Questions and Replies
14 December 2023 - NW4197
Hicklin, Ms MB to ask the Minister of Health
(a) What total number of health inspectors are currently employed in each province, (b) what is the vacancy rate of health inspectors in each province and (c) by what date does his department intend to fill all the vacancies in each case?
Reply:
a) The total number of Environmental Health Practitioners (Health Inspectors) per Province is as outlined in the table below under column 4:
b) The vacancy rate per Province as listed below in the table under column 5.
c) The department is not responsible for filling the vacancies of Environmental Health Practitioners (Health Inspectors) because these officials are working directly under 44 Districts and 8 Metropolitan municipalities. The mandate to appoint EHPs lies with the Districts and Metropolitan municipalities.
Table depicting the total number of EHPs and the vacancy rate:
|
Province |
Population as per Census 2022 |
Required EHPs (Inspectors) Per Ratio of 1: 10 100 |
Number of EHPs (Inspectors) per Province |
Vacancy Rate per Province (vacant Funded Positions) |
|
Eastern Cape |
7230204 |
723 |
203 |
8.86% |
|
Free State |
2964411 |
296 |
71 |
21.13% |
|
Gauteng |
15099422 |
1510 |
437 |
14.42% |
|
KwaZulu Natal |
12423908 |
1242 |
287 |
10.45% |
|
Limpopo |
6572720 |
657 |
129 |
3.1% |
|
Mpumalanga |
5143324 |
514 |
81 |
3.70% |
|
North West |
3804546 |
380 |
76 |
28.95% |
|
Northern Cape |
1355945 |
136 |
55 |
50.9% |
|
Western Cape |
7433019 |
743 |
373 |
2.42% |
|
RSA |
62027499 |
6203 |
1712 |
END.
14 December 2023 - NW4163
Hlengwa, Ms MD to ask the Minister of Health
Whether his department has records of the number of specialists in each specified area of specialisation (a) in each province, (b) in the public health service, and (c) in the private health service during the 2013-2023 period; if not, why not; if so, what are the relevant details?
Reply:
The data as requested is drawn from the Persal System and was extracted on 30 November 2023. Unfortunately, records on the Persal System are not able to provide granule data of each specialization as Specialists are not captured per specialization but per Professional Category.
(a)-(b) The table below responds to question (a) and (b) which is the data available on the Persal system. We do acknowledge that the Professional Councils also keep data of all specialities but with a limitation of not being able to still distinguish between employment status (public or private) as well as current location of practice (Nationally or Abroad).
|
Row Labels |
EC |
FS |
GAU |
KZN |
LP |
MPU |
NW |
NC |
WC |
|
Medical Specialist |
163 |
127 |
1026 |
569 |
81 |
51 |
113 |
29 |
749 |
|
Registrar (Medical) |
97 |
186 |
1265 |
334 |
94 |
4 |
44 |
2 |
630 |
|
Senior Registrar (Medical) |
1 |
0 |
10 |
0 |
1 |
0 |
0 |
0 |
48 |
|
Professional Nurse (Specialised) |
1448 |
596 |
2834 |
3605 |
1539 |
775 |
1265 |
150 |
1416 |
|
Dental Specialist |
0 |
1 |
60 |
2 |
3 |
2 |
0 |
0 |
5 |
|
Grand Total |
1709 |
910 |
5195 |
4510 |
1715 |
832 |
1422 |
181 |
2848 |
(c) Not able to provide information of specialist currently in the private sector as the Department is currently not collecting the data but still improving our Human Resource Information System to be operable with private sector.
END.
14 December 2023 - NW3890
Clarke, Ms M to ask the Minister of Health
Regarding the struggle for foreign qualified doctors to register with the Health Professions Council of South Africa (HPCSA) for every year since 2013, what (a) total number of foreign qualified doctors (i) applied to be registered with the HPCSA and (ii) were successfully registered and (b) were the reasons that the other doctors were not registered?
Reply:
According to the Health Professions Council of South Africa (HPCSA), the HPCSA underwent major organisational changes with substantive configurations that took effect in 2019/20. Regrettably, a lot of information from financial years prior to 2019 is still to be collated through the Knowledge Management Process. Currently, information as it relates to the question asked is available from 2017 as follows:
a) (i) The total number of foreign qualified graduates that applied to the HPCSA between 2017 and 2023 was 3836, and
(ii) of these 2056 applicants did not write the exams for various reasons outlined below. A total of 1780 foreign graduates wrote the exams, 1066 passed and thus qualified for registration.
b) Applicants would not proceed to registration for a variety of reasons, including, but not limited to the following –
(i) Failure to provide compliant documentation, including information on curricula, notarized documentation, hours of training, domains covered, etc.;
(ii) Non-recognition of qualification by the designated entity, in this case, the Educational Commission for Foreign Medical Graduates (ECFMG); and
(iii) Failing, either the theory and/or board examinations.
END.
14 December 2023 - NW4049
Clarke, Ms M to ask the Minister of Health
Whether, with regard to the 11th SA AIDS Conference, 2023, that was held in Durban, his department ordered an expo stand; if so, (a) for how many days, (b) what was the cost of the stand (i) in total and (ii) for each day, (c) how (i) was the stand utilised and (ii) is return on investment measured in relation to the stand?
Reply:
The National Department of Health organized an exhibition stand in collaboration with the South African National AIDS Council (SANAC) during the 11th SA AIDS Conference.
a) The exhibition stand was on display for three (3) days in line with the exhibition hall operational period.
b) The total cost for the stand was -
- Total cost for three (3) days amounted to R1,055,951. The cost of the stand included booking of exhibition space at the Durban ICC exhibition Hall, Conceptualization, design, production and dismantling of an exhibition stand frame, panels, related items and Recording, production and editing of videography and photography of HIV/AIDS, STIs and TB interventions/programmes that were showcased during the exhibition.
- Costs were not broken-down per day. According to the terms and conditions of the Conference Organisers, the Exhibition space is booked for the duration of the Conference, there are no daily rates applicable.
c) (i) The stand was utilised as a platform to popularise the current National Strategic Plan (NSP) for HIV, TB and STIs: 2023-2028, and showcasing the achievements of the country’s HIV response.
(ii) Return on investment is that the Department in collaboration with SANAC was able to provide a platform for engagement (dialogues) with various stakeholders on innovative interventions implemented to prevent new HIV infections. Furthermore, delegates had the opportunity to share lessons learnt, best practices and new scientific and behavioural developments in HIV response.
END.
24 November 2023 - NW3767
Clarke, Ms M to ask the Minister of Health
(1)Whether, with reference to the R5 billion class-action lawsuit in which the Tshiamiso Trust was ordered to pay compensation to mine workers after they contracted tuberculosis and silicosis at five mines (details furnished), and since the merger of the Medical Bureau for Occupational Diseases (MBOD) and Compensation Commissioner for Occupational Diseases (CCOD), the CCOD has taken over the processing of the claims; if not, what is the position in this regard; if so, (a) what is the current backlog in the processing of the specified claims and (b) by what date will the backlog be eradicated; (2) whether the CCOD has had any engagement with the Tshiamiso Trust; if not, why not; if so, (a) how often have they engaged and (b) what was the (i) date and (ii) nature of each engagement?
Reply:
According to the Compensation Commissioner for Occupational Diseases in Mines and Works:
1. The CCOD is responsible for the administration of the Mines and Works Compensation Fund under the Occupational Diseases in Mines and Works Act, 78 of 1973. The Tshiamiso Trust is an independent trust set up through the class action settlement in 2018. The CCOD is not processing claims on behalf of the Trust as the Trust has its administration for claims processing.
(a)-(b) The CCOD is not involved in the processing of claims lodged with the Tshiamiso Trust. The details relating to the current backlog in the processing of the specified claims and the date on which the backlog will be eradicated can be obtained from the Dr M Kwinda, the Chief Executive Officer of the Tshiamiso Trust at [email protected].
2. (a) The MBOD/CCOD interacts with the Tshiamiso Trust in areas of common interest. Additionally, the Commissioner (Dr Kistnasamy) is a member of the Board of Trustees of the Tshiamiso Trust.
(b) (i)-(ii) During the period 1 April 2023 to 31 October 2023, Dr Kistnasamy attended three Benefits Committee meetings; two meetings of the Governance, Human Resources and Remuneration Committee; two Trust Advisory Committee meetings; three Board of Trustees meetings and the Annual General Meeting of the Trust. Regular meetings are also held between the operational teams of the MBOD/CCOD and Tshiamiso trust regarding the exchange of information to assist with the tracking of claimants with unclaimed benefits; outreach activities for ex-mineworkers (Eastern Cape (April 2023) and Free State (September 2023) and discussions with service providers who provide the call centre inputs and the compensation claims management system across the MBOD/CCOD and the Trust.
END.
24 November 2023 - NW3740
Tito, Ms LF to ask the Minister of Health
What (a) measures have been put in place by his department to raise Malaria awareness in the Republic and (b) assistance has been specifically provided for residents in (i) Mpumalanga, (ii) Limpopo and (iii) KwaZulu-Natal which are the high-risk provinces?
Reply:
a) The National Department of Health raises awareness through various communication platforms such as social media, which includes Facebook and Twitter. There are also periodic webinars conducted, which are open to the public. There are national and local radio malaria campaigns conducted by both the National and Provincial Departments of Health. Community campaigns are conducted before and during the high peak seasons to sensitize and raise awareness. Key Malaria days, such as World Malaria Day, SADC Malaria day and Mosquito day are also commemorated across the country.
b) (i)(ii)(iii) South Africa’s strategy to prevent, detect and diagnose Malaria in high-risk provinces is implemented in Mpumalanga, Limpopo and KwaZulu-Natal. In each of the provinces, the Department has fully functional Malaria Control Programmes which oversee activities geared towards malaria elimination and consist of the following:
- The screening and testing of patients who show signs and symptoms of malaria is prioritized at facilities. This is to ensure patients are promptly diagnosed and treated with the recommended first line treatment to avert unfavourable outcomes and to disrupt ongoing transmission and/or spread.
- Subsequently, active case finding is implemented at community level, which entails screening, testing and treatment for any identified cases to avert further community transmission.
- Surveillance units deployed to the border areas to expand access to early diagnosis and treatment for border communities as well as mobile and migrant populations.
- Prophylaxis is also available in all public health facilities for those who are traveling from non-endemic areas to endemic areas.
- Vector control through Indoor Residual Spraying (IRS), supplemented by the treatment of stagnant water bodies, also called larviciding. This is timed to cover the peak transmission periods.
- Targeted Health Promotion and Risk Communication Community Engagement.
END.
24 November 2023 - NW3823
Hlengwa, Ms MD to ask the Minister of Health
Whether his department has any records on the total number of forensic pathology (a) laboratories and (b) vehicles used by each forensic pathology laboratory in each municipality; if not, why not; if so, what (i) area in kilometer radius does each vehicle and laboratory service and (ii) is the average response and service time in each district in each case?
Reply:
a) Table 1 below indicates the total number of Forensic Pathology Service(mortuaries) by province.
Table 1
|
Province |
Number of mortuaries |
|
Eastern Cape |
22 |
|
Free State |
11 |
|
KwaZulu Natal |
33 |
|
Gauteng |
11 |
|
Limpopo |
12 |
|
Mpumalanga |
21 |
|
Northern Cape |
11 |
|
Northwest |
7 |
|
Western Cape |
17 |
|
Total |
145 |
b) (i)) (ii) is indicated in tables below by Province.
EASTERN CAPE PROVINCE
|
District |
Name of mortuary |
Municipality |
Number of Vehicles |
Average response time and radius serviced |
|
Chris Hani Health District |
Queenstown FPS |
Chris Hani |
5 vehicles |
Average response time ranges between 1 to 3 hours. Radius is 160 km |
|
Joe Gqabi Health District |
Molteno holding facility |
Joe Gcabi |
1 vehicle |
Average response time ranges between 1 to 3 hours. Radius is 150 km |
|
Aliwal North FPS |
2 vehicles |
Average response time ranges between 1 to 3 hours. Radius is 250 km |
||
|
Mt Fletcher FPS |
2 vehicles |
Average response time ranges between 1 to 3 hours. Radius is 130 km |
||
|
Nelson Mandela Bay Health District |
New Brighton FPS |
Nelson Mandela Metropolitan |
3 vehicles |
Average response time ranges between 1 to 3 hours. Radius is 70 km |
|
Sarah Baartman Health District |
Gelvandale FPS |
Sarah Baartman |
3 vehicles |
Average response time ranges between 1 to 3 hours. Radius is 50 km |
|
Mount Road FPS |
3 vehicles |
Average response time ranges between 1 to 3 hours. Radius is 40 km |
||
|
Uitenhage holding facility |
2 vehicles |
Average response time ranges between 1 to 3 hours. Radius is 50 km |
||
|
Grahamstown FPS |
2 vehicles |
Average response time ranges between 1 to 3 hours. Radius is 100 km |
||
|
Graaf Reinet FPS |
2 vehicles |
Average response time ranges between 1 to 3 hours. Radius is 90 km |
||
|
Port Alfred Holding Facility |
1 vehicle |
Average response time ranges between 1 to 3 hours. Radius 80 km |
||
|
Joubertina Holding Facility |
1 vehicle |
Average response time ranges between 1 to 3 hours. Radius is 100km |
||
|
OR Tambo Health District |
Mthatha FPS |
Ngquza Hill Port St Johns Nyandeni Mhlontlo King Sabata Dalindyebo |
4 vehicles |
Average response time ranges between 1 to 3 hours. Radius is 120km |
|
Alfred Nzo District |
Lusikisiki FPS |
Matatiele Umzimvubu Mbizana Ntabankulu |
3 vehicles |
Average response 1-hour urban area and 3 hours rural areas Radius is 100km |
|
Bizana FPS |
2 vehicles |
Average response 1-hour urban area and 3 hours rural areas Radius is 150km |
||
|
Mt Frere FPS |
2 vehicles |
Average response 1-hour urban area and 3 hours rural areas Radius is 150km |
||
|
Amathole District |
Mdantsane FPS |
Amahlathi Great Kei Mbhashe Mnquma Ngqushwa Nkonkobe Nxuba |
3 vehicles |
Average response time ranges between 1 to 3 hours. Radius is 40 km |
|
Bhisho FPS |
2 vehicles |
Average response time ranges between 1 to 3 hours. Radius 50 km |
||
|
Butterworth FPS |
1 vehicle |
Average response time ranges between 1 to 3 hours. Radius 60 km |
||
|
Adelaide FPS |
1 vehicle |
Average response time ranges between 1 to 3 hours. Radius 100 km |
||
|
Dutywa FPS |
2 vehicles |
Average response time ranges between 1 to 3 hours. Radius 60 km |
||
|
Buffalo City Metropolitan District |
Woodbrook FPS |
Buffalo City Metropolitan |
3 vehicles |
Average response time ranges between 1 to 3 hours. Radius 70 km |
FREE STATE PROVINCE
|
District |
Facility |
Municipality |
Number Of Vehicles |
Average response time and radius serviced |
|
Mangaung Metro |
Bloemfontein FPS |
Mangaung |
1 Vehicle |
Average response time ranges between 1 to 3hours The radius is 400 km |
|
Botshabelo FPS |
1 vehicle |
|||
|
Lejweleputswa |
Welkom FPS |
Matjhabeng |
1 vehicle |
Average response time ranges between 1 to 3hours. The radius is 260km |
|
Thabo Mofutsanyana |
Phuthaditjhaba FPS |
Maluti A Phofung |
1 vehicle |
Average response time ranges between 1 to 3hours. The radius is 330km |
|
Bethlehem FPS |
Dihlabeng |
1 vehicle |
||
|
Fezile Dabi |
Sasolburg FPS |
Metsimaholo |
1 vehicle |
Average response time ranges between 1 to 3hours. The radius is 85 km |
|
Kroonstad FPS |
Moqhaka |
I vehicle |
GAUTENG PROVINCE
|
District |
Name of mortuary |
Municipality |
Number of Vehicles |
Average response time and radius serviced |
|
Tshwane |
Bronkhorstspruit |
Tshwane Metropolitan |
3 vehicles |
Average response time ranges between 1to 2hours The radius is 78km |
|
Ga-Rankuwa |
6 vehicles |
Average response time ranges between 1to 2hours The radius is 48km |
||
|
Pretoria |
7 vehicles |
Average response time ranges between 1to 2hours The radius is 27km |
||
|
Johannesburg |
Diepkloof |
Johannesburg Metropolitan |
6 vehicles |
Average response time ranges between 1to 2hours The radius is 50km |
|
Johannesburg |
7 vehicles |
Average response time ranges between 1to 2hours The radius is 80km |
||
|
West Rand |
Roodepoort |
Merafong City Mogale City Rand West |
7 vehicles |
Average response time ranges between 1to 2hours The radius is 120km |
|
Carletonville |
7 vehicles |
Average response time ranges between 1to 2hours The radius is 100km |
||
|
Sedibeng |
Heidelberg |
Emfuleni Lesedi Midvaal |
3 vehicles |
Average response time ranges between 1to 2hours The radius is 50km |
|
Sebokeng |
8 vehicles |
Average response time ranges between 1to 2hours The radius is 55km |
||
|
Ekurhuleni |
Germiston |
Ekurhuleni Metropolitan |
9 vehicles |
Average response time ranges between 1to 2hours The radius is 42km |
|
Springs |
9 vehicles |
Average response time ranges between 1to 2hours The radius is 25km |
KWA ZULU NATAL PROVINCE
|
District |
Facility |
Municipality |
Number of Vehicles |
Average response time and radius serviced |
|
Ethekwini |
Phoenix FPS |
Ethekwini |
15 |
Average response time is 2 hours. The radius is 98km |
|
Pinetown FPS |
Ethekwini |
8 |
Average response time is 1hour. The radius is 90km |
|
|
Ugu |
Park Rynie FPS |
Umdoni |
7 |
The average response time is 1 hour. The radius is 110 km |
|
Port Shepstone |
Ray Nkonyeni |
6 |
The average response time is 1 hour. The radius is 175 |
|
|
Harding |
Muziwabantu |
5 |
The average response time is 1 hour. The radius is 50km |
|
|
Ilembe |
KwaDukuza |
kwadukuza |
3 |
Average response time is 2hours. The radius is 65km |
|
Umgungundlovu |
Pietermaritzburg |
Msundusi |
9 |
Average response time is 1h30 The radius is 50km |
|
New Hanover |
Umshwati |
2 |
Average response time is 1hour. The radius is 75 km |
|
|
Howick |
Umgeni/Mpofana |
2 |
Average response time is 1hour. The radius is 100km |
|
|
Richmond |
Richmond |
3 |
Average response time is 1hour. The radius is 75km |
|
|
Uthukela |
Ladysmith |
Alfred Duma |
9 |
Average response time is 1h30 The radius is 150 km |
|
Estcourt |
