Questions and Replies
11 December 2017 - NW1839
Carter, Ms D to ask the Minister of Health
With reference to the reports indicating (a) a catastrophic collapse of oncology services in the state hospital system in KwaZulu-Natal, (b) that there are currently no oncologists in the employ of the state in the Durban area to service the Addington and Albert Luthuli Hospitals and (c) that there are only two remaining oncologists in the employ of the state in Pietermaritzburg, servicing Grey’s Hospital, which amount to a human rights violation, what (i) are the root causes of this unacceptable situation, (ii) steps has the KwaZulu-Natal Department of Health taken to arrest and turn this situation around and (iii) actions and interventions does his department intend to take in this regard?
Reply:
(a) The breakdown of the linear accelerator at Addington Hospital resulted from lack of maintenance following a dispute between the suppliers and the KZN Department of Health. This has resulted in the province contracting a new service provider to maintain the equipment which from all accounts they failed to do. All oncologists that worked at Addington Hospitals were transferred to work in Inkosi Albert Luthuli Hospital. This also meant that all patients that required radiation in the eThekwini district were referred to Inkosi Albert Luthuli Hospital. It appears that the perceived additional workload at Inkosi Albert Luthuli Hospital contributed to the oncologists resigning.
(b) The Department is in the process of finalising a service level agreement with the supplier of the linear accelerator that requires significant repairs.
The KZN Department of Health has issued a tender to contract private oncologists to work in the public sector. This tender closes on 14 December 2017. In addition, the Department has recently requested the National Department of Health for assistance to recruit English speaking foreign oncologists who are eligible for registration with the Health Professions Council of South Africa.
(c) The National Department of Health has:
- Placed an order for a new linear accelerator to replace one of those in Addington Hospital; the service provider will also address infrastructure issues related to the bunker, including air-conditioning and leaks.
- Concluded a benchmarking exercise to assist the KZN Department of Health to evaluate the bids received against the tender referred to above.
- Commenced with a search for foreign qualified oncologists as a short term measure
- Developed a national plan for radiation oncology that was approved by the National Health Council on 7 December 2017 – given that the need to strengthen radiation oncology services throughout the country and in anticipation of increased need for these services over the next 5-10 years.
END.
11 December 2017 - NW3156
Filtane, Mr ML to ask the Minister of Health
(1)Whether, with regard to the insufficient provision of water at the Butterworth Hospital in the Eastern Cape, which resulted in ill people being released to go home and suffer or possibly die, he was informed of the pending water crisis; if not, why not; if so, what are the relevant details; (2) whether any measures were in place to avoid the above-mentioned consequence; if not, why not; if so, what are the relevant details?
Reply:
(1) Through the MEC for Health in the Eastern Cape, I was made aware of water challenges facing Butterworth area, thus affecting Butterworth Hospital.
Patients were transferred to other health facilities and no patients were sent home to die.
During the period in question, water carting happened in the hospital. As an additional measure, the Hospital reservoir is being expanded.
The drought situation has drastically improved with the good rains that we received. The Hospital is functioning normally.
(2) Yes, measures were put in place to avert the situation, such as the following:
(a) WATER CARTING
The Department is currently carting water from East London to Butterworth Hospital.
(b) BOREHOLE DRILLING
When the risk was identified by the Department in 2016, Geo-hydrological studies were commissioned by the Eastern Cape Department of Health which unfortunately indicated that there is no underground water in the Butterworth area, hence the Department resolved to initiate a project to construct an additional 800 Kilo Litre water reservoir. The project is currently in procurement. The reservoir will be sufficient to store water for 48 hours.
(c) SPECIAL ARRANGEMENTS WITH MNQUMA MUNICIPALITY
The Department made arrangements with Local Municipality to open water specifically to the Hospital reservoir on certain days of the week.
END.
11 December 2017 - NW3490
Carter, Ms D to ask the Minister of Health
Whether his department has considered using a device researched and manufactured by a certain company (name furnished) which detects biomarkers found in human tears (details furnished); if not, why not; if so, what are the relevant details?
Reply:
No. The Department of Health is dedicated to implementing the latest available technology to diagnose breast cancers. However the technology using human tears is still being researched and is not available for clinical use.
END.
11 December 2017 - NW3491
Carter, Ms D to ask the Minister of Health
With reference to his reply to question 158 on 13 March 2017 wherein he stated that the internship and Community Service Programme (ICSP) online application system was introduced in 2016 for placement of 2017 medical interns and community service candidates and that during the implementation of the ICSP programme various challenges were experienced with the key process activities and the use of ICSP online, what measures have been put in place to ensure smooth and fair placements of medical interns?
