Question NW3455 to the Minister of Health
14 October 2022 - NW3455
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.