Questions and Replies

Reply:

We do not have records of community health workers who are employed by municipalities in the country. Maybe your question must be directed to the municipalities themselves.

END.

Reply:

We do not know any clinic or hospital that is not offering services it should be offering. Clinics and hospitals offer services they are able to offer.

END.

Reply:

Honourable Member, the information required is on the Pharmacy Council website, https://www.pharmcouncil.co.za.

END.

Reply:

There is no maximum capacity in our provision of health services. The provisioning of doctors and nurses can never reach a maximum. The provisioning is always determined by the availability of both financial and human resources.

END.

Reply:

The following tables reflect the details in this regard, according to the Mpumalanga Provincial Department of Health.

(a) Total staff on duty per category on the night of the 05th of April 2018

CATEGORY	NUMBER
Specialists on Call	7
Medical Officers on Call	11
Medical Interns on Call	6
Professional Nurses	30
Staff Nurses	18
Nursing Assistants	16
Cleaners	10
Porters	2
Switchboard Operator	1
Administration Clerk	1
Food Service Aid	4

Total staff on duty per category on the night of the 06th of April 2018

CATEGORY	NUMBER
Specialists on Call	7
Medical Officers on Call	10
Medical Interns on Call	6
Professional Nurses	30
Staff Nurses	18
Nursing Assistants	16
Cleaners	10
Porters	2
Switchboard Operator	1
Administration Clerk	1
Food Service Aid	4

Emergency Unit Staff on night duty on the05th of April 2018

CATEGORY	NUMBER
Specialists on Call	1
Medical Officers	2
Medical Interns	1
Professional Nurses	3
Staff Nurses	1
Nursing Assistants	1

Emergency Unit Staff on night duty on the 06th of April 2018

CATEGORY	NUMBER
Specialists on Call	1
Medical Officers	2
Medical Interns	1
Professional Nurses	3
Staff Nurses	1
Nursing Assistants	1

(b) Total number of patients in the hospital:

05 April 2018	06 April 2018
335	329

Total number of patients seen in the Emergency Department on the night of:

05 April 2018	06 April 2018
90	74

Total number of admissions:

05 April 2018	06 April 2018
37	19

Total number of admissions on the night of:

05 April 2018	06 April 2018
24	03

END.

Reply:

(a) In the 253 NHLS Laboratory Network and the Network of laboratories belonging to Ampath, Lancet, Pathcare, Vermaak and Vennote and Van Rensburg.

For food and Environment

NHLS Public Health Food laboratory at Charlotte Maxeke Academic Hospital and Food consulting services (a private laboratory)

(b) For clinical

Routine culture and polymerase chain reaction

For food and environment: Culture

(c) Clinical

Blood through normal Phlebotomy and Cerebrospinal fluid through lumbar puncture.

Amniotic fluid

Placenta

Environment: Food samples

(d) Clinical: Clinicians or Phlebotomists

Environment: Environmental Health Practitioners

(e) For clinical tests: 1 019 people.

From Enterprise Polokwane factory: 343 environmental samples were taken

From RCL Wolwehoek factory: 201 environmental samples were taken

(f) Findings were ST6 Listeria Monocytogene and non ST6 Listeria Monocytogenes as well as negative results in some samples;

(g) Clinical: Culture and Phenotypic identification

Food and Environment: Selective culture-based Ager detection and Phenotypic identification. All were followed by whole genome sequencing.

(h) Registered Medical Technologies in all clinical laboratories - public or private and all the food and environmental microbiology laboratories.

END.

Reply:

(1) (a) Enterprises Production facility in Polokwane and RCL in Sasolburg;

(b) (i) In the facility and in food samples;

(ii) Selective culture-based detection and phynotypic detection identification followed by Whole Genome Sequencing;

(iii) Enterprise facility: ST6 and non-ST6;

RCL: Non-ST6

(iv) In an outbreak investigation, the presence or absence of Listeriosis is sufficient to determine source;

(2) (a) National Consumer Commission issued compliance notices and safety recall notices;

(b) No listeriosis in the facility should be found;

(c) Please ask Enterprise and RCL, the Department of Health does not run their factories.

END.

Reply:

No we did not have to consult any university. However the NHLS Public Health food laboratory at Charlotte Maxeke Academic Hospital is already attached to Wits Medical School.

(a) Not applicable;

(b) Not applicable;

(c) Not applicable.

END.

Reply:

(1) (a) and (b) We only tested for presence or absence of Listeria Monocytogenes;

(i) Not applicable;

(ii) (aa) Not applicable

(bb) Not applicable

(2) (a) We do not know. You may have to ask the owners of the factories;

(b) Enterprise Production facility in Polokwane and RCL facility in Sasolburg;

(3) (a) There was a recall of all the products;

(b) The companies themselves incinerated them;

(c) By National Consumer Commission.

(4) On the 4th December 2017.

END.

Reply:

In terms of the General Manager Legal Services, Adv P Khumalo: The Council, in considering the MTT Report and following due process, acted as follows –

(a) In the matter related to disciplinary/ incapacity action as a result of the complaints in the MTT Report, it was evident that most of the complaints dealt with in the MTT Report relates to matters that had transpired prior to his appointment to the HPCSA, therefore Adv P Khumalo was exonerated. The decision was communicated to the incumbent and formal correspondence had been drafted to officially close the matter.

(b) On the question of whether it is in the interest of the HPCSA for Phelelani Khumalo to remain part of the organisation, in particular as part of its senior management, Council exonerated Adv FP Khumalo on the basis that the issues listed in the MTT report occurred prior to his joining HPCSA. This question therefore becomes irrelevant.

END.

Reply:

According to the Health Professions Council,

(a) A total of 10 Contracts were awarded to Kaebetswe Business Enterprise;

(b) Please refer to the table below for dates of contracts

(c) Please refer to the table below for the monetary value of each Contract

(d) The work was commissioned through sourcing of quotations not contracts. The requisitions were made by the then Manager: Facilities Management, Ms Olivia Fisher and was approved by the then Senior Manager Finance, Mr Tshepo Tefo.

Transaction Date	Invoice Number	Payment Number	Voucher Number	Transaction Amount
14-Feb-12	177	8806	32672	R3 857,76
24-Feb-12	178	8898	32731	R1 956,24
01-Oct-12	270	12464	42044	R28 464,66
05-Oct-12	278	12523	42062	R13 450,86
		12563	16160	R13 450,86
26-Oct-12	280	13088	43374	R1 539,00
05-Nov-12	284	13084	43206	R14 852,38
06-Nov-12	285	13088	43375	R1 584,60
12-Dec-12	480	14402	48831	R1 539,00
27-Mar-13	482	15266	51362	R35 002,56
25-Nov-13	106	20515	65558	R52 177,80
TOTAL	R167 875,72

END.

Reply:

(1) Maintenance Supervisor in the Support Services Department

(2) Yes.

(a) 04 October 2013, with closing date being 18 October 2013;

(b) Seven (7);

(c) The following people sat on the interview panel:

(i) Ms Olivia Fisher – Chairperson (Manager Facilities Management);

(ii) Mr Hillary Peterson – Supervisor Accounts Payable;

(iii) Ms K Nkoane – Acting Senior Manager Registrations;

(iv) Mr D Kokong – Union Representative Nehawu;

(v) Mr C Tiba – HR

(d) The following table reflects their scores

Name	Gender	Race	Consolidated Score	Score Ranking
1. Mr Sibusiso Gamede	Male	African	0 (Absent)	0
2. Mr Jerry Ndaba	Male	African	71	2
3. Mr Duncan Marule	Male	African	58	5
4. Mr David Shingange	Male	African	66	3
5. Mr Johannes Ramashitja	Male	African	52	6
6. Mr Arnold Kganyago	Male	African	65	4
7. Mr Thato Malapane	Male	African	82	1

END.

Reply:

The Council’s new Organisational Structure was finalised as part of Phase One of the Turn Around Strategy. The implementation of the entire organisational structure including Top 20 Senior Management forms part of Phase Two which is scheduled to take 12 months and the process commenced in January 2018.

