4) Patient safety and security . Perimeter fencing was changed in 2011 from pourous mesh fence wall. This reduced the number of entrances and exits. . Outsourced security remained a risk following challenges of the supplier with the South African Revenue Services (SARS). . Training of health professionals from different disciplines including other categories on NCS and six priority areas was provided. . Internal self assessment using the core standards questionnaires was conducted quarterly to assess standard adherence from clinical and non clinical areas. . Monthly mortality and morbidity meetings in medical disciplines, patient safety group (PSG) and pharmaceutics and therapeutics committee (PTC) meetings were conducted. . Daily checking of critical equipment by different units to ensure functionality and maintenance was done according to maintenance plan by health technology manager.