Question NW1 to the Minister of Health
08 May 2017 - NW1
Carter, Ms D to ask the Minister of Health
(1)What innovative measures have been taken by his department to reduce the number of preventable deaths in view of the fact that 4 February marks World Cancer Day (details furnished); (2) Will his department provide a detailed list of (a) all government hospitals along with the names of the oncologists assigned to each, (b) how many days the oncologist is assigned to the respective hospital in a monthly cycle and (c) the number of cancer patients per hospital; (3) Will his department provide a detailed list of the number of patients listed on a waiting list in all government hospitals for (a) biopsies, (b) chemotherapy, (c) radiotherapy and (d) surgery; (4) Will his department provide a detailed list of (a) all equipment and machines that are out of commission at all government hospitals, (b) and the cost associated with repairing the equipment/machinery?
Reply:
(1) In response to the key messages of World Cancer Day 2016 – 2019 and theme, “We Can. I Can”, the Department has initiated or been involved in a number of innovations. For example
(a) “Prevent Cancer”: To reduce the number of deaths from cervical cancer the Department introduced the HPV vaccine in 2014 and with this an education campaign. Cervical cancer is the 2nd most common cancer experienced by women in South Africa and causes the highest mortality among Black women. Cervical cancer is preventable through the implementation of the HPV vaccine.
The programme targeted grade 4 girls who are 9 years and older in public and special schools. Approximately 550 000 girls in 17 000 primary schools have been targeted every year since then and a total of just over 1 million girls have been vaccinated. The first round of implementation in 2017 took place from 21 February – 28 March 2017
(b) “ Improve Access to Cancer Care” and “Shape Policy Change”: My Department is in the process of finalising the National Policy Framework and Strategy on the Prevention and Control of Cancer; National Policy on Breast Cancer and National Policy of Cervical Cancer and National Policy Framework and Strategy on Palliative Care. These policies inform innovative implementation of services and will create equitable access to cancer care at all levels of service delivery.
(c) “Make the case for investment” and “Inspire Action and Take action”:
My Department is collaborating with the Medical Research Council to develop a National Research Agenda for Cancer in the country. A Workshop hosted by the Medical Research Council on 23-24 February 2017 identified the urgency to establish evidence to make the case for investment in Cancer and identify the cost to government and patients and their families.
(2) (a),(b) and (c)
PROVINCE |
NAME OF HOSPITAL |
NAME OF ONCOLOGIST |
NUMBER OF DAYS PER MONTH |
NUMBER OF CANCER PATIENTS |
Eastern Cape |
Livingstone Hospital |
Dr Adelaide De Freitas |
Full time |
14 350 |
Dr van Emmenes |
Part time at this hospital |
|||
Dr K Thomas |
Part time at this hospital |
|||
Frere Hospital |
Prof BP Pokhare |
Full time |
16 737 |
|
Dr Z Jafta |
Full time |
|||
Dr van Emmenes |
Part time at this hospital |
|||
Dr K Thomas |
Part time at this hospital |
|||
Gauteng |
Steve Biko Academic Hospital |
Prof L Dreosti |
Full time |
21 058 |
Dr Khanyile |
||||
Dr J Kempen |
||||
Dr P Wessels |
||||