The Senior Management Positions have been assigned exclusively to the Human Resources and Remuneration Committee (REMCO) of Council in consultation with the independent consultants (i.e. Fevertree Consulting).

The principles of recruitment are still being finalised by REMCO and will be submitted to the Executive Committee of Council in May 2018 for onward submission to Council at its next meeting scheduled for 28 June 2018.

It is important to note that in order to ensure fairness and transparency the current Management Structure of Council is not involved in the top 20 recruitment process.

Once Council has approved the placement principles, Parliament will be advised accordingly.

END.

Reply:

Routine inspections and sampling of imported meat is conducted by the Department of Agriculture, Forestry and Fishery at the Ports of Entry in terms of Section 13 of the Meat Safety Act no 40 of 2000.

END.

Reply:

(a)-(e) Honourable Member the National Department of Health does not collate this level of detailed patient level data pertaining to waiting list for surgery. Each surgical ward in a hospital has this data which is never static or stable at any one time, but is used for clinical management of patients.

There is no standardised way which the National Department can use to compile such data at national level.

This is because the criterion used to place anybody on a waiting list is too complex and very fluid to be able to compile sensible data.

Criteria for waiting lists depend on a multiplicity of complex factors like clinical evaluation, availability of beds, prioritization of some patients over others depending on their clinical conditions. Patients conditions may change within a matter of hours and this may render the list irrelevant.

Hence the list is better kept ward per ward with all these changes that may happen day per day or even hour per hour.

This problem is faced by many health authorities internationally.

END.

Reply:

(a)-(e) Honourable Member the National Department of Health does not collate this level of detailed patient level data pertaining to waiting list for surgery. Each surgical ward in a hospital has this data which is never static or stable at any one time, but is used for clinical management of patients.

There is no standardised way which the National Department can use to compile such data at national level.

This is because the criterion used to place anybody on a waiting list is too complex and very fluid to be able to compile sensible data.

Criteria for waiting lists depend on a multiplicity of complex factors like clinical evaluation, availability of beds, prioritization of some patients over others depending on their clinical conditions. Patients conditions may change within a matter of hours and this may render the list irrelevant.

Hence the list is better kept ward per ward with all these changes that may happen day per day or even hour per hour.

This problem is faced by many health authorities internationally.

END.

Reply:

(a)-(e) Honourable Member the National Department of Health does not collate this level of detailed patient level data pertaining to waiting list for surgery. Each surgical ward in a hospital has this data which is never static or stable at any one time, but is used for clinical management of patients.

There is no standardised way which the National Department can use to compile such data at national level.

This is because the criterion used to place anybody on a waiting list is too complex and very fluid to be able to compile sensible data.

Criteria for waiting lists depend on a multiplicity of complex factors like clinical evaluation, availability of beds, prioritization of some patients over others depending on their clinical conditions. Patients conditions may change within a matter of hours and this may render the list irrelevant.

Hence the list is better kept ward per ward with all these changes that may happen day per day or even hour per hour.

This problem is faced by many health authorities internationally.

END.

Reply:

(a)-(e) Honourable Member the National Department of Health does not collate this level of detailed patient level data pertaining to waiting list for surgery. Each surgical ward in a hospital has this data which is never static or stable at any one time, but is used for clinical management of patients.

There is no standardised way which the National Department can use to compile such data at national level.

This is because the criterion used to place anybody on a waiting list is too complex and very fluid to be able to compile sensible data.

Criteria for waiting lists depend on a multiplicity of complex factors like clinical evaluation, availability of beds, prioritization of some patients over others depending on their clinical conditions. Patients conditions may change within a matter of hours and this may render the list irrelevant.

Hence the list is better kept ward per ward with all these changes that may happen day per day or even hour per hour.

This problem is faced by many health authorities internationally.

END.

Reply:

(a)-(e) Honourable Member the National Department of Health does not collate this level of detailed patient level data pertaining to waiting list for surgery. Each surgical ward in a hospital has this data which is never static or stable at any one time, but is used for clinical management of patients.

There is no standardised way which the National Department can use to compile such data at national level.

This is because the criterion used to place anybody on a waiting list is too complex and very fluid to be able to compile sensible data.

Criteria for waiting lists depend on a multiplicity of complex factors like clinical evaluation, availability of beds, prioritization of some patients over others depending on their clinical conditions. Patients conditions may change within a matter of hours and this may render the list irrelevant.

Hence the list is better kept ward per ward with all these changes that may happen day per day or even hour per hour.

This problem is faced by many health authorities internationally.

END.

Reply:

(1) (a) (i) Yes, the recruitment process and the advert was submitted to me as the Minister for approval in January 2016;

(ii) The first process commenced in January 2017 and was concluded in December 2017.

(b) No, in line with the Turn Around Strategy of Council and the development of the new business model and organisational structure, this position was not advertised.

(2) (a) The Council was not able to make any recommendation on the first recruitment process. The detailed report was submitted to me on 18 December 2017;

(b) Having considered the Report, I advised Council to follow a headhunting process. The Headhunting process has commenced and is at shortlisting stage.

END.

Reply:

(1) I have not been informed of any complaints directed against the President of the HPCSA yet. Maybe the complaint is still in the correspondence pipeline of the Department.

(2) I will wait for any complaint to arrive on my desk, and then investigate.

END.

Reply:

(a) The recommendations were as follows:

(1) To institute disciplinary and incapacity proceedings against the Registrar/CEO, COO and General Manager of Legal Services;

(2) To appoint an interim executive management team;

(3) That the incoming and future Councils of the HPCSA should undergo a structured induction process to ensure an understanding and appreciation by all its members of their legal and governance obligations;

(4) To address the recommendations of the KPMG Forensic Report of November 2011; and

(5) To institute a full organisational review and a proposal for a new governance and administrative structures for the future.

(b) (i) 4 out of 5 have been carried out and finalised, namely –

To institute disciplinary and incapacity proceedings against the Registrar/CEO, COO and General Manager of Legal Services –

Amicable settlement agreements were reached with the previous Registrar/CEO and COO. The settlement was done according to the legal advice the Council obtained.

To appoint an interim executive management team

Council had resolved that should the need arise to fill a vacuum within the Executive Management team, Council would attend to the appointments in line with the Act and the prescribed policies of Council.

All critical vacant senior management positions were filled with a diverse team that was able to ensure that the HPCSA upholds its mandate of protecting the public and guiding the professions.

That the incoming and future Councils of the HPCSA should undergo a structured induction process to ensure an understanding and appreciation by all its members of their legal and governance obligations;

The Council noted the recommendations and the inductions did occur and training was provided. Training of the Council and its structure are ongoing as detailed in the Council’s Annual Performance Plans.

See Council’s mid terms performance report attached under Annexure G1. As well as Councils Annual Performance Plan for 18/19 under Annexure G2.

To address the recommendations of the KPMG Forensic Report of November 2011

The Council reviewed the KPMG reports and its recommendations and resolved as follows –

1. Recommendation One: Waymark Contract

Extract from KPMG Report –

“Although the Waymark contract provides for the rectification of errors by Waymark at their own cost, provided that the HPCSA informs Waymark of such faulty execution to the remedied, this course of action was not taken by the HPCSA.

We strongly recommend that the HPCSA obtain an independent legal opinion with regards to possible recourse in respect of the Waymark contract to remedy the ERS implementation issues.”.

Action by the previous Council

(i) The matter was referred to legal counsel (i.e. Bowman Gilfillan) in 2012/2013.

(ii) Further to the opinion, Bowman Gilfillan advised that it would be necessary to interview Adv B Mkhize, the former Registrar/CEO. Unfortunately the previous Council went out of office before doing so because Adv Mkhize is no longer an employee of the Council.

Action by current Council

Council RESOLVED that the matter be closed due to effluxion of time and prescription having set in.

2. Recommendation Two: Delegation of Authority

Extract from KPMG Report –

“Although the Delegation of Authority provides for various levels of authority for Senior Managers, the COO and the CEO, it places no limit on the amounts that EXCO could approve. Good governance suggests that the mandate, responsibilities and levels of authority of the EXCO be well-defined.