Inkosi Langalibalele |
4 |
Average response time is 2 hours rural area, 30 min urban area. The radius is 120km |
|
|
Umzinyathi |
Dundee |
Endumeni, Nqutu |
5 |
Average response time is 2 hours. The radius is 175 km |
|
Greytown |
Umvoti |
6 |
Average response time is 50min. The radius is 160km |
|
|
Amajuba |
Newcastle/ Dannhauser |
Newcastle |
2 |
Average response time is 1 hour in rural area, 30 min urban area. The radius is 105km |
|
Madadeni |
Madadeni |
3 |
Average response time is 30min. The radius is 120km |
|
|
Harry Gwala |
Kokstad |
Kokstad |
2 |
Average response time is 1h30 The radius is 100km |
|
Ixopo / Bulwer |
Ubuhlebezwe/ Nkosazana Dlamini Zuma |
4 |
Average response time is 2 hours. The radius is 150km |
|
|
Umzimkulu |
Umzimkulu |
4 |
Average response time is 30min. The radius is 100km |
|
|
Zululand |
Ulundi |
Ulundi |
5 |
Average response time is 30min. The radius is 40km |
|
Nongoma |
Nongoma |
5 |
Average response time is 45min. The radius is 75km |
|
|
Vryheid/ Paulpietersburg |
Abaqulusi / Edumbe |
5 |
Average response time is 1hour. The radius is 100km |
|
|
Pongola |
Pongola |
3 |
Average response time is 45min. The radius is 75km |
|
|
Umkhanyakude |
Mtubatuba |
Mtubatuba |
7 |
The average response time is 1 hour. The radius is 80km |
|
Mkhuze |
Jozini |
3 |
Average response time is 2 hours. The radius is 85km |
|
|
Mosvold |
Jozini |
3 |
Average response time is 2 hours. The radius is 150km |
|
|
Manguzi |
Umhlabuyalingana |
4 |
Average response time is 2 hours. The radius is 120km |
|
|
King Cetshwayo |
Richards Bay |
Mhlathuze |
7 |
Average response time is 1h30 The radius is 100km |
|
Eshowe |
Umlalazi |
6 |
Average response time is 2hours. The radius is 70km |
|
|
Nkandla |
Nkandla |
2 |
Average response time is 2hours. The radius is 60km |
LIMPOPO PROVINCE
|
District |
No Of Facilities |
Municipality |
Number of Vehicles |
Average response time and radius serviced |
|
Capricorn |
Polokwane FPS |
Polokwane Capricorn District Municipality |
7 vehicles |
30 min in an urban area and 60 min in rural. The radius for each facility is 90km |
|
Lebowakgomo FPS |
Lepelle Nkumpi Feta Kgomo Makhudu Mathamaga |
5 vehicles |
30 min in an urban area and 60 min in rural. The radius for each facility is 90km however there are areas that stretches beyond 90km |
|
|
Mopani |
Letaba FPS |
Greater Tzaneen |
5 vehicles |
30 min in an urban area and 60 min in rural. The radius for each facility is 90km |
|
Maphutha Malatjie FPS |
Ba Phalaborwa |
1 vehicle |
||
|
Nkhesani FPS |
Greater Giyani Collins Chabane |
1 vehicle |
||
|
Kgapane FPS |
Greater Letaba |
1 vehicle |
||
|
Waterberg |
Mokopane FPS |
Mogalakwena Mookgopong Lephalale |
5 vehicles |
30 min in an urban area and 60 min in rural. The radius for each facility is 90km |
|
Bela Bela FPS |
Thabazimbi Modimolle Bela Bela |
4 vehicles |
||
|
Vhembe |
Tshilidzini FPS |
Musina Thulamela |
5 vehicles |
30 min in an urban area and 60 min in rural. The radius for each facility is 90km |
|
Elim FPS |
Makhado Collins Chabane Greater Letaba |
5 vehicles |
||
|
Sekhukhune |
St Rita’s FPS |
Makhuduthamaga |
5 vehicles |
30 min in an urban area and 60 min in rural. The radius for each facility is 90km |
|
Groblersdal FPS |
Ephraim Mogale Elias Motswaledi |
3 vehicles |
30 min in an urban area and 60 min in rural. The radius for each facility is 90km however there are areas that stretches beyond 90km. |
MPUMALANGA PROVINCE
|
District |
Facility |
Municipality |
Number Of Vehicles |
Average response time and radius serviced |
|
Ehlanzeni |
Themba FPS |
Mbombela |
4 vehicles |
Average response time is 1 hour to the furthest point. Radius is 7263sqkm |
|
Barberton FPS |
Mbombela |
Average response time is 2 hours to the furthest point. Radius is 3774 sqkm |
||
|
Tonga FPS |
Nkomazi |
2 vehicles |
Average response time 1 ½ hours across service points Radius is 4787sqkm |
|
|
Mapulaneng FPS |
Bushbuckridge |
4 vehicles |
Average response time is 2 hours to the furthest point. Radius is1587 sqkm |
|
|
Tintswalo FPS |
Bushbuckridge |
|||
|
Lydenburg FPS |
Thaba Chweu |
2 vehicles |
Average response time is 1 ½ hours to furthest point. Radius is 5719sqkm |
|
|
Nkangala |
Witbank FPS |
Emalahleni |
3 vehicles |
Average response time is 1 hour across service points. Radius is 2678 sqkm |
|
KwaMhlanga FPS |
Thembisile Hani |
2 vehicles |
Average response time 1 hour time across Radius is 2384sqkm |
|
|
Middelburg FPS |
Steve Tswete |
5 Vehicles |
Average response time is 1 hour to the furthest point. Radius is 3976sqkm |
|
|
Mmamethlake FPS |
Dr JS Moroka |
1 vehicle |
Average response time is 1 hour across service points. Radius is 1416sqkm |
|
|
Delmas FPS |
Victor Khanye |
3 vehicles |
response time 1 hour across service points. 1568sqkm |
|
|
Belfast FPS |
Emakhazeni |
1 Vehicles |
Average response time is 1 hour to the furthest point. 4736sqkm |
|
|
Gert Sibande |
Bethal FPS |
Govan Mbeki |
4 vehicles |
Average response time is 1 hour across the service points. |
|
Evander FPS |
Govan Mbeki |
|||
|
Piet Retief FPS |
Mkhondo |
2 vehicles |
Average response time is 1 hour to the furthest point. Radius is 4868sqkm |
|
|
Carolina FPS |
Albert Luthuli |
2 vehicles |
Average response time is 1 hour across the service points. Radius is 5559sqkm |
|
|
Embhuleni FPS |
Albert Luthuli |
|||
|
Volkrust FPS |
Pixley Ka Isaka Seme |
2 Vehicles |
Average response time is 45 minutes across the service points. Radius is 1104sqkm |
|
|
Ermelo FPS |
Msukaligwa |
1 vehicle |
Average response time is 1 hour across the service points. Radius 2616sqkm |
|
|
Balfour FPS |
Dipaleseng |
2 vehicles |
Average response time is 1 hour across the service points. Radius is 2955sqkm |
|
|
‘; |
Standerton FPS |
Likwa |
2 vehicles |
Average response time is 1 hour to the furthest point. Radius is 4585sqkm |
NORTHWEST PROVINCE
|
District |
No Of Facilities |
Municipality |
Number of Vehicles |
Average response time and radius serviced |
|
Dr. Kenneth Kaunda District |
Potchefstroom FPS |
JB Marks Municipality |
4 |
Average response time is 2hr 40min. The radius 6 398 km2 |
|
Klerksdorp FPS |
Matlosane and Makwasi - Hills Municipalities |
5 |
Average response time is 2hr 20min. The radius is 8 204 km2 |
|
|
Dr. Ruth Segomotsi Mompati District |
Vryburg FPS |
Naledi, Greater Taung, Lekwa-teemane, Mamusa and part of Ratlou local Municipalities |
3 |
Average response time is 3hr. The radius is 28 941km2 |
|
Ngaka Modiri Molema District |
Lichtenburg FPS |
Ditsobotla, Tswaing and part of Ratlou Municipalities |
5 |
Average response time is 2hr 2 min. The radius is 14806,7km2. |
|
Mafikeng FPS |
Mafikeng, Ramotshere - Moiloa and part of Ratlou Local Municipalities |
04 |
Average response time is 2hr 1 min. The radius is 13 333km2 |
|
|
Bojanala District |
Brits FPS |
Madibeng, Moretele and part of Rustenburg local Municipalities |
03 |
Average response time is 2hr 30 min. The radius is 6 972km2. |
|
Phokeng FPS |
Rustenburg, Kgetlheng and Rustenburg local municipalities |
03 |
Average response time is 1hr 30 min. The radius is 13 115km2 |
NORTHERN CAPE PROVINCE
|
District |
Facility |
Municipality |
Number Of Vehicles |
Average response time and radius serviced |
|
Frances Baardt |
Kimberley FPS |
Sol Plaatjie |
6 |
Average response time is 1hour The radius is 100km |
|
Hartswater Holding Facility |
Phokwane |
1 |
Average response time is 30minutes The radius is 30km |
|
|
ZF Mgcawu |
Upington FPS |
Dawid Kruiper |
3 |
Average response time is 1hour and 30minutes The radius is 300km |
|
Postmasburg Holding Facility |
Tsantsabane |
1 |
Average response time is 1hour and 30minutes The radius is 200km |
|
|
Pixley KaSeme |
De Aar FPS |
Emthanjeni |
5 |
Average response time is 2 hours The radius is 200km |
|
Prieska Holding Facility |
Siyathemba |
1 |
Average response time is 1hour and 30minutes The radius is 150km |
|
|
Victoria West Holding Facility |
Ubuntu Municipality |
1 |
Average response time is 1hour and 30minutes The radius is 150km |
|
|
Douglas Holding Facility |
2 |
Average response time is 1 hour The radius is 150km |
||
|
John Taolo Gaetsewe |
Kuruman FPS |
Gasegonyama |
3 |
Average response time is 2hours The radius is 200km |
|
Springbok FPS |
NamaKhoi |
3 |
Average response time is 2hours and30minutes The radius is 300km |
|
|
Namakwa |
Calvinia FPS |
Hantam |
2 |
Average response time is 1hour and 30minutes The radius is 150km |
WESTERN CAPE
|
District |
No of Facilities |
Municipality |
Number of Vehicles |
Average response time and radius serviced |
|
Western Cape, West Metropol |
Observatory Forensic Pathology Institute |
City of Cape Town |
5 |
Average response time is 23 minutes. The radius 2446sqkm |
|
Western Cape, East Metropol |
Tygerberg FPS |
City of Cape Town |
5 |
Average response time is 34 minutes. The radius 2446sqkm |
|
Western Cape, Cape Winelands/ Overberg |
Paarl FPS |
Drakenstein Stellenbosch |
2 |
Average response time is 56 minutes. The radius is 2369sqkm. |
|
Western Cape, West Coast / Winelands |
Vredendal |
Cederberg Matzikama |
2 |
Average response time is 77 minutes. The radius is 20988 sqkm. |
|
Malmesbury |
Swartland Bergrivier |
2 |
Average response time is 51 minutes. The radius is 8114sqkm. |
|
|
Vredenburg |
Saldanha Bay |
2 |
Average response time is 37 minutes. The radius is 2015sqkm. |
|
|
Western Cape, Cape Winelands/ Overberg |
Worcester |
Breede Valley Langeberg Swellendam |
3 |
Average response time is 76 minutes. The radius is 12187 |
|
Hermanus |
Overstrand Cape Agulhas Theewaterskloof |
2 |
Average response time is 74 minutes. The radius is 8401sqkm |
|
|
Ceres |
Witzenberg |
2 |
Average response time 36 minutes The radius is 10753sqkm |
|
|
Southern Cape/ Garden Route/ Karoo |
George |
George |
2 |
Average response time is 29 minutes. The radius is 5191 sqkm |
|
Laingsburg FPS (Holding Facility) |
Laingsburg Prince Alfred |
2 |
Average response time is 25 minutes. The radius is 16937sqkm |
|
|
Mossel Bay |
Mossel Bay |
2 |
Average response time is 26 minutes. The radius is 2001 sqkm |
|
|
Knysna |
Knysna Bitou |
2 |
Average response time is 34 minutes. The radius is 2101sqkm |
|
|
Oudtshoorn |
Oudtshoorn |
2 |
Average response time is 78 minutes. The radius is16458 sqkm |
|
|
Beaufort West FPS (Holding Facility) |
Greater Beaufort West |
2 |
Average response time is 27 minutes. The radius is 21917sqkm |
|
|
Riversdale Holding Facility |
Hesssequa |
2 |
Average response time is 33 minutes. The radius is 5733sqkm |
END.
24 November 2023 - NW3803
Hlengwa, Ms MD to ask the Minister of Health
Whether his department has any actionable mechanisms in place to ensure fair and transparent (a) application and (b) admission processes of the Nelson Mandela/Fidel Castro Medical Collaboration Programme; if not, what is the position in this regard; if so, what total number of students in each province have benefited from the specified programme from 2016 up to the latest specified date for which information is available?
Reply:
The National Department of Health has the National Recruitment Plan, which is the tool used by all the Provincial Departments of Health to guide and facilitate the recruitment and selection processes of the new students for the Nelson Mandela/Fidel Castro Medical Training Programme to ensure, uniformity, transparency, and fairness.
a) An advert for the recruitment to the programme is published and managed by the Provincial Departments of Health. The Provincial Departments of Health use various methods of advertisements that include print media, social network platforms, websites. Adverts are also placed in radio adverts, schools, and hospitals. The minimum duration for the advertisement, is one month.
b) The admission process is informed by the selection criteria that are outlined in the National Recruitment Plan. Potential new recruits must have passed Grade 12 (matric) with full University exemption. They must have passed four key subjects which are, English, Mathematics, Life Sciences and Physical Sciences with the minimum of achievement level of 50% in each. The Provincial Departments of Health also ensure that all the districts are represented when selecting potential recruits.
Table 1 below indicates the number of students recruited for the programme by year and province.
Table 1:
|
Provinces |
2016 |
2017 |
2018 |
2019 |
2020 |
2021 |
2022 |
2023 |
Total |
|
Eastern Cape |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
|
Free State |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
|
Gauteng |
1 |
0 |
0 |
0 |
0 |
0 |
9 |
0 |
10 |
|
KwaZulu Natal |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
|
Limpopo |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
|
Mpumalanga |
10 |
0 |
0 |
0 |
0 |
0 |
0 |
10 |
20 |
|
Northern Cape |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
10 |
10 |
|
Northwest |
0 |
0 |
0 |
4 |
0 |
0 |
20 |
20 |
44 |
|
Total |
11 |
0 |
0 |
4 |
0 |
0 |
29 |
40 |
84 |
END.
24 November 2023 - NW3802
Hlengwa, Ms MD to ask the Minister of Health
Whether his department has any actionable mechanisms in place to (a) increase the total number and (b) improve the efficiency of forensic personnel in each province; if not, what is the position in this regard; if so, what are the relevant details?
Reply:
(a) All the Provincial Departments of Health are recruiting forensic personnel to increase the number through their recruitment policy and plans. Where necessary medical officers do sessional work to ensure that provision of service especially in mortuaries is adequate. There is a drive to send medical officers for specialisation in Forensic Pathology based on availability of funds and intake by the universities.
(b) There are various mechanisms in place related to training and development of forensic health professionals in all provinces. This is done through workshops, attendance of seminars, clinical professional development and in service education and attendance of short courses.
Health officials also receive debriefing sessions by the Counselling and Clinical Psychologists and Psychiatrists where necessary to improve their well-being.
END.
24 November 2023 - NW3769
Clarke, Ms M to ask the Minister of Health
(1)What (a) is the current backlog on toxicology analysis at each forensic chemistry laboratory of the National Health Laboratory Service in each province, (b) measures have been put in place to eradicate the backlogs and (c) total number of toxicology tests does each laboratory run on each day; (2) by what date will the backlog at each forensic laboratory in each province be eradicated?
Reply:
According to the National Health Laboratory Service (NHLS):
1. (a) Toxicology tests are conducted at three Forensic Chemistry Laboratories (FCLs) in Cape Town, Johannesburg, and Pretoria. The factors that contribute to the backlog include inadequate infrastructure, equipment breaking down, loadshedding, inadequate water supply, the Covid-19 pandemic and shortages in human resources.
Toxicology backlogs as at the 31 October 2023:
|
FCL |
Toxicology backlog |
Completed during October 2023 |
|
Cape Town |
6 825 |
58 |
|
Johannesburg |
14 700 |
206 |
|
Pretoria |
16 437 |
101 |
b) The NHLS has implemented strategies to address the backlogs in toxicology testing at the FCLs. In this regard the blood alcohol testing backlog has been cleared in all laboratories except the Johannesburg FCL.
The NHLS will expand the toxicology capacity in the three laboratories that currently offer toxicology testing to ensure an increase in the processing capacity at these laboratories. To this effect, additional laboratory space has been acquired from the CSIR that will accommodate a new toxicology section for the Pretoria FCL. Similar solutions are being explored for the Johannesburg and Cape Town FCLs. The NHLS have invested significantly in ensuring laboratories are equipped with functional analytic instruments through the replacement of ageing and obsolete equipment and the procurement of additional instruments for the planned expansion in services. Plans are underway to source additional laboratory space that would allow the Durban FCL to expand its service offering to include toxicology testing.
c) Toxicology cases are time-consuming, and this is mainly related to the complex nature and variability of the cases and testing processes as well as the requirement for special reference materials to complete cases. For these reasons, toxicology cases are allocated in batches to each analyst at the beginning of each month and laboratory outputs are measured on a monthly basis. Each toxicology analyst is allocated at least 15 cases per month.
2. The NHLS is determined to implement strategies to clear the backlogs in toxicology testing at the Forensic Chemistry Laboratories. At this stage it would be difficult to determine when the backlogs would be cleared. As can be seen from the various efforts that have been made, the NHLS is working towards clearing the backlog as fast as possible.
END.
24 November 2023 - NW3768
Clarke, Ms M to ask the Minister of Health
(1)What (a) total number of (i) hospital and (ii) clinic staff have been attacked and/or threatened by (aa) patients and (bb) other assailants on the premises of health facilities in each province since 1 January 2022 up to the latest specified date for which information is available and (b) were the circumstances of each incident; (2) what are the relevant details of the measures that have been put in place to address such incidents in each province?
Reply:
EASTERN CAPE
(1) (a) (i) (ii) (aa) (bb)
|
Number staff attacked/ threatened by patients in hospitals |
Number staff attacked/ threatened by patients in clinics |
# Attacked by patients |
|
0
|
4 Circumstances Zwide Clinic
Soweto Clinic
New Brighton Clinic
Tshangana Clinic
|
4 |
|
Number Staff Attacked/ Threatened by other Assailants in Hospitals |
Number Staff Attacked/ Threatened by other Assailants in Clinics |
# Attacked by Assailants |
|
0 |
10 incidents Circumstances Nomangesi Jayiya Clinic
Mabandla Rehab
Max Madlingozi Clinic
Kwadwesi Clinic
West End Clinic
Middle Street Clinic
|
10 |
|
Total Hospital 0 |
Total Clinic 14 incidents |
Grand total 14 incidents |
(2) Measures put in place to address the p
- Staff counseled at Wellness clinic
- Security enhancements
FREE STATE
(1) (a) (i) (ii) (aa) (bb)
The Free State Department of Health reports that they have had no cases except for the following:
Pax clinic, two groups from township were fighting each other and the fight ended up at the clinic where one group wanted to finish the member of the other group.
(2) The police were called and positively calmed the situation down. The department increased the security personnel and instructed the district to utilize the hybrid security model to strengthen the security service by appointing the private security company for the clinic to work on Fridays, Saturdays and Sundays supplementing the departmental security service.
