Question NW52 to the Minister of Health

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22 February 2023 - NW52

Profile picture: Ismail, Ms H

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.

Source file