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Rethinking Healthcare: SA Needs Better Risk & Cost Control

Robert Palmer, Head of Professional Services at Afroteq, believes it’s time for smarter, more proactive management of healthcare facilities across both public and private sectors. “The question isn’t just how much we’re spending, but how we’re spending it,” he says.

Quantity Surveyors in Healthcare

Palmer explains that quantity surveyors are essential in ensuring hospital and clinic construction projects are delivered on time, within budget, and to the required standards. Their cost management expertise is crucial in a sector where financial resources are limited but patient care cannot be compromised.

Beyond Bricks and Mortar

Hospital projects are complex, especially in South Africa, where upgrades often take place in functioning healthcare environments. Quantity surveyors help navigate these challenges by estimating costs, managing tenders, advising on procurement, ensuring compliance, and applying value engineering to maintain quality while reducing expenses.

The Case for Smart Investment

Palmer says infrastructure must be seen as a strategic asset. That means involving quantity surveyors, architects, and engineers early in the process. “Risk, value, and compliance must shape the project from day one,” he argues. Technology like digital modelling and predictive maintenance should be built into the plan from the start.

Tailored Solutions

Palmer stresses that context matters. What works for a private clinic in Johannesburg may not suit a rural hospital in the Eastern Cape. “A one-day delay in opening a rural maternity ward doesn’t just affect a balance sheet – it can determine whether a mother gives birth safely.”

Building for the Future

To meet future demands, healthcare infrastructure must be adaptable, resilient, and built with long-term value in mind. Quantity surveying should be seen not only as a financial role but as a critical function that aligns budgets with outcomes and delivers sustainable healthcare solutions.

“Every hospital project should be judged not just by when it opens, but how well it works and how long it lasts,” Palmer concludes.

Robert Palmer
Head of Professional Services: Afroteq

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