GAUTENG
- (a) (i) (ii) (aa) (bb)
|
Number staff attacked/ threatened by patients in hospitals |
Number staff attacked/ threatened by patients in clinics |
# Attacked by patients |
|
3 Tembisa
|
1 Circumstances Lillian Ngoyi.
|
4 |
|
Number Staff Attacked/ Threatened by other Assailants in Hospitals |
Number Staff Attacked/ Threatened by other Assailants in Clinics |
# Attacked by Assailants |
|
4 Tembisa Hospital
Charlotte Maxeke hospital
|
0 |
4 |
|
Total Hospital 7 |
Total Clinic 1 |
8 Grand total |
(2) Approved Security Policy and Access Control Policy were distributed across Gauteng Health facilities. The department is also conducting security assessments on the current status of CCTV cameras.
The Gauteng department of health is in a process to procuring the new security contract for all the department of health facility with the Hybridge model to address all security concern within the province.
KWAZULU-NATAL
(1)`(a) (i) (ii) (aa) (bb) and (2)
|
Facility |
(ii) clinic staff have been attacked and/or threatened by (aa) patients on the premises of health facilities in each province |
(b) were the circumstances of each incident in each Province; |
what are the relevant details of the measures that have been put in place to address such incidents in each province? |
|
Fort Napier Hospital |
08 |
1 x case of sexual assault (A female Staff was touched inappropriately by a Patient.) 7x cases of physical assault on staff members by the patients. |
|
|
Niemeyer Memorial Hospital |
01 |
The mentally ill patient attacked the nurse with a drip stand whilst under 72hrs observation. |
|
|
Greys |
01 |
|
|
|
Townhill |
09 |
|
|
|
Northdale |
07 |
All cases of staff being attacked by patients involved acute psychosis exhibited by the patients. |
|
|
Richmond |
01 |
||
|
Nkonjeni/ St. Francis Hospital |
01 |
A patient brought by relative jumped and kick the window while the OPD clerk was retrieving his file |
|
|
Vryheid hospital |
14 |
Nursing staff attacked by psychiatric patients |
|
|
Addington hospital |
01 |
Casualty Staff were threatened by a relative demanding urgent attention. |
|
|
KEH & ST. Aidan hospital |
01 |
Staff threatened by a Patient who was intoxicated. |
|
|
Mahatma Ghandi Memorial hospital |
05 |
|
|
|
Wentworth hospital |
03 |
|
|
|
KwaMashu CHC |
01 |
|
|
|
St. Mary’s hospital |
03 |
|
SOP of handling confused Patients developed. Ward strengthened communication during handover between shifts should status of patients change.
|
|
G.J. Crooks hospital |
02 |
|
|
|
Phoenix CHC |
01 |
|
|
|
Thonjeni clinic |
01 |
|
|
|
RK Khan Hospital |
05 |
|
|
|
Port Shepstone hospital |
01 |
|
|
|
G.J. Crookes hospital |
03 |
|
|
|
Murchison Hospital |
02 |
|
|
|
Isithebe Clinic |
01 |
|
|
|
KwaMashu CHC |
01 |
|
|
|
Umkhontokayise clinic |
01 |
|
|
|
Thokozani clinic |
01 |
||
|
Ndulinde clinic - |
01 |
|
|
|
Sundumbili clinic |
02 |
|
|
|
uNtunjambili Hospital |
03 |
|
|
|
GJGHM |
02 |
Patient was aggressive and he wanted his baby to be discharged |
|
|
Ndwedwe CHC |
01 |
Doctor was attending to a patient with a gunshot wound with fatalities and the relatives were questioning the doctor. |
|
|
Nkandla Hospital |
03 |
Psychiatric patients were aggressive to Staff. |
|
|
Eshowe Hospital/Clinics |
01 |
Attacked by intoxicated relative of patient in casualty |
|
|
Ndlangubo Clinic |
01 |
Robbery |
|
|
Greytown Hospital |
02 |
Both staff members were attacked by mental health care users. |
|
|
Church of Scotland Hospital |
02 |
All staff members were physically handled by the psychiatry patient. |
Increased security guards in the wards |
|
Mseleni Hospital |
02 |
The Mental Health Care User became violent slapped the Nurse and attacked the security guard who sustained soft tissue injuries. |
|
|
Bethesda Hospital |
01 |
A Nurse was assaulted by a MHCU. |
|
|
Madadeni Regional Hospital |
09 |
|
|
|
Ladysmith Regional Hospital |
07 |
|
|
|
Eg &Usher Memorial Hospital |
03 |
|
|
|
Estcourt Hospital |
03 |
Two Security Guards and a Nurse were assaulted by a Mental Health care user who was brought in for admission. |
LIMPOPO
(1) (a) (i) (ii) (aa) (bb)
|
Number staff attacked/ threatened by patients in hospitals |
Number staff attacked/ threatened by patients in clinics |
# Attacked by patients |
|
4 Circumstances Kgapane Hospital:
Hayani Hospital:
Maphutha Malatjie Hospital:
|
3 Circumstances Morutji Clinic:
Relela Clinic:
|
7 |
|
Number Staff Attacked/ Threatened by other Assailants in Hospitals |
Number Staff Attacked/ Threatened by other Assailants in Clinics |
# Attacked by Assailants |
|
9 Circumstances Pietersburg Hospital:
Lebowakgomo Hospital:
|
2 Circumstances Sambandau Clinic:
|
11 |
|
Total Hospital 13 |
Total Clinic 5 |
Grand total 18 |
(2) For all incidents of assault against Nurses and Security, criminal cases were opened, security increased in vulnerable areas and counselling arranged for the affected persons.
Material loss is covered by the SLA with Security company(s) and the Service Provider replaced the lost materials.
Threats and disruptions of services by organised labour are handled through negotiations and where there is no agreement court interdicts are applied for, as it was the case with Pietersburg Hospital.
A court interdict was obtained against the Defenders of the People (DOP)for Lebowakgomo hospital.
MPUMALANGA
(1) (a) (i) (ii) (aa) (bb)
|
Number staff attacked/ threatened by patients in hospitals |
Number staff attacked/ threatened by patients in clinics |
# Attacked by patients |
|
0 |
0 |
0 |
|
Number Staff Attacked/ Threatened by other Assailants in Hospitals |
Number Staff Attacked/ Threatened by other Assailants in Clinics |
# Attacked by Assailants |
|
1 Circumstances Carolina hospital
|
5 cases Circumstances Mayflower CHC
Pholansikazi CHC
Dwarsloop clinic
Jim Brown clinic
Empumelelweni CHC
|
6 cases |
|
Total Hospital 1 case |
Total Clinic 5 cases |
Grand total 6 cases |
(2) The MDoH has opened police cases with regard to these incidents.
MDoH, has already at some facilities at is in the process at others of improving physical and electronic security. Amongst these measures are increasing security officers, installed walkthrough metal detectors and a bullet proof glass on guard houses.
NORTHERN CAPE
(1) (a) (i) (ii) (aa) (bb)
|
Number staff attacked/ threatened by patients in hospitals |
Number staff attacked/ threatened by patients in clinics |
# Attacked by patients |
|
2 Circumstances Galeshewe Day Hospital (GDH maternity)
NMH Hospital
|
6 Circumstances Pichard CHC
Wega CHC
Pampierstad CHC
Valspan Clinic
Dr Winston Torres Clinic
|
8 |
|
Number Staff Attacked/ Threatened by other Assailants in Hospitals |
Number Staff Attacked/ Threatened by other Assailants in Clinics |
# Attacked by Assailants |
|
3 Circumstances Hospital not mentioned
RMS Hospital
De Aar Hospital
|
1 Circumstances Ritchie Clinic
|
4 |
|
Total Hospital 5 |
Total Clinic 7 |
Grand total 12 |
(2) Increased security and involved SAPS
NORTH WEST
(1) (a) (i) (ii) (aa) (bb)
|
Number staff attacked/ threatened by patients in hospitals |
Number staff attacked/ threatened by patients in clinics |
# Attacked by patients |
|
8 |
4 |
12 |
|
Circumstances |
Circumstances |
|
|
Witrand Hospital,
|
Park Street Clinic
|
|
|
Job Shimankana Tabane Hospital
|
Jouberton Clinic
|
|
|
General De La Rey Hospital (v)Patient attacked security guards at the gate Case 282/10/2022 was opened. |
Grace Mokhomo CHC (iii)Verbal abuse to a Doctor by a patient under the influence of alcohol. |
|
|
Mafikeng Provincial Hospital (vi)Patient threatened a doctor (vii)Security Officer was assaulted by an aggressive patient |
Botshabelo CHC (iv) Mentally sick patients attacked security officers on duty |
|
|
Bophelong Psychiatric Hospital (viii)Male staff cleaner was assaulted by Psychiatric patient |
||
|
Number Staff Attacked/ Threatened by other Assailants in Hospitals |
Number Staff Attacked/ Threatened by other Assailants in Clinics |
# Attacked by Assailants |
|
13 |
8 |
21 |
|
Mafikeng Provincial Hospital
|
Tswelelang CHC (i)Local gangsters were fighting and one got injured and threatened the staff to attend the injured speedily |
|
|
Job Shimankana Tabane Hospital
|
Tigane CHC (ii)MMC for Safety and Security threatened staff and attacked patient inside the facility |
|
|
Koster Hospital
|
New Jouberton (N12) CHC (iii)Community members forced entry into emergency unit and threatened nurse on duty needed assistance for their partner who was stabbed, |
|
|
Tshepong Hospital
|
Orkney Clinic (iv)Job seekers (community members) attacked health worker. Case opened with SAPS, |
|
|
Bophelong Psychiatric Hospital
|
Alabama Clinic (v)Nurses were verbally attacked by members of community. Case opened with SAPS |
|
|
Moses Kotane Hospital
|
Empilisweni Clinic (vi)Operational Manager assaulted by officials from legal firm demanding a patient record. |
|
|
Taung District Hospital
|
RB Nzima Clinic (vii)Staff member attacked by unemployed community members demanding removal of personnel not from their area |
|
|
Taung District Hospital
|
Top City Clinic (viii)Staff members were threatened by the local business forum during a site briefing meeting for the renovation of the clinic. |
|
|
Taung District Hospital
|
||
|
Joe Morolong Hospital
|
||
|
EMS Station
|
||
|
TOTAL HOSPITAL 21 |
TOTAL CLINICS 12 |
33 GRAND TOTAL |
(2) For some incidents police cases have been opened.
Increased security and involved SAPS
END.
16 November 2023 - NW3569
Makamba-Botya, Ms N to ask the Minister of Health
Whether his department still has COVID-19 vaccines in its storage facilities; if not, what is the position in this regard; if so, (a) in what quantity, (b) what is the monetary value of the vaccines and (c) what is the intended use of such vaccines?
Reply:
a) Yes, on the 6th November 2023, the department still had COVID-19 Vaccine-Janssen in storage at the national level, at Biovac. A total of 192 000 doses are available for distribution.
b) The value of the 192 000 doses of COVID-19 Vaccine-Janssen vaccines, available at the national level is R 31 149 360,00 including VAT (Average ROE for USD R18.81).
c) The COVID-19 vaccine Janssen is currently being distributed and used in the COVID-19 vaccination programme as part of routine health services. Vaccines are accessible in provinces, and vaccination continues to be administered at health facilities. Individuals are strongly encouraged to receive the COVID-19 vaccine.
END.
16 November 2023 - NW3614
Clarke, Ms M to ask the Minister of Health
(1)What (a) percentage and (b) number of public hospitals in the Republic have (i) a psychiatrist, (ii) clinical psychologists, (iii) occupational therapists and (iv) child psychologists; (2) what is the (a) current vacancy rate at all public hospitals in the Republic for the specified healthcare specialists and (b) total cost to fill the specified vacancies in each year; (3) what (a) number and (b) percentage of public health facilities offer mental health services?
Reply:
1. The following information has been received from the Provincial Departments of Health. Information from Eastern Cape and Gauteng is still outstanding:
|
FS |
KZN |
Limp |
Mpu |
NW |
NC |
WC |
|
|
No Public Hospitals |
32 |
22 |
40 |
28 |
19 |
14 |
52 |
|
b) i. Psychiatrists |
12.5% |
64% |
40% |
14.3% |
10% |
7.10% |
21% |
|
b) ii. Clinical Psychologists |
25% |
86% |
82% |
46.4% |
36.8% |
28.6% |
31% |
|
b) iii. Occ. Therapist |
40% |
95% |
100% |
92,8% |
57.9% |
57.1% |
44% |
|
b) iv. Child Psych. |
31% |
0 |
0 |
0 |
0 |
7.1 |
2% |
Information was not received from the Eastern Cape and Gauteng Provinces at the time of submitting this response to Parliament.
It is important to note that Child Psychology is a sub-speciality of Clinical Psychology and most of the provinces do not segregate or sub-classify the appointment information hence the zero reporting specifically on Child Psychology.
(2) The vacancy rates per province are as follows (with Northern Cape providing actual vacancies instead of expressing in percentage).
|
Vacancy rate |
FS |
KZN |
Limp |
Mpu |
NW |
NC |
WC |
|
Psychiatrists |
- |
18.9% |
82.5% |
46% |
- |
13 |
4.26% |
|
Clinical Psychologists |
36% |
19.4% |
67.7% |
20.68% |
18 |
8.42% |
|
|
Occupational Therapist |
29% |
20.5% |
64.3% |
30.76% |
24 |
9.04% |
|
|
Child Psychologist |
0% |
0% |
0% |
0% |
0% |
4 |
16.66% |
Information was not received from the Eastern Cape and Gauteng Provinces at the time of submitting this response to Parliament.
|
Cost to fill specified vacancies |
FS |
KZN |
Limp |
Mpu |
NW |
NC |
WC |
|
Psychiatrists |
- |
R11m |
R10.8m |
R43m |
- |
R15m |
R4m |
|
Clinical Psychologists |
R5m |
R11m |
R9.5m |
- |
R19m |
R8m |
|
|
Occupational Therapist |
R4m |
R11m |
R19.2m |
- |
R17m |
R9m |
|
|
Child Psychologist |
0 |
0 |
0 |
0 |
- |
R1m |
(3) (a)-(b) All public health facilities in South Africa offer mental health services at various levels with screening being a standard service even at Primary Health Care level. Depending on the service package at the particular facility, patients may be referred to another level of care for further management including admission in the designated Mental Health Facilities
END.
16 November 2023 - NW3615
Clarke, Ms M to ask the Minister of Health
Whether he will furnish Mrs M O Clarke with the most recent and/or updated registers for (a) psycho-technicians, (b) psychometrists, (c) registered counsellors, (d) psychologists and (e) intern psychologists; if not, why not; if so, what are the relevant details in each specified case?
Reply:
According to the Health Professions Council of South Africa:
The HPCSA can release information about practitioners but in strict adherence to the Protection of Personal Information Act 2013 (Act No. 4 of 2013).
(a)-(e) With that consideration in mind, the HPCSA can indicate the following regarding the registration of practitioners under the Psychology Professional Board:
|
BRD Code |
Register Code |
Register Name |
Total |
|
PSB |
PM |
Psycho-technicians |
8 |
|
PMT |
Psychometrists |
2106 |
|
|
PRC |
Registered counsellors |
2689 |
|
|
PS |
Psychologists |
9528 |
|
|
PSIN |
Intern psychologists |
889 |
|
|
PSB Total |
15220 |
END.
16 November 2023 - NW3616
Clarke, Ms M to ask the Minister of Health
(1)What (a) total number of staff members in the Office of the Health Professions Council of South Africa (HPCSA) have been dismissed for committing fraud and/or corruption, (b) was the nature of each offence and (c) was the total amount of the legal costs to the HPCSA in respect of the specified cases; (2) whether any supply chain management processes have been followed with respect to fraud and/or corruption; if not, what is the position in this regard; if so, (a) in which department in the HPCSA did the fraud and/or corruption take place and (b) what was the total amount of wasteful expenditure?
Reply:
According to the Health Professions Council of South Africa:
1. (a) Three (3) officials have been dismissed for committing fraud and/or corruption;
(b) The offences related to firstly accepting compensation in cash or otherwise, from an HPCSA stakeholder in return of assisting applicants with their registration and secondly the commitment of fraud with the HPCSA credit card; and
(c) The legal and disciplinary process costs to the HPCSA concerning these specified cases was R300 680.00.
2. Supply chain management policies were followed with the impugned transactions involving the 3 officials;
(a) Registrations and Finance Department
(b) The total amount of wasteful expenditure is R171 534.
END.
16 November 2023 - NW3674
Clarke, Ms M to ask the Minister of Health
(a) What amount of the additional allocation of R68.2 billion to the education and health sectors will be received by his department in order to fund the 7,5% public sector wage increase for all persons employed in his department and (b) how will he balance the books with an austerity budget in order to fill the more than 18 000 vacancies and ensure that healthcare services continue to be delivered to overcome the significant challenges of the public health system?
Reply:
a) Medium Term Budget Policy Statement indicates R17,5 billion to be allocation to Health and Education for the wage bill increase. Based on the discussions with National Treasury officials a preliminary allocation of around R6.8 billion might be allocated to health sector. The final budget allocation to cover the public sector wage increase will be confirmed at the later stage.
b) The department will identify the critical post which will be prioritized for recruitment once the allocation has been confirmed. The budget allocation will cover the shortfall resulted by public wage increase not for additional posts. Provinces annually appoint Employment Recruitment Teams lead by Heads of Health Departments or delegated officials at senior positions to develop recruitment plans prioritizing the filling of critical posts with a required skills mix to address the burden of diseases at all our levels of care guarding against overspending on provided/available budgets.
END.
16 November 2023 - NW3707
Jacobs, Dr KL to ask the Minister of Health
Since the introduction of the Ideal Clinic Programme in 2013, what (a) total number of the assessed clinics have satisfied the criteria of an Ideal Clinic and (b) interventions are being implemented to support the clinics to meet the criteria standards as the Ideal Clinics Programme is one of the critical interventions being piloted and meant to improve infrastructure and services in preparation for the National Health Insurance?
Reply:
a) Total number of the assessed clinics and community health centres that have satisfied the criteria of an Ideal Clinic is 2046 (59%) to date. This is from 0% in 2014.
b) Interventions implemented to support the clinics to meet the standards of Ideal Clinics Programme are as follow:
- A team of national managers provide technical support for Ideal Clinic Realisation and Maintenance (ICRM) programme. One manager support two or more provinces.
- The department developed the ICRM framework in the form of ICRM Manuals and Assessment tools for clinics and community health centres which are used as standard operating procedures for reference and guidance.
- Where budget limitations prevent provinces from meeting Non - Negotiable Vital (NNV) elements which focuses on emergency room equipment and accessories, the NDoH assist where possible, within its own budget constraints, to procure the required equipment.
- The NDoH, introduced a dedicated program under the Health Facility Revitalisation Grant which aim to respond to infrastructure challenges highlighted by the Ideal Clinic assessment tool.
- Facilitates orientation sessions for new facility operational managers and to all managers when updates have been done to the ICRM Framework.
- National Department of Health developed:
- guidelines and schedules for managing patients waiting times, handling of complaints and compliments
- health commodity catalogue for ordering supplies
- guidelines and training manuals for governance structures
- The NDoH organizes and provide resources for the annual peer reviews
END.
16 November 2023 - NW3710
Moroane, Ms M L to ask the Minister of Health
Considering that the National Strategic Plan for HIV, TB and STIs: 2023 – 2028 notes the correlation between human immunodeficiency virus, tuberculosis, sexually transmitted diseases, gender-based violence, human rights violations, inequalities and mental health, what is the status of intergovernmental strategies aimed towards the integration of mental health into the general health services environment, specifically to strengthen and/or improve mental health facilities, access and education?
