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					Grahamstown hospice
   annual report
        including
sunshine coast Branch

         2008




           1
2
Contents

 Grahamstown Staff and Executive Committee  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . 4
 Sunshine Coast Staff and Management Committee  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . 5



 GRAHAMSTOWN HOSPICE

 Chairperson’s Report  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . 7
 Director’s Report  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . 8
 Clinical Services Report  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . 10
 Government and Corporate Fundraising Report  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . 15
 Community Liaison Report  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . 17
 Finance & Administration Report .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . 19



 SUNSHINE COAST HOSPICE

 Report  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . 22



 FINANCIAL STATEMENTS

 Grahamstown Hospice Service  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .26
 Grahamstown Hospice Trust  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .42




                                                                                                3
Grahamstown Staff and Executive Committee

GRAHAMSTOWN STAFF

Director:                                  David Barker

Clinical Manager:                          Erica Botha

Financial Administrator:                   Janine Peinke

Government and Corporate Fundraiser:       Penny Morgan

Nursing Sisters:                           Gladys Cagwe
                                           Edith Dlukulu
                                           Nomvuyo Pinini
                                           Thandi Sabata
                                           Gwen van Heerden

Social Worker:                             Unati Shwempe

Receptionist:                              Wendy Brooks

Care workers:                              Vuyiswa Ntlumbini
                                           Claudette Goba
                                           Linda Kolisi
                                           Nomalungisa Mjuza
                                           Noluthando Nomana
                                           Viwe Ntsundwana
                                           Noma-T Shode
                                           Verah Lackay

Driver:                                    Lunga Tali

ExECUTIVE COMMITTEE

Ms Albertina Jere (Chairperson)
Ms Pinkie Sobahle
Mr Mlungisi Ngcoza
Mr Mangaliso Nkwinti
Mr Dale Ranchhod
Mr Antony Kitson
Mr Pieter Wolvaardt

                                       4
Sunshine Coast Staff and Management Committee

SUNSHINE COAST STAFF

Administrator & Fundraiser:         Zelda Elliott

Financial Administrator:            Marion Konig

Social Worker:                      Ndumiso Mateyisi

Reception:                          Rosita Winter

Nursing Sisters:                    Susan McGarvie
                                    Alice Torr
                                    Margie Waddington

Care workers:                       Zoleka Dili
                                    Ntombisi Dumezweni
                                    Buyelwa Jikolo
                                    Sylvia Lamani
                                    Matilda Makeleni
                                    Nomonde Moses
                                    Lumka Skade


MANAGEMENT COMMITTEE

Mr Russel Geard (Chairperson)
Dr Nthisana Bolofo
Mr Enoch Jobela
Ms Mel Gailey
Ms Lucille Scheepers
Mr Tommy Hartzenberg
Mr Rhodes Tremeer
Mr Dennis Carlstein




                                5
 GRAHAMSTOWN HOSPICE
GRAHAMSTOWN HOSPICE
    Chairperson’s Report


        i
             t is always good to reflect on a past financial year, particularly
             when it has been successful . Our care is broadening as is
             reflected by our increasing patient numbers.
        One spin-off from receiving Pepfar funding is that we now have
    even more detailed statistics on items such as patient details and
    numbers, frequency of visits, services offered and diseases. This gives
    a comprehensive view of the efficacy of patient care but not of the
    quality of this care. For how do you begin to measure love, or the effects
    of having a bed bath, a clean nappy, clothes, food and a warm bed all
    provided by Hospice? This is the value that Hospice adds, providing               Albertina Jere

