Question to the Minister of Health - NW1

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?

Source
Link

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.

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	Simulator (Obsolete) Linac machine (regular breakdown) Iview and EPID (Obsolete) Xio planning system (Nearing useful life)	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.

Source file

RNW1-170508.docx

08 May 2017 - NW1

Carter, Ms D to ask the Minister of Health

Reply:

Source file

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