Reply:
In order to improve the efficiency and effectiveness of the ICSP online system the National Department developed ICSP Guidelines which are updated yearly in order to meet the demands of applicants. The Department also developed an Improvement Plan which is meant to address identified challenges experienced during the 2016/2017 period.
Both these documents are work-in-progress and are updated annually to ensure that the system is able to cope with emanating challenges.
The Department continuously engage with stakeholders to try and trouble-shoot envisaged challenges.
The Department has also established a helpdesk that operates for 8 hours from Monday to Friday to assist with responding to enquiries from applicants and directing them appropriately. Furthermore, the Department has an email ticket system that helps to track enquiries of applicants.
END.
11 December 2017 - NW3924
Thembekwayo, Dr S to ask the Minister of Health
What are the reasons that more than one-third out of about 160 interns who were transferred from the national Department of Health to the Gauteng Provincial Department of Health are not employed?
Reply:
May the Honourable Member please help clarify what interns are being referred to. Is it medical interns, or or any other graduate who was placed in the Department of Health for internship purposes?
I am unable to answer your question until this matter is clarified.
END.
11 December 2017 - NW3925
Thembekwayo, Dr S to ask the Minister of Health
In which sections of the National Health Insurance Project in Gauteng were some of the 160 interns employed who were transferred from the national Department of Health to the Gauteng Provincial Department of Health?
Reply:
May the Honourable Member please clarify which interns are being referred to. Are you referring to medical interns or any other graduate who was placed in the Department of Health for internship purposes? Please specify that so that I might be able to answer you. I am otherwise unable to relate to an issue of just 160 interns.
END.
11 December 2017 - NW3927
Mente-Nkuna, Ms NV to ask the Minister of Health
What are the details of the roll-out plans that his department have for the National Health Insurance in relation to (a)(i) provincial and (ii) regional hospitals and (b) clinics at municipal level?
Reply:
Detailed plans for roll-out of NHI provincially, in regional hospitals and municipal clinics will become apparent after the NHI Bill has been passed by Parliament into the NHI Act.
END.
11 December 2017 - NW3930
Moteka, Mr PG to ask the Minister of Health
Whether he has been informed of the arbitration hearings between employees of his department, his department’s Labour Relations Committee and a Commissioner of the Bargaining Council on 22 November 2017; if so, what was the outcome of the specified hearings?
Reply:
I am aware of the arbitration hearings between employees of the Department, the Department's Labour Relations Committee and a Commissioner of the Bargaining Council. The parties to the arbitration are still awaiting the outcome of the Comissioner.
END.
11 December 2017 - NW3929
Ketabahle, Ms V to ask the Minister of Health
Does each province have the necessary structured plan and budget to support the roll-out of the National Health Insurance scheme?
Reply:
The NHI Bill is still to go to Parliament and be passed into a law first before budget plans per province can be entertained.
END.
11 December 2017 - NW2960
Robertson, Mr K to ask the Minister of Health
(1)What (a) total amount of budget was allocated for the construction of the Nhlazatshe 6 CHC community clinic in the Chief Albert Luthuli Local Municipality in Mpumalanga, (b) are the full details of how the project is being funded, (c) amount of the specified budget has been spent to date and (d) is the current status of the construction of the specified clinic; (2) (a) what are the (i) names and (ii) contact details of each contractor appointed to construct the specified clinic and (b) have all contractors been paid in full in accordance with the completed phases to date; (3) by what date will the (a) construction of the clinic be completed and (b) specified clinic be fully operational?
Reply:
(1) (a) R44 million.
(b) The project is funded from a special In-kind grant.
(c) Only fencing and consulting fees have been paid up to date, to the amount of R1,493,136.00.
(d) A contractor has been appointed and has already received a letter of award.
(2) (a) (i) and (ii) Names and details of contractors:
LDM Consulting (Pty) Ltd
21 West Riding Row, Sherwood, Durban, 4091
Tel: 031 207 1340
Fax: 031 209 9441
Email: [email protected];
Mpfumelelo Business Enterprise (Pty) Ltd; and
21 Norwin Street, White River, Mpumalanga, 1200
Tel: 013 751 3381
Fax: 013 751 2498
Email: [email protected]
Central Bridge Trading 109.