Reply:
Integration of mental health into the general health services environment is one of the key interventions prescribed by the Mental Health Care Act, 2002 (Act No 17 of 2002) to strengthen delivery of accessible, person centered mental health services by ensuring that mental health services are decentralised and made available nearer to where people live, learn and work.
Intergovernmental Strategies aimed at the integration of mental health into the general services environment are as follows:
- Section 71 of the Mental Health Care Act, 2002 was activated to establish the Ministerial Advisory Committee on Mental Health by Regulation. This nineteen member Committee comprises of representatives from the stakeholders government departments (Basic Education, Social Development, Higher Education and Training, Correctional Services, SAPS, Women, Youth and Persons with Disabilities), representatives of mental health care practitioners (psychiatrist, psychologist, social worker, psychiatric nurse and occupational therapist), representative from the private sector, representative from the NGOs that provide mental health services, representative from higher education or mental health research institutions, a legal person (magistrate, advocate or attorney), a traditional health practitioner and two mental health care users representatives. The main role of this multistakeholders body is to advise the Department in the area of mental health from an intergovernmental and multisectoral perspective in view of the cross cutting nature of mental health issues.
- The National Department of Health is working closely with stakeholders including among others civil society, relevant professional associations, partners and other government departments to increase public knowledge and awareness on mental health so as to facilitate prevention, early help seeking behaviour and address the stigma that continues to be associated with mental illness. Mental health intersectoral forums are established at national, provincial and local levels.
Among others, these forums ensure a coordinated effort in educating the public on risk factors and protective factors for mental health, signs of mental illness, where to go for help as well as the importance of seeking help early for mental health symptoms.
- Health practitioners are trained in Adult Primary Care which capacitate them to diagnose and manage co-morbidities such as mental health, HIV, TB, NCDs, etc in individuals.
- The Department provides funding to NGOs that are working in the area of mental health to implement mental health education, promotion and advocacy to increase public awareness on mental health. In the 2023/24 financial year the South African Federation for Mental Health was funded with an amount of R490 000.00 to run a mental health information desk that the public access through calling, sms, WhatsApp, Facebook page, by email and through the website.
END.
16 November 2023 - NW3709
Dlamini, Mr SM to ask the Minister of Health
(a) How is his department ensuring that all rural healthcare institutions and areas where the Health Patient Registration Number System has been piloted have access to the necessary infrastructure suitable for the implementation of digital health technologies and (b) what are the long-term plans to support the specified healthcare institutions to ensure that they maintain digital health systems, as digitising the medical records of patients is a critical success factor for the National Health Insurance?
Reply:
a) The facilities are supported by providing Computer Hardware, printers, and barcode scanners. The use of the HPRS is monitored on a weekly basis. A team of roving IT Technicians are providing HPRS implementation support at PHC facilities in 8 of the 9 Provinces.
b) The National Department of Health Digital Health unit continue to work with provincial teams to ensure sustainability on the use of the HPRS. The national department of health is working with the Department of Communication and Digital Technology through the SA Connect project for the provision of appropriate broadband connectivity at Health Facilities over the next 3 years.
END.
15 November 2023 - NW3670
Hicklin, Ms MB to ask the Minister of Health
Whether his department has taken any steps to assist the National Health Laboratory Service to recover the more than R1,2 billion owed to it by provincial departments of health; if not, why not; if so, what are the relevant details?
Reply:
The Department of Health has continuously encouraged the provincial DoH’s to pay the NHLS for all services rendered and continue to support the NHLS in this matter and the debt is treated as a priority.
The NHLS CEO has advised that she is in continuous engagement with the provincial Heads of Department (HODs) to follow up on the outstanding debt and to ensure that all payments owed are received in full and timeously. Given the declines in provincial health budgets the debt has unfortunately been increasing. The NHLS is fortunately in a significant positive financial status. The National Department of Health is kept up to date and informed of the debt owed by the provincial Departments of Health.
END.
15 November 2023 - NW3708
Jacobs, Dr KL to ask the Minister of Health
(a) What are the relevant details of the challenges his department is facing in dealing with provinces that underspend on their allocated budgets and (b) how does his department intend to overcome the specified challenges as the health system and the ability of his department to deliver on its mandate of providing accessible, quality health care is negatively impacted?
Reply:
a) The underspending within infrastructure funding amongst others, are mostly due to unforeseen incidents such as floods, construction interruption by communities, inability of service providers to deliver in time, which result in termination of contracts.
Current antiretroviral (ARVs) contracts within HIV&AIDS program were awarded at much lower rates compared to previous contracts, this has resulted in savings and in underspending while much needed drugs were delivered.
b) The department has started with the mid-year conditional spending reviews to identify the provinces with challenges. The conditional grant spending reviews includes the assessment of grant framework and improvement plans from the provinces.
All provinces are due to submit the revised business plans to shift funds from underperforming activities to ensure improved spending and provision of quality health care. Stopping and reallocation process will be completed before beginning of January 2024 to shift funds from underperforming provinces.
END.
03 November 2023 - NW3365
Lees, Mr RA to ask the Minister of Health
(1)Whether, with reference to a video that was allegedly recorded in a ward in the Ladysmith Provincial Hospital in KwaZulu-Natal, in which a naked boy who was tied to a hospital bed and being assaulted by two security guards (details furnished), the actions by the security guards are regarded as appropriate; if not, what are the details of the action that has been and/or will be taken to (a) hold the responsible security guards accountable, (b) hold the hospital management and nursing staff accountable and (c) prevent such treatment of patients being repeated in the specified hospital and/or in any State hospital in the Republic; (2) what are the reasons that the (a) boy was being held captive on the hospital bed and (b) nursing staff did not intervene to stop the assault on the boy; (3) whether the boy is still in the hospital; if not, (a) where is he currently being treated and (b) what is the reason that he was discharged from the hospital; if so, what are the relevant details?
Reply:
1. (a) According to the KZN Department of Health, the two Security Officers implicated have since been suspended by the Private Security Company and are in the process of being subjected to a disciplinary inquiry. A case was opened (CAS No.586/9/2023) with South African Police Service following the incident and the Security Officers were arrested, detained, and thereafter released on bail. The Security Officers also appeared before Mental Health Review Board.
(b)-(c) The Kwa-Zulu Natal Department of Health has instituted an investigation into this matter to determine the role of the five nurses that were on duty on the night of the incident. The five nurses have been precautionarily suspended pending the outcome of the investigation.
2. (a) The patient in question was admitted under Mental Health Care Act for 72-hour observation, as he presented with a history of aggressive behavior, intimidating other children at the Morester Children’s home, threatening to stab them and he had numerous abscondments from the Centre. At the time of the incident, the patient was mechanically restrained with the restraining devices to subdue his movement for the primary purpose of behaviour control.
(b) The Kwa-Zulu Natal Department of Health has instituted an investigation into this matter to determine the role of the five nurses that were on duty on the night of the incident. The five nurses have been precautionarily suspended pending the outcome of the investigation.
(3) (a) The patient was transferred and admitted to the Child and Adolescent unit at a King Dinuzulu Hospital in Durban.
(b) The patient was transferred to a more specialised psychiatric care.
END.
03 November 2023 - NW3257
Tito, Ms LF to ask the Minister of Health
Given that in his address at the United Nations on 22 September 2023 wherein he stated that the Republic has made progress in transforming the public healthcare sector, despite the sustained regression in the public healthcare sector that has even been noted by the Auditor-General in consecutive years, (a) which progress in transformation was he referring to and (b) how is the progress measured?
Reply:
a) Progress on public healthcare sector transformation
The Minister was referring to transformation of health services in South Africa since 1994, which began with the Reconstruction and Development Programme (RDP) that emanated from the Freedom Charter. RDP aimed at redressing the harmful effects of apartheid and complete transformation of the entire health delivery system.
Key milestones in health transformation were: the establishment of a national health system (NHS) made up of various role players; the implementation of an extensive programme of public clinic building & upgrading; provision of free primary health care (PHC) health services and essential drugs in PHC facilities; the orientation of services and emphasis on PHC approach enshrined in the White Paper on the Transformation of the Health System in 1997 and the National Health Act of 2003; as well as the establishment of the district health system (DHS) as a vehicle to deliver & manage PHC services closer to where people live.
Several other initiatives were undertaken to transform health services delivery to ensure better access for all including:
- The Bilateral Health Cooperation Agreement signed between the Governments of the Republic of South Africa and Cuba in 1996 provided an opportunity for recruitment of young South African students to undergo medical training in Cuba through the Nelson Mandela Fidel Castro Medical Training Programme (NMFC). To date, 3071 doctors have been produced through the NMFC.
- The pricing legislation introduced Single Exit Prices (SEPs) in 2006 for registered and unregistered medicines, determining appropriate logistics fees for wholesalers and distributors of pharmaceuticals, as well as formulating the dispensing fees for pharmacists and licensed persons. This pricing legislation reduced medicines prices by 45%, which reduced financial barrier and increased access to much needed medicines for ordinary people.
- The shift from curative care to preventive care was strengthened by “PHC Reengineering” strategy adopted in 2010. PHC reengineering involved the deployment of community health workers, school health services and the district clinical specialist model which focussed on disease prevention and addressing key drivers of maternal and infant mortality.
- The Office of Health Standards and Compliance established in 2013 has been instrumental in safeguarding the quality of healthcare services in health facilities and ensuring compliance to norms and standards.
The health system strength was tested during COVID-19, and proved to be resilient enough to curb the pandemic and provide care to all those who needed it. Currently, the country is engaged in National Health Insurance (NHI) as a major health reform in pursuit of Universal Health Coverage.
The latest Auditor-General Report for FY2022/23 Annual Report acknowledged the progress that the Department is making to improve audit outcomes.
b) Public health service transformation is measured by monitoring indicator performance, evaluations of each individual component/intervention, conducting research surveys and analyzing civil registration vital statistics data to monitor outcomes at a population level. The examples are a) the District Health Barometer which gauges district performance on service delivery; b) Early Childhood Development programme evaluation; and c) the South African Demographic & Health Survey (SADHS)
The World Health Organization (WHO) introduced the UHC service coverage index to measure progress in the provision of UHC as required for the Sustainable Development Goals (SDGs). It is a single composite indicator that includes reproductive, maternal, newborn and child health; infectious diseases; non-communicable diseases; as well as service capacity and access among the general and the most disadvantaged population. The WHO Tracking Universal Health Coverage: 2023 Global Monitoring Report shows that SA UHC index improved from medium (43%) in 2000 to high (71%) in 2021.
END.
03 November 2023 - NW3258
Tito, Ms LF to ask the Minister of Health
Whether he will furnish Mrs L F Tito with the graft probe report with regard to a security contract in the North West Provincial Department of Health; if not, why not; if so, what are the relevant details?
Reply:
No, Minister of Health is unable to furnish the Member with the referred report regarding the security contract in the North-West Provincial Department of Health as is not an official document of the Department. It has no legal status as its drafting and processing were never concluded, as such never necessitated the Department to give it consideration whatsoever.
END.
03 November 2023 - NW3265
Makamba-Botya, Ms N to ask the Minister of Health
With reference to his statement that his department will be prioritising funds to help with water storage infrastructure, following the rising infections at Gauteng hospitals due to the water crisis, (a)(i) in what way and (ii) in which period will his department be doing this and (b)(i) to what effect will the intervention take place and (ii) which areas, facilities and communities will be affected by this intervention?
Reply:
On the 19 September 2023, the Zuikerbosch water treatment plant had a breakdown caused by a power trip, which affected the production of water supply.
(a) Short-term temporary intervention should there be a similar crisis: (i)&(ii) water tankers are on standby to prevent health services being affected by such crisis. Some of the hospitals in Gauteng have reservoirs and some have boreholes as part of the back-up alternative in case there are similar crisis.
(b) Long-term permanent intervention: (i)&(ii) Rand Water is in the process of commissioning a new purification plant which will be impacting all health facilities within the City of Tshwane, the City of Ekurhuleni and the City of Johannesburg, among others. This plant is intending to deliver 150-million litres of potable water a day into Rand Water’s system, and by the end of 2024.
END.
03 November 2023 - NW3271
Mhlongo, Ms N to ask the Minister of Health
(a) What is the total number of South African doctors who have trained abroad since 1 January 2020, who are waiting to write the board examination of the Health Professions Council of South Africa (HPCSA) in order to be admitted as doctors in the Republic, (b) by what date will the HPCSA be in a position for the foreign-trained South African doctors to write the board examinations to be admitted as doctors, (c) what is causing the delay and (d) how long has the problem persisted unresolved by his department?
Reply:
According to the Health Professions Council of South Africa (HPCSA):
a) There were 405 foreign-qualified doctors eligible to write the HPCSA Board examination which includes both South Africans as well as foreign nationals. The eligible foreign-qualified doctors were invited to write the HPCSA examinations however only 217 applicants confirmed that they would write the examination.
b) A total of 217 foreign-trained doctors participated in the HPCSA examinations which were written on 25th October 2023.
c) The HPCSA examinations are conducted through medical schools. The HPCSA had embarked on a procurement process before its contract with Sefako Makgatho University had expired. The University of KwaZulu-Natal was successful, however, there were delays in the finalization of the contract between HPCSA and UKZN due to certain administrative requirements not being met by the University. These matters have now been resolved and the contract finalised which then led to the applicants being able to sit for the examination on 25th October 2023.
The National Department of Health is not involved in the contracting process of the HPCSA. HPCSA had previously contracted Sefako Makgatho University and this contract expired in March 2023. The new contract with the University of KwaZulu-Natal was signed in September 2023.
END.
03 November 2023 - NW3273
Thembekwayo, Dr S to ask the Minister of Health
What (a) assistance has been provided to residents of Dunoon in the Western Cape who have complained about the poor service they have been receiving from the Dunoon Community Health Centre and (b) are the relevant details in this regard?
Reply:
According to the Western Cape Department of Health:
The Dunoon Community Health Centre operates 24 hours and 7 days a week. On daily basis the facility attends to:
Adults :
- 150-200 Un-booked patients
- 180-200 Booked patients.
- 15-35 TB clients
- 75-100 Family planning
Staff allocation for these services is 6 Clinical Nurse Practitioners and 2 Medical Officers.
Children:
- 100-150 Sick Children
- 80-120 Immunizations
Staff allocation for these services is 2 Clinical Nurse Practitioners, 1 Professional Nurse and 2 Medical Officers.
Patients do experience long waiting times due to failures to adhere to bookings and non-booking appointments. All walk-in patients are attended to and also prioritizing the patients who require urgent medical assistance. Patients who missed appointments are handled through Standard Operating Procedure. Patients are advised to lodge complaints personally or to use the suggestions box at the facility. The facility has a functional clinic committee to attend to patients’ complaints.
A wellness hub that operates once a week to provide wellness services will be piloted in Dunoon Community Hall in November 2023.
END.
03 November 2023 - NW3279
Tetyana, Mr Y to ask the Minister of Health
Given that Medico-legal claims of more than R20 billion in Gauteng at present are concerning, (a)(i) which healthcare facilities account for most of the specified claims and (ii) what steps has he and/or his department taken to intervene in such healthcare facilities, (b) how has he found that the intervention steps have improved the situation and (c)(i) what is the nature of the majority of claims and (ii) how are they resolvable in the long term?
Reply:
a) (i) According to the Gauteng Provincial Department of Health, the top 10 (Ten) healthcare facilities which account for the most specified claims are as follows:
Health facilities:
- Chris Hani Baragwanath Hospital
- Thelle Mogoerane Regional Hospital
- Tembisa Hospital
- Dr. George Mukhari Hospital
- Charlotte Maxeke Academic Hospital
- Sebokeng Hospital
- Rahima Moosa Mother and Child Hospital
- Bertha Gxowa Hospital
- Pholosong Hospital
- Mamelodi Hospital
(ii) According to the Gauteng Provincial Department of Health, the Department is taking the following steps to intervene in the Gauteng Healthcare facilities:
• The Department is conducting root cause analysis at clinical level of cases that result in medico-legal claims and adverse incidents and also working at eliminating the challenges at the root cause level i.e the shortage of staff & medical equipment, theatres and generally improved service delivery;
• Improving clinical care as part of the clinical risk management process, based on specific clinical audits of adverse events;
• Implementing intervention strategies with the CEO’s of the Hospitals and implementation of consequence management;
• Increasing in the number of Doctors to enhance the patient to Doctor ratio and improving midwifery training of nurses;
(b) It is difficult to say that the intervention steps have improved the situation as the Department is currently undertaking these interventions.
(c) (i) According to the Gauteng Provincial Department of Health, the majority are Cerebral Palsy.
(ii) According to the Gauteng Provincial Department of Health, these matters would be resolved by intervention from clinical services through an intensive training of the clinicians dealing with patients at the healthcare facilities.
It is critical to note that not all medico-legal cases that have been laid against Provincial Departments are as the result of negligence as some are fraudulent.
The following are clinical interventions coordinated from the national level as the result of the Medico-Legal Summit Declaration where Provincial Departments are encouraged to implement:
- A culture of patient safety and medical accountability must be enforced by the Head of the institution i.e. in the case of hospitals, the Chief Executive Officer (CEO);
- All hospital managers must implement the Patients’ Rights Charter;
- Clinical governance must be uniformly implemented;
- Morbidity and Mortality (M&M) reviews and clinical audits of all adverse events must be implemented immediately;
- There must be a compulsory multidisciplinary approach in ward rounds, M&M and other peer review meetings;
- Continuous patient safety campaigns must be conducted;
- The referral of patients must occur at an early and appropriate time; and
- There must be strict adherence to standard operating procedures (SOPs) and scope of practice at all times to avoid preventable safety failures.
Furthermore, the Provinces are also encouraged to have facilities that are properly equipped to provide future medical treatment to address the issue of future medical expenses which normally constitute 80% Medico-Legal claims quantum.
The abovementioned interventions are assisting in reducing the actual amounts payable to the Plaintiffs.
END.
03 November 2023 - NW3285
Khawula, Ms MS to ask the Minister of Health
What (a) number of health facilities in KwaZulu-Natal have experienced water shortages and (b) steps has he taken to assist the specified facilities with a sustainable solution to the water shortage threats and crisis affecting the health facilities?