We recommend that the HPCSA review and revise its Delegation of Authority to provide more specific levels of authority to EXCO and indicate instances that may require referral to Council for consideration and approval.”.

Action by previous Council

(i) The recommendation was noted and Management and the Human Resources and Remuneration Committee of Council in 2013 commenced with the revision of the Delegation of Authority (DOA) document, which was last reviewed in 2009;

(ii) The DOA served at the Council workshop in March 2015 and again in June 2015. Council resolved that the DOA be revised to incorporate all of the Council’s inputs and same will be tabled to the newly appointed Human Resources and Remuneration Committee of Council for final review prior to submission to Council for approval;

(iii) The Finance and Investment Committee of Council also ensured that the newly approved Supply Chain Management policy clearly defines the limit delegation of Council and Management

Action by current Council

Council noted the work undertaken by the previous Council and the resolved that the Delegations of Authority document would be considered and approved by the relevant Council structures;

The Delegations of Authority was approved by Council at its 3rd Ordinary Meeting held in September 2016 and is being implemented across all structures of Council.

3. Recommendation Three: Possible Disciplinary Action

Extract from KPMG Report –

“The appointment of at least two consulting firms, namely BPLC and Kakanyo, were not done in accordance with the HPCSA’s procurement policies and procedures. Furthermore, certain expenses paid to service providers could potentially have been avoided, had the Registrar acted in the best interest of the HPCSA by demanding that Waymark rectify the implementation problems at their own cost. In addition, a number of payments to Kakanyo were approved without the proposals having been appropriately approved in terms of the HPCSA’s procurement policies and procedures.

We recommend that the HPCSA considers whether there are sufficient grounds to institute disciplinary action against the following officials for non-compliance with the HPCSA’s procurement policies and procedures and possible failure to act in the best interest of the HPCSA:

• Ms O’Reilly;

• Adv Boikanyo; and

• Mr Mphahlele.

More in-depth investigations may be required into the matters referred to above in order to prepare specific reports and supporting evidence that could be used during a disciplinary hearing, if necessary.”.

Action by previous Council: MMC O’ Reilly

(i) The matter was considered by Council in December 2011 and Council resolved to institute disciplinary action against Ms O’Reilly. The matter was further handled through the office of the President and Legal Counsel: Mponyana Ledwaba Inc.

(ii) The matter was closed.

Action by previous Council: Adv Boikanyo & Mr S Mphahlele

(i) The matter was considered by Council in December 2011 and no action was taken.

(ii) The Matter was reconsidered by Council and in February 2013, the Registrar/ CEO, Dr Mjamba-Matshoba, addressed correspondence to Adv Boikanyo and Mr Mphahlele requesting them to provide explanations for the alleged non-compliance.

(iii) Both parties provided a response to the Registrar/CEO and the matter was closed in line with the Disciplinary Code of Council.

Action by Current Council

In reference to Adv T Boikanyo and Mr S Mphahlele, Council resolved that the matter be closed as the explanations provided by the employees were considered and accepted therefore re-opening the matter would be tantamount to double jeopardy and contrary to law.

4. Recommendation Four: Compliance with the HPCSA’s policies and procedures

Extract from KPMG Report –

“We recommend that the HPCSA communicates its policies and procedures to its staff on a regular basis, through, for example, annual declarations in which the staff acknowledge that they are familiar with the contents of such policies and procedures. This will ensure compliance therewith to avoid the recurrence of, inter alia, the following:

• That a contract, used by another government department, was used as the basis for concluding a contract with a service provider; and
• That the contract was signed without it having been reviewed by the HPCSA’s Legal Department.”.

Action by previous Council

(i) The recommendation was noted and Management in 2012 introduced a process for contract review and developed a contract document control sheet which details the relevant line managers that needs to sign off and approve the contract prior to final sign off.

(ii) The contracts are then housed with the Senior Manager Legal Services and the Office of the Registrar.

Action by current Council

Council noted the mechanisms implemented by Council and resolved that it be monitored accordingly.

(b) (ii) None

(iii) Recommendation number 5. Full organizational review and submit proposals to the Minister for the reform of the administrative and governance structures of the health professions”

In executing the MTT recommendation No. 5, Council embarked on a Turnaround Strategy, to enhance our effectiveness and efficiencies through streamlined services.

Thus, for the past 12 months, Council has been moving towards building a new organisation that will be reputable for its innovation, professionalism and excellence in service delivery.

The Turnaround Strategy has focussed on five key workstreams that are critical to achieving the above-mentioned objective, namely: Vision & Design (Operating Model design), Business Process Re-engineering, Structure & People (Organisational Design), IT and Governance.

Benefits from the Turnaround Strategy are already being realised by HPCSA and their customers through the reduction of turnaround times in the Registration Department and the elimination of backlog practitioner registration applications. Implementation of additional Quick-Wins are underway. A Complaints Handling Unit within Ethics & Professional Conduct is being piloted with the objective of reducing the turnaround time and accuracy of the initial perusal of complaints received by the HPCSA. A complaints backlog reduction plan is also being developed for immediate implementation. Analysis on HPCSA’s governance structure is still underway.

Council at its 9th Ordinary meeting in March 2018, tasked Fever Tree Consulting and Secretariat to embark on a consultative process with all the relevant structures of Council and submit a comprehensive report in the subsequent meetings of Council inclusive of the following:

• 1. Revised Terms of Reference for all Committees of Council including the proposed Inter-Board Committee of Council
  2. Terms of Reference for the Proposed Committees of the Professional Boards including the Joint Standing Committee/s of Professional Boards
  3. New Delegations of Authority
  4. A clear framework on the functioning of Council, Professional Boards and Secretariat in view of the Proposed Committees of Council & Professional Boards, the New Functional/Organizational Design and the New Delegations of Powers/Duties.
  5. The rationale behind the proposed new committee structures of Council and Professional Boards

Other Issues in MTT Report: Council further resolved that all the Professional Board incidents that form part of the report was reviewed and addressed as a matter of urgency. This was done in consultation with the relevant constituencies (e.g. Professional Boards and its committees).

(c) Not Applicable

END.

Reply:

a) Number of Tuberculosis patients seen

Facility	Number of TB patients (2016)
(i) Eluxolweni Clinic	15
(ii) Flagstaff Clinic	213
(iii) Jabavu Clinic	166
(iv) Mabandla Clinic	292
(v) Philani Clinic (Buffalo City)	106

b) There are no nurses who work shifts in clinics. Nurses only work shifts in 24 hour facilities.

 

END.

Reply:

a) Number of Tuberculosis patients seen

Facility	Number of TB patients (2016)
(i) Bloemspruit Clinic	183
(ii) Bophelong Clinic (Welkom	70
(iii) Allanridge Clinic	15
(iv) Bothaville Clinic	43
(v) Khothalong Clinic	45
(vi) Meloding Clinic	35

b) There are no nurses who work shifts in clinics. Nurses only work shifts in 24 hour facilities.

END.

Reply:

a) Number of Tuberculosis patients seen

Facility	Number of TB patients (2016)
(i) Umlazi A A Clinic	18
(ii) Cramond Clinic	30
(iii) Inanda CHC	886
(iv) Kearsney Clinic	44
(v) Thokozani Clinic	156

(b) There are no nurses who work shifts in clinics. Nurses only work shifts in 24 hour facilities.

END.

Reply:

(a) Yes, as per the attached report to the Portfolio Committee;

(b) Yes, as per the attached report to the Portfolio Committee.

END.

Reply:

(a), (b) and (c)

The tables below provide information on deaths expressed as mortality rates that occurred at each psychiatric hospital and/or institution, the location of each psychiatric hospital and/or institution and the name of each psychiatric hospital and/or institution.