    compassionate care in meeting the holistic needs of the patient .
        As we prepare for the Council for Health Service Accreditation of Southern Africa
    (COHSASA) audit in May 2008 I am confident that Grahamstown Hospice will again
    receive this recognition for high levels of patient care and management that thus far has
    only been achieved by 14 Hospices in South Africa .
        I am very pleased to say that despite not receiving Lotto or Department of Health money
    in 2008, donations from other sectors have made up for this. We go into the next financial
    year having a far wider and more diverse funding base than we have ever had before,
    increasing our financial security.
        In the past year expenditure was once again tightly controlled on a very small budget .
        Thanks to the staff for this financial discipline and also to the many people and
    organisations who give us medical supplies and equipment. This makes it possible to do
    so much with so little . The people of Makana and Ndlambe are a witness to the stories
    of holistic care that are told by the patients and families that we serve . Hospice in turn is
    indebted to the generosity of the communities who freely give of their time, money and
    goods to support us .
        I wish to thank the staff for their tireless work under what sometimes are difficult
    circumstances . It is a privilege to be associated with staff who choose to journey with their
    patients in what would otherwise be a very difficult and lonely time.
                                                               Finally I wish to thank my fellow
                                                            members on the board who have helped
                                                            direct the affairs of Hospice through the
                                                            past successful year .

                                                                               Albertina Jere
                                                            Chairperson: Grahamstown Hospice


                                                                upDate . . . Grahamstown
                                                             Hospice achieved full COHSASA
  A mural painted by the Rhodes University Community
                                                             accreditation with a score of 99% .
Engagement Programme for our Children’s Support Group.
Director’s Report


   i
          t is hard to believe that I am sitting down to write an annual
          report again . When I wrote my 2007 report I had only been
          in the position of director for a couple of months and was
just finding my feet. Now a year has passed and I feel that I am part
of the Hospice family . It has been a busy year and there have been
challenges but I am left with the sense that we walked the journey
as a family .
     I am often humbled by the dedicated service offered by the
members of the Hospice family . I think of the Hospice nurses and
caregivers who go out daily to see patients, caring for their physical         David Barker
needs but more than that, befriending and supporting them. In
time, these patients die – that is the nature and truth of our work in caring for the terminally
ill. The Hospice staff, who themselves experience grief at the loss of patients with whom
they have journeyed, then support and comfort the family and go on caring for other new
patients and the process repeats itself .
     Many times I have asked myself why anyone would do this – making themselves
vulnerable to experiencing this pain on an ongoing basis. It is clearly not for the money, since
our clinical staff earn probably 50% of what they could get at Settlers Hospital, which has
innumerable vacancies. It can’t be for the working conditions, since our staff are involved
in home-based care in some of the worst conditions of poverty you can imagine . So what
motivates our capable and dedicated staff ?
     I don’t have any definitive answers but the words that come to mind are love, hope and
even a sense of calling. In Desmond Tutu’s words, when he visited Grahamstown Hospice
some time ago, “it is doing God’s work”.
     And it is not only the Hospice staff who offer themselves to the work in this way . I am
excited that our team of dedicated volunteers who visit patients is steadily growing . Like
the nurses, they come alongside patients and their families on the last stage of the journey
and then support the family during bereavement . These volunteers extend the reach of our
services in a significant way.
     I am delighted to see further synergies developing between Grahamstown and Sunshine
Coast Hospices with accompanying savings in costs and improvements in efficiencies.
Sunshine Coast Hospice, which started out as a ‘baby’ of the Grahamstown Hospice, now
has more patients than its ‘mother’! It has grown and matured into an equal partner in a
loving partnership of care .
     Exciting news is that in the coming year we will be opening a second-hand shop, sharing
premises with Grocott’s Mail . Hospices around the country have similar shops which bring a
steady income to support their work . The shop will make us less reliant on corporate and
government funding and also pay for costs that funders are loath to cover such as maintenance
on the buildings, administration costs and salaries. In the coming year we will also see the
establishment of a paediatric care ward alongside the palliative care ward at Settlers Hospital .

                                               8
Our highly successful and mutually beneficial partnership with Settlers Hospital in the palliative
care ward remains unique in South Africa and allows us to offer the holistic care our patients
deserve .
   In closing I wish to thank the people of Grahamstown who support Hospice so generously,
and the volunteers who freely offer their time and gifts to sustain and extend our work . Your
support in every respect is an important part of what motivates us to keep going .
   I also want to thank the Hospice staff – you are all amazing and it has enriched me
personally to work alongside you and to witness your commitment and compassion . You are
the heart and soul, the hands and feet of Hospice. Thank you also to the board for time that
they offer to Hospice and for their continued support and encouragement .
   We look forward to a year in which, as the Hospice family, we work together to meet the
needs of the patients that we serve with competence and compassion .

