OUR BUSINESS

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