Materiality Determination Process and Material Matters
Future changing world
Innovation and automation
Capitals Impacted
Strategic Priorities
Top Risks
Importance to SANBS in delivering value
As a dynamic organisation, we are constantly advancing towards the future with a focus on innovation and automation. Our journey towards success revolves around safeguarding donors and enhancing patient outcomes. Most of our business processes are now driven by systems, and the true value of Information Technology lies in deriving valuable insights from the data we collect. Embracing Artificial Intelligence (AI), Machine Learning (ML), and related technological innovations can significantly transform the SANBS operating model. However, we adopt a cautious approach to tech innovation, prioritising our commitment to high accreditation standards
The decision to implement the new BECS and the ERP Modernisation projects was and remains primarily motivated by the need to improve on our capabilities for AI, ML, Mobility (including capabilities for Mobile Apps), Digitalisation and Cloud adoption, among other benefits
Risks to value creation
Inability of SANBS to contribute and respond to changing healthcare needs
Failure to innovate and adopt advanced technology to ensure efficient, sustainable systems and processes
Slow progress in adopting tech innovation and thereby missing out on the value potential these can bring to the business
Lack of data literacy and/or basic data analytics which will contribute to slow or non-adoption of analytics as an enabler to empower employees (reporting)
Uncertainties around cyber security, legislation and risk exposures
Opportunities and strategic response to create value
Systems innovation – transitioning to the BECS (MAK-SYSTEM) is a critical change in the vein-to-vein value chain to increase data analytics and intelligence to inform decision-making and enhance operational efficiencies
SANBS has a reasonable Business Intelligence capability, however, there is opportunity for growing this capability
SANBS has limited adoption of Cloud, and here too the opportunity for broader adoption remains good
Initiatives to innovate through collaboration include:
RAD Academy – increased collaboration with external stakeholders: regional, Africa and other countries for knowledge sharing, business continuity support and general development
Expand translational research for novel products
Cellular therapies knowledge sharing and technical support to new units, including in Botswana
Increase SANBS profile in various ISBT, AABB and related committees and sub-committees
Improved opportunities to use data in decision-making
Outlook for the year ahead
iHEALTh 2019–2024 strategy extended to end FY25 and we will be refining the iHEALTh strategy to ensure a long-term focus beyond 2024
Maximise synergies, efficiencies and data analytics from the implementation of BECS
Blood bank automation to improve turn-around times and expand electronic cross matches
Expand our cellular therapies footprint – further develop the range of therapies offered and expand technical support services beyond Botswana
Build/improve Internal BI resource capacity, change management capability and skills maturity to enable/facilitate adoption of tech innovation such as AI and ML
Develop and implement data literacy training as a capacitation initiative to free BI to focus on critical (and complex) business initiatives
Develop a formal Cloud strategy/plan
Assess governance requirements for managing adoption and use of AI, ML, etc.
FINANCIAL AND ORGANISATIONAL SUSTAINABILITY
Capitals Impacted
Strategic Priorities
Top Risks
Importance to SANBS in delivering value
The environment that we operate in is challenging due to poor economic growth, high unemployment, constrained healthcare budgets in both the private and public sector and increasing operating costs
As a self-funded, not-for-profit organisation and the largest provider of blood products and services in South Africa, strong governance, leadership, business continuity, stakeholder management and financial stability are key to ensuring stability and long-term sustainability
SANBS operates on a cost recovery basis and needs to be financially sustainable to ensure that we continue to provide products and services to patients
Risks to value creation
Inability to collect outstanding debt
Increasing cost of doing business in the current economic climate
Delays in external supply chain
Reputational risk – brand erosion
Inability to meet full demand for blood products
Perceptions of high costs of blood products and services
Tedious/bureaucratic internal processes leading to inefficiencies
Opportunities and strategic response to create value
Appropriate strategy execution, planning, systems and controls must be in place to ensure that we can generate and collect revenue and make surpluses to ensure sustainability
Initiatives to strengthen financial resilience include:
An Inventory Optimisation project is underway to ensure inventory visibility throughout the value chain
Business process improvements in the procure-to-pay and order-to-collect processes – includes improvement in billing accuracy, efficiency and debt management
Ensure future fit skills and competencies
Bad debt management in consultation with the Department of Health and medical aids, hospitals and RAF
Refined budget process and disciplined expenditure