                                                                             David Barker
                                                            Director: Grahamstown Hospice




               Pastor Dirk Coetzee and a Hospice Social Worker, Noxolo Xabanisa-Mzileni,
                   with a young party-goer at the Baptist Church 2007 Christmas Party.


                                                9
Clinical Services Report


   D
              espite our financial challenges, Grahamstown and
              Sunshine Coast Hospices continue to provide free
              palliative care to all patients with life-threatening illnesses
and support to their families within the Makana and Ndlambe
Municipal areas . Alicedale and Riebeeck East were included into our
service area and we appointed a careworker in Alicedale .
    Our Hospice provides specialised care to terminally ill patients in
the latter stage of their illness and we also support their families . Our
main focus of care is provided at home (90% of our patients) but
when the need arises we admit patients to the Palliative Care Unit              Erica Botha
at Settlers Hospital . The patients and families are the primary unit
of care with the emphasis on pain and symptom control as well as on physical, emotional,
spiritual and cultural needs . We reach out to all patients in the terminal stages of any illness
and provide them with the support they require, referrals, medical expertise and home care.
We also serve the affected family members requiring support for the duration of the illness
and bereavement care after the death of the patient for up to one year .
    Our Hospice care is available 24 hours a day, seven days a week from a co-ordinated
inter-disciplinary team that is trained and skilled in terminal care, including but not limited
to doctors, nurses, social workers, counsellors, lay and professional volunteers and clergy. A
registered nurse is on call after hours .
    The following eleven objectives were met during this year through strategic planning,
result-based management, several quality improvement projects and other strategies as well
as through the preparation for our next COHSASA audit .


oBJectiVe 1: provide patients with
palliative nursing care in their homes
1 . Eight nurses (seven part-time and one full-
    time) visit patients in their homes according
    to the category of the patient with the use
    of Hospice vehicles . When nurses use their
    own vehicles, they are reimbursed.
2 . Our 15 care workers visit patients and
    families in their homes and walk from
    home to home .
3 . Weekly interdisciplinary meetings are held
    where problems are discussed and care plans
    reviewed . At the monthly meetings our two
    palliative care specialists, Dr C Jameson and    Hospice Nurse Gwen van Heerden and care worker
    Dr B Matthews, provide valuable guidance.           Claudette take a new mattress to a patient.


                                               10
4. Voluntary caregivers are placed with patients as identified by the Clinical Services
    Officer.
5 . Several Quality Improvement Programmes (QIPs) ensured that the standard of care
    improved specifically regarding the identified issues.

oBJectiVe 2: provide disease management alongside palliative care to hiV and
aiDs patients
1 . Our nurses provide palliative care to Hospice HIV and Aids patients by monitoring their
    condition when doing home visits .
2 . They assess the patient’s condition and do pain and symptom management and are
    trained to be aware of the side effects of HIV treatment .
3 . The professional nurses ensure the process for ARV work-up is happening by supporting
    and motivating the patient to attend his/her nearest clinic . All HIV-positive Hospice
    patients are assessed and are in the process of ARV work-up or they receive ARV
    treatment .
4. Patients are referred to the Hospice clinic for our doctor’s assessment where tests,
    treatment and other interventions are implemented as ordered . All opportunistic
    infections are treated when diagnosed .
5 . The care workers and professional nurses encourage patients to adhere to the HIV/ARV
    regime by adherence counselling, counting of tablets and referring to the social worker
    if there is an indication of non-compliance .
6 . We network with the primary health care clinics to ensure effective disease management
    by providing the necessary ARV support and ensure that patients receive ARVs when
    required.




