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What the Vision 2030 announcement said on healthcare

Transfer the responsibility for health care provision to a network of public companies

Promote competition and transparency between public and private companies to enhance the standard and quality of health care services

Prepare for privatisation in the longer term.

Work towards developing private medical insurance to improve access to medical services and reduce waiting times

Table 16: National transformation Plan objectives for the Ministry of Health
No. Strategic objective Key Performance Indicator (KPI) Unit Baseline 2020 target Regional b'mark Int'l b'mark

1 Increase private sector share of spending through alternative financing methods and service provision Percentage of Private sector contribution in total healthcare spend % 25 35 37 60
2 Increase the efficient utilization of available resources Opex for every new inpatient admission SAR 33,000 33,000 39,000 NA
3 Improve the efficiency and effectiveness of the healthcare sector through the use of information technology and digital transformation Percentage of Saudi citizens who have a unified digital medical record % 0 70 NA 100
4 Increase training and development both locally and internationally Number of resident Saudi physicians who are enrolled in training programs Number 2,200 4,000 NA NA
5 Increase the attractiveness of nursing and medical support staff as a preferred career path Number of qualified Saudis in the field of nursing and support staff for every 100,000 people For every 100000 70 150 460 1,106
6 Improve healthcare provision before hospitalization and in the main hospitals (ER & ICU) Percentage of patients who received emergency or urgent care with medical decision made (admission/ transfer/ discharge) in less than 4 hours in key hospitals % 40 75 Under study 95
7 Improve integration and continuity in service provision by developing the primary care Number of primary healthcare visits per capita Number 2 4 3.4 7
8 Improve the infrastructure, facility management, and safety standards in healthcare facilities Number of licensed medical facilities ( affiliated with the Ministry of Health and private) % 40 100 100 100
9 Attain acceptable waiting times across all stages of service delivery % of appointments received in specialized medical disciplines within 4 weeks (average for all specialties in key hospitals) % <40 70 Under study 83
10 Improve governance in the health system in order to enhance accountability with regards to quality issues and patient safety % of Healthcare facilities reporting comprehensive performance and quality measures % 10 100 NA 100
11 Adopt a national plan for emergency response to public health threats per international standards WHO emergency preparedness assessment score – average score for Riyadh, Jeddah and Eastern Province Score Calculation In Progress 4-5 Under study Under study
12 Identify additional sources of revenues Total revenue generated from private sector for utilizing government health resources SAR bn 0.3 4 NA NA
13 Improve public health services with focus on obesity and smoking Increase in percentage of smoking incidence % Calculation In Progress Reduce by2% from baseline 12.5* 10.5*
Increase in percentage of obesity incidence % Calculation In Progress Reduce by1% from baseline 19.4* 5*
14 Improve the quality of life and healthcare service provided to patients outside hospitals The percentage of patients who get health care after critical care and longterm hospitalization within 4 weeks % 25 50 NA 65
15 Improve quality and safety principles as well as skills of service providers Percentage of hospitals that meet the US median for patient safety culture % 10 50 NA 50

Source: Saudi National Transformation Plan

SAR23bn budget allocated for the MoH’s NTP programmes
The Ministry of Health (MoH) has been allocated SAR23bn for the transformation plan over the next five years, with any contribution from the private sector on top. Over half (56%) of the funds have been allocated to reform of primary healthcare and to the establishment of electronic medical records. Only 4% of funds (SAR937m) have been allocated to health insurance.

52 GEMs Paper #26 | 30 June 2016 Merrill Lynch
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