Location by District	Psychiatric Hospital	Mortality rate (%) Jan-Dec 2017
Nelson Mandela Bay Municipality	Elizabeth Donkin Hospital	0
Sarah Baartman District Municipality	Fort England Hospital	0.64
Chris Hani District Municipality	Komani Hospital	0.68
West Rand District Municipality	Sterkfontein Hospital	1.01
City of Tshwane Metropolitan Municipality	Weskoppies Hospital	0.82
uMgungundlovu District Municipality	Fort Napier Hospital	0.54
uMgungundlovu District Municipality	Townhill Hospital	0
Harry Gwala District Municipality	Umzimkhulu Hospital	0.31
Vhembe District Municipality	Hayani Hospital	0.86
Capricorn District Municipality	Thabamoopo Hospital	1
Frances Baard District Municipality	West End Specialised Psychiatric Hospital	0
NgakaModiriMolema District Municipality	Bophelong Psychiatric Hospital	0.83
City of Johannesburg Metropolitan Municipality	Tara H Moross Centre Hospital	0
City of Cape Town Metropolitan Municipality	Stikland Hospital	0.94
City of Cape Town Metropolitan Municipality	Valkenberg Hospital	0.56
City of Cape Town Metropolitan Municipality	Lentegeur Hospital	1.39

Location by District	Combined Psychiatric Hospital and Care and Rehabilitation Centre	Mortality rate (%) Jan-Dec 2017
Amathole District Municipality	Tower Hospital	1.5
Mangaung Metropolitan Municipality	Free State Psychiatric Complex Hospital	1.18
Mopani District Municipality	Evuxakeni Hospital	1.41

Location by District	Mental Health Care and Rehabilitation Centre	Mortality rate (%) Jan-Dec 2017
City of Tshwane Metropolitan Municipality	Cullinan Rehabilitation Hospital	3.67
eThekwini Metropolitan Municipality	Ekuhlengeni Sanatorium Hospital	2.49
uMgungundlovu District Municipality	Umgeni Waterfall Institute Hospital	1.95
Dr Kenneth Kaunda District Municipality	Witrand Psychiatric Hospital	3.88
City of Cape Town Metropolitan Municipality	Alexandra Hospital	2.67
Central Karoo District Municipality	Nelspoort Hospital	4.35

(d) & (e) Unfortunately Honourable Member I cannot provide you with names of individual patients and their individual cause of death because that will be against the law.

END.

Reply:

(a) (i) Enterprise food production laboratory in Polokwane and RCL in Sasolburg.

(ii) Enterprise (list to be furnished by Dr Juno)

RCL: Chicken polony

(b) Enterprise: A creche in Soweto and Polokwane Production facility, as well as Germiston factory.

RCL: A creche in Soweto.

(c) The outer casing and clips and the meat itself;

(d) 1 019 persons;

(e) It was not done because it was not needed;

(f) Recall of the products and closure of the factories.

END.

Reply:

Unfortunately Honourable Member we do not know a concept called raw mortality rate. Hence we are unable to answer the question.

END.

Reply:

There is no cut-off point of number of doctors and nurses that can work in a hospital or clinic. Numbers usually depend on the available budget.

END.

Reply:

(a) (aa)(i) & (b) (i)

The number of mentally ill persons (patients) that are admitted in health facilities changes every minute as patients get admitted and others get discharged. The table below provides information on the number of inpatient beds, each facility can offer at any given time.

Psychiatric Hospitals

Facility Name	Bed capacity	Location of each facility by district
Elizabeth Donkin Hospital	163	Nelson Mandela Bay Municipality
Fort England Hospital	313	Sarah Baartman District Municipality
Komani Hospital	440	Chris Hani District Municipality
Sterkfontein Hospital	680	West Rand District Municipality
Weskoppies Hospital	855	City of Tshwane Metropolitan Municipality
Fort Napier Hospital	370	uMgungundlovu District Municipality
Townhill Hospital	280	uMgungundlovu District Municipality
Umzimkhulu Hospital	320	Harry Gwala District Municipality
Hayani Hospital	233	Vhembe District Municipality
Thabamoopo Hospital	400	Capricorn District Municipality
West End Specialised Psychiatric Hospital	106
Bophelong Psychiatric Hospital	282	NgakaModiriMolema District Municipality
Tara H Moross Centre Hospital	137	City of Johannesburg Metropolitan Municipality
Stikland Hospital	318	City of Cape Town Metropolitan Municipality
Valkenberg Hospital	360	City of Cape Town Metropolitan Municipality
Lentegeur Hospital	722	City of Cape Town Metropolitan Municipality

Combined Psychiatric Hospital and Care and Rehabilitation Centre

Facility Name	Bed capacity	Location of each facility by district
Tower Hospital	400	Amathole District Municipality
Free State Psychiatric Complex Hospital	760	Mangaung Metropolitan Municipality
Evuxakeni Hospital	354	Mopani District Municipality

Mental Health Care and Rehabilitation Centre

Facility Name	Bed capacity	Location of each facility by district
Cullinan Care and Rehabilitation Hospital	300	City of Tshwane Metropolitan Municipality
Ekuhlengeni Sanatorium Hospital	965	eThekwini Metropolitan Municipality
Umgeni Waterfall Institute Hospital	411	uMgungundlovu District Municipality
Witrand Psychiatric Hospital	851	Dr Kenneth Kaunda District Municipality
Alexandra Hospital	300	City of Cape Town Metropolitan Municipality
Nelspoort Hospital	92	Central Karoo District Municipality

(bb) All mental health facilities fall under the provincial sphere of Government.

(a) (ii) (aa)

The table below shows the number of beds in health facilities that admits physically disabled persons.

Facility Name	Bed capacity	Location of each facility by district
Tshwane Rehabilitation Hospital	61	City of Tshwane Metropolitan Municipality
Western Rehabilitation Centre	156	City of Cape Town Metropolitan Municipality
WitrandPhysical Medicine and Rehabilitation Unit	15	Dr Kenneth Kaunda District Municipality

(b) (ii) Psychiatric hospitals or the Care and rehabilitation centres do not employ “care workers” as the care, treatment and rehabilitation services are provided by registered health practitioners such as professional nurses, medical practitioners, and the allied practitioners such as occupational therapists, physiotherapists, psychologists, speech therapists and social workers, etc.

END.

Reply:

.(a)-(b) In terms of Government Gazette No R 185 issued in 2012 and the national norms and standards only central hospitals provide transplant services.

There are ten (10) Central Hospitals in South Africa:

1. Groote Schuur in Cape Town (Western Cape)
2. Tygerberg in Stellenbosch (Western Cape)
3. Nelson Mandela Central Hospital in Mthatha (Eastern Cape)
4. King Edward VIII Hospital in Durban (KwaZulu Natal)
5. iNkosi Albert Luthuli Hospital in Durban (KwaZulu Natal)
6. Universitas Hospital in Bloemfontein (Free State)
7. Chris Hani Baragwanath Hospital in Soweto (Gauteng)
8. Charlotte Maxeke Hospital in Parktown (Gauteng)
9. Steve Biko Hospital in Tshwane (Gauteng)
10. George Mukhari Hospital in Ga-Rankuwa (Gauteng)

END.

Reply:

(a) (i), (ii), (iii)

On managing the protocol on Asbestos components in our various public health facilities, in terms of Government Notice R155, covering Regulation 2001 based on which Asbestos guide for Asbestos Regulation 2001 and guide for demolition work all issued in March 2003, a total of 4 394 public health facilities were inspected.

The situation is as follows:

• Asbestos ceilings: 657 (see Annexure 1)
• Asbestos roof: 571 (see Annexure 2)
• Asbestos internal walls: 116 (see Annexure 3)
• Asbestos external walls: 75 (see Annexure 4)

(b) The reason is that in most buildings, especially ceilings, were made of asbestos. We are following the protocol to deal with them as and when necessary according to the guidelines.

END.

Reply:

All our clinics and hospitals do have a water supply system. However from time to time there may be some interruption in water supply due to problems within the municipality or within the bulk supply system.

END.