Reply:
According to the KwaZulu Natal Provincial Department of Health, there are 59 facilities that have experienced water shortages. The Table below is providing a list of health facilities that have experienced water shortages including the steps that were taken in resolving the crisis:
|
District |
Facility name |
Issues Experienced |
Steps for sustainable Solution |
|
Uthukela |
St Chads Community Health Centre |
No reliable water supply from the Municipality |
Water is currently supplied by the water trucks that were purchased by the KZN Provincial Health. These trucks are managed at a District Level. |
|
Amajuba |
Niemeyer Hospital |
Intermittent water supply from the District Municipality water scheme |
Backup Steel water tank installation is in progress. Currently, water is supplied by the water trucks that were purchased by the KZN Provincial Health. These trucks are managed at a District Level. |
|
Ilembe |
Maphumulo Clinic |
Water supply from the Municipality is not reliable |
Installation of borehole project at planning stage. Currently, water is supplied by the water trucks that were purchased by the KZN Provincial Health. These trucks are managed at a District Level. |
|
Ilembe |
Ntunjambili Hospital |
Water supply from the Municipality is not reliable |
Installation of borehole project at planning stage. Currently, water is supplied by the water trucks that were purchased by the KZN Provincial Health. These trucks are managed at a District Level. |
|
Ilembe |
Montebello Hospital |
Water supply from the Municipality is not reliable |
Installation of borehole project at planning stage. Currently, water is supplied by the water trucks that were purchased by the KZN Provincial Health. These trucks are managed at a District Level. |
|
Ilembe |
Chibini Clinic |
Water supply from the Municipality is not reliable |
Installation of borehole project at planning stage. Currently, water is supplied by the water trucks that were purchased by the KZN Provincial Health. These trucks are managed at a District Level. |
|
Harry Gwala |
Umzimkhulu Hospital |
Water supply from the Municipality is not reliable |
Borehole was installed and went dry after three months. Currently, water is supplied by the water trucks that were purchased by the KZN Provincial Health. These trucks are managed at a District Level. |
|
Harry Gwala |
Franklin Clinic |
Water supply from the Municipality is not reliable |
Borehole installation in progress. Currently, water is supplied by the water trucks that were purchased by the KZN Provincial Health. These trucks are managed at a District Level. |
|
Ugu |
Mthimude Clinic |
Water supply from the Municipality is not reliable |
Currently, water is supplied by the water trucks that were purchased by the KZN Provincial Health. These trucks are managed at a District Level. |
|
Ugu |
Ezingolweni Clinic |
Water supply from the Municipality is not reliable |
Currently, water is supplied by the water trucks that were purchased by the KZN Provincial Health. These trucks are managed at a District Level. |
|
Ugu |
Thembalesizwe Clinic |
Water supply from the Municipality is not reliable |
Currently, water is supplied by the water trucks that were purchased by the KZN Provincial Health. These trucks are managed at a District Level. |
|
Ugu |
Thonjeni Clinic |
Water supply from the Municipality is not reliable |
Currently, water is supplied by the water trucks that were purchased by the KZN Provincial Health. These trucks are managed at a District Level. |
|
Ugu |
Mgayi Clinic |
Water supply from the Municipality is not reliable |
Water is supplied through a borehole. Installation additional borehole is in progress. Water trucks are on standby in case there is more demand for water supply. |
|
Ugu |
Morrison Post Clinic |
Water supply from the Municipality is not reliable |
Planning for installation of a borehole in progress. Currently, water is supplied by the water trucks that were purchased by the KZN Provincial Health. These trucks are managed at a District Level. |
|
Ugu |
Gqayinyanga Clinic |
Water supply from the Municipality is not reliable |
Currently, water is supplied by the water trucks that were purchased by the KZN Provincial Health. These trucks are managed at a District Level. |
|
Ugu |
Mgangeni Clinic |
Water supply from the Municipality is not reliable |
Installation of borehole in progress. Currently, water is supplied by the water trucks that were purchased by the KZN Provincial Health. These trucks are managed at a District Level. |
|
Ugu |
Philani Clinic |
Water supply from the Municipality is not reliable |
Installation of borehole is in progress. Currently, water is supplied by the water trucks that were purchased by the KZN Provincial Health. These trucks are managed at a District Level. |
|
Ugu |
Nhlalwane Clinic |
Water supply from the Municipality is not reliable |
Currently, water is supplied by the water trucks that were purchased by the KZN Provincial Health. These trucks are managed at a District Level. |
|
Ugu |
Elim Clinic |
Water supply from the Municipality is not reliable |
Currently, water is supplied by the water trucks that were purchased by the KZN Provincial Health. These trucks are managed at a District Level. |
|
Ugu |
Pisgah Clinic |
Water supply from the Municipality is not reliable |
Currently, water is supplied by the water trucks that were purchased by the KZN Provincial Health. These trucks are managed at a District Level. |
|
Ugu |
Gamalakhe CHC |
Water supply from the Municipality is not reliable |
Currently, water is supplied by the water trucks that were purchased by the KZN Provincial Health. These trucks are managed at a District Level. |
|
Ugu |
Bhomela Clinic |
Water supply from the Municipality is not reliable |
Currently, water is supplied by the water trucks that were purchased by the KZN Provincial Health. These trucks are managed at a District Level. |
|
Ugu |
Braemer Clinic |
Water supply from the Municipality is not reliable |
Currently, water is supplied by the water trucks that were purchased by the KZN Provincial Health. These trucks are managed at a District Level. |
|
Ugu |
Ntabeni Clinic |
Water supply from the Municipality is not reliable |
Currently, water is supplied by the water trucks that were purchased by the KZN Provincial Health. These trucks are managed at a District Level. |
|
Ugu |
Mvutshini Clinic |
Water supply from the Municipality is not reliable |
Currently, water is supplied by the water trucks that were purchased by the KZN Provincial Health. These trucks are managed at a District Level. |
|
Ugu |
Ludimala Clinic |
Water supply from the Municipality is not reliable |
Currently, water is supplied by the water trucks that were purchased by the KZN Provincial Health. These trucks are managed at a District Level. |
|
Ugu |
Gcilima Clinic |
Water supply from the Municipality is not reliable |
Currently, water is supplied by the water trucks that were purchased by the KZN Provincial Health. These trucks are managed at a District Level. |
|
Umkhanyakude |
Ezwenelisha Clinic |
Water supply from the Municipality is not reliable |
Water is supplied through a borehole. Water trucks are on standby in case there is more demand for water supply. |
|
Umkhanyakude |
Madwaleni Clinic |
Water supply from the Municipality is not reliable |
Water is supplied through a borehole. Water trucks are on standby in case there is more demand for water supply. |
|
Umkhanyakude |
Mpembeni Clinic |
Water supply from the Municipality is not reliable |
Water is supplied through a borehole. Water trucks are on standby in case there is more demand for water supply. |
|
Umkhanyakude |
Inhlwathi Clinic |
Water supply from the Municipality is not reliable |
Water is supplied through a borehole. Water trucks are on standby in case there is more demand for water supply. |
|
Umkhanyakude |
Mseleni Hospital |
Water supply from the Municipality is not reliable |
Water is supplied through a borehole. Water trucks are on standby in case there is more demand for water supply. |
|
Umkhanyakude |
Ezimpondweni Clinic |
Water supply from the Municipality is not reliable |
Water is supplied through a borehole. Water trucks are on standby in case there is more demand for water supply. |
|
Umkhanyakude |
Kwambuzi Clinic |
Water supply from the Municipality is not reliable |
Currently, water is supplied by the water trucks that were purchased by the KZN Provincial Health. These trucks are managed at a District Level. |
|
Umkhanyakude |
Bethesda Hospital |
Water supply from the Municipality is not reliable |
Currently, water is supplied by the water trucks that were purchased by the KZN Provincial Health. These trucks are managed at a District Level. |
|
Umkhanyakude |
Ophansi Clinic |
Water supply from the Municipality is not reliable |
Currently, water is supplied by the water trucks that were purchased by the KZN Provincial Health. These trucks are managed at a District Level. |
|
Umkhanyakude |
Othobothini CHC |
Water supply from the Municipality is not reliable |
Currently, water is supplied by the water trucks that were purchased by the KZN Provincial Health. These trucks are managed at a District Level. |
|
Umkhanyakude |
Nondabuya Clinic |
Water supply from the Municipality is not reliable |
Currently, water is supplied by the water trucks that were purchased by the KZN Provincial Health. These trucks are managed at a District Level. |
|
Umkhanyakude |
Gwaliweni Clinic |
Water supply from the Municipality is not reliable |
Currently, water is supplied by the water trucks that were purchased by the KZN Provincial Health. These trucks are managed at a District Level. |
|
Umkhanyakude |
Ophondweni Clinic |
Water supply from the Municipality is not reliable |
Currently, water is supplied by the water trucks that were purchased by the KZN Provincial Health. These trucks are managed at a District Level. |
|
Umkhanyakude |
Makhathini Clinic |
Water supply from the Municipality is not reliable |
Currently, water is supplied by the water trucks that were purchased by the KZN Provincial Health. These trucks are managed at a District Level. |
|
Umzinyathi |
CJM Hospital |
Water supply from the Municipality is not reliable |
Borehole installation project is at Tender Stage. Currently, water is supplied by the water trucks that were purchased by the KZN Provincial Health. These trucks are managed at a District Level. |
|
Umzinyathi |
Greytown Hospital |
Water supply from the Municipality is not reliable |
Borehole installation project is at Tender Stage. Currently, water is supplied by the water trucks that were purchased by the KZN Provincial Health. These trucks are managed at a District Level. |
|
Umzinyathi |
Church of Scotland Hospital |
Water supply from the Municipality is not reliable |
Borehole installation project is at Tender Stage. Currently, water is supplied by the water trucks that were purchased by the KZN Provincial Health. These trucks are managed at a District Level. |
|
King Cetshwayo |
Sokhulu Clinic |
Water supply from the Municipality is not reliable |
Borehole installation has been awarded. Currently, water is supplied by the water trucks that were purchased by the KZN Provincial Health. These trucks are managed at a District Level. |
|
King Cetshwayo |
Ntambanana Clinic |
Water supply from the Municipality is not reliable |
Borehole installation has been awarded. Currently, water is supplied by the water trucks that were purchased by the KZN Provincial Health. These trucks are managed at a District Level. |
|
King Cetshwayo |
Cinci Clinic |
Water supply from the Municipality is not reliable |
Water is supplied through a borehole. Water trucks are on standby in case there is more demand for water supply. |
|
King Cetshwayo |
Halambu Clinic |
Water supply from the Municipality is not reliable |
Borehole installation project is on planning. Currently, water is supplied by the water trucks that were purchased by the KZN Provincial Health. These trucks are managed at a District Level. |
|
King Cetshwayo |
Ndabaningi Clinic |
Water supply from the Municipality is not reliable |
Borehole installation project is on planning. Currently, water is supplied by the water trucks that were purchased by the KZN Provincial Health. These trucks are managed at a District Level. |
|
King Cetshwayo |
Vumanhlavu Clinic |
Water supply from the Municipality is not reliable |
Borehole installation project is on planning stage. Currently, water is supplied by the water trucks that were purchased by the KZN Provincial Health. These trucks are managed at a District Level. |
|
King Cetshwayo |
Chwezi Clinic |
Water supply from the Municipality is not reliable |
Borehole installation project is on planning stage. Currently, water is supplied by the water trucks that were purchased by the KZN Provincial Health. These trucks are managed at a District Level. |
|
King Cetshwayo |
Nkandla Hospital |
Water supply from the Municipality is not reliable |
Borehole installation project is under the planning stage. Currently, water is supplied by the water trucks that were purchased by the KZN Provincial Health. These trucks are managed at a District Level. |
|
King Cetshwayo |
Ewangu Clinic |
Water supply from the Municipality is not reliable |
Borehole installation project is under the planning stage. Currently, water is supplied by the water trucks that were purchased by the KZN Provincial Health. These trucks are managed at a District Level. |
|
King Cetshwayo |
Vumanhlavu Clinic |
Water supply from the Municipality is not reliable |
Borehole installation project is under the planning stage. Currently, water is supplied by the water trucks that were purchased by the KZN Provincial Health. These trucks are managed at a District Level. |
|
King Cetshwayo |
Halambu Clinic |
Water supply from the Municipality is not reliable |
Borehole installation project is under the planning stage. Currently, water is supplied by the water trucks that were purchased by the KZN Provincial Health. These trucks are managed at a District Level. |
|
King Cetshwayo |
Ndabaningi Clinic |
Water supply from the Municipality is not reliable |
Borehole installation project is under the planning stage. Currently, water is supplied by the water trucks that were purchased by the KZN Provincial Health. These trucks are managed at a District Level. |
|
King Cetshwayo |
Nongamlana Clinic |
Water supply from the Municipality is not reliable |
Borehole installation project is under the planning stage. Currently, water is supplied by the water trucks that were purchased by the KZN Provincial Health. These trucks are managed at a District Level. |
|
King Cetshwayo |
Nxamalala Clinic |
Water supply from the Municipality is not reliable |
Borehole installation project is under the planning stage. Currently, water is supplied by the water trucks that were purchased by the KZN Provincial Health. These trucks are managed at a District Level. |
|
King Cetshwayo |
Chwezi Clinic |
Water supply from the Municipality is not reliable |
Borehole installation project is under the planning stage. Currently, water is supplied by the water trucks that were purchased by the KZN Provincial Health. These trucks are managed at a District Level. |
In addition, the National Department of Health has provided financial support through the Hospital Facility Revitalization Grant (HFRG) for the following measures:
- The purchasing of water trucks; and
- The installation of boreholes to various facilities that are affected by the shortage of water supply.
END.
03 November 2023 - NW3286
Khawula, Ms MS to ask the Minister of Health
(1)What plans has his department put in place to (a) increase the capacity to carry out caesarean sections and (b) provide the necessary equipment for the specified operations in public hospitals as infants die as a result of the lack of adequate equipment; (2) whether he has found that the lack of equipment and capacity resulting in injuries to women and deaths of infants are challenges for his department in providing quality health care for women in labour and their babies; if not, what is the position in this regard; if so, what are the relevant details?
Reply:
1..(a) The National Department of Health has put the following interventions in place to increase the capacity to carry out caesarean sections:
- Department developed various support services to strengthen capacity at lower levels of care. Support services include in/outreach programmes by specialists, use of District Clinical Specialist Teams to address the issues of knowledge and skill to performance of C/Section. Use of family physicians to support midwives in identification of risk factors for women who may require caesarian section to be referred early to next level of care.
- The Provincial Departments implement the continuous drills at facility level to upskill the staff to timeously and efficiently prepare women for caesarian section even in the case of emergency, this is part of the Essential Steps on Management of Obstetric Emergency ( ESMOE) training course.
b) Each health facility conducts an essential equipment audit as described within the Caesarian section guideline (monologue) to determine the equipment deficit status and develop the replacement plans as prescribed by the supply chain management systems.
2. Department conducts an in-depth analysis of the causes of both maternal and neonatal mortality and morbidity which are communicated through the saving mothers and babies report. The latest report (2020-2022) indicate that the key causes of neonatal deaths are prematurity, asphyxia and infections. While the department acknowledges that there are incidences of human resource and equipment shortages, they are not documented as causes of neonatal deaths in public health facilities.
END.
03 November 2023 - NW3319
Clarke, Ms M to ask the Minister of Health
(1)Whether he will furnish Mrs M O Clarke with a list of all (a) hospitals, (b) clinics and (c) other public health facilities that have upgraded to electronic record-keeping in each province; if not, why not; if so, what are the relevant details; (2) whether he will furnish Mrs M O Clarke with a list of all the specified public health facilities that do not have working (a) telephones, (b) computers and/or laptops, (c) access to the internet and/or WiFi and (d) any other information and communications technology infrastructure; if not, why not; if so, what are the reasons that each facility does not have the specified equipment; (3) what are the reasons that some public health facilities have not yet been electronically upgraded; (4) what is the envisaged (a) cost and (b) time frame for each province to upgrade to electronic systems?
Reply:
1. We are not in a position to provide a list of all (a) hospitals, (b) clinics and (c) other public health facilities that have upgraded to electronic record-keeping per province because each province has a complex set of different solutions. However, we can report on the systems that are installed as follows:
The national department of Health together with provinces implemented the Health Patient Registration System (HPRS) as the first step to the development and implementation of a shared electronic health record. The HPRS records a patient’s visit and categorise the patient’s reason for visit.
A list of facilities where the HPRS has been installed is provided in a separate spreadsheet of 3474 public health facilities.
The following responses were received from the provinces
Eastern Cape
Eastern Cape is in the process of installing the Health Management System Version 2 (HMS2) system in the following 32 facilities and services:
Free State
Only 1 facility (National Hospital) has been upgraded to an electronic record-keeping system in the province.
Limpopo
41 hospitals are using ‘Enterprise Manager’ known in the province as Provincial Health Information System (PHIS). Clinics are using the Health Patient Registration System (HPRS).
Northern Cape
All Facilities are making use of manual record keeping. The province is upgrading the record keeping at facilities (new files, cabinets, etc) first and will then start to look at implementing an electronic version (digitization).
North West
No health facility in North West Province has upgraded to an electronic record keeping system. The province has approved a pilot project to be implemented in three health facilities as proof of concept for digitalization of patient record. The project is ongoing.
Mpumalanga
The Mpumalanga Department of Health appointed a service provider in 2022/23 financial year to scan and archive patient records in the following hospitals: Rob Ferreira Hospital, Themba Hospital, Ermelo Hospital, Witbank Hospital, Mapulaneng Hospital, Tintswalo Hospital, Middelburg Hospital, Bernice Samuel Hospital and Tonga Hospital.
Western Cape
The Western Cape Department of Health (WCDOH) has embarked on a journey to upgrade from paper record-keeping to electronic record-keeping which is a complex, medium to long term programme.
Patient Administration systems: Clinicom Patient Administration system in 53 hospitals. Primary Healthcare Information system (PHCIS) in all 308 primary healthcare facilities in the province. The PREHMIS primary care system in 95 of the City of Cape Town (CoCT) clinics.
Clinical investigations: The Trakcare laboratory system, can be accessed by all facilities. The RIS PACS is a digital imaging system in 13 Facilities.
The NDOH has not yet received an update from KwaZulu Natal (KZN) and Gauteng
2. Regarding the situation with public health facilities’ (a) telephones, (b) computers and/or laptops, (c) access to the internet and/or WiFi and (d) any other information and communications technology infrastructure.
A summary of Communication and ICT Infrastructure at PHC facilities is provided in tables and are provided in an Excel document. Data has been collected through self-assessment by facilities during the Ideal Clinic Assessment in 2023.
|
Tot # PHC Facilities: |
3474 |
||||||
|
Tot # PHC Facilities that didn't conduct a self-assessment: |
46 |
||||||
|
|
|
||||||
|
Number/Percentage of facilities that have a functional telephone/computer and internet access |
|||||||
|
Province |
# Facilities conducted a self-assessment |
# Facilities with Telephone |
% of Facilities with Telephone |
# Facilities with Computer |
% of Facilities with Computer |
# Facilities with Internet |
% of Facilities with Internet |
|
EC |
773 |
564 |
73% |
760 |
98% |
661 |
86% |
|
FS |
212 |
205 |
97% |
210 |
99% |
210 |
99% |
|
GP |
364 |
332 |
91% |
362 |
99% |
345 |
95% |
|
KZN |
602 |
581 |
97% |
598 |
99% |
532 |
88% |
|
LIMP |
477 |
439 |
92% |
471 |
99% |
380 |
80% |
|
MPU |
291 |
266 |
91% |
288 |
99% |
167 |
57% |
|
NW |
305 |
292 |
96% |
303 |
99% |
293 |
96% |
|
NC |
159 |
147 |
92% |
156 |
98% |
141 |
89% |
|
WC |
245 |
241 |
98% |
245 |
100% |
243 |
99% |
|
South Africa |
3428 |
3067 |
89% |
3393 |
99% |
2972 |
87% |
361 PHC Facilities indicated not to have telephones.
20 PHC Facilities indicated not to have computers.
452 PHC Facilities indicated no access to internet connectivity.
All hospitals have Telephones, Computers and Internet Connectivity
3. There are several factors that need to be considered that include the general communication infrastructure of the geography of where facilities are situated to ensure appropriate ICT infrastructure. Provinces reported that where facilities do not have access to fix line telephones they are provided with mobile telephones. The National Department of Health is working with the Department of Communication and Digital Technology through the SA Connect project for the provision of appropriate broadband connectivity at Health Facilities.
4. Because of the complexities involved the full costing of the upgrade of health facilities to appropriate ICT Infrastructure with specific reference to broadband connectivity to enable the digital health transformation, will be completed by September 2024.The estimated amount based on preliminary costing is R 500 million for infrastructure and annual recurring cost of approximately R 7 million.
END.