Improved procurement contracting and contract management processes
Efficient delivery of blood products to reduce cost
Focused efforts to grow alternative revenue streams
Outlook for the year ahead
Ongoing efforts on increasing debt collections and engagements with medical aids to collect long outstanding claims
Continue to improve on procurement and contract management processes
New Corporate Services Executive appointed and procurement committee established
Implement the stakeholder engagement framework to ensure structure and direction in a coordinated approach to engage with customers to ensure timely payment for services
Develop stronger relationships with medical aids, government and other institutions to ensure optimal functioning of billing/collection processes
Keep tariffs at or below inflation for next two years
Manage costs to within inflation
Strengthen order to collect processes
Improve internal systems to be more agile in responding to customer queries
Environmental sustainability
Capitals Impacted
Strategic Priorities
Top Risks
Importance to SANBS in delivering value
SANBS is committed to responsible use of natural capital and progressively eliminating the negative impact that it has on the environment through a deliberate “Greening Strategy”
Foster a low carbon culture underpinning procurement and other decisions with an overall carbon reduction objective
Risks to value creation
Negative impact of SANBS operations on the environment
Reputational risk relating to SANBS not being seen to be actively contributing to environmental sustainability
Opportunities and strategic response to create value
SANBS contributes to global climate change initiatives through sustainable practices and a deliberate “Greening Strategy”
Key initiatives include:
Accelerate recycling of general waste across all SANBS sites and suppliers
Process and issue of blood closer to source to minimise travel and reduce C02 emissions
Promoting a strong internal sustainability culture and commitment to our greening strategy
A digitalisation strategy to create a paperless environment and solidify information governance and traceability
Replicate greening achieved in Mount Edgecombe in other SANBS facilities
Reducing carbon footprint by promoting flexible working arrangements
Outlook for the year ahead
Monitor and measure progress with greening initiatives through the interactive greening dashboard
Economic, social and political environment
Capitals Impacted
Strategic Priorities
Top Risks
Importance to SANBS in delivering value
The uncertainty of the external environment has a direct impact on SANBS operations.
SANBS operates in a wide geographic area and is impacted by the many infrastructural (water, electricity, poor roads, poor state of hospitals) challenges that impact on service delivery. Additionally, unrest and natural disasters also impact on the ability to ensure uninterrupted service delivery
The social, economic, political unrest, weather unpredictability and upheaval have tested the resilience and continuity of our operations, highlighted the importance of robust risk management and business continuity, and created opportunities for us to improve our organisational responsiveness and agility
These external factors continue to negatively impact our ability to continually supply sufficient blood, to manage our costs and to protect our people, property and environment we function in.
Risks to value creation
Inability to collect sufficient blood
Inability to provide blood patients in a timely manner
Failure of customers to pay for services rendered
Widespread unrest resulting in loss of assets (vehicles, buildings)
Ability for fuel to reach sites during unrests
Inability of critical employees to reach/leave sites during unrests
Damage to assets and inability to continue operations due to unexpected severe weather conditions
Increased risks posed to employees
Declining potential donor base due to increased poverty and deteriorating health
Increased loadshedding
Disruption to water provision – failing infrastructure, access to water and water quality
Opportunities and strategic response to create value
SANBS ensures ongoing identification of emerging risks in response to the changing external environment, and strong business continuity ensured limited impact on ability to meet demand
Increase stakeholder interactions with a focus on the importance of blood to the healthcare sector and cost-drivers related to the service provided, further positioned SANBS as a strategic partner in healthcare delivery
Business continuity plans (BCP) to ensure continued service delivery where SANBS sites are affected
Solar power and power backup at sites (mobile and fixed)
Water harvesting in high rainfall areas
Additional water storage (low rainfall)
Outlook for the year ahead
Enhancement of organisational business continuity plans and collaboration with service providers to mitigate against potential business disruptions
Additional investment in hybrid solutions in response to business disruption going forward
Prioritisation of solar power to supply critical infrastructure
Provision of borehole or stored water at facilities
Generating liquid nitrogen (LN2) internally, used in various applications such as cooling, freezing and preserving biological samples
Onsite diesel bulk storage
Enhance current physical security on all sites/riot security
Provision of onsite accommodation for critical employees