of the donor pool
Owing to the reduced donor pool, the frequency of donation from the retained pool increased from 1.7 to 1.9 donations, maintaining our reliance on repeat donors which in the long term is not sustainable and could negatively impact on donor health
The further impact on sustainability and potentially donor health was the reduced collections from new donors, dropping from 14.1% to 8.7% in 2020
DONORS: National Council, Zone Donor Committees, Branch Donor Committees
Stakeholder Group
National Council, Zone Donor Committees, Branch Donor Committees Periodic engagement
Capitals
iHEALTh
Risks
Materiality Themes
Responsible
Executive: Transfusion Donor Services and Marketing
Current Relationship
Trusted
Desired Relationship
Trusted
Needs, interests & expectations
Donor interests and wellbeing taken into account
SANBS carries out its mandate effectively
Key Risks
Not adhering to prescribed governance rules and structures
Ineffective interaction between management and the committees
Opportunities
Leverage the passion and commitment of Committee members to increase our donor base
SANBS Response
This is a key focus area for Donor management
Plans put in place to strengthen interaction with Committees
Status of Current Engagements
Multiple Branch and Zone Donor Committee meetings held using the virtual platform
Committee members are active in assisting with Donor Recruitment drives, using their social media platforms and recruiting in person, where possible. Because of the limitation on face-to-face meetings, all committee meetings, including the Annual Election Meetings (AEM’s) were held using electronic means. Relevant documents were introduced to support the electronic election process
Donor for Life Awards functions were put on hold, in response to the limitation on gatherings, until such time that it is safe to host these functions again. Milestone donors are currently being acknowledged and celebrated at the time of the milestone donation event, and where possible, this is publicised in the local media
REGULATORS: National Department of Health
Stakeholder Group
NATIONAL DEPARTMENT OF HEALTH Ongoing engagement
Capitals
iHEALTh
Risks
Materiality Themes
Responsible
Executive Management
Current Relationship
Good
Desired Relationship
Trusted
Needs, interests & expectations
Improved patient outcome
Improved healthcare
Sufficient quality blood products
Right product, right patient and right time
Monitoring of side effects
Information and escalation of all major decisions
Key Risks
Loss of licence to operate
Inability to meet demand
Morbidity/Mortality
Transfusion transmitted infections
Poor patient outcomes
Increased costs
Delayed payments
Opportunities
Efficiencies
Digitalisation
Pathogen inactivation
Product & service diversity
Reduce wastage
Use of big data
SANBS Response
Adherence to service level agreements
B-BBEE
Provision of data/metrics
Portal for debtors’ payments
Interdependent projects to improve blood product management
Scientific research and publications on utilisation patterns
Status of Current Engagements
A National structure to address Transfusional and related matters in DoH, is still lacking. Ongoing interactions on all matters related to PBM and Transfusion Medicine are regularly discussed in an effort to improve patient outcomes. This happens via:
Provincial Coordinators Forum (established and driven by SANBS and including WCBS and all 9 provinces)
Provincial level discussion forums – with hospital management representation
Individual hospital discussion forums
REGULATORS: SA National Accreditation System (SANAS) SA National Health Products Regulatory Authority (SAHPRA) ISO Standards, SABTS
Stakeholder Group
SA National Accreditation System (SANAS) SA National Health Products Regulatory Authority (SAHPRA) ISO Standards, SABTS Regular engagement
Capitals
iHEALTh
Risks
Materiality Themes
Responsible
Medical Director
Current Relationship
Good
Desired Relationship
Trusted
Needs, interests & expectations
Compliance
Global interaction
Harmonising of standards world wide
Key Risks
Loss of licence to practise
Loss of trust from key stakeholder
Opportunities
Improve the quality our products and services
Global collaboration
SANBS Response
Disciplined Adherence to Standards
Proactive identification of global accreditation standards for implementation
Status of Current Engagements
ISO participation - SANBS participates in the various ISO standards’ revisions
SANAS – SANBS participates on the technical committee as Blood transfusion experts
SAHPRA engagement has been through the PEI blood project
MEDICAL FRATERNITY: Doctors, Nurses, Patients, Medical Aid Schemes
Stakeholder Group
DOCTORS, NURSES, MEDICAL AID SCHEMES Ongoing engagement
Capitals
iHEALTh
Risks
Materiality Themes
Responsible
Executive Management
Current Relationship
Good
Desired Relationship
Trusted
Needs, interests & expectations
Sufficient quality blood products
Other services stem cells, diversity of products
Customer satisfaction levels
Key Risks
Insufficient blood stocks – morbidity & mortality
Insufficient quality
Unhappy customers
Reputation of SANBS
Opportunities
New income streams
SANBS RAD Academy
Big Data
Digitalisation
SANBS Response
Continued customer engagements to meet requirements
Delivery of right product at right time
Research and development
Clinical trials to improve donor and patient care
Accurate demand planning
Driving PBM in South Africa
Status of Current Engagements
Establishment of and support to various discussion platforms using SANBS data to improve patient outcomes and drive appropriate usage of blood products
Using digital platforms in the Covid era to host above meetings and educational events
Participating in ongoing SANBS external customer service surveys to continuously meet the expectations of our stakeholders
Participate at executive level in the sub-Saharan PBM forum.