                                              11
              Care worker Noma-T Shode with Support Group children on an outing.
oBJectiVe 3: social, emotional and spiritual support for patients and their
families
1. Two social workers – one in Grahamstown and one in Port Alfred – provide the necessary
    psychosocial support to our families . They assess the patient’s social and emotional needs
    and plan accordingly .
2 . Spiritual needs are an area of care where Hospice is currently broadening their networking
    programme with the inclusion of all the different religious and spiritual support structures
    available in the respective areas. When a specific need is identified and cannot be provided
    by Hospice, we refer patients and families to others for spiritual support.
3. Patients and their families are assisted with acquiring government grants. All patients
    are assessed according to income and financial support, and where necessary grant
    applications are made .
4. With the support of Child Welfare and Social Development, orphans are placed into
    foster care whenever possible .
5. We provide food parcels to needy patients depending on their income, grant application
    and social situation .
6 . Clothing and linen donated by the community is distributed to needy patients .
7 . The social worker and clinical staff also assist the patient in drawing up a will and inform
    the patient and family regarding the necessity of a funeral policy .

oBJectiVe 4: Facilitate the personal empowerment of patients and their families
1 . The nurses and care workers teach the families basic skills for home care . This allows
    them to gain some measure of independence and privacy because they are no longer
    totally dependent on others for help . The multi-disciplinary team provides support and
    resource information .
2 . Patients are linked with the support groups . The Hospice social worker and senior
    careworker currently run a very effective support group for orphans and vulnerable
    children . At present 23 children receive this vital care and support weekly .
3 . The monthly cancer support group is attended by some of our cancer patients and
    patients attending the oncology clinic are also invited to attend .

oBJectiVe 5: run clinics weekly at Grahamstown hospice and monthly at
sunshine coast hospice
1 . The Hospice driver and senior care worker transport patients to and from their homes to
    attend the weekly Hospice clinic in Grahamstown .
2 . Drs Celia Jameson and Barbara Matthews conduct weekly clinics in Grahamstown and
    monthly at the Sunshine Coast Hospice in Kenton-on-Sea .
3 . The doctors examine and prescribe adjustments to patients’ treatment plans .
4 . The registered nurses collect the medication from the hospital on behalf of the patient .
5 . Where necessary the patients are admitted to the palliative care ward .



                                              12
oBJectiVe 6: Distribute essential medical accessories and equipment
1 . Patients can access a variety of incontinence products from Hospice . These are available
    free of charge to patients who are struggling financially.
2 . The multi-disciplinary team assesses patient and family needs and Hospice supplies the
    appropriate equipment.
3 . Donated medical supplies that are not available through Settlers Hospital or at local
    clinics are made available to patients identified as being in need.

oBJectiVe 7: Bereavement care/follow-up for families
1. Nurses, community workers and caregivers support bereaved families by continuing to
   visit after the death of the patient . Individual bereavement therapy is made available to
   members of the community . A care plan and visit form were developed and are now
   being used to ensure that the patient’s family needs are met .

oBJectiVe 8: train staff and
others in palliative care
1 . A total of 14 care workers from
    Settlers Hospital, local NGOs and
    Hospice received training in Home-
    based Care Level 1 and wrote their
    final exams at the end of April.
2 . An in-service training programme
    has been conducted and primary
    health      care     nurses   receive
    palliative care training supported
    through Canadian International
    Development Agency funding .
3 . Twenty        professional     nurses
    attended the five-day Introduction       The care worker “class” of 2007/2008 ... four Hospice care
                                                 workers completed the Home-based Care course.
    to Palliative Care course and seven
    professional nurses received their
    certificates after completing and passing the relevant assignments.
4 . Two professional nurses working in the palliative care ward completed the short course
    in palliative care .
5. Several talks, papers and posters were presented by Hospice staff at conferences,
    networking training sessions and workshops .
6 . Hospice also provided support to professional nurses who did their practical training in
    the palliative care ward .

oBJectiVe 9: optimise the use of unpaid volunteers and caregivers
1 . A caregiver’s course was run this year and several volunteers were placed with patients

                                                13
    where they do home visits and provide patients and their families with emotional
    support .
2 . The Centre of Social Development at Rhodes University linked us with several students
    from their Community Engagement Programme . These students have supported us with
    different projects including the children’s support group, stock counting, translation and
    other services .
3 . The volunteer caregivers attended monthly support and supervision sessions .