48 Bester Street, Nelspruit, 1200
Tel: 013 755 1133
Fax: 086 501 2531
Email: [email protected]
(b) Yes. Currently all payments have been made to the service provider and contractor. LDM Consulting (Pty) Ltd has been appointed for the total life cycle of the project, hence the contract has not been concluded with LDM. As the Project Manager/Principal Agent, LDM was appointed to manage the construction of the Clinic. Only the fencing contract was concluded and the main contract for the construction of the Clinic will commence in January 2018 after the builders' break.
(3) (a) and (b) The construction and commissioning will be concluded within 24 months from start to finish. Site hand-over to the contractor was done in November 2017. Construction will commence in January 2018. The construction period is 18 months plus an additional 6 months for the installation of Health Technology equipment and commissioning.
END.
11 December 2017 - NW2828
America, Mr D to ask the Minister of Health
(1) What is the backlog in (a) postmortem reports, (b) toxicology reports and (c) blood-alcohol test samples in laboratories administered by his department in each province (i) in the 2016-17 financial year and (ii) since 1 April 2017; (2) what are the challenges experienced by his department in eliminating the specified backlog; (3) what steps has his department taken to address the challenges experienced?
Reply:
(1) (a), (b), (c) The Department of Health has four (4) Forensic Chemistry Laboratories in the whole country and these are not necessarily distributed Provincially and hence I cannot give you any provincial figures.
(i) and (ii) Please see above
(2) The challenges in the Forensic Chemistry Laboratories relate to high volumes of samples received for blood alcohol for drunken driving which increases the workload. These high volumes in blood alcohol sample were received in the 2016/17 and the first five months of 2017/18.
(3) The Department has purchased additional equipment to deal with the blood alcohol volumes.
Secondly samples are distributed across the four (4) FCLs.
Overtime work is also implemented to assist in decreasing the backlog.
Finally, the real solution is to reduce the high incidence of drunken driving in our roads.
END.
11 December 2017 - NW2163
Kopane, Ms SP to ask the Minister of Health
(a) How many public (i) hospitals and (ii) clinics do not have running water currently and (b) will he provide Ms S P Kopane with a list of the specified hospitals and clinics?
Reply:
(a) and (b) All our health facilities do have running water supply systems.
However, sometimes there may be some interruption due to drought, maintenance work on the system or shortage from the main source of supply, for example, a dried borehole or very low dam levels. It may also happen if there are local government problems in that municipality.
In such cases arrangements are made at facility level with the relevant municipality to cart water to such a facility until the problem is solved.
Jojo water tanks are also installed in many clinics and CHCs to harvest rain water and utilise in case of emergencies.
END.
08 December 2017 - NW2175
Esau, Mr S to ask the Minister of Health
(1)(a) How many (i) qualified radiologists are currently in practice in the country, (ii) are in the (aa) private and (bb) public sector in each province and (iii) are currently in training and (b) what is the guideline of the World Health Organisation pertaining to the number of radiologists; (2) does the country adhere to the specified guideline; if not, why not?
Reply:
(1) (a) (i) 650
(ii) (aa) 335
(bb) 130
(iii) 253
(b) Radiologists - There are no published WHO guidelines or other benchmarks specifically for radiologists.
(2) There are no WHO guidelines for specifically for radiologists.
END.
08 December 2017 - NW2176
Esau, Mr S to ask the Minister of Health
(1)(a) How many (i) qualified oncologists are currently in practice in the country, (ii) are in the (aa) private and (bb) public sector in each province and (iii) are currently in training and (b) what is the guideline of the World Health Organisation pertaining to the number of oncologists; (2) does the country adhere to the specified guideline; if not, why not?
Reply:
(1) (a) (i) 155
(ii) (aa) 163
(bb) 72
(iii) 104
(b) Oncologists - There are no published WHO guidelines or other benchmarks specifically for oncologists.
(2) There are no WHO specified guidelines specifically for oncologists.
END.
08 December 2017 - NW2756
De Freitas, Mr MS to ask the Minister of Health
With regard to the upgrade of the South Rand Hospital in Johannesburg, Gauteng, what (a) resources has his department provided, (b) is the budget, (c) are the expenditure costs incurred, (d) additional human resources have been provided, (e) positions have been filled (f) posts remain vacant in each of the past three financial years?