Reply:

(a) Domestic waste within the public health facilities is transported by different local municipalities to the landfill sites within their areas of jurisdiction, as it happens with ordinary households. However, the following clinics do not get such a service from their municipalities:

NORTH WEST PROVINCE

Name of Healthcare Facility	Location	District	Patient Capacity
1. Morokweng	Kagisano-Molopo Sub-district	Dr RS Mompati	Clinic
2. Tlakgameng	Kagisano-Molopo Sub-district	Dr RS Mompati	Clinic
3. Tseoge	Kagisano-Molopo Sub-district	Dr RS Mompati	Clinic
4. Phaposane	Kagisano-Molopo Sub-district	Dr RS Mompati	Clinic
5. Kudunkgwane	Kagisano-Molopo Sub-district	Dr RS Mompati	Clinic
6. Piet Plessis	Kagisano-Molopo Sub-district	Dr RS Mompati	Clinic
7. Moswana	Kagisano-Molopo Sub-district	Dr RS Mompati	Clinic
8. Austrey	Kagisano-Molopo Sub-district	Dr RS Mompati	Clinic
9. Kgokgole	Kagisano-Molopo Sub-district	Dr RS Mompati	Clinic
10. Kgokgojane	Kagisano-Molopo Sub-district	Dr RS Mompati	Clinic
11. Tlapeng	Kagisano-Molopo Sub-district	Dr RS Mompati	Clinic
12. Eckron	Kagisano-Molopo Sub-district	Dr RS Mompati	Clinic
13. Morokwaneng	Kagisano-Molopo Sub-district	Dr RS Mompati	Clinic
14. Kokoano	Kagisano-Molopo Sub-district	Dr RS Mompati	Clinic
15. Setabeng	Kagisano-Molopo Sub-district	Dr RS Mompati	Clinic
16. Bona-Bona	Kagisano-Molopo Sub-district	Dr RS Mompati	Clinic
17. Bray (CHC)	Kagisano-Molopo Sub-district	Dr RS Mompati	CHC
18. Jericho	Madibeng	Bojanala	Clinic
19. Fafung	Madibeng	Bojanala	Clinic

 