oBJectiVe 10: provide expertise in the palliative care ward at settlers hospital
1 . Hospice manages the admissions to the palliative care ward together with the palliative
    care specialist and nursing sister in charge. This ensures that patients who are admitted fit
    the criteria for admission .
2 . Hospice staff form part of the palliative care team in the hospital and attend the daily
    ward rounds at the palliative care ward and weekly ward rounds at Settlers Hospital .
3 . Hospice provides holistic care in the palliative care ward with the involvement of a
    counsellor and social worker and with referral to spiritual leaders .
4 . Through the accreditation process Hospice is also able to provide support regarding
    policies and procedures and advice on relevant palliative care standards .

oBJectiVe 11: effective networking with other organisations
1 . In order to provide holistic care Hospice provides our patients with information on
    available resources in the community .
2 . There is ongoing referral liaison between Hospice and other organisations .
3 . Hospice shares donated clothing with other organisations for their clients who are in
    need .
4 . Hospice staff members attend several monthly networking meetings .

                                                                                 Erica Botha
                                                        Assistant Director: Clinical Services




                                               14
           Grahamstown Hospice’s five nurses. Front L to R: Edith Dlukulu, Gladys Cagwe,
              Gwen van Heerden and back L to R: Thandi Sobata and Nomvuyo Pinini.
 Government and Corporate Fundraising Report


 2
       007/2008 was a challenging year for government and corporate
       funding .
           On the positive side, we thank the eight corporations
 and organisations who have never given to us before, came on
 board . Six made donations in cash totalling R600 000 . The Dell
 Foundation gave us eight brand new desktop PCs and Direct Relief
 International made massive donations of medical supplies and
 patient care items .
     This strategy to pursue more corporate funders so as to broaden
 our donor base and thereby contain our funding risks was adopted                Penny Morgan
 in 2006 during our last financial year. It is gratifying that we are
                                                            now starting to see the benefits of
                                                            implementing our new strategy for the
                                                            sustainable funding of Grahamstown
                                                            Hospice .
                                                               On the down side, due to their
                                                            separate internal structural changes,
                                                            two significant and longstanding
                                                            donors – the Department of Health
                                                            and the National Lottery – failed to
                                                            make any contribution during the
                                                            financial year under review. We have
                                                            reason to hope that both will support
                                                            us again in the coming financial year.
                                                            We are not alone in this as other
Care worker Noma-T with one of eight new PCs donated        Eastern Cape hospices – and indeed,
                by the Dell Foundation.                     other donor-funded NGOs – face
                                                            the same challenge .
                                                   The result of two major donors not assisting
                                               us in a single financial year necessitated a R300
                                               000 transfer from the Grahamstown Hospice
                                               Trust . Fortunately a large corporate donation
                                               late in the year left us with a year-end surplus .
                                                   Early in the financial year we received a large
                                               donation of medical supplies from the USA-
                                               based Direct Relief International . The donation
                                               was part of a Direct Relief pilot programme in the
                                               Eastern Cape . The programme was streamlined
                                               and extended, and in March we received a second
                                               delivery of much needed medical supplies .
 A Syringe driver used for pain control ...
    donated by Grahamstown Rotary.
                                                15
   Thanks also to our longstanding supporter, the Grahamstown Rotary Club, who in
conjunction with the North Hawaii Rotary Club gave us R92 000 for medical equipment
including wheelchairs, commodes, medical sheep-skins and an oxygen concentrator.
   We thank the provincial Department of Social Development for its ongoing and steady
financial support which amounted to R460 000. We would also like to thank the FNB
Fund and the Anglo American Chairman’s Fund for their unwavering ongoing support for
Grahamstown Hospice .
   Our formal Lotto funding partnership with Kingswood College’s Integrated Community
Development Programme ended its successful first year. We supported its second National
Lottery application in July 2007 – at the time of going to press, like many other NGOs, they
had still not received their second round of Lotto funds .

                                                                      Penny Morgan
                                                   Government & Corporate Fundraiser

                   upDate . . . In June 2008 the Department of Health
                   gave us R100 800 for 2007/08 care worker stipends .




                  Grahamstown Old Mutual’s Adrian Kemp hands over R100 000
                            to Hospice Chairperson Albertina Jere.