03 November 2023 - NW3321
Clarke, Ms M to ask the Minister of Health
(1)Whether he will furnish Mrs M O Clarke with a list of the (a) age demographics and (b) field of specialisation as a percentage in each category of nurses employed in the public health sector; if not, why not; if so, (i) what are the relevant details and (ii) in which provinces are the specified nurses employed; (2) (a) what is the current vacancy rate for all the specified fields of specialised nursing in each province and (b) by what date will the specified vacancies be filled?
Reply:
1. (a) In accordance with the Persal data set as extracted for the month of September 2023 below is the table of the age demographics of all nurses employed in the public health sector
Age demographics: All Nurse categories per province (June 2023)
|
Age demographics of all nurses employed in the public health sector as at September 2023 |
||||||||||||
|
Province |
20-24yr |
25-29yr |
30-34yr |
35-39yr |
40-44yr |
45-49yr |
50-54yr |
55-59yr |
60-64yr |
65-69yr |
70-74yr |
Grand Total |
|
Eastern Cape |
394 |
1602 |
2261 |
2735 |
3264 |
3676 |
2900 |
2538 |
1639 |
9 |
|
21018 |
|
Free State |
38 |
225 |
728 |
930 |
931 |
967 |
1202 |
1282 |
529 |
1 |
|
6833 |
|
Gauteng |
355 |
2219 |
3705 |
4839 |
5290 |
4978 |
4248 |
3555 |
1812 |
22 |
2 |
31025 |
|
KwaZulu Natal |
586 |
1233 |
3140 |
5191 |
6516 |
6595 |
4779 |
3661 |
1613 |
5 |
|
33319 |
|
Limpopo |
251 |
466 |
995 |
2084 |
2741 |
2842 |
2870 |
2424 |
825 |
1 |
|
15499 |
|
Mpumalanga |
158 |
702 |
1177 |
1379 |
1801 |
1817 |
1535 |
1171 |
362 |
|
|
10102 |
|
North-West |
69 |
621 |
1200 |
1210 |
1349 |
1551 |
1366 |
1100 |
476 |
45 |
9 |
8996 |
|
Northern Cape |
5 |
155 |
275 |
238 |
338 |
405 |
399 |
438 |
244 |
10 |
4 |
2511 |
|
Western Cape |
256 |
939 |
1690 |
1947 |
1964 |
2145 |
2091 |
1760 |
658 |
7 |
|
13457 |
|
Grand Total |
2112 |
8162 |
15171 |
20553 |
24194 |
24976 |
21390 |
17929 |
8158 |
100 |
15 |
142760 |
(b) The table below provides data of nurses in their specialization per percentage of each category per Provinces in which they are employed
NB. Persal does not provide the breakdown percentage of each specialized category since they are all grouped under category specialty.
Age demographics: Specialized Nurses vs all filled Nursing posts.
|
Professional Nurse (Specialized) 2023 |
||||||||||
|
Province |
25-34yrs |
35-44yrs |
45-54yrs |
55-64yrs |
*Above 65 |
|||||
|
|
Total Specialized |
% vs Total Nurse |
Total Specialized |
% vs Total Nurse |
Total Specialized |
% vs Total Nurse |
Total Specialized |
% vs Total Nurse |
Total Specialized |
% vs Total Nurse |
|
Eastern Cape |
67 |
1.6% |
343 |
5.7% |
703 |
10.7% |
772 |
18.5% |
2 |
22.2% |
|
Free State |
32 |
3.2% |
89 |
4.8% |
307 |
14.2% |
397 |
21.9% |
0 |
0.0% |
|
Gauteng |
162 |
2.6% |
799 |
7.9% |
1321 |
14.3% |
1189 |
22.2% |
7 |
29.2% |
|
KwaZulu-Natal |
107 |
2.2% |
1047 |
8.9% |
1776 |
15.6% |
1284 |
24.3% |
3 |
60.0% |
|
Limpopo |
67 |
3.9% |
302 |
6.3% |
535 |
9.4% |
694 |
21.4% |
0 |
0.0% |
|
Northern Cape |
6 |
0.3% |
25 |
0.8% |
63 |
1.9% |
72 |
4.7% |
0 |
0.0% |
|
Mpumalanga |
13 |
0.7% |
157 |
6.1% |
400 |
13.7% |
355 |
22.5% |
0 |
0.0% |
|
North-West |
23 |
5.3% |
145 |
25.2% |
364 |
45.3% |
285 |
41.8% |
0 |
0.0% |
|
Western Cape |
119 |
4.1% |
469 |
12.0% |
706 |
16.7% |
464 |
19.2% |
2 |
28.6% |
|
Total |
596 |
2.3% |
3376 |
7.5% |
6175 |
13.3% |
5512 |
21.1% |
14 |
12.2% |
* Aged above 65 are regulated in accordance with the Public Service Regulation and Act- to employ professionals over the age of 65
(2) (a) Current vacancy rate for all the specified nursing specialties in each province and
|
Nursing Specialty Vacancy Rate |
||
|
Province |
Vacant (funded and unfunded) |
Vacancy rate % |
|
Eastern Cape |
282 |
13.0% |
|
Free State |
419 |
34.4% |
|
Gauteng |
571 |
14.1% |
|
KwaZulu Natal |
1016 |
19.4% |
|
Limpopo |
214 |
11.8% |
|
Mpumalanga |
93 |
9.1% |
|
North West |
172 |
17.4% |
|
Northern Cape |
65 |
28.1% |
|
Western Cape |
224 |
11.3% |
|
Grand Total |
3056 |
16.3% |
(b) The Department is unable to state the envisaged time frame to fill the vacant positions due to general budget cuts that negatively affects the Compensation of Employment (CoE) a specific date of when the specified challenges will be eradicated. However, it can confirm that measures are applied across Provinces to prioritize filling of vacant posts where the budgets permit.
END.
03 November 2023 - NW3351
Smalle, Mr JF to ask the Minister of Health
With reference to his reply to question 3081 on 22 September 2023, why (a) were the deceased taken to the Diepkloof Government Mortuary and not to Hillbrow; (b) were families of the deceased charged R700 for the release of bodies from the Diepkloof Mortuary, what (c) is the capacity of (i) Diepkloof Mortuary, (ii) Hillbrow Mortuary and (iii) Roodepoort Mortuary and (d) number of bodies are still at the respective mortuaries as at 1 September 2023?
Reply:
(a) According to the Gauteng Department of Health, bodies were taken to both Hillbrow (Johannesburg) and Diepkloof Forensic mortuaries for the following reasons.
- The Diepkloof Forensic Mortuary was used for the postmortem examinations. It was also as a central storage for bodies so that families can access one central point for identification of family members.
- The Hillbrow (Johannesburg) Mortuary was used to conduct advanced scientific investigations such as DNA harvesting, Fingerprint Taking and use of the LODOX/ X-Ray services.
(b) The Gauteng Department of Health did not charge any family money for the release of the bodies. The following are free services provided by Forensic Pathology Services: Body Autopsy, DNA collection, Histology, Toxicology, and Anthropology examination.
(c) Table 1 below indicates responses to (i)(ii) and (c) and (d)
|
Mortuary name |
(c)Capacity |
(d) Bodies in the mortuary as of 1 September 2023 |
|
(i) Diepkloof |
300 |
205 |
|
(ii) Hillbrow |
200 |
160 |
|
(iii) Roodepoort |
100 |
84 |
END.
03 November 2023 - NW3320
Clarke, Ms M to ask the Minister of Health
(1)Whether he will furnish Mrs M O Clarke with a list of all the critical skills vacancies in each province; if not, why not; if so, what are the relevant details; (2) (a) by what date will the specified vacancies be filled and (b) what is the total annual cost of each position?
Reply:
The Department of Home Affairs compiles a list of critical skills needed in the country as their reference for approving work permits. The current Home Affairs Critical list as published 2022 includes only Medical and Nursing Specialists for Health services.
The Department of Health provides essential services to the country. This is based on the nature of services being provided. It is imperative to note that ideally the Department of Health wishes to fill all health care worker posts in order to improve the health outcomes of the population.
(1)-(2) Due to current financial constrains that are also affecting human resources budgets, Provinces annually appoint Employment Recruitment Teams lead by Heads of Health Departments or delegated officials at senior positions to develop recruitment plans prioritising the filling of critical posts with a required skills mix to address the burden of diseases at all our levels of care guarding against overspending on provided/available budgets.
Annexure A as attached is provincial submission of prioritised posts per province with envisaged dates to fill the posts and total costs per province. Outstanding province Free is Gauteng.
END.
03 November 2023 - NW3385
Hlengwa, Ms MD to ask the Minister of Health
Whether he will furnish Ms M D Hlengwa with the records of the procurement of new ambulances in the 2023-24 financial year; if not, why not; if so, what are the statistics of (a) each hospitals (b) in each province?
Reply:
a) Ambulances are allocated to EMS stations which are either stand-alone or co-located in hospitals, clinics, and other public facilities. Ambulances are therefore not allocated to each hospital.
b) The number of ambulances procured in 2023-24 financial year per province is as per table below:
|
Province |
Number of Ambulances |
|
Eastern Cape |
58 |
|
Free State |
20 |
|
Gauteng |
170 |
|
KwaZulu-Natal |
32 |
|
Limpopo |
500 |
|
Mpumalanga |
10 |
|
Northwest |
3 |
|
Northern Cape |
0 |
|
Western Cape |
120 |
|
Total |
913 |
END.
03 November 2023 - NW3386
Hlengwa, Ms MD to ask the Minister of Health
Whether any South African doctors who were trained abroad have taken up the 2023 Health Professions Council of South Africa examination in order to register to practice in the Republic; if not, why not; if so, what are the relevant details?
Reply:
According to the Health Professions Council of South Africa (HPCSA), 217 foreign trained applicants sat for theory examinations on the 25th of October 2023.
END.
03 November 2023 - NW3400
Montwedi, Mr Mk to ask the Minister of Health
(1)What is the current patient to psychiatrist ratio in all the public facilities in the Republic; (2) whether the ratio is in compliance with the Norms and Standards of his department; if not, why not; if so, what are the relevant details?
Reply:
- and (2) The table below reflects the details in this regard.
|
Province |
Facility Name |
No of psychiatrists |
No of usable beds |
Patient to psychiatrist ratio |
Ratio compliant with the Norms and Standards (1:28 – 1:42 for acute beds and 1:50 for medium to long stay beds) |
|
Eastern Cape |
Elizabeth Donkin Specialised Psychiatric Hospital |
2 |
163 |
1:82 |
No |
|
Fort England Specialised Psychiatric Hospital |
2 |
313 |
1:156 |
No |
|
|
Komani Specialised Psychiatric Hospital |
0 |
440 |
None |
No |
|
|
Tower Specialised Psychiatric Hospital |
0 |
352 |
None |
No |
|
|
Dora Nginza Regional Hospital |
1 |
35 |
1:35 |
Yes |
|
|
Cecilia Makiwane Regional Hospital |
1 |
50 |
1:50 |
No |
|
|
Mthatha Regional Hospital |
1 |
30 |
1: 30 |
Yes |
|
|
Free State |
Free State Psychiatric Complex |
5 |
760 |
1: 152 |
No |
|
Mofuhadi Manapo Mopedi Regional Hospital |
1 |
30 |
1:30 |
Yes |
|
|
Boitumelo Regional Hospital |
1 |
34 |
1: 34 |
Yes |
|
|
Gauteng |
Sterkfontein Specialised Psychiatric Hospital |
18 |
613 |
1:34 |
Yes |
|
Tara Specialised Psychiatric Hospital |
8 |
137 |
1:17 |
Yes |
|
|
Weskoppies Specialised Psychiatric Hospital |
16 |
780 |
1:49 |
Yes |
|
|
Cullinan Psychiatric Care and Rehabilitation Hospital |
0.5 (sessional) |
180 |
1: 360 |
No |
|
|
Dr George Mukhari Central Hospital |
4 |
48 |
1: 12 |
Yes |
|
|
Charlotte Maxeke Central Hospital |
7 |
65 |
1:9 |
Yes |
|
|
Chris Hani Baragwanath Central Hospital |
10 |
165 |
1:17 |
Yes |
|
|
Kalafong Provincial Tertiary Hospital |
1 |
45 |
1:45 |
No |
|
|
Steve Biko Central Hospital |
2 |
18 |
1:9 |
Yes |
|
|
Helen Joseph Provincial Tertiary Hospital |
3 |
60 |
1:20 |
Yes |
|
|
Thembisa Provincial Tertiary Hospital |
0 |
30 |
None |
No |
|
|
Leratong Regional Hospital |
1 |
40 |
1: 40 |
No |
|
|
Mamelodi Regional Hospital |
0 |
28 |
None |
No |
|
|
Thelle Mogoerane Regional Hospital |
1 |
20 |
1: 20 |
Yes |
|
|
Kopanong District Hospital |
1 |
54 |
1:54 |
No |
|
|
KZN |
Ekuhlengeni Specialised Psychiatric Care and Rehabilitation Hospital |
0 |
700 |
None |
No |
|
Fort Napier Specialised Psychiatric Hospital |
5 |
378 |
1:76 |
No |
|
|
Town Hill Specialised Psychiatric Hospital |
7 |
242 |
1:35 |
Yes |
|
|
Umngeni Specialised Psychiatric Care and Rehabilitation Hospital |
0 |
392 |
None |
No |
|
|
Umzimkhulu Specialised Psychiatric Hospital |
0 |
284 |
None |
No |
|
|
King Dinuzulu Regional Hospital |
4 |
78 |
1:20 |
Yes |
|
|
Madadeni Regional Hospital |
1 |
250 |
1: 250 |
No |
|
|
Port Shepstone Regional Hospital |
1 |
8 |
1: 8 |
Yes |
|
|
Ngwelezane Provincial Tertiary Hospital |
2 |
30 |
1:15 |
Yes |
|
|
Prixley KaSeme Regional Hospital |
3 |
28 |
1:9 |
Yes |
|
|
St Benedictine District Hospital |
0 |
15 |
None |
No |
|
|
Prince Mshiyeni Regional Hospital |
3 |
25 |
1:8 |
Yes |
|
|
Addington Regional Hospital |
2 |
18 |
1:9 |
Yes |
|
|
King Edward IV Central Hospital |
3 |
20 |
1:7 |
Yes |
|
|
General Justice Gizenga Mpanza Regional Hospital |
1 |
20 |
1:20 |
Yes |
|
|
RK Khan Regional Hospital |
1 |
20 |
1:20 |
Yes |
|
|
Northdale District Hospital |
0 |
10 |
None |
No |
|
|
Ladysmith Regional Hospital |
1 |
14 |
1:14 |
Yes |
|
|
Harry Gwala Regional Hospital |
3 |
15 |
1:5 |
Yes |
|
|
Mahatma Ghandhi Regional Hospital |
1 |
18 |
1:18 |
Yes |
|
|
Limpopo |
Evuxakeni Specialised Psychiatric Care and Rehabilitation Hospital |
0 |
354 |
None |
No |
|
Hayani Specialised Psychiatric Hospital |
2 |
250 |
1:125 |
No |
|
|
Thabamoopo Specialised Psychiatric Hospital |
2 |
500 |
1:250 |
No |
|
|
Mankweng Provincial Tertiary Hospital |
1 |
20 |
1:20 |
Yes |
|
|
Donald Frazer District Hospital |
0 |
40 |
None |
No |
|
|
Elim District Hospital |
0 |
36 |
None |
No |
|
|
Letaba Regional Hospital |
1 |
40 |
1:40 |
No |
|
|
Malamulele District Hospital |
0 |
20 |
None |
No |
|
|
Nkhensani District Hospital |
0 |
14 |
None |
No |
|
|
Siloam District Hospital |
0 |
30 |
None |
No |
|
|
Tshilidzini Regional Hospital |
0 |
12 |
None |
No |
|
|
Matlala District Hospital |
0 |
12 |
None |
No |
|
|
Mpumalanga |
Ermelo Regional Hospital |
1 |
30 |
1:30 |
Yes |
|
Rob Ferreira Provincial Tertiary Hospital |
1 |
30 |
1:30 |
Yes |
|
|
Tintswalo District Hospital |
0 |
50 |
None |
No |
|
|
Themba Regional Hospital |
1 |
27 |
1:27 |
Yes |
|
|
Embhuleni District Hospital |
20 |
0 |
None |
No |
|
|
Northern Cape |
Kimberly Specialised Psychiatric Hospital |
2 |
170 |
1:85 |
No |
|
North West |
Bophelong Specialised Psychiatric Hospital |
1 |
314 |
1: 314 |
No |
|
Witrand Specialised Psychiatric Care and Rehabilitation Hospital |
2 |
797 |
1: 399 |
No |
|
|
Mahikeng Provincial Regional Hospital |
1 |
26 |
1: 26 |
Yes |
|
|
Job Shimankane Tabane Provincial Tertiary Hospital |
1 |
60 |
1: 60 |
No |
|
|
Taung District Hospital |
1 |
20 |
1:20 |
Yes |
|
|
Potchestroom Regional Hospital |
1 |
11 |
1: 21 |
Yes |
|
|
Tshepong Provincial Tertiary Hospital |
10 |
||||
|
Western Cape |
Alexandra Specialised Psychiatric Care and Rehabilitation Hospital |
0 |
300 |
None |
No |
|
Lentergeur Specialised Psychiatric Hospital |
9 |
690 |
1:77 |
No |
|
|
Stikland Specialised Psychiatric Hospital |
9 |
423 |
1:47 |
Yes Medium |
|
|
Valkenberg Specialised Psychiatric Hospital |
8 |
391 |
1:49 |
Yes |
|
|
Worcester Regional Hospital |
2 |
24 |
1: 12 |
Yes |
|
|
Paarl Regional Hospital |
2 |
30 |
1:15 |
Yes |
|
|
George Regional Hospital |
2 |
12 |
1:6 |
Yes |
|
|
Tygerberg Central Hospital |
5 |
42 |
1:8 |
Yes |
|
|
Red Cross Provincial Tertiary Hospital |
3 |
6 |
1: 2 |
Yes |
|
|
Groote Schuur Central Hospital |
2 |
55 |
1: 28 |
Yes |
|
|
Mitchell’s Plain District Hospital |
1 |
44 |
1: 44 |
No |
|
|
Khayelitsha District Hospital |
0 |
55 |
None |
No |
|
|
Eerste River |
0 |
30 |
None |
No |
|
|
New Somerset Hospital |
0 |
32 |
None |
No |
|
|
Victoria District Hospital |
1 |
15 |
1: 7 |
Yes |
- There is a limited number of psychiatrists in the country.
- Facilities that are in rural areas struggle to attract specialists
- In all provinces where the ratio is low, the psychiatrists do outreach (care and training) to areas where there are no psychiatrists.
- The academic hospitals have more psychiatrists because over and above caring for patients, they provide training at universities.
- In the Limpopo Province, hospitals without psychiatrists, have medical officers with diplomas in psychiatry.
END.
03 November 2023 - NW3407
Thembekwayo, Dr S to ask the Minister of Health
Whether his department has recently taken any specific measures to deal with the problem of the shortage of oncologists in the Republic; if not, why not; if so, what are the relevant details of the measures that have been taken?
Reply:
The Department has introduced the Human Resources Training Grant (HRTG) to amongst other required speciality areas create a pool of trained specialists to enhance capacity in essential services that includes radiation oncology. The Grant is funding 52 Registrar posts of Radiation Oncology that are in various years of their training programme between first to fourth year.
END.