EASTERN CAPE

(i) Name of the healthcare facility	(ii) Location	(iii) Patient capacity
	District	Sub-district
Amabele Clinic	Amathole DM	AmahlatiSD	Clinics
Bolo Clinic
Burnshill Clinic
Cata Clinic
Daliwe Clinic
Dohne Clinic
Donnington Clinic
Ethembeni Clinic
Frankfort Clinic
Gxulu Clinic
Kati-Kati Clinic
Khuze Clinic
Kubusi Clinic
Lenye Clinic
Lower Zingcuka Clinic
Masincedane Clinic
Mgwali Clinic
Mxalanga Clinic
Ntaba ka Ndoda Clinic
Rabula Clinic
St Matthew's Clinic
Qeto clinic
Tyutyu Village Clinic
Wartburg Clinic
Amahleke Clinic	Buffalo City Metro	Clinics
Bhele Clinic
Bulembu Clinic
Cwili Clinic
Gwabeni Clinic
Hamburg Clinic
Horton Clinic
Imidange Clinic
Jaji Clinic
Jama Clinic
Komga Rural Clinic
Kwelera Clinic
Masele Clinic
Matomela Clinic
Mdingi Clinic
Mncotsho Clinic
Mooiplaas Clinic
Mount Coke Clinic
Mpongo Clinic
Mtombe Clinic
Mtyholo Clinic
Ncera Clinic
Ndevana Clinic
Ndwayana Clinic
Needs Camp Clinic
Newlands Clinic
Ngqwele Clinic
Nier Clinic
Noncampa Clinic
Norah Clinic
Openshaw Clinic
Pikholi Clinic
Pirie Clinic
Potsdam Clinic
Qurhu Clinic
Robert Mbelekana Clinic
Soto Clinic
Tshabo Clinic
Tshatshu Clinic
Twecu Clinic
Tyamzashe FP Clinic
Tyutyu Clinic
Zikhova Clinic
Empilweni CHC		CHC
Badi Clinic	Amathole DM	Mbhashe SD	Clinics
Bolotwa Clinic (Idutywa)
Bomvana Clinic
Fort Malan Clinic
Gwadana Clinic
Gwadu Clinic
Idutywa Nqabara Clinic
Jingqi Clinic
Kwa-Mkholoza Clinic
Lota Clinic
Mahasana Clinic
Melitafa Clinic
Mpozolo Clinic
Mqhele Clinic
Msendo Clinic
Nkanya Clinic
Nqabara Clinic
Nqabeni Clinic
Nqadu Clinic (Mbhashe)
Nyhwara Clinic
Soga Clinic
Sundwana Clinic
Taleni Clinic
Vukukhanye Gateway Clinic
Xhora CHC			CHC
Madwaleni Hospital			Hospital
Dr CL Bikitsha Clinic	Amathole DM	Mnquma SD	Clinics
Gcaleka Clinic
Gqunqe Clinic
Grainvalley Clinic
Hebe-Hebe Clinic
Highview Clinic
Kotana Clinic
Mnyibashe Clinic
Mqambeli Clinic
Ncizele Clinic
Ndabakazi Clinic
Ngqusi Clinic
Nqancule Clinic
Ntseshe Clinic
Qina Clinic
Qolora-By-Sea Clinic
Springs Clinic
Tafalofefe Gateway Clinic
Tanga Clinic
Tutura Clinic
Tyali Clinic
Zazulwana Clinic
Nqamakhwe CHC			CHC
Tafalofefe Hospital	Amathole DM	Nkonkobe SD	Clinics
Adelaide Gateway Clinic
Amathole Basin Clinic
Assina Mandla Clinic
Balfour Clinic
Bedford Clinic
Bezuidenhoutville Clinic
CC Lloyd Clinic
Debe Nek Clinic
Gilton Clinic
Gxwederha Clinic
Healdtown Clinic
Hillside Clinic (Nkonkobe)
Kolomana Clinic
Lower Regu Clinic
Lulama Kama Clinic
Melani Clinic
Mgwalana Clinic
Msobomvu Clinic
Mzamomhle Clinic (Bedford)
Njwaxa Clinic
Nomakhwezi Makhenyane Clinic
Perksdale Clinic
Qibira Clinic
Rwarwa Clinic
Seymour Clinic
Sheshegu Clinic
Thozamile Madakana Clinic
Upper Ncera Clinic
Victoria Gateway Clinic
War Memorial Clinic
Washington Clinic
Zigodlo Clinic
Zihlahleni Clinic
Bengu Clinic	Chris Hani DM	Emalahleni SD	Clinics
Boomplaas Clinic
Guba Clinic
Hlala Uphilile Clinic
Lanti Clinic
Maqashu Clinic
Mhlanga Clinic
Mkapusi Clinic
Mount Arthur Clinic
Ndonga Clinic
Nompumelelo Clinic
Qoqodala Clinic
Queen Nonesi Clinic
Rodana Clinic
Rwantsana Clinic
Swartwater Clinic
Tsembeyi Clinic
Vaalbank Clinic
Xonxa Clinic
Ngonyama CHC			CHC
Banzi Clinic	Chris Hani DM	Intsika Yethu SD	Clinics
Bilatye Clinic
Bolotwa Clinic (Confimvaba)
Cwecweni Clinic
Gqogqora Clinic
Isikhoba Clinic
Keti Clinic
Lower Mncuncuzo Clinic
Lower Seplan Clinic
Lubisi Clinic
Luthuli Clinic
Magwala Clinic
Mahlubini Clinic
Mawusheni Clinic
Mbulukweza Clinic
Mcambalala Clinic
Mtingwevu Clinic
Ncora Clinic
Ngceza Clinic
Ngxabangu Clinic
Nququ Clinic
Ntshingeni
Plumstead Clinic
Qamata Clinic
Qitsi Clinic
Qombolo Clinic
Qumanco J Tribal Clinic
Sabalele Clinic
St Mark's Clinic
Tsakana Clinic
Upper Mncuncuzo Clinic
Bacclesfarm Clinic	Chris Hani DM	Inxuba Yethemba SD	Clinics
Baroda Clinic
Fishriver Clinic
Kleinbulhoek Clinic
Mitford Clinic
Rocklands Clinic
Springrove Clinic
Thornhill CHC
Tentergate Clinic
Zola Clinic
Cimezile Clinic	Chris Hani DM	Lukhanji SD	Clinics
Didimana Clinic
Ekuphumleni Clinic
Eluhewini clinic
Engojini Clinic
Gwatyu Clinic
Hackney Clinic
Haytor Clinic
Hukuwa Clinic
Kamastone Clinic
KB Siswana Clinic
Lahlangubo Clinic (Queenstown)
Lesseyton Clinic
Machibini Clinic (Queenstown)
Oxton Clinic
Pricesdale Clinic
Shiloh Clinic
Tsitsikamma Clinic
Yonda Clinic
Zingquthu Clinic
Zweledinga Clinic
Bokleni Clinic	Chris Hani DM	Ngcobo SD	Clinics
Clarkebury Clinic
Elucwecwe Clinic
Gqaga Clinic
Gubenxa Clinic
Lahlangubo Clinic (Ngcobo)
Manzana Clinic
Mdanjelwa Clinic
Mgudu Clinic
Mhlopekazi Clinic
Mjanyana Clinic
Mnyolo Clinic
Nkwenkwana Clinic
Ntsimba Clinic
Qebe Clinic
Qumanco Clinic
Tora Clinic
Zabasa Clinic
Zadungeni Clinic
Zwelakhe Dalasile Clinic
Mjanyane Hospital			Hospital
Askeaton Clinic	Chris Hani DM	Sakhisizwe SD	Clinics
Beestekraal Clinic
Manzimahle Clinic
Ncedolwethu Clinic
Nyalasa Clinic
Sifonondile Clinic
Tembelihle Clinic
Thembalethu Clinic
Tsengiwe Clinic
Upper Lafuta Clinic
Efata Clinic	OR Tambo DM	King Dalindyebo SD	Clinics
Hlabatshane Clinic
Jalamba Clinic
Kambi Clinic
Lutubeni Clinic
Mahlungulu Clinic (KSD)
Mapuzi Clinic
Maxwele Clinic
Mpeko Clinic
Mpindweni Clinic
Mpunzana Clinic
Mqhekezweni Clinic
Ncambele Clinic
Ndibela Clinic
Ngcengane Clinic
Ngqungqu Clinic
Ngwenya Clinic
Nqwathi Clinic
Ntlangaza Clinic
Ntshabeni Clinic
Ntshele Clinic
Nzulwini Clinic
Phakamile Clinic
Qokolweni Clinic
Qunu Clinic
Sangoni Clinic
Sitebe Clinic
Tabase Clinic
Tshezi Clinic
Tyelebana Clinic
Upper Xongora Clinic
Wilo Clinic
Xhwili Clinic
Zidindi Clinic
Zitatele Clinic
Zitulele Gateway Clinic
Zwelichumile Clinic
Ngcwanguba CHC
Mbekweni CHC
Baziya CHC
Mqanduli CHC
Zitulele Hospital			Hospital
Caba Clinic	OR Tambo DM	Mhlontlo SD	Clinics
Ezingcuka Clinic
Gura Clinic
Kalankomo Clinic
Langeni Clinic
Lotana Clinic
Lower Gungululu Clinic
Mahlungulu Clinic (Mhlontlo)
Mbokotwana Clinic
Mdyobe Clinic
Mhlahlane Clinic
Mjika Clinic
Nessie Knight Clinic
Ngwemnyama Clinic
Nqadu Clinic (Qumbu)
Nxotwe Clinic (Qumbu)
Qanqu Clinic
Shawbury Clinic
Sidwadweni Clinic
St Lucy's Clinic
Tina Falls Clinic
Tsilitwa Clinic
Mhlakulo CHC			CHC
Nessie Knight Hospital			Hospital
St Lucys Hospital			Hospital
Bambisana PHC Clinic	OR Tambo DM	Nyandeni SD	Clinics
Bomvini Clinic
Buchele Clinic
Buntingville Clinic
Caguba Clinic
Canzibe Gateway Clinic
Cwele Clinic
Double Falls Clinic
Isilimela Gateway Clinic
Kohlo Clinic
Ludalasi Clinic
Lujizweni Clinic
Lutshaya Clinic
Lwandile Clinic
Majola Clinic
Makhotyana Clinic
Malusi Clinic
Mampondomiseni Clinic
Mangcwanguleni Clinic
Mantusini Clinic
Mbalisweni Clinic
Mevana Clinic
Mgwenyane Clinic
Mtambalala Clinic
Mzintlava Clinic
Ndanya Clinic
Ngcolora Clinic
Ngcoya Clinic
Nkanga Clinic
Nkanunu Clinic
Nkumandeni Clinic
Nolita Clinic
Nontsikelelo Biko Clinic
Nqanda A Clinic
Ntafufu Clinic
Ntapane Clinic
Ntibane Clinic
Nyandeni Clinic
Old Bunting Clinic
Pilani Clinic
Qandu Clinic
St Barnabas Gateway Clinic
Maqanyeni CHC			CHC
Tombo CHC			CHC
Bambisana Hospital			Hospital
Canzibe Hospital			Hospital
Isilimela Hospital			Hospital
Amadiba Clinic	OR Tambo DM	Qaukeni SD	No information on patient headcounts.
Amandengane Clinic
Amantshangase Clinic
Bala Clinic
Baleni Clinic
Bodweni Clinic
Daliwonga Clinic
Dungu Clinic
Goso Forest Clinic
Hlamandana Clinic
Holy Cross PHC Clinic
Imizizi Clinic
Isikelo Clinic
Kanyayo (Bizana) Clinic
Khanyayo (Holy Cross) Clinic
Magwa Clinic
Makwantini Clinic
Malangeni Clinic
Malongwana Clinic
Mangqamzeni Clinic
Mantlaneni Clinic
Matubeni Clinic
Meje Clinic
Mfundambini Clinic
Mfundisweni Clinic
Mkambathi Clinic
Mnceba Clinic
Mpetsheni Clinic
Mpoza Clinic (Lusikisiki)
Ndawenzima Clinic
Ndela Clinic
Nkozo Clinic
Ntlenzi Clinic
Ntshentshe Clinic
Palmerton Clinic
Qaqa Clinic
Qasa Clinic
Qaukeni Clinic
Qobo Clinic
Sigidi Clinic
Tsawana Clinic
Xopozo Clinic
Xurana Clinic
Zulu Clinic
Holly Cross Hospital			Hospital
Hlangalane Clinic	Joe Gqabi DM	Elundini SD	No information on patient headcounts.
Hlankomo Clinic
Katkop Clinic
Lower Tsitsana Clinic
Mangoloaneng Clinic
Mqokolweni Clinic
Ncembu Clinic
Ngxaza Clinic
Queen Noti Clinic
Seqhobong Clinic
Sonwabile Clinic
St Augustine's Clinic
Ulundi Clinic
Umnga Flats Clinic
Bensonvale Clinic	Joe Gqabi DM	Senqu SD	Clinics
Bluegums Clinic
Esilindini Clinic
Hillside Clinic (Senqu)
Hlomendlini Clinic
Masibulele Clinic
Musong Clinic
Ndofela Clinic
Palmietfontein Clinic
Pelandaba Clinic
St Michael's Clinic
Sunduza Clinic
Umlamli Gateway Clinic
Wittebergen Clinic
Umlamli Hospital			Hospital

(b) The local municipalities are unable to provide the service hence these clinics resort to pit burning.

We are still awaiting responses from other provinces. As soon as we get them we will send the list to the Honourable Member.

END.

Reply:

(a) There is no public health facility that does not have medical waste removal. All public healthcare facilities in the Nine Provinces have appointed healthcare risk waste management contractors.

(b) Not applicable.

END.

Reply:

(a) Hazardous waste, which is mainly constituted by expired pharmaceuticals, is collected, transported and disposed of by appointed healthcare risk management contractors at all public healthcare facilities in the Nine Provinces.