                                            16
Community Liaison Report


t
          he community support enjoyed by Hospice over the past
          year was once again incredibly heart-warming . Individuals
          and members of various churches, organisations, schools,
    societies and clubs fashioned creative ways of raising funds .
    Special tribute must be paid to the many volunteers who form
the backbone of Hospice, whether they journey with a patient
and their family as they deal with their illness or loss or whether
they give of their talents to raise funds for this free service . The
‘’Friday ladies” have, after many years, at long last acquired a male
to partner them and have continued to put in good hours of their               Angela Hibbert
valuable time, faithfully every week. This group supported various
projects including producing special individual care packs which included toiletries donated by
Direct Relief . These care packs were beautifully made up and handed to each Hospice patient
including the orphans and vulnerable children .
        Other faithful volunteers
continued to meet at a local old age
home and crafted beautiful, hand-
knitted garments for indigent patients .
All patients were provided with their
own beautifully crafted, colourful
blankets as usual . Beautiful baby
garments were also made up by these
volunteers for the “Bags of Blessings”
project supported by Hospice . These
bags are presented to moms of new-
born babies at the local hospital .
The 300 Club, which was originally
established by volunteers when
Hospice was in its infancy, is still co- L to R: Isabel, Helga and Anne finalise carepacks for patients.
ordinated by a hardworking volunteer
who spends many hours updating
the membership lists, receipting payments and recruiting new members. Individuals and
businesses are encouraged to make a difference in their community by supporting Hospice
in this way on an ongoing basis .
    As always, National Hospice Week was the highlight of the year and was jam-packed with
activities celebrating the theme “across all ages” highlighting that people of all ages need
palliative care . The community’s young and old responded enthusiastically to the appeal to
get involved with the various events, which included two knit-in sessions, the “Go Yellow”
campaign and a street collection, all in one week! The “Go Yellow” campaign, inspired by
the warmth and comfort symbolised by the sunflower, aptly depicted the role of Hospice in

                                                17
the lives of those facing life-threatening illnesses . Schools from all over town responded to the
Hospice challenge in a variety of heart-warming and encouraging ways: some wore ribbons,
some wore bright, bold yellow clothes with flowers in their hair, and others invited Hospice to
talk to them about the work done in their community . A parade was arranged by a school in
Joza where scholars marched through the streets wearing yellow and beating drums to chants
of “Hospice Day!” These fun-filled events were incredibly well supported and tremendously
successful and once again provided us with various platforms to promote palliative care and
the free service provided by Hospice . Every effort was made to spread the word to as many
communities as possible, including some more adventurous activities such as the Soccer
Tournament and the Golf Day . Local students even arranged a touch rugby tournament and
blessed us with the proceeds .
    Thanks to the efforts of the Hospice Chairperson and the Community Engagement
Programme at Rhodes University, 18 students met with the children from the Hospice
support group to paint a stunning mural to beautify the space used for their weekly meetings .
This project has given the children a sense of pride and ownership of their “space” and has
fostered further support from the students. So many kind donations as well as donations “in
kind” were received with tremendous appreciation for the support which has made such a
difference in the lives of Hospice patients .
    Without doubt the boldest of the efforts to raise funds for the work that Hospice staff
and volunteers are so passionate about was our Festival Coffee Shop . This project was
co-ordinated by more than 60 volunteers and saw the launch of the “Sponsor a Nurse”
fundraising scheme .
    Musical highlights were also provided during the year by schools in grand style with
moving performances in aid of Hospice . The Voices for Hospices concert with Handel’s
Messiah and the Tree of Lights ceremony at the Cathedral were fitting tributes to Hospice
carers, patients and families.