26 October 2023 - NW3166
Hlengwa, Ms MD to ask the Minister of Health
(1)Whether he has found that the 100 scooters with sidecars that were acquired in 2020 had contributed to the access to primary health care and the delivery of chronic medicine in remote areas of the Eastern Cape; if not; what is the position in this regard; if so, what total number of chronic medications were delivered to patients in the past week; (2) whether his department has found the delivery of chronic medication to be a wasteful expenditure; if not, what is the position in this regard; if so, what are the relevant details?
Reply:
According to the Eastern Cape Department of Health,
1. The procurement of the 100 scooters with sidecars was cancelled in July 2020 and the scooters were not delivered. Nothing was paid to the company and there was therefore no irregular, wasteful and fruitless expenditure pertaining to this matter. Access to chronic medicines by patients is through the central chronic medicines dispensing and distribution (CCMDD) programme. In the month of September 2023, the department had 390 000 chronic patients accessing their medicines on the CCMDD programme at various pick-up points in the Province.
2. The delivery of chronic medicine is not considered as a wasteful expenditure as it is an important programme and a successful intervention to bring chronic medicines to the communities especially the elderly patients in the rural areas in the Eastern Cape, closer to where they live.
END.
26 October 2023 - NW3251
Hicklin, Ms MB to ask the Minister of Health
(1)What (a) is the total number of physiotherapists who are in line to be posted in the Internship Programme for the 2024 Annual Cycle (i) nationally and (ii) in each province and (b) are the names of facilities that will be used for this purpose; (2) what (a) is the total number of physiotherapists who are in line to be posted in the Community Service Programme for the 2024 Annual Cycle (i) nationally and (ii) in each province and (b) are the names of facilities that will be used for this purpose?
Reply:
The National Department of Health opened the Internship and Community Program (ICSP) online System application process on 4 October 2023 and closed the applications process on 20 October 2023.
- (a)(i)(ii) Physiotherapists are not required to perform internship. Therefore, no Physiotherapists are allocated for internship in South Africa.
- (a) The total projected number of Physiotherapist to be placed for community service (i) nationally is 460, and (ii) 423 are available posts for Physiotherapists confirmed by provinces as the table below. Provision will be made to cover the shortfall in the event that all 460 qualify at the same time.
|
2024 Annual Cycle - Physiotherapist |
|
|
Provinces |
Total Post |
|
Eastern Cape |
67 |
|
Free State |
33 |
|
Gauteng |
99 |
|
KwaZulu-Natal |
74 |
|
Limpopo |
17 |
|
Mpumalanga |
33 |
|
Northern Cape |
28 |
|
Nort-West |
43 |
|
Western Cape |
29 |
|
Grand Total |
423 |
(b) The names of facilities that will be used per Province for this purpose are attached as Annexure A.
END.
26 October 2023 - NW3250
Hicklin, Ms MB to ask the Minister of Health
(1)What (a) is the total number of nurses who are in line to be posted in the Internship Programme for the 2024 Annual Cycle (i) nationally and (ii) in each province and (b) are the names of facilities that will be used for this purpose; (2) what (a) is the total number of nurses who are in line to be posted in the Community Service Programme for the 2024 Annual Cycle (i) nationally and (ii) in each province and (b) are the names of facilities that will be used for this purpose?
Reply:
The National Department of Health opened the Internship and Community Program (ICSP) online System application process on 4 October 2023 and closed the applications process on 20 October 2023.
- (a)(i)(ii) Professional Nurses are not required to perform internship. Therefore, no Professional Nurse is allocated for internship in South Africa.
- (a) The total projected number of Professional Nurses to be placed for community service (i) nationally is 1 662, and (ii) 2 803 are available posts for Professional Nurses confirmed by provinces as follows in each province:
|
2024 Annual Cycle - Professional Nurse |
|
|
Provinces |
Total Post |
|
Eastern Cape |
614 |
|
Free State |
46 |
|
Gauteng |
565 |
|
KwaZulu-Natal |
675 |
|
Limpopo |
178 |
|
Mpumalanga |
148 |
|
Northern Cape |
27 |
|
Nort-West |
250 |
|
Western Cape |
300 |
|
Grand Total |
2803 |
(b) The names of facilities that will be used per Province for this purpose are attached as Annexure A.
END.
26 October 2023 - NW3249
Hicklin, Ms MB to ask the Minister of Health
(1)What (a) is the total number of doctors who are in line to be posted in the Internship Programme for the 2024 Annual Cycle (i) nationally and (ii) in each province and (b) are the names of facilities that will be used for this purpose; (2) what (a) is the total number of doctors who are in line to be posted in the Community Service Programme for the 2024 Annual Cycle (i) nationally and (ii) in each province and (b) are the names of facilities that will be used for this purpose? NW4325E
Reply:
The National Department of Health opened the Internship and Community Program (ICSP) online System application process on 4 October 2023 and closed the applications process on 20 October 2023.
1. (a)(i)(ii) According to the information extracted from the Internship and Community Service Programme (ICSP) online System, (a) the projected numbers of medical interns for the 2024 Annual cycle nationally is 2 293 and 2 446 are available posts for internship confirmed by provinces:
|
2024 Annual Cycle - Medical Internship Posts |
|
|
Provinces |
Total Posts |
|
Eastern Cape |
216 |
|
Free State |
93 |
|
Gauteng |
791 |
|
KwaZulu-Natal |
531 |
|
Limpopo |
176 |
|
Mpumalanga |
94 |
|
Northern Cape |
40 |
|
Nort-West |
194 |
|
Western Cape |
311 |
|
Grand Total |
2446 |
(b) The names of facilities that will be used per Province for this purpose are attached as Annexure A.
2. (a)(i)(ii) The total projected number of medical doctors to be placed for community service nationally is 2 530, and 2 530 are available posts for community service (2 073 as confirmed by provinces and additional 457 secured by NDoH) in each province as follows:
|
2024 Annual Cycle - Community Service Posts |
|
||
|
Provinces |
Provincial Posts |
Additional posts |
Total Posts |
|
Eastern Cape |
287 |
70 |
357 |
|
Free State |
112 |
20 |
132 |
|
Gauteng |
357 |
80 |
437 |
|
KwaZulu-Natal |
248 |
75 |
323 |
|
Limpopo |
267 |
41 |
308 |
|
Mpumalanga |
285 |
41 |
326 |
|
Northern Cape |
65 |
15 |
80 |
|
Nort-West |
241 |
45 |
286 |
|
Western Cape |
211 |
70 |
281 |
|
Grand Total |
2073 |
457 |
2530 |
(b) The names of facilities that will be used per Province for this purpose are attached as Annexure A.
END.
26 October 2023 - NW3206
Ismail, Ms H to ask the Minister of Health
(1)With reference to the outcry on the ban on headscarves for nurses, what are the (a) reasons that headscarves would only be banned for nurses and not for other medical professionals and (b) relevant details of any evidence and/or research that shows that headscarves are a source of infection; 2) whether he will furnish Ms H Ismail with a record of decision on why headscarves are reportedly a problem for his department; if not, why not; if so, what are the relevant details?
Reply:
1. (a) The scope of applicability for the Directives on nurses’ uniform:
-
- only applies to nurses as defined in Section 30 of the Nursing Act, 2005 (Act 33 of 2005).
- applies to nurses that are employed in health establishments of the Departments of Health
- applies to nurses who are required to wear unform in the execution of their duties and
- to those eligible to receive the uniform allowance under PHSDSBC resolution 1 of 2005.
b) The directive on wearing of head scarves and adornments is informed by the regulatory framework of the nursing profession as reflected in the SA Nursing Council regulations. Chief amongst these is the imperative to uphold and portray professional identity and image, in addition to minimising any potential risk to patient safety. The NDOH directives address both these imperatives. Wearing headscarves was vetoed by the nursing stakeholders because it would prevent the standardization of uniform, which is one of the hallmarks of restoration of professional identity and image. The rationale against allowing traditional adornments to be visible while on duty was for Infection Prevention and Control reasons, as it would pose a risk in spreading infections.
(2) A report reflecting a record of these decisions is attached as Annexure A.
END.
26 October 2023 - NW3190
Clarke, Ms M to ask the Minister of Health
(a) To whom was the payment of R250 000 that was paid from the Office of Health Standards Compliance into a certain bank account (details furnished) on 3 December 2021 and (b) what was the specified payment for?
Reply:
a) According to the Office of Health Standards Compliance (OHSC), the specified amount of R250,000 was paid to “Z Jojwana HR Consulting Company”.
b) The payment was for services rendered for an investigation into capacity issues within the Human Resources Unit at the OHSC. The report is titled “Department of Human Resources poor performance investigation report”.
END.
26 October 2023 - NW3189
Clarke, Ms M to ask the Minister of Health
(1)What (a) total number of staff members within the Office of Health Standards Compliance (OHSC) have been dismissed because of committing fraud and/or corruption, (b) was the nature of each offence and (c) total amount were the legal costs of the cases; (2) whether any supply chain management processes have been followed; if not, what is the position in this regard; if so, (a) in which department did the fraud and/or corruption take place within the OHSC and (b) what was the total amount of wasteful expenditure?
Reply:
1. According to the Office of Health Standards Compliance (OHSC) (a) None of the staff members in the OHSC have been dismissed because of committing fraud and/or corruption.
(b) Not applicable;
(c) No amount was used for legal costs.
2. There has been no fraud or corruption identified in the OHSC supply chain management processes. (a) There was no fraud or corruption identified in any of the OHSC Departments and (b) There was no wasteful expenditure identified.
END.
26 October 2023 - NW3188
Clarke, Ms M to ask the Minister of Health
(1)Whether a certain doctor (name and details furnished) approved two-month leave for a certain person (name and details furnished); if not, what is the position in this regard; if so, (2) whether the specified leave was part of the person’s leave cycle; if not, what is the position in this regard; if so, what leave is the specified person entitled to in each year; (3) whether the leave was specified in the employment contract of the specified person; if not, what is the position in this regard; if so, what are the further, relevant details?
Reply:
According to the Office of Health Standards Compliance (OHSC),
1. Yes the leave for Dr S Mndaweni (CEO) was approved by Dr. Kenoshi (Board Chairperson) following the request made to the Board by Dr Mndaweni.
2. Dr Mndaweni is entitled to 26 days paid leave per annum as stipulated in her employment contract. Of the leave that was approved by the Board, a portion of the leave was part of her leave entitlement per her employment contract and the remaining portion was unpaid (13.56 days).
3. The leave entitlement is specified in the employment contract of the CEO and consists of 26 days paid leave per annum.
END.
26 October 2023 - NW3178
Hlengwa, Ms MD to ask the Minister of Health
(1)Whether he receives maintenance reports on ambulances; if not, what is the position in this regard; if so, (2) whether the ambulance, fitted with medical equipment, that was donated by the State of Qatar to the clinic in Qunu, in the Eastern Cape in 2021 is still functional; if not, why not; if so, what total number of (a) repairs and (b) maintenance has the ambulance undergone to date?
Reply:
1. Yes, the department receives the repairs and maintenance reports on ambulances monthly from the National Treasury appointed service provider, Wesbank. These reports are being used to track the number of ambulances that are not operational due repairs and maintenance with the specific intention of reducing downtime and optimizing the operational fleet through specific interventions at provincial level.
2. This ambulance is in operation in Qunu at the OR Tambo District under the management of Emergency Medical Services.
a) Repairs have been undertaken four (4) times as follows: two (2) rear and front brake repairs, one (1) mirror replacement, and one (1) alternator repairs.
b) Maintenance of the ambulance has been undertaken twice at 15 000- and 30 000-kilometre service intervals and the next service will be at 45 000km.
END.
11 October 2023 - NW3055
Krumbock, Mr GR to ask the Minister of Health
What total number of health facilities serve a population of 100 000 in (a) rural and/or (b) urban areas (i) nationally and (ii) in each province?
Reply:
In response to the question, all health facilities in both public and private sector were included. The total number of facilities was divided by population using the 2022 Mid-Year Population Estimates by Statistics South Africa. The South African Health Facilities are classified into three categories, Peri-urban, Rural and Urban.
The total number of health facilities that serve a population of 100 000:
|
(i) Province |
Peri-Urban |
(a) Rural |
(b) Urban |
|
Eastern Cape |
2,10 |
9,95 |
14,75 |
|
Free State |
1,81 |
8,35 |
24,64 |
|
Gauteng |
0,35 |
0,16 |
15,05 |
|
KwaZulu-Natal |
1,53 |
7,60 |
16,47 |
|
Limpopo |
1,53 |
14,78 |
5,44 |
|
Mpumalanga |
1,02 |
6,08 |
10,19 |
|
Northern Cape |
4,66 |
17,57 |
28,73 |
|
North West |
1,39 |
8,07 |
8,77 |
|
Western Cape |
1,77 |
7,57 |
24,61 |
|
1,34 |
6,75 |
15,43 |
The Urban category has a higher facility density per 100 000 population followed by the Rural with Peri-Urban having the lowest density. This is comparable to the WHO density assessment which had the hospital density for South Africa per 100 000 population at 0,67 in 2013, Malasia at 0,47 and Sri Lanka at 0,099.
END.
11 October 2023 - NW3082
Smalle, Mr JF to ask the Minister of Health
(1)What is the (a) number of (i) mortuaries, (ii) pathologist who are allocated to each mortuary and (iii) bodies examined in each mortuary in each month and (b) current backlog of bodies to undergo postmortem; (2) where is each mortuary located; (3) whether there are regulations in place that give effect to the period for (a) postmortems and (b) temperature-controlled environment; if not, why not; if so, who regulates the conditions?
Reply:
1. (a)(i) is indicated in Table 1 below as received from Provincial Departments of Health.
Table 1: (i)Number of Forensic Mortuaries including holding Facilities.
|
Province |
Number |
|
Eastern Cape |
22 |
|
Free State |
11 |
|
KwaZulu Natal |
33 |
|
Gauteng |
11 |
|
Limpopo |
12 |
|
Mpumalanga |
21 |
|
Northern Cape |
11 |
|
Northwest |
7 |
|
Western Cape |
16 |
|
Total |
145 |
(1)(a)(ii)(iii) and (b) is indicated Table 3 below as received from the provincial departments of Health.
Table 2(ii): Number of Forensic Pathologists per Province
|
Province |
Number |
|
Eastern Cape |
2 |
|
Free State |
7 |
|
KwaZulu Natal |
2 |
|
Gauteng |
|
|
Limpopo |
7 |
|
Mpumalanga |
2 |
|
Northern Cape |
1 |
|
Northwest |
2 |
|
Western Cape |
16 |
Tables below indicate (ii) Number of medical officers(iii) Bodies examined, (b) Backlog per facility.
EASTERN CAPE
|
Facility |
(ii)Number of Medical officers including pathologists |
(iii)Bodies examined for month of August 2023 |
(b) Backlog as of 31 August 2023 |
|
|
1 |
Adelaide |
Holding Facility |
Not applicable |
|
|
2 |
Aliwal North |
1 |
25 |
None |
|
3 |
Bizana |
1 |
45 |
None |
|
4 |
Butterworth |
2 |
70 |
None |
|
5 |
Bhisho |
1 |
80 |
None |
|
6 |
Dutywa |
Holding Facility |
Not applicable |
|
|
7 |
Gelvandale |
2 |
45 |
None |
|
8 |
Grahamstown |
1 |
35 |
None |
|
9 |
Graaff-Reinet |
1 |
15 |
None |
|
10 |
Joubertina |
Holding Facility |
None |
|
|
11 |
Lusikisiki |
1 |
45 |
None |
|
12 |
Mdantsane |
1 |
70 |
None |
|
13 |
Mount Fletcher |
1 |
45 |
None |
|
14 |
Mount Frere |
1 |
45 |
None |
|
15 |
Mount Road |
3 |
35 |
None |
|
16 |
Molteno |
Holding Facility |
Not applicable |
|
|
17 |
Mthatha |
4 |
200 |
None |
|
18 |
New Brighton |
2 |
65 |
None |
|
19 |
Port Alfred |
Holding Facility |
Not applicable |
|
|
20 |
Queenstown |
2 |
80 |
None |
|
21 |
Uitenhage |
0 |
40 |
None |
|
22 |
Woodbrook |
1 |
80 |
20 |
FREE STATE PROVINCE
|
No |
Facility |
(ii)Number of medical officers including pathologists |
(iii)Bodies examined for the month of August 2023 |
(b) Backlog as of 31 August 2023 |
|
1 |
Bethlehem |
1 |
25 |
None |
|
2 |
Bloemfontein |
7 |
95 |
None |
|
3 |
Botshabelo |
1 |
26 |
Not applicable |
|
4 |
Ficksburg |
0 |
Holding facility |
Not applicable |
|
5 |
Jagersfontein |
0 |
Holding facility |
Not applicable |
|
6 |
Harrismith |
0 |
Holding facility |
Not applicable |
|
7 |
Kroonstad |
1 |
30 |
None |
|
8 |
Phuthaditjhaba |
1 |
50 |
None |
|
9 |
Sasolburg |
1 |
20 |
None |
|
10 |
Smithfield |
1 |
Holding facility |
Not applicable |
|
11 |
Welkom |
2 |
55 |
None |
GAUTENG PROVINCE
|
No |
Facility |
(ii)Number of medical officers including pathologist |
(iii)Bodies examined for the month of August 2023 |
(b) Backlog as of 31 August 2023 |
|
1 |
Bronkhorspruit |
01 |
29 |
None |
|
2 |
Carletonville |
02 |
46 |
None |
|
3 |
Diepkloof |
06 |
256 |
None |
|
4 |
Ga-Rankuwa |
08 |
121 |
None |
|
5 |
Germiston |
11 |
400 |
None |
|
6 |
Heidelberg |
01 |
27 |
None |
|
7 |
Johannesburg |
12 |
410 |
None |
|
8 |
Pretoria |
12 |
219 |
None |
|
9 |
Roodepoort |
04 |
161 |
None |
|
10 |
Sebokeng |
04 |
230 |
None |
|
11 |
Springs |
04 |
164 |
None |
KWAZULU NATAL PROVINCE
|
No |
Facility |
(ii)Number of medical officers including pathologists |
(iii)Bodies examined Jan to Dec 2022 monthly average |
|
1 |
Bulwer |
Shares with Ixopo |
Holding Facility |
|
2 |
Dannhauser |
Shares with Newcastle |
Holding Facility |
|
3 |
Dundee |
1 |
20 |
|
4 |
Estcourt |
Shares with Ladysmith |
32 |
|
5 |
Eshowe |
Shares with Richards Bay |
26 |
|
6 |
Greytown |
2 |
37 |
|
7 |
Harding |
1 |
19 |
|
8 |
Howick |
1 |
19 |
|
9 |
Ixopo |
1 |
30 |
|
10 |
KwaDukuza |
2 |
73 |
|
11 |
Kokstad |
Shares with Ixopo |
10 |
|
12 |
Ladysmith |
1 |
60 |
|
13 |
Madadeni |
1 |
44 |
|
14 |
Manguzi |
Shares with Richards Bay |
Holding Facility |
|
15 |
Mkhuze |
Shares with Richards Bay |
Holding Facility |
|
16 |
Mtubatuba |
Shares with Richards Bay |
Holding Facility |
|
17 |
Mosvold |
Shares with Richards Bay |
Holding Facility |
|
18 |
Newcastle |
3 |
17 |
|
19 |
New Hanover |
Shares with Greytown |
10 |
|
20 |
Nkandla |
Shares with Richards Bay |
Holding Facility |
|
21 |
Nongoma |
1 |
43 |
|
22 |
Park Rynie |
4 |
141 |
|
23 |
Paulpietersburg |
Shares with Vryheid |
Holding Facility |
|
24 |
Pietermaritzburg |
4 |
166 |
|
25 |
Pinetown |
8 |
216 |
|
26 |
Phoenix |
3 |
321 |
|
27 |
Pongola |
Shares with Nongoma |
Holding Facility |
|
28 |
Port Shepstone |
3 |
67 |
|
29 |
Richards Bay |
3 |
141 |
|
30 |
Richmond |
Shares with Pietermaritzburg |
Holding Facility |
|
31 |
Ulundi |
Shares with Nongoma |
Holding Facility |
|
32 |
Umzimkulu |
Shares with Ixopo |
14 |
|
33 |
Vryheid |
1 |
26 |
(b) The KwaZulu Department of Health indicates that there is a backlog of 52 bodies as of 31 August 2023.
