Question NW1566 to the Minister of Health
29 November 2019 - NW1566
Sharif, Ms NK to ask the Minister of Health
(1)What are the guidelines and/or protocols that provinces should have in place to ensure safety (a) at health facilities and (b) of Emergency Medical Services personnel; (2) does his department require any basic level safety requirements to be met by each province; (3) what total number of healthcare professionals have been killed in the line of duty by patients and/or criminals in the past five years?
Reply:
1. (a) Health Facilities
The Department has security guards in all the health facilities. The purpose is to protect both the staff and the patients on continuous basis. The security guards conduct patrol in the health facilities throughout the day. The Ideal Hospital Realisation and Management Framework and the Ideal Clinic Realisation and Maintenance as well as the Office of Health Standards Compliance, have measures compelling all health facilities to introduce safety and security features. The health facilities have been declared gun free ones. These are measured at regular intervals by means of inspections and reports being submitted.
(b) Emergency Medical Services Personnel
- Through engagement with the National Joint Intelligence Structures, a PROJOC instruction was issued that SAPS is required to escort ambulances to calls in volatile areas.
- Provinces are required to establish a response protocol to areas identified as hot zones.
- A comprehensive National EMS Safety Guideline is in place to ensure that the (EMS) personnel work in an environment consistent with accepted minimum safety and security standards. This encompasses the development of provincial EMS safety plans and of mainstreaming the individual and collective sense of security and safety awareness and responsibility.
- A National EMS Safety Forum has recently been considered to advise the National and Provincial Departments of Health on safety challenges, undertaking risk assessments and proposing risk reduction measures in addition to mitigating, developing, maintaining, updating and implementing safety protocols and standard operating procedures according to the changing situation, where necessary.
2. Each province is required to develop and implement their respective Safety Plan in line with the National EMS Safety Guideline depending on the level of threat/incidents in their respective provinces. The guideline is as follows:
STRATEGIC FOCUS |
OUTPUT |
ACTIVITIES |
SUCCESS PERFORMANCE INDICATORS |
Focus on Staff |
Staff Preparedness |
|
Reduce the risk to staff member being targeted by criminals |
Staff Vigilance / Awareness |
|
Staff members have access to all information regarding high risk zones |
|
Staff Resilience |
|
Mentally fit staff |
|
Staff Safety Course |
|
Awareness & Preparedness of EMS in hostile situations |
|
Focus on Community |
Informal |
|
Staff members will be familiar to community members and a level of trust can be built between all parties. |
Formal |
|
Greater awareness within the community of incidents that have occurred. Also to provide support to staff that needs to testify |
|
Focus on Management |
Before the incident |
|
Ensuring a fluid process during and after an incident |
During the Incident |
|
Ensuring staff support |
|
Post Incident |
|
Supported staff members will feel they are able to contribute to the service and this will assist in their recovery. |
|
Provincial |
|
Regular feedback to staff on stakeholder meetings. |
|
National |
|
Support from NHC-TAC. Monitoring on the implementation of the Emergency Medical Support in Hostile Environments) training. National and Provincial feedback on Health Care In Danger Project |
|
Focus on Technology |
|
Improved responsiveness and confidence in service capacity Ensure safety and protection for EMS personnel. |
3. One EMS personnel was fatality shot in Gauteng Province in 2017, and one security guard in Limpopo province
END.