Dr H van Vuuren |
||||
Prof R Lakier |
||||
Dr A Hocepied |
||||
Dr K Pillay |
||||
Dr L Hinson |
||||
Dr M Esebeth |
||||
Dr Seoloane |
||||
Dr Westernink |
||||
Chris Hani Baragwanath Academic Hospital |
Prof Moosa Patel |
Full time for Adult Oncologist 1 part time Dr for Paeds Oncologist |
36 440 |
|
Dr Atul Laka |
||||
Dr Vinita Philip |
||||
Dr Fadi Waza |
||||
Dr Philippa Ashmore |
||||
Dr Gita Naidu |
||||
Dr Diane Machinnon |
||||
Dr Biance Rowe |
||||
Dr Rosalind Wainwright |
||||
Dr Bassingthwaithe |
||||
Dr Ngoakoane Machlachane |
||||
Charlotte Maxeke Johannesburg Academic Hospital |
Prof Ruff |
Full time |
39 604 |
|
Dr Wadee |
||||
Dr Demetriou |
||||
Dr S Chan |
||||
Dr R van Eden |
||||
Dr R David |
||||
Dr O Ogude |
||||
Prof Sharma |
||||
Dr Mahomed |
||||
Dr T Mutsoane |
||||
Dr J Kotzen |
||||
Dr T Naidoo |
||||
Dr B Rabin |
||||
Dr B Singh |
||||
Kalafong Tertiary Hospital |
Dr Burger |
Full time |
1 549 |
|
Dr Aung |
||||
Dr Coetzer |
Part time |
|||
Tembisa Teriary Hospital |
None |
N/A |
N/A |
|
Helen Joseph Tertiary Hospital |
None |
N/A |
N/A |
|
KwaZulu-Natal |
Inkosi Albert Luthuli Central Hospital (IALCH) |
Dr T Naidoo |
Full time |
7 911 |
Dr S Kunene |
||||
Greys Hospital |
Dr O El-koha |
Full time |
4 336 |
|
Dr S Cassimjee |
||||
Dr L Stopforth |
||||
Dr S Naicker |
||||
Addington Hospital |
No Oncologist assigned, patients are referred to IALCH |
1 845 seen and referred |
||
Limpopo |
Pieterburg/Polokwane Hospital |
Dr T Moyaba |
Full time |
9 399 |
Mankweng Hospital |
Patients seen by Gynaecologist who further refer to the Oncologist at Pietersburg Hospital |
831seen and referred |
||
Mpumalanga |
None of the hospitals in the province provide oncology services and there are no Oncologists appointed in the department |
N/A |
N/A |
All cancer patients from Mpumalanga are managed at Steve Biko Academic hospital |
Northern Cape |
Kimberley Hospital Complex |
Dr O Foufie |
Full time |
9 997 |
Dr S Ibrahim |
||||
Kuruman Hospital |
No Oncologists |
N/A |
170 seen and referred |
|
Dr Harry Surtie |
No Oncologist |
N/A |
140 seen and referred |
|
Free State |
Universitas Hospital |
Dr A Sherriff |
Full time (- 2 days Dihlabeng Hospital) |
30 396 |
Dr K Vorster |
Full time (-1 day Boitumelo Hospital) |
|||
Dr H Napo |
Full time (-1 Bongani Hospital) |
|||
Dr P Piek |
Full time |
|||
Dr C Loots |
Full time (-2 days Dihlabeng Hospital) |
|||
Dihlabeng Hospital |
Dr A Sherrif Dr C Loots |
2 days per month 2 days per month |
2040 |
|
Bongani Hospital |
Dr H Napo |
1 day per month |
1930 |
|
Boitumelo Hospital |
Dr K Vorster |
1 day per month |
1420 |
(3) (a), (b) and (c)
PROVINCE |
HOSPITAL |
NUMBER OF PATIENTS WAITING |
|||
BIOPSIES |
CHEMOTHERAPY |
RADIOTHERAPY |
SURGERY |
||
Eastern Cape |
Livingstone |
None |
None |
Number not available but 4 months waiting list |
None |
Frere |
None |
None |
Number not available but 4 weeks waiting list |
Number not available but 4 weeks waiting list |
|
Gauteng |
Steve Biko Academic Hospital |
None |
96 |
220 |
71 |
Dr George Mukhari Academic Hospital |
N/A |
N/A |
N/A |
N/A |
|
Chris Hani Baragwanath Hospital |
None |
30 |
5 |
267 |
|
Charlotte Maxeke Academic Hospital |
131 |
None |
380 |
257 |
|
Kalafong Tertiary Hospital |
N/A |
N/A |
N/A |
N/A |
|
Tembia Teriatry Hospital |
N/A |
N/A |
N/A |
N/A |
|
Helen Joseph Tertiary Hospital |
N/A |
N/A |
N/A |
N/A |
|
KwaZulu-Natal |
