Question NW52 to the Minister of Health
22 February 2023 - NW52
Ismail, Ms H to ask the Minister of Health
(1)What total number of public (a) hospitals and (b) clinics have attained the ideal status; (2) whether he will furnish Ms H Ismail with a comprehensive report for each province on the stage that each hospital and/or clinic has reached on the ideal hospital and/or clinic status; if not, why not; if so, what are the relevant details; (3) (a) what number of public healthcare facilities are (i) compliant and (ii) not compliant with the requirements for the implementation of the National Health Insurance in each province and (b) by what date will all the public healthcare facilities be compliant with the requirements and pre-requisites of the national health regulations in each province?
Reply:
1. (a) Hospital services
Total number of Hospitals is 394. The hospitals which conducted status determinations are 290. The total number of Ideal Hospitals at the end of 2021/2022 is 146 (37%). The summary of provincial status is as follows:
Province |
# of Hospitals |
Tot # of Hospitals with Ideal Status |
% Hospitals with Ideal status |
# of Hospitals with Silver Status |
# of Hospitals with Gold Status |
# of Hospitals with Platinum Status |
Eastern Cape |
90 |
20 |
22% |
19 |
0 |
1 |
Free State |
32 |
16 |
50% |
16 |
0 |
0 |
Gauteng |
37 |
30 |
81% |
23 |
6 |
1 |
KwaZulu-Natal |
73 |
22 |
30% |
20 |
0 |
2 |
Limpopo |
41 |
17 |
41% |
16 |
0 |
1 |
Mpumalanga |
33 |
11 |
33% |
11 |
0 |
0 |
North West |
20 |
10 |
50% |
10 |
0 |
0 |
Northern Cape |
15 |
0 |
0% |
0 |
0 |
0 |
Western Cape |
52 |
20 |
38% |
18 |
0 |
2 |
South Africa |
394 |
146 |
37% |
133 |
6 |
7 |
(b) Primary health Care ( PHC) facilities (clinics and Community Health Centres)
The total number of number of PHC facilities are 3477. The total number of PHC facilities that conducted the status determination is 3477. The total number of Ideal clinics and community health centers at the end of 2021/2022 is 1928 (55%). The summary of provincial status are:
Provinces |
# of Facilities |
# Facilities with IC status REMAINED Ideal |
# Facilities with NEW IC status |
Total # Facilities with IC status |
% of Facilities with IC status |
TOTAL # of Facilities with Silver Status |
TOTAL # of Facilities with Gold Status |
TOTAL # of Facilities with Platinum Status |
Eastern Cape |
775 |
138 |
40 |
178 |
23% |
27 |
67 |
84 |
Free State |
218 |
123 |
20 |
143 |
66% |
12 |
48 |
83 |
Gauteng |
369 |
332 |
9 |
341 |
92% |
58 |
107 |
176 |
KwaZulu-Natal |
605 |
472 |
39 |
511 |
84% |
40 |
138 |
333 |
Limpopo |
482 |
123 |
44 |
167 |
35% |
13 |
53 |
101 |
Mpumalanga |
293 |
136 |
37 |
173 |
59% |
20 |
60 |
93 |
Northern Cape |
162 |
29 |
6 |
35 |
22% |
10 |
12 |
13 |
North West |
310 |
150 |
30 |
180 |
58% |
43 |
68 |
69 |
Western Cape |
265 |
187 |
13 |
200 |
75% |
11 |
23 |
166 |
South Africa |
3479 |
1690 |
238 |
1928 |
55% |
234 |
576 |
1118 |
2. For a comprehensive report for each province on the stage that each hospital and/or clinic has reached on the ideal status please see attached annexures.
(3) The legislation on the National Health Insurance (NHI) has not been passed yet and NHI compliance of health facilities have therefore not been measured. Clause 39 of the NHI Bill provides for accreditation of all provider establishments, public and private. The regulations and standard operating procedures to achieve accreditation over the coming years is yet to be drafted, published, consulted and adopted.
END.