Question NW3455 to the Minister of Health

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14 October 2022 - NW3455

Profile picture: Pambo, Mr V

Pambo, Mr V to ask the Minister of Health

(1)What is the (a) total bed capacity of public hospitals in the Republic and (b) backlog in this regard; (2) whether there are any plans to build new hospitals; if not, why not; if so, (a) what number of hospitals is envisaged to be built and (b) in which (i) provinces and (ii) towns?

Reply:

1.(a) In terms of the regulations relating to categories of hospitals, there are 100 656 approved beds in the republic and as of July 2022 the total number of usable beds was 85 126:

Province

Approved beds as per regulations relating to categories of hospitals

Usable beds as of July 2022

Eastern Cape

15436

13201

Free State

5372

4786

Gauteng

18833

18000

Kwa-Zulu

26213

20512

Limpopo

10603

7660

Mpumalanga

5848

4747

Northwest

5738

4461

Northern Cape

2287

1785

Western Cape

10326

9974

South Africa

100 656

85126

(b) There is no backlog in terms of new bed capacity that must be provided in the public hospitals.

The total bed capacity is determined using the beds per population ratio (the difference between the current bed capacity (approved) of public hospitals and the optimal bed capacity). According to Statistic South Africa mid- year population estimates of 2019, the total population in South Africa was 58,606,416 and this translated into 1.7 beds per 1000 population. The international benchmark for optimal beds per population is 1.5.

While the overall number of hospital beds per 1,000 population is in line with international references, the distribution of beds across the districts and levels of care appear to be extremely unequal (District Health Barometer 2019/20).

The table below provides a breakdown according to provinces.

Province

Approved beds as per regulations relating to categories of hospitals

StatsSA mid-year population estimates

Beds per 1000 population

Eastern Cape

15436

6,533,465

2,4

Free State

5372

2,971,708

1,8

Gauteng

18833

15,099,801

1,2

Kwa-Zulu

26213

11,503,917

2,3

Limpopo

10603

5,853,193

1,8

Mpumalanga

5848

4,598,333

1,3

Northwest

5738

4,053,179

1,4

Northern Cape

2287

1,240,254

1,8

Western Cape

10326

6,760,561

1,5

South Africa

100 656

58,606,416

1,7

 

The value of the indicator decreased to a lesser degree (less beds/population) for Gauteng, Mpumalanga and North West.

(2) Below is a list of new hospitals in the pipeline to be constructed: 2 (a) and (b) (i) (ii)

PROVINCE

HOSPITAL NAME

NUMBER OF BEDS

STATUS

TOWN

Eastern Cape

Greenville District Hospital

100 Beds

Design

Bizana

 

Sipetu District

100 Beds

Construction

Mount Frere

 

Khutsong TB Hospital

124 Beds

Construction

Matatiele

 

Bambisana District Hospital

100 Beds

Construction Started

Nyandeni

 

Zithulele District Hospital

157 Beds

Construction Started

King Dalindyebo

 

Nelson Mandela Academic

To be confirmed

Feasibility Study

Queberha

Free State

Managaung District Hospital

330 Beds

Clinical Brief

Bloemfontein

 

Free State Psychiatric Hospital

877 Beds

Clinical Brief

Bloemfontein

 

Parys Hospital

To be confirmed

Feasibility Study

Parys

 

Dihlabeng District Hospital

212 Beds

Tender

Kroonstad

Gauteng

Lilian Ngoyi Regional Hospital

556 Beds

Tender

Johannesburg

 

Soshanguve Hospital

400 Beds

Land Acquisition

Pretoria (Soshanguve)

 

George Mukhari Academic Hospital

To be confirmed

Feasibility Study

Pretoria

(Ga-rankua)

 

Chris Hani Baragwanath Hospital

To be confirmed

Feasibility Study

Johannesburg (Soweto)

KwaZulu Natal

UMzimkhulu Mental Hospital

90 Beds

Design

UMzimkhulu

 

King Edward 8th

To be confirmed

Feasibility Study

Durban

 

Northern KZN Tertiary Hospital

To be confirmed

Feasibility Study

Durban

Limpopo

Limpopo Academic Hospital

488 Beds

Tender

Polokwane

 

Siloam Hospital

244 Beds

Construction started

Siloam

 

Tshilidzini Hospital

535 Beds

Design

Thohoyandou

 

Elim Hospital

416 Beds

Design

Elim

Mpumalanga

Witbank Tertiary Hospital

400 Beds

Tender

Witbank

 

Witbank Psychiatric Hospital

400 Beds

Design

Witbank

 

Mapulaneng District Hospital

400 Beds

Construction

Bushbuckridge

 

Middelburg District Hospital

200 Beds

Construction

Middelburg

North West

Bophelong General Psychiatric Hospital

244 Beds

Construction started

Mafikeng

Western Cape

Swaartland District Hospital

132 Beds

Design

Swaartland

 

Belhar Regional Hospital

596 Beds

Design

Belhar

 

Klipfontein (GF Jooste) Regional Hospital

To be confirmed

Design

Klipfontein

 

Tygerberg Hospital

800 Beds

Feasibility Study

Cape Town

END.

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