                                                                          Angela Hibbert
                                                                 Community Liaison Officer




                                               18
                         Kingswood preschoolers celebrate Hospice Week.
Finance & Administration Report


i
      t has been a year of goodbyes in the finance and administration
      department. First we said goodbye to Ann Baxter, well known
      and much loved receptionist at our Milner Street offices. Later
in the year Janine Peinke resigned to leave in April 2008 .
    Janine, our dedicated bookkeeper and administrator, had been
with Hospice for 11 years. She notes: “I joined Hospice when we
had about 60 patients, a staff of eight and a budget of around
R300 000. Now we have a staff of 34, a branch in Port Alfred, over
220 patients and a budget of R2,8 million.”
    Ann had been with Hospice for four years . Her jolly personality          Janine Peinke
is missed by her ex-colleagues as well as the many visitors to our
offices. She has moved to Thohoyandou where her husband is lecturing in Zoology at the
University of the North .
                                                     Our appeal to the Grahamstown
                                                  community for donations of old cell
                                                  phones was very successful – it brought in
                                                  over 20 cell phones that are being used by
                                                  our nurses and care workers .
                                                     We are happy to report that we have had
                                                  a quiet year with regard to vehicle incidents.
                                                  The prevailing petrol price fluctuations make
                                                  transport costs impossible to estimate .
                                                     Over the year we did the ground work
                                                  for centralising the salary payroll for
                                                  Grahamstown and Sunshine Coast Hospice .
                                                  1 April 2008 saw all the salaries being paid
                                                  from Grahamstown .
       Erica Botha (L) and Janine say goodbye.
                                                     Predictably the administration function
                                                  was heavily involved with revising our
                                                  policies and procedures for the COHSASA
                                                  pre-Audit in February. We are confident that
                                                  we will again be successful at the coming
                                                  official COHSASA Audit.
                                                     On 26 and 27 July 2007 Grahamstown
                                                  Hospice hosted delegates from seven
                                                  Hospices and three developing home-based
                                                  care sites in the Eastern Cape for the annual
                                                  Eastern Province Hospice Association
                                                  (EPHA) conference and AGM .
           Ann Baxter ... off to new pastures.
                                                     A special guest, Andrew MacCalla from

                                              19
                                         Direct Relief International in the United States,
                                         addressed the delegates on Friday before the
                                         AGM was held . Five Hospices in the Eastern
                                         Cape have benefited from a generous donation
                                         of medical supplies from DRI earlier this
                                         year and we can look forward to some further
                                         assistance .

                                                                         Janine Peinke
                                                               Manager: Administration

Andrew MacCalla from Direct Relief
 International in Grahamstown to
   attend the EPHA conference.




            upDate . . . Janine Peinke has rejoined the Grahamstown
                         Hospice staff as Administrator .




                The Hospice bus transports Support Group children to the
                      Thomas Baines Nature Reserve for a picnic.




                                          20
SUNSHINE COAST HOSPICE
SUNSHINE COAST HOSPICE
Sunshine Coast Hospice Report


   s
         unshine Coast Hospice has had a busy, challenging but very
         rewarding year. With the help and support of David Barker,
         Erica Botha, Penny Morgan, Janine Peinke and Angela
Hibbert from Grahamstown Hospice we have met the challenges
and gone from strength to strength to provide the invaluable service
that we give to our extended community .

STAFF
    Our ever-increasing patient load has been covered during the             Zelda Elliott
year by our dedicated nursing sisters and care workers . We were
sorry to say goodbye to Sister Helen Lansdell at the end of December after eight years of
dedicated and loyal service . Helen had endeared herself to the many patients and families
that she cared for as well as her colleagues and she is sadly missed . We wish her well in her
retirement. Sister Alice Torr, who had been in charge of the Nemato township area, moved
to take over Helen’s area where she is doing a sterling job . We were delighted when Sister
Susan McGarvie joined our team in January . She was in charge of Alexandria and the Port
Alfred township. It wasn’t long, however, before we realised that it was impossible for her
to cover both areas, and Staff Nurse Annelle De Beer will join us on 1 April 2008 to assist
Susan in the Alexandria area . Sister Margie Waddington has continued to look after our
patients in the Kenton-on-Sea area. Bukeka Ncame, our social worker, resigned last year and
we were pleased to welcome Ndumiso Mateyisi to our team in July . Ndumiso has been kept
very busy with the ever-increasing social needs in our area and has fitted in well with our
team as well as with the community .
    Our front desk has once again been run by Rosita Winter . She has been involved with
Sunshine Coast Hospice since we started with our office 10 years ago and prior to that she
was with Grahamstown Hospice . Rosita retired at the end of March and her position will be
filled by Hester Liebenberg. Rosita has always been such an important part of Hospice and
will be missed. However, she will not be
lost to the community as she will still be
involved in caring for patients and their
families. We all wish her a happy, well-
deserved retirement .
    Marion Konig has done a sterling job
as our bookkeeper over the last year as
well as assisting in all tasks when needed
to do so. Thanks, Marion.