(b) Not applicable.

END.

Reply:

(a) Ash removal, if the ash is generated from coal, happens in the same way as domestic waste removal. It is removed by municipalities to dumping sites as it happens with ordinary households. No other ash is generated from our facilities because incinerators or other combustion waste treatment facilities have been shut down. However the following facilities are not receiving the service from their municipalities:

NORTH WEST PROVINCE

Name of Healthcare Facility	Location	District	Patient Capacity
1. Morokweng	Kagisano-Molopo Sub-district	Dr RS Mompati	Clinic
2. Tlakgameng	Kagisano-Molopo Sub-district	Dr RS Mompati	Clinic
3. Tseoge	Kagisano-Molopo Sub-district	Dr RS Mompati	Clinic
4. Phaposane	Kagisano-Molopo Sub-district	Dr RS Mompati	Clinic
5. Kudunkgwane	Kagisano-Molopo Sub-district	Dr RS Mompati	Clinic
6. Piet Plessis	Kagisano-Molopo Sub-district	Dr RS Mompati	Clinic
7. Moswana	Kagisano-Molopo Sub-district	Dr RS Mompati	Clinic
8. Austrey	Kagisano-Molopo Sub-district	Dr RS Mompati	Clinic
9. Kgokgole	Kagisano-Molopo Sub-district	Dr RS Mompati	Clinic
10. Kgokgojane	Kagisano-Molopo Sub-district	Dr RS Mompati	Clinic
11. Tlapeng	Kagisano-Molopo Sub-district	Dr RS Mompati	Clinic
12. Eckron	Kagisano-Molopo Sub-district	Dr RS Mompati	Clinic
13. Morokwaneng	Kagisano-Molopo Sub-district	Dr RS Mompati	Clinic
14. Kokoano	Kagisano-Molopo Sub-district	Dr RS Mompati	Clinic
15. Setabeng	Kagisano-Molopo Sub-district	Dr RS Mompati	Clinic
16. Bona-Bona	Kagisano-Molopo Sub-district	Dr RS Mompati	Clinic
17. Bray (CHC)	Kagisano-Molopo Sub-district	Dr RS Mompati	CHC
18. Jericho	Madibeng	Bojanala	Clinic
19. Fafung	Madibeng	Bojanala	Clinic

 