LIMPOPO PROVINCE
|
No |
Facility |
(ii)Number of medical officers including pathologists |
(iii)Bodies examined for the month of August 2023 |
(b) Backlog as of 31 August 2023 |
|
1 |
Polokwane |
8 |
148 |
None |
|
2 |
Lebokwakgomo |
1 |
42 |
None |
|
3 |
Bela Bela |
1 |
45 |
None |
|
4 |
Elim |
1 |
38 |
None |
|
5 |
Maphutha Malatjie, Phalaborwa |
0 |
30 |
None |
|
6 |
Nkhensani, Giyani |
1 for Phutha Malatjie and Nkhensani |
40 |
None |
|
7 |
Kgapane, Tzaneen |
1 |
35 |
None |
|
8 |
Tshilidzini |
2 |
21 |
None |
|
9 |
Letaba, Tzaneen |
2 |
24 |
None |
|
10 |
St Ritas |
1 for both St Ritas and Groblersdal |
12 |
None |
|
11 |
Mokopane |
2 |
21 |
None |
|
12 |
Groblersdal |
0 |
17 |
None |
MPUMALANGA PROVINCE
|
No |
Facility |
(ii)Number of medical officers including pathologists |
(iii)Bodies examined for the month of August 2023 |
(b) Backlog as of 31 August 2023 |
|
1 |
Balfour |
1 |
6 |
None |
|
2 |
Barberton |
1 |
12 |
None |
|
3 |
Belfast |
0 |
11 |
None |
|
4 |
Bethal |
1 for Bethal and Standerton |
21 |
None |
|
5 |
Carolina |
1 for Carolina and Embhuleni |
8 |
None |
|
6 |
Delmas |
1 |
8 |
None |
|
7 |
Embhuleni |
0 |
13 |
None |
|
8 |
Ermelo |
1 |
27 |
None |
|
9 |
Evander |
1 |
31 |
None |
|
10 |
KwaMhlanga |
2 for KwaMhlanga and Mmamethlake |
36 |
None |
|
11 |
Lydenburg |
1 for Lydenburg and Mapulaneng |
10 |
None |
|
12 |
Mmamethlake |
0 |
0 |
None |
|
13 |
Mapulaneng |
0 |
43 |
None |
|
14 |
Middelburg |
1 for Middleburg and Belfast |
30 |
None |
|
15 |
Piet Retief |
1 |
14 |
None |
|
16 |
Themba |
2 |
65 |
None |
|
17 |
Tintswalo |
1 |
23 |
None |
|
18 |
Tonga |
1 |
26 |
None |
|
19 |
Standerton |
0 |
16 |
None |
|
20 |
Volksrust |
1 |
11 |
None |
|
21 |
Witbank |
2 |
56 |
None |
Mpumalanga Department of Health has additional:
- Forensic Pathologist responsible for the whole province
- 1 Forensic Pathologist responsible for Nkangala District
- 1 Senior Medical officer responsible for Ehlanzeni District
- 1 Senior Medical office responsible for the Gert Sibande District.
NORTHERN CAPE PROVINCE
|
No |
Facility |
(ii)Number of medical officers including a pathologist |
(iii)Bodies examined for the month of August 2023 |
(b) Backlog as of 31 August 2023 |
|
1 |
Kimberley |
2 |
50 |
None |
|
2 |
Upington |
1 |
33 |
None |
|
3 |
De Aar |
1 |
20 |
None |
|
4 |
Kuruman |
1 |
30 |
None |
|
5 |
Calvinia |
1 |
5 |
None |
|
6 |
Springbok |
1 |
15 |
None |
|
7 |
Postmasburg |
Holding facility |
Not applicable |
|
|
8 |
Hartswater |
Holding facility |
Not applicable |
|
|
9 |
Douglas |
Holding facility |
Not applicable |
|
|
10 |
Prieska |
Holding facility |
Not applicable |
|
|
11 |
Victoria West |
Holding facility |
Not applicable |
NORTHWEST PROVINCE
|
No |
Facility |
(ii)Number of medical officers including pathologists |
(iii)Bodies examined on the month of August 2023 |
(b) Backlog as of 31 August 2023 |
|
1 |
Phokeng |
2 |
82 |
None |
|
2 |
Vryburg |
1 |
26 |
None |
|
3 |
Klerksdorp |
1 |
23 |
None |
|
4 |
Lichtenburg |
1 |
11 |
None |
|
5 |
Brits |
3 |
54 |
None |
|
6 |
Potchefstroom |
2 |
13 |
None |
|
7 |
Mafikeng |
1 |
17 |
None |
WESTERN CAPE PROVINCE
|
No |
Facility |
(ii)Number medical officers including Pathologists |
(iii)Average Bodies examined for the period April 2022/2023 financial year monthly average |
|
Garden Route / Central Karoo |
3 |
||
|
1 |
Beaufort West |
7 |
|
|
2 |
George |
24 |
|
|
3 |
Knysna |
12 |
|
|
4 |
Laingsburg Mossel |
2 |
|
|
5 |
Mossel Bay |
10 |
|
|
6 |
Oudtshoorn |
10 |
|
|
7 |
Riversdale |
5 |
|
|
City of Cape Town |
|||
|
8 |
Salt River |
15 |
355 |
|
9 |
Tygerberg |
15 |
318 |
|
Westcoast/Cape Winelands |
4(2 vacant) |
||
|
10 |
Malmesbury |
14 |
|
|
11 |
Vredenburg |
11 |
|
|
12 |
Vredendal |
16 |
|
|
13 |
Paarl |
40 |
|
|
Winelands/Overberg |
4 |
||
|
14 |
Hermanus |
26 |
|
|
15 |
Ceres |
17 |
|
|
16 |
Worcester |
44 |
(b) The Western Cape Department of Health indicates that the number of outstanding postmortems as of 2023/09/28 is 202 with no mortuaries indicated.
(2) Tables below indicate Forensic pathology mortuary by name and location.
EASTERN CAPE
|
Facility |
Location |
|
|
1 |
New Brighton |
New Brighton |
|
2 |
Mount Road |
Mount Road |
|
3 |
Gelvandale |
Gelvandale |
|
4 |
Grahamstown |
Grahamstown |
|
5 |
Graaff-Reinet |
Graaff -Reinet |
|
6 |
Woodbrook |
Woodbrook |
|
7 |
Mdantsane |
Mdantsane |
|
8 |
Bizana |
Bizana |
|
9 |
Butterworth |
Butterworth |
|
10 |
Bhisho |
Bhisho |
|
11 |
Queenstown |
Queenstown |
|
12 |
Adelaide |
Adelaide |
|
13 |
Aliwal North |
Aliwal North |
|
14 |
Middelburg |
Middelburg |
|
15 |
Mthatha |
Mthatha |
|
16 |
Mount Fletcher |
Mount Fletcher |
|
17 |
Mount Frere |
Mount Frere |
|
18 |
Molteno |
Molteno |
|
19 |
Lusikisiki |
Lusikisiki |
|
20 |
Port Alfred |
Port Alfred |
|
21 |
Uitenhage |
Uitenhage |
|
22 |
Joubertina |
Joubertina |
FREE STATE PROVINCE
|
No |
Facility |
Location |
|
1 |
Bethlehem |
Bethlehem |
|
2 |
Bloemfontein |
Bloemfontein |
|
3 |
Botshabelo |
Botshabelo |
|
4 |
Ficksburg |
Ficksburg |
|
5 |
Jagersfontein |
Jagersfontein |
|
6 |
Harrismith |
Harrismith |
|
7 |
Kroonstad |
Kroonstad |
|
8 |
Phuthaditjhaba |
Phuthaditjhaba |
|
9 |
Sasolburg |
Sasolburg |
|
10 |
Smithfield |
Smithfield |
|
11 |
Welkom |
Welkom |
GAUTENG PROVINCE
|
No |
Facility |
Location |
|
1 |
Johannesburg |
Hillbrow Johannesburg |
|
2 |
Roodepoort |
Roodepoort |
|
3 |
Germiston |
Germiston |
|
4 |
Carletonville |
Carletonville |
|
5 |
Springs |
Springs |
|
6 |
Heidelburg |
Heidelburg |
|
7 |
Diepkloof |
Diepkloof, Soweto |
|
8 |
Sebokeng |
Sebokeng |
|
9 |
Pretoria |
Pretoria |
|
10 |
Bronkhorspruit |
Bronkhorspruit |
|
11 |
Garankuwa |
Ga- Rankuwa |
KWAZULU NATAL PROVINCE
|
No |
Facility |
Location |
|
1 |
Phoenix |
Phoenix |
|
2 |
Pinetown |
Pinetown |
|
3 |
Park Rynie |
Park Rynie |
|
4 |
Port Shepstone |
Port Shepstone |
|
5 |
Harding |
Harding |
|
6 |
KwaDukuza |
KwaDukuza |
|
7 |
Pietermaritzburg |
Pietermaritzburg |
|
8 |
New Hanover |
New Hanover |
|
9 |
Howick |
Howick |
|
10 |
Richmond |
Richmond |
|
11 |
Ladysmith |
Ladysmith |
|
12 |
Estcourt |
Estcourt |
|
13 |
Dundee |
Dundee |
|
14 |
Greytown |
Greytown |
|
15 |
Newcastle |
Newcastle |
|
16 |
Madadeni |
Madadeni |
|
17 |
Dannhauser |
Dannhauser |
|
18 |
Kokstad |
Kokstad |
|
19 |
Ixopo |
Ixopo |
|
20 |
Umzimkulu |
Umzimkulu |
|
21 |
Bulwer |
Bulwer |
|
22 |
Nongoma |
Nongoma |
|
23 |
Paulpietersburg |
Paulpietersburg |
|
24 |
Vryheid |
Vryheid |
|
25 |
Pongola |
Pongola |
|
26 |
Richards Bay |
Richards Bay |
|
27 |
Eshowe |
Eshowe |
|
28 |
Richards Bay |
Richards Bay |
|
29 |
Mkhuze |
Mkhuze |
|
30 |
Mosvold |
Mosvold |
|
31 |
Manguzi |
Manguzi |
|
32 |
Nkandla |
Nkandla |
|
33 |
Ulundi |
Ulundi |
LIMPOPO PROVINCE
|
No |
Facility |
Location |
|
1 |
Polokwane |
Polokwane Hospital |
|
2 |
Lebokwakgomo |
Lebowakgomo |
|
3 |
Bela Bela |
Bela Bela Hospital |
|
4 |
Elim |
Elim Hospital |
|
5 |
Maphutha Malatjie |
Maphutha Malatjie Hospital |
|
6 |
Nkhensani |
Nkhensani Hospital |
|
7 |
Kgapane, Tzaneen |
Kgapane Hospital |
|
8 |
Tshilidzini |
Tshilidzini Hospital |
|
9 |
Letaba, Tzaneen |
Letaba Hospital, Tzaneen |
|
10 |
St Ritas |
St Ritas Hospital |
|
11 |
Mokopane |
Mokopane Hospital |
|
12 |
Groblersdal |
Groblersdal Hospital |
MPUMALANGA PROVINCE
|
No |
Facility |
Location |
|
1 |
Balfour |
Balfour Community Health Centre |
|
2 |
Barberton |
Barberton Hospital |
|
3 |
Belfast |
HA Grove Hospital |
|
4 |
Bethal |
Bethal SAPS |
|
5 |
Carolina |
Carolina Hospital |
|
6 |
Delmas |
Bernice Samuel Hospital |
|
7 |
Embhuleni |
Embhuleni Hospital |
|
8 |
Ermelo |
Ermelo Hospital |
|
9 |
Evander |
Evander Hospital |
|
10 |
KwaMhlanga |
KwaMhlanga Hospital |
|
11 |
Lydenburg |
Lydenburg Hospital |
|
12 |
Mmamethlake |
Mmametlhake Hospital |
|
13 |
Mapulaneng |
Mapulaneng Hospital |
|
14 |
Middelburg |
Middleburg Hospital |
|
15 |
Piet Retief |
Piet Retief Hospital |
|
16 |
Themba |
Themba Hospital |
|
17 |
Tintswalo |
Tintswalo Hospital |
|
18 |
Tonga |
Tonga Hospital |
|
19 |
Standerton |
Standerton Hospital |
|
20 |
Volksrust |
Amajuba Hospital |
|
21 |
Witbank |
Witbank SAPS |
NORTHERN CAPE PROVINCE
|
No |
Facility |
Location |
|
1 |
Kimberley |
Kimberly |
|
2 |
Upington |
Upington |
|
3 |
De Aar |
De Aar |
|
4 |
Kuruman |
Kuruman |
|
5 |
Calvinia |
Calvinia |
|
6 |
Springbok |
Springbok |
|
7 |
Postmasburg |
Postmansburg |
|
8 |
Hartswater |
Hartswater |
|
9 |
Douglas |
Douglas |
|
10 |
Prieska |
Prieska |
|
11 |
Victoria West |
Victoria West |
NORTHWEST PROVINCE
|
No |
Facility |
Location |
|
1 |
Phokeng |
Doves Private Mortuary, Rustenburg |
|
2 |
Vryburg |
Joe Morolong Memorial Hospital, Vryburg |
|
3 |
Klerksdorp |
Tshepong Hospital Complex, Joubert on, Klerksdorp |
|
4 |
Lichtenburg |
Lichtenburg SAPS Station Lichtenburg |
|
5 |
Brits |
427 Crocodile St, Primindia, Brits |
|
6 |
Potchefstroom |
25 OR Tambo Street, Potchefstroom |
|
7 |
Mahikeng |
Mahikeng Provincial Hospital |
WESTERN CAPE PROVINCE
|
No |
Facility |
Location |
|
1 |
Salt River |
Salt River |
|
2 |
Tygerberg |
Tygerberg |
|
3 |
Paarl |
Paarl |
|
4 |
Vredendal |
Vredendal |
|
5 |
Malmesbury |
Malmesbury |
|
6 |
Vredenburg |
Vredenburg |
|
7 |
Worcester |
Worcester |
|
8 |
Wolseley |
Wolseley |
|
9 |
Hermanus |
Hermanus |
|
10 |
George |
George |
|
11 |
Laingsburg |
Laingsburg |
|
12 |
Mossel Bay |
Mossel Bay |
|
13 |
Knysna |
Knysna |
|
14 |
Oudtshoorn |
Oudtshoorn |
|
15 |
Beaufort West |
Beaufort West |
|
16 |
Riversdale |
Riversdale |
3. (a) There are no specific regulations in place that regulate the period for post-mortems. The regulations regarding the rendering of Forensic Pathology Service (R359; 23 March 2018) in terms of section 90(1) of the National Health Act does not specifically state any such timelines.
The Forensic Pathology Service in each province does however set targets and measure the turn-around time of post-mortem examinations and most provinces set the 3 to 7 days turnaround time. This also is depended on the number of bodies received and capacity that is available to conduct post-mortems. However, most postmortems are conducted between (1) to (3) days in majority of facilities.
(b) There are regulations that govern mortuaries in terms of the National Health Act (Chapter 8). These are R363; 22 May 2013; Regulations regarding the management of human remains.
The National Code of Guidelines for Forensic Pathology Practice in South Africa, issued in relation to the Regulations of the National Health Act 61 of 2003 provide guidance on period for postmortem examinations and body storage temperatures. The Code of Guidelines stipulate only that postmortem examinations must be conducted as soon as possible. These Code of Guidelines and are currently being revised.
END.
11 October 2023 - NW3053
Clarke, Ms M to ask the Minister of Health
What total number of (a) doctors, (b) nurses and (c) other healthcare workers have not been paid within a 30-day period in each province in the past financial year?
Reply:
Employees are generally paid on time by means of the PERSAL system. Some delays in payments for newly appointed staff may be experienced at the end of December due to calendar year end processes or at the end of February due to tax year end processes, but this is not commonly experienced problem and delays would only be for one or two weeks, not 30 days or more.
When an employee who was previously dismissed for misconduct is reinstated/ re-appointed due to an Arbitration Award or Settlement Agreement, the unblocking of the previous service termination is implemented by National Treasury following the process required after the Head of Department has approved a submission for reinstatement/re-appointment.
The National Department of Health has requested information from the provinces in relation to the question.
|
Financial Year 2022 - 2023 |
||||||
|
Province |
Category |
Salaries |
Overtime |
Rural Allowance |
PMDS related (Notch progression / bonuses) |
Any Other (Please Specify) |
|
EC |
|
8 |
8 |
4 (4 of 8) |
0 |
0 |
|
0 |
0 |
0 |
0 |
0 |
|
|
0 |
0 |
0 |
0 |
0 |
|
|
FS |
|
0 |
0 |
0 |
0 |
0 |
|
0 |
0 |
0 |
0 |
0 |
|
|
0 |
0 |
0 |
0 |
0 |
|
|
GP |
|
|||||
|
Outstanding information |
|||||
|
||||||
|
KZN |
|
0 |
0 |
0 |
0 |
13 DC outcomes: suspension without pay |
|
0 |
0 |
0 |
0 |
||
|
0 |
0 |
0 |
0 |
||
|
LP |
|
0 |
0 |
0 |
0 |
0 |
|
0 |
0 |
0 |
0 |
0 |
|
|
0 |
0 |
0 |
0 |
0 |
|
|
MP |
|
0 |
0 |
0 |
0 |
0 |
|
0 |
0 |
0 |
0 |
0 |
|
|
0 |
0 |
0 |
0 |
0 |
|
|
NC |
|
0 |
0 |
0 |
0 |
0 |
|
0 |
0 |
0 |
0 |
0 |
|
|
0 |
0 |
0 |
0 |
0 |
|
|
NW |
|
0 |
0 |
0 |
0 |
0 |
|
0 |
0 |
0 |
0 |
0 |
|
|
0 |
0 |
0 |
0 |
0 |
|
|
WC |
|
0 |
0 |
0 |
0 |
0 |
|
(b) Nurses |
0 |
0 |
0 |
0 |
0 |
|
|
(c) Other Healthcare Workers |
0 |
0 |
0 |
0 |
0 |
The table above excludes employees that have been through disciplinary processes and received sanctions of suspension without remuneration.
Eastern Cape:
- Two Community Service Doctors assumed duties based on institutional appointment letters which still required approval by the delegated authority.
- Six Medical Officers who applied for renewal of work permits on time but were only issued with instruction letters from Home Affairs which are acceptable for them to continue their services under Government-to-Government agreement. However, treasury regulations on PERSAL appointments necessitates individual work permits.
Northern Cape:
- An update from the province indicates that all remuneration for the identified personnel were settled within the calendar month.
END.