VOLUNTEERS
   Special thanks to our team of
                                               Zelda (L) and Helen say goodbye as Helen retires.
volunteers who come in to assist us

                                             22
in many ways. They spend hours sorting clothes, delivering them and generally being of
tremendous assistance to us all . The time that they save us is incredible and much appreciated .
Thanks to each and every one of you . We receive many items of donated clothing and those
that can’t be used for our patients are sent to Petticoat Lane, who sell them in aid of all local
charities. They are an incredible and much appreciated team of ladies – particularly for their
cash donations to Hospice .
    Our card ladies spend many hours reconditioning old greetings and Christmas cards .
These are most popular and we have a steady stream of regular visitors who come in to the
office to purchase these. Thanks to all these dedicated ladies who help so much to bring in
a steady income .

ADMINISTRATION
   We were all most excited and extremely grateful to receive three new computers from
the Dell Foundation . Keith and Marius from Compudoc kindly provided us with internet
facilities which enable us to communicate more efficiently with Grahamstown and other
businesses .

AGM
   A very well-attended AGM was held
at the Marina Clubhouse in May . We were
sorry to lose Neville Wiblin from our
Management Committee . Neville has served
for many years and still continues to assist
wherever possible . I would like to thank all
our Management Committee members for
their incredible support and help in recent
years . Russel and Joy Geard were involved in
                                                      Neville Wiblin chats to now retired Sister Ruth
a car accident and both sustained fractured            Kabane as he retires from Sunshine Coast
collar bones . They are both recovering well .                  Management Committee.


FUNDRAISING
   300 Club: Rosita has put a lot of work into the 300 Club and last year we had over 300
members . At present members are renewing daily and hopefully we will exceed last year’s
numbers . Thanks to all our loyal members who so willingly support us through the 300
Club .
   Bathurst Show: We were fortunate to once again be asked to man the gates at the Bathurst
Show . This involved long hours of work put in by our volunteers managed by Barrie Purdon
and his helpers . We received over R7 000 which was a big boost to our income . At the Show
we received a wonderful surprise when the Stirk family auctioned an ox for Hospice which
realised R6 700 with Hobson & Co not charging any commission .
   Spring Spectacular: In September we enjoyed a very successful 10th Spring Spectacular .
Our theme was celebrating “10 Spectacular Years” and everything was “Spectacular”!
Over R100 000 was raised which was due to the incredible commitment and hard work

                                                 23
of our volunteers and supporters . We are busy organising our next Spring Spectacular for
September. Our “Spring Spectacular” Dinner Dance with Auction is our major fundraiser
each year. In addition we held a Bridge Drive, various raffles, a street collection, Carols by
Candlelight and our Tree of Lights, all of which bring in substantial amounts.
   Donations: Donations small and large continue to come in . Donations were received from
the Freemasons, SAAF, Churches and private people. Every donation, whether small or
large, is very much appreciated. Donations in memory of loved ones are also regularly
received .

                                                                                 Zelda Elliot
                                                                     Manager: Sunshine Coast




            (L to R) Care workers Zoleka and Buyelwa with nurses Margie, Alice and Helen
                     and receptionist Rosita. At the back is social worker Ndumiso.




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FINANCIAL STATEMENTS
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               Grahamstown school children enjoy Hospice Week with
                             a “Go Yellow” march.



Grahamstown hospice                           sunshine coast hospice

          PO Box 664                                       PO Box 281
     Grahamstown 6140                                    Port Alfred 6170
        15 Milner Street                           Shop 1A Campbell Street
     Grahamstown 6139                                      Port Alfred
       Tel: 046 622 9661                            Tel: 046 624 2107 / 4107
       Fax: 046 622 9676                                Fax: 046 624 2107
 e-mail: hospice@telkomsa .net              e-mail: zelda@hospice .port-alfred .co .za

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