EASTERN CAPE

(i) Name of the healthcare facility	(ii) Location	(iii) Patient capacity
	District	Sub-district
Amabele Clinic	Amathole DM	AmahlatiSD	Clinics
Bolo Clinic
Burnshill Clinic
Cata Clinic
Daliwe Clinic
Dohne Clinic
Donnington Clinic
Ethembeni Clinic
Frankfort Clinic
Gxulu Clinic
Kati-Kati Clinic
Khuze Clinic
Kubusi Clinic
Lenye Clinic
Lower Zingcuka Clinic
Masincedane Clinic
Mgwali Clinic
Mxalanga Clinic
Ntaba ka Ndoda Clinic
Rabula Clinic
St Matthew's Clinic
Qeto clinic
Tyutyu Village Clinic
Wartburg Clinic
Amahleke Clinic	Buffalo City Metro	Clinics
Bhele Clinic
Bulembu Clinic
Cwili Clinic
Gwabeni Clinic
Hamburg Clinic
Horton Clinic
Imidange Clinic
Jaji Clinic
Jama Clinic
Komga Rural Clinic
Kwelera Clinic
Masele Clinic
Matomela Clinic
Mdingi Clinic
Mncotsho Clinic
Mooiplaas Clinic
Mount Coke Clinic
Mpongo Clinic
Mtombe Clinic
Mtyholo Clinic
Ncera Clinic
Ndevana Clinic
Ndwayana Clinic
Needs Camp Clinic
Newlands Clinic
Ngqwele Clinic
Nier Clinic
Noncampa Clinic
Norah Clinic
Openshaw Clinic
Pikholi Clinic
Pirie Clinic
Potsdam Clinic
Qurhu Clinic
Robert Mbelekana Clinic
Soto Clinic
Tshabo Clinic
Tshatshu Clinic
Twecu Clinic
Tyamzashe FP Clinic
Tyutyu Clinic
Zikhova Clinic
Empilweni CHC		CHC
Badi Clinic	Amathole DM	Mbhashe SD	Clinics
Bolotwa Clinic (Idutywa)
Bomvana Clinic
Fort Malan Clinic
Gwadana Clinic
Gwadu Clinic
Idutywa Nqabara Clinic
Jingqi Clinic
Kwa-Mkholoza Clinic
Lota Clinic
Mahasana Clinic
Melitafa Clinic
Mpozolo Clinic
Mqhele Clinic
Msendo Clinic
Nkanya Clinic
Nqabara Clinic
Nqabeni Clinic
Nqadu Clinic (Mbhashe)
Nyhwara Clinic
Soga Clinic
Sundwana Clinic
Taleni Clinic
Vukukhanye Gateway Clinic
Xhora CHC			CHC
Madwaleni Hospital			Hospital
Dr CL Bikitsha Clinic	Amathole DM	Mnquma SD	Clinics
Gcaleka Clinic
Gqunqe Clinic
Grainvalley Clinic
Hebe-Hebe Clinic
Highview Clinic
Kotana Clinic
Mnyibashe Clinic
Mqambeli Clinic
Ncizele Clinic
Ndabakazi Clinic
Ngqusi Clinic
Nqancule Clinic
Ntseshe Clinic
Qina Clinic
Qolora-By-Sea Clinic
Springs Clinic
Tafalofefe Gateway Clinic
Tanga Clinic
Tutura Clinic
Tyali Clinic
Zazulwana Clinic
Nqamakhwe CHC			CHC
Tafalofefe Hospital	Amathole DM	Nkonkobe SD	Clinics
Adelaide Gateway Clinic
Amathole Basin Clinic
Assina Mandla Clinic
Balfour Clinic
Bedford Clinic
Bezuidenhoutville Clinic
CC Lloyd Clinic
Debe Nek Clinic
Gilton Clinic
Gxwederha Clinic
Healdtown Clinic
Hillside Clinic (Nkonkobe)
Kolomana Clinic
Lower Regu Clinic
Lulama Kama Clinic
Melani Clinic
Mgwalana Clinic
Msobomvu Clinic
Mzamomhle Clinic (Bedford)
Njwaxa Clinic
Nomakhwezi Makhenyane Clinic
Perksdale Clinic
Qibira Clinic
Rwarwa Clinic
Seymour Clinic
Sheshegu Clinic
Thozamile Madakana Clinic
Upper Ncera Clinic
Victoria Gateway Clinic
War Memorial Clinic
Washington Clinic
Zigodlo Clinic
Zihlahleni Clinic
Bengu Clinic	Chris Hani DM	Emalahleni SD	Clinics
Boomplaas Clinic
Guba Clinic
Hlala Uphilile Clinic
Lanti Clinic
Maqashu Clinic
Mhlanga Clinic
Mkapusi Clinic
Mount Arthur Clinic
Ndonga Clinic
Nompumelelo Clinic
Qoqodala Clinic
Queen Nonesi Clinic
Rodana Clinic
Rwantsana Clinic
Swartwater Clinic
Tsembeyi Clinic
Vaalbank Clinic
Xonxa Clinic
Ngonyama CHC			CHC
Banzi Clinic	Chris Hani DM	Intsika Yethu SD	Clinics
Bilatye Clinic
Bolotwa Clinic (Confimvaba)
Cwecweni Clinic
Gqogqora Clinic
Isikhoba Clinic
Keti Clinic
Lower Mncuncuzo Clinic
Lower Seplan Clinic
Lubisi Clinic
Luthuli Clinic
Magwala Clinic
Mahlubini Clinic
Mawusheni Clinic
Mbulukweza Clinic
Mcambalala Clinic
Mtingwevu Clinic
Ncora Clinic
Ngceza Clinic
Ngxabangu Clinic
Nququ Clinic
Ntshingeni
Plumstead Clinic
Qamata Clinic
Qitsi Clinic
Qombolo Clinic
Qumanco J Tribal Clinic
Sabalele Clinic
St Mark's Clinic
Tsakana Clinic
Upper Mncuncuzo Clinic
Bacclesfarm Clinic	Chris Hani DM	Inxuba Yethemba SD	Clinics
Baroda Clinic
Fishriver Clinic
Kleinbulhoek Clinic
Mitford Clinic
Rocklands Clinic
Springrove Clinic
Thornhill CHC
Tentergate Clinic
Zola Clinic
Cimezile Clinic	Chris Hani DM	Lukhanji SD	Clinics
Didimana Clinic
Ekuphumleni Clinic
Eluhewini clinic
Engojini Clinic
Gwatyu Clinic
Hackney Clinic
Haytor Clinic
Hukuwa Clinic
Kamastone Clinic
KB Siswana Clinic
Lahlangubo Clinic (Queenstown)
Lesseyton Clinic
Machibini Clinic (Queenstown)
Oxton Clinic
Pricesdale Clinic
Shiloh Clinic
Tsitsikamma Clinic
Yonda Clinic
Zingquthu Clinic
Zweledinga Clinic
Bokleni Clinic	Chris Hani DM	Ngcobo SD	Clinics
Clarkebury Clinic
Elucwecwe Clinic
Gqaga Clinic
Gubenxa Clinic
Lahlangubo Clinic (Ngcobo)
Manzana Clinic
Mdanjelwa Clinic
Mgudu Clinic
Mhlopekazi Clinic
Mjanyana Clinic
Mnyolo Clinic
Nkwenkwana Clinic
Ntsimba Clinic
Qebe Clinic
Qumanco Clinic
Tora Clinic
Zabasa Clinic
Zadungeni Clinic
Zwelakhe Dalasile Clinic
Mjanyane Hospital			Hospital
Askeaton Clinic	Chris Hani DM	Sakhisizwe SD	Clinics
Beestekraal Clinic
Manzimahle Clinic
Ncedolwethu Clinic
Nyalasa Clinic
Sifonondile Clinic
Tembelihle Clinic
Thembalethu Clinic
Tsengiwe Clinic
Upper Lafuta Clinic
Efata Clinic	OR Tambo DM	King Dalindyebo SD	Clinics
Hlabatshane Clinic
Jalamba Clinic
Kambi Clinic
Lutubeni Clinic
Mahlungulu Clinic (KSD)
Mapuzi Clinic
Maxwele Clinic
Mpeko Clinic
Mpindweni Clinic
Mpunzana Clinic
Mqhekezweni Clinic
Ncambele Clinic
Ndibela Clinic
Ngcengane Clinic
Ngqungqu Clinic
Ngwenya Clinic
Nqwathi Clinic
Ntlangaza Clinic
Ntshabeni Clinic
Ntshele Clinic
Nzulwini Clinic
Phakamile Clinic
Qokolweni Clinic
Qunu Clinic
Sangoni Clinic
Sitebe Clinic
Tabase Clinic
Tshezi Clinic
Tyelebana Clinic
Upper Xongora Clinic
Wilo Clinic
Xhwili Clinic
Zidindi Clinic
Zitatele Clinic
Zitulele Gateway Clinic
Zwelichumile Clinic
Ngcwanguba CHC
Mbekweni CHC
Baziya CHC
Mqanduli CHC
Zitulele Hospital			Hospital
Caba Clinic	OR Tambo DM	Mhlontlo SD	Clinics
Ezingcuka Clinic
Gura Clinic
Kalankomo Clinic
Langeni Clinic
Lotana Clinic
Lower Gungululu Clinic
Mahlungulu Clinic (Mhlontlo)
Mbokotwana Clinic
Mdyobe Clinic
Mhlahlane Clinic
Mjika Clinic
Nessie Knight Clinic
Ngwemnyama Clinic
Nqadu Clinic (Qumbu)
Nxotwe Clinic (Qumbu)
Qanqu Clinic
Shawbury Clinic
Sidwadweni Clinic
St Lucy's Clinic
Tina Falls Clinic
Tsilitwa Clinic
Mhlakulo CHC			CHC
Nessie Knight Hospital			Hospital
St Lucys Hospital			Hospital
Bambisana PHC Clinic	OR Tambo DM	Nyandeni SD	Clinics
Bomvini Clinic
Buchele Clinic
Buntingville Clinic
Caguba Clinic
Canzibe Gateway Clinic
Cwele Clinic
Double Falls Clinic
Isilimela Gateway Clinic
Kohlo Clinic
Ludalasi Clinic
Lujizweni Clinic
Lutshaya Clinic
Lwandile Clinic
Majola Clinic
Makhotyana Clinic
Malusi Clinic
Mampondomiseni Clinic
Mangcwanguleni Clinic
Mantusini Clinic
Mbalisweni Clinic
Mevana Clinic
Mgwenyane Clinic
Mtambalala Clinic
Mzintlava Clinic
Ndanya Clinic
Ngcolora Clinic
Ngcoya Clinic
Nkanga Clinic
Nkanunu Clinic
Nkumandeni Clinic
Nolita Clinic
Nontsikelelo Biko Clinic
Nqanda A Clinic
Ntafufu Clinic
Ntapane Clinic
Ntibane Clinic
Nyandeni Clinic
Old Bunting Clinic
Pilani Clinic
Qandu Clinic
St Barnabas Gateway Clinic
Maqanyeni CHC			CHC
Tombo CHC			CHC
Bambisana Hospital			Hospital
Canzibe Hospital			Hospital
Isilimela Hospital			Hospital
Amadiba Clinic	OR Tambo DM	Qaukeni SD	No information on patient headcounts.
Amandengane Clinic
Amantshangase Clinic
Bala Clinic
Baleni Clinic
Bodweni Clinic
Daliwonga Clinic
Dungu Clinic
Goso Forest Clinic
Hlamandana Clinic
Holy Cross PHC Clinic
Imizizi Clinic
Isikelo Clinic
Kanyayo (Bizana) Clinic
Khanyayo (Holy Cross) Clinic
Magwa Clinic
Makwantini Clinic
Malangeni Clinic
Malongwana Clinic
Mangqamzeni Clinic
Mantlaneni Clinic
Matubeni Clinic
Meje Clinic
Mfundambini Clinic
Mfundisweni Clinic
Mkambathi Clinic
Mnceba Clinic
Mpetsheni Clinic
Mpoza Clinic (Lusikisiki)
Ndawenzima Clinic
Ndela Clinic
Nkozo Clinic
Ntlenzi Clinic
Ntshentshe Clinic
Palmerton Clinic
Qaqa Clinic
Qasa Clinic
Qaukeni Clinic
Qobo Clinic
Sigidi Clinic
Tsawana Clinic
Xopozo Clinic
Xurana Clinic
Zulu Clinic
Holly Cross Hospital			Hospital
Hlangalane Clinic	Joe Gqabi DM	Elundini SD	No information on patient headcounts.
Hlankomo Clinic
Katkop Clinic
Lower Tsitsana Clinic
Mangoloaneng Clinic
Mqokolweni Clinic
Ncembu Clinic
Ngxaza Clinic
Queen Noti Clinic
Seqhobong Clinic
Sonwabile Clinic
St Augustine's Clinic
Ulundi Clinic
Umnga Flats Clinic
Bensonvale Clinic	Joe Gqabi DM	Senqu SD	Clinics
Bluegums Clinic
Esilindini Clinic
Hillside Clinic (Senqu)
Hlomendlini Clinic
Masibulele Clinic
Musong Clinic
Ndofela Clinic
Palmietfontein Clinic
Pelandaba Clinic
St Michael's Clinic
Sunduza Clinic
Umlamli Gateway Clinic
Wittebergen Clinic
Umlamli Hospital			Hospital

(b) The local municipalities are unable to provide the service hence these clinics resort to pit burning.

We are still awaiting responses from other provinces. As soon as we get them we will send the list to the Honourable Member.

END.