SUPPLIERS
Stakeholder Group
VENDOR/SUPPLIERS Ongoing engagement
Capitals
iHEALTh
Materiality Themes
Responsible
Chief Financial Officer
Current Relationship
Good
Desired Relationship
Trusted
Needs, interests & expectations
Safe transportation of blood
Effective logistics management
Quality packaging and cold chain management
Availability of medical consumables and testing agents
Integrity of information
Value for money
Payments for goods and services rendered
Key Risks
Goods and services not delivered at the right time, right quality and as per specifications
Product quality failure and wastage
Delayed or no blood delivery to patients
Cyber security risk
System downtime
Increased costs
Poor contract management
Lack of B-BBEE
Opportunities
Formal engagement plan for critical vendors
Efficiencies
Improved supply chain management
Just-in-time inventory management
Digitalisation
Improved contract management
Encourage B-BBEE
SANBS Response
Critical vendor list
Supply chain management improvement plan
Logistics management improvement plan
Demand planning
Procurement plan to address BBBEE
Flexible procurement and strategic partnership
Status of Current Engagements
New procurement policy implemented, which introduces flexible procurement and strategic partnerships
2021/22 budget approved, Demand Plan to be updated accordingly
Preferential procurement significantly increased during the year
SA AND INTERNATIONAL BLOOD PARTNERS: Business Partners
Stakeholder Group
Business Partners Regular engagement
NBI
WCBS
Capitals
iHEALTh
Risks
Materiality Themes
Responsible
Executive Management
Current Relationship
Trusted
Desired Relationship
Trusted
Needs, interests & expectations
National supply management
Collaboration in seamless national product and service delivery
Alignment of quality and safety
Ensuring product availability
Key Risks
Disparate approach to common challenges
Increased legal risk in the absence of collaboration
Reputation
Opportunities
Integrated South African blood services
Improved service delivery
SANBS Response
Service level agreements
Collaboration on common policies, procedures and standards
NHI response
Annual National Blood Safety Committee meetings
Status of Current Engagements
Annual National Blood Safety Committee Meeting with representatives from SANBS, WCBS and NBI ensures an ongoing platform for addressing ongoing and acute risks in transfusion medicine
SANBS had multiple meetings with NBI focusing on the impact of Covid-19, meeting and exceeding plasma targets, audit feedback and introduction of new products
Extensive collaboration with WCBS on the PROTECT-Donor and PROTECT-Patient clinical trials, various scientific publications, and ensuring a uniform approach to blood safety challenges such as Covid-19 vaccination, pathogen reduction low collections
SA AND INTERNATIONAL BLOOD PARTNERS: Local and International Health and Transfusion Medicine
Stakeholder Group
Local and International Health and Transfusion Medicine Organisations, e.g.
WHO
ISBT
AfSBT
AABB
Sub-Saharan PBM
NICD
SASBT
SABM
SAGES
Regular engagement
Capitals
iHEALTh
Risks
Materiality Themes
Responsible
Executive Management
Current Relationship
trusted
Desired Relationship
Trusted
Needs, interests & expectations
Better understanding of African and resource constrained countries’ transfusion medicine needs
Appreciation of the role of blood transfusion services as a cornerstone of healthcare delivery in South Africa
Input from SANBS in developing transfusion medicine related guidelines
Key Risks
Lack of SANBS representation in key local and international decision making affecting blood service delivery
Inability to influence the strategic vision of organisations affecting blood service delivery
Opportunities
Showcase the work of SANBS at conferences and in publications of these organisations
Improve SANBS reputation as a centre of excellence globally
Continuous quality improvement through participation in expert committees
SANBS Response
Actively encourage participation of staff in diverse array of working parties, societies and organisations
Supporting staff to take leading roles in the various organisations
Status of Current Engagements
SANBS staff are members of a number of international societies, expert committees and working parties
Collectively, SANBS staff contributed to multiple international peer-reviewed publications in collaboration with various working parties with two staff members invited to co-write international book chapters
SANBS participated in the African Blood Regulators Forum, and it is envisaged that SANBS will be able to provide technical support to the forum
A WHO working group was established to address PBM implementation in Africa as part of the “WHO Action framework to advance universal access to safe, effective and quality assured blood products” to which SANBS was invited to participate
Media
Stakeholder Group
MEDIA Ongoing engagement impacts society at large
Capitals
iHEALTh
Risks
Materiality Themes
Responsible
Chief Marketing Officer
Current Relationship
Trusted
Desired Relationship
Trusted
Needs, interests & expectations
Reputation/goodwill
Education and awareness
Accurate and effective communication
Public Image
Key Risks
Negative publicity
Poor brand value and reputation
Poor communications to stakeholders
Opportunities
Positive brand value
Increased positive coverage
Free airtime – social media platforms
Bloggers
SANBS Response
Formal media strategy
Communication plan and delegated spokesperson
Social media policy
Thought leadership programme
Authentic brand ambassadors
Status of Current Engagements
Continuous media engagement in the last year
Tier 1 and Tier 2 media relationships favourable
Social media has become key to communicate with our donors during the Covid-19 pandemic
Increasing PR value
Media lists compiled and referenced on the database
Media drop offs during campaigns
The SANBS has always valued the contributions of our diverse stakeholders. Through robust engagement, we empower them to assist us in achieving our goals, mitigating risks and optimising opportunities.