Inkosi Albert Luthuli Central Hospital (IALCH) |
N/A (biopsies are done by the referring regional hospitals) |
None |
294 |
Surgery is performed according to the staging of the cancer |
Greys Hospital |
None |
None |
140 |
Surgery is performed according to the staging of the cancer |
|
Addington Hospital |
Biopsies are done at referring Primary Health Care clinics |
Services have been provisionally combined with IALCH |
24 (due to the current status of ADH, no new patients were booked all patients were booked at IALCH – these 24 patients have been rebooked at IALCH) |
Surgery performed at IALCH |
|
Limpopo |
District |
None |
2 |
None |
3 |
Regional |
300 |
98 |
114 |
453 |
|
Tertiary |
250 |
None |
None |
329 |
|
Mpumalanga |
None of the hospitals in the province provide oncology services and there are not Oncologist appointed in the department |
N/A |
N/A |
N/A |
N/A |
Northern Cape |
Kimberley Hospital Complex |
15 patients |
20 patients |
62 patients |
15 patients per month |
Kuruman Hospital |
N/A |
N/A |
N/A |
N/A |
|
Dr Harry Surtie |
N/A |
N/A |
N/A |
N/A |
|
Free State |
Universitas Hospital |
N/A |
Number not available but 4 weeks waiting list |
Number not available but 10 weeks waiting list |
Number not available but 8-12 weeks waiting list |
Dihlabeng Hospital |
N/A |
Limited chemotherapy services due to resources |
No radiation offered |
N/A |
|
Bongani Hospital |
N/A |
Limited chemotherapy services due to resources |
No radiation offered |
N/A |
|
Boitumelo Hospital |
N/A |
Limited chemotherapy services due to resources |
No radiation offered |
N/A |
|
North West |
The Province yet to provide the information |
||||
Western Cape |
The Province yet to provide the information |
(4) (a) and (b)
PROVINCE |
HOSPITAL |
EQUIPMENT & MACHINES OUT OF COMMISSION |
COST OF REPAIRING |
Eastern Cape |
Livingstone Hospital |
|
R11 million R50 million R100 000 R5 million |
Frere Hospital |
No machines out of commission |
N/A |
|
Gauteng |
Steve Biko Academic Hospital |
No machines not utilised 2 functional but depend on air-conditioning |
Cost of air-conditioning R830 436.34 |
Dr George Mukhari Hospital |
None |
None |
|
Chris Hani Baragwanath Hospital |
None |
None |
|
Charlotte Maxeke Academic Hospital |
None |
None |
|
Kalafong Tertiary Hospital |
None |
None |
|
Tembia Teriatry Hospital |
None |
None |
|
Helen Joseph Tertiary Hospital |
None |
None |
|
KwaZulu-Natal |
Inkosi Albert Luthuli Central Hospital |
None |
None |
Greys Hospital |
None |
None |
|
Addington Hospital |
2 Linear Accelerators out of order |
Department is engaging the Service Provider regarding repairs |
|
Limpopo |
Pieterburg Hospital |
None |
None |
Mankweng Hospital |
None |
None |
|
Mpumalanga |
None of the hospitals in the province provide oncology services and there are not Oncologist appointed in the department |
N/A |
N/A |
Northern Cape |
Kimberley Hospital Complex |
Fluoroscopy machine |
R650 000 |
Kuruman Hospital |
None |
None |
|
Dr Harry Surtie Hospital |
None |
None |
|
Free State |
Universitas Hospital |
2 Accelerators to be replaced. Due to equipment being more than 20 years old, parts are not available. 2 CT simulators older than 6 years needs replacement |
Unknown |
Dihlabeng Hospital |
|||
Bongani Hospital |
|||
Boitumelo Hospital |
|||
North West |
The Province yet to provide the information |
||
Western Cape |
The Province yet to provide the information |
END.