Question NW3614 to the Minister of Health
16 November 2023 - NW3614
Clarke, Ms M to ask the Minister of Health
(1)What (a) percentage and (b) number of public hospitals in the Republic have (i) a psychiatrist, (ii) clinical psychologists, (iii) occupational therapists and (iv) child psychologists; (2) what is the (a) current vacancy rate at all public hospitals in the Republic for the specified healthcare specialists and (b) total cost to fill the specified vacancies in each year; (3) what (a) number and (b) percentage of public health facilities offer mental health services?
Reply:
1. The following information has been received from the Provincial Departments of Health. Information from Eastern Cape and Gauteng is still outstanding:
FS |
KZN |
Limp |
Mpu |
NW |
NC |
WC |
|
No Public Hospitals |
32 |
22 |
40 |
28 |
19 |
14 |
52 |
b) i. Psychiatrists |
12.5% |
64% |
40% |
14.3% |
10% |
7.10% |
21% |
b) ii. Clinical Psychologists |
25% |
86% |
82% |
46.4% |
36.8% |
28.6% |
31% |
b) iii. Occ. Therapist |
40% |
95% |
100% |
92,8% |
57.9% |
57.1% |
44% |
b) iv. Child Psych. |
31% |
0 |
0 |
0 |
0 |
7.1 |
2% |
Information was not received from the Eastern Cape and Gauteng Provinces at the time of submitting this response to Parliament.
It is important to note that Child Psychology is a sub-speciality of Clinical Psychology and most of the provinces do not segregate or sub-classify the appointment information hence the zero reporting specifically on Child Psychology.
(2) The vacancy rates per province are as follows (with Northern Cape providing actual vacancies instead of expressing in percentage).
Vacancy rate |
FS |
KZN |
Limp |
Mpu |
NW |
NC |
WC |
Psychiatrists |
- |
18.9% |
82.5% |
46% |
- |
13 |
4.26% |
Clinical Psychologists |
36% |
19.4% |
67.7% |
20.68% |
18 |
8.42% |
|
Occupational Therapist |
29% |
20.5% |
64.3% |
30.76% |
24 |
9.04% |
|
Child Psychologist |
0% |
0% |
0% |
0% |
0% |
4 |
16.66% |
Information was not received from the Eastern Cape and Gauteng Provinces at the time of submitting this response to Parliament.
Cost to fill specified vacancies |
FS |
KZN |
Limp |
Mpu |
NW |
NC |
WC |
Psychiatrists |
- |
R11m |
R10.8m |
R43m |
- |
R15m |
R4m |
Clinical Psychologists |
R5m |
R11m |
R9.5m |
- |
R19m |
R8m |
|
Occupational Therapist |
R4m |
R11m |
R19.2m |
- |
R17m |
R9m |
|
Child Psychologist |
0 |
0 |
0 |
0 |
- |
R1m |
(3) (a)-(b) All public health facilities in South Africa offer mental health services at various levels with screening being a standard service even at Primary Health Care level. Depending on the service package at the particular facility, patients may be referred to another level of care for further management including admission in the designated Mental Health Facilities
END.