Reply:
a) The NDOH has allocated Health Facility Revitalisation Grant funds for rehabilitation of Infrastructure, and for procurement of medical equipment,
b) R 3.7 million has been allocated to procure the medical equipment in 2017/18 financial year;
c) No expenditure has been incurred up to date;
d) The NDOH does not have statistics on additional human resources provided at South Rand Hospital and is awaiting information requested from the Gauteng Department of Health;
e) A total of 582 positions are filled at the South Rand Hospital;
f) A total of 70 positions remain vacant at the South Rand Hospital.
END.
08 December 2017 - NW3199
Thembekwayo, Dr S to ask the Minister of Health
Whether there is a plan in place for the Alfred Nzo Hospital in the Kopanong Local Municipality in the Xariep Region, Free State province, to provide (a) maternity services, (b) oncology services, (c) neurology services, (d) eye, ear and nose care, and (e) an intensive care unit?
Reply:
There is no Alfred Nzo Hospital in the mentioned municipality and districts.
END.
08 December 2017 - NW3294
Groenewald, Dr PJ to ask the Minister of Health
(1)What number of the corpses in state mortuaries in each province and since the 2014-15 financial year were deaths resulting from (a) wounds caused by shootings, (b) knife wounds, (c) motor accidents, (d) motor-cycle accidents, (e) drownings, (f) fires, (g) pedestrians who were run over, (h) cyclists who were run down, (i) HIV, tuberculosis and other diseases and (j) ageing; (2) whether he will make a statement about the matter?
Reply:
The reply to questions (1) is summarized in Table 1 to 9 below:
TABLE 1: EASTERN CAPE |
|||
2014-15 |
2015-16 |
2016-17 |
|
(a) wounds caused by shootings |
1885 |
820 |
860 |
(b) knife wounds |
1885 |
1925 |
1971 |
(c) motor accidents |
1537 |
1799 |
1862 |
(d) motor-cycle accidents |
6 |
4 |
3 |
(e) drownings |
382 |
379 |
366 |
(f) fires |
393 |
376 |
481 |
(g) pedestrians who were run over |
163 |
221 |
145 |
(h) cyclists who were run down |
1 |
2 |
1 |
(i) HIV, tuberculosis and other diseases |
* FPS Mortuaries only handle unnatural deaths |
* FPS Mortuaries only handle unnatural deaths |
* FPS Mortuaries only handle unnatural deaths |
(j) ageing |
* FPS Mortuaries only handle unnatural deaths |
* FPS Mortuaries only handle unnatural deaths |
* FPS Mortuaries only handle unnatural deaths |
* Forensic Pathology Services
TABLE 2: FREE STATE |
|||
2014-15** (2014) |
2015-16** (2015) |
2016-17** (2016) |
|
(a) wounds caused by shootings |
246 |
128 |
215 |
(b) knife wounds |
476 |
229 |
508 |
(c) motor accidents |
906 |
571 |
1025 |
(d) motor-cycle accidents |
32 |
10 |
8 |
(e) drownings |
154 |
64 |
112 |
(f) fires |
169 |
92 |
143 |
(g) pedestrians who were run over |
207 |
108 |
194 |
(h) cyclists who were run down |
Included in 1(d) above |
Included in 1(d) above |
Included in 1(d) above |
(i) HIV, tuberculosis and other diseases |
* FPS Mortuaries only handle unnatural deaths |
* FPS Mortuaries only handle unnatural deaths |
* FPS Mortuaries only handle unnatural deaths |
(j) ageing |
* FPS Mortuaries only handle unnatural deaths |
* FPS Mortuaries only handle unnatural deaths |
* FPS Mortuaries only handle unnatural deaths |
* Forensic Pathology Services
** Data provided per calendar year
TABLE 3: GAUTENG |
|||
(a) 2014-15 |
(b) 2015-16 |
(c) 2016-17 |
|
(a) wounds caused by shootings |
1608 |
1854 |
2116 |
(b) knife wounds |
1257 |
1338 |
1438 |
(c) motor accidents |
1707 |
1981 |
1948 |
(d) motor-cycle accidents |
188 |
149 |
144 |
(e) drownings |
210 |
249 |
242 |
(f) fires |
715 |
702 |
746 |
(g) pedestrians who were run over |
1193 |
1314 |
1413 |
(h) cyclists who were run down |
Details not available |
Details not available |
Details not available |
(i) HIV, tuberculosis and other diseases |
* FPS Mortuaries only handle unnatural deaths |
* FPS Mortuaries only handle unnatural deaths |
* FPS Mortuaries only handle unnatural deaths |
(j) ageing |
* FPS Mortuaries only handle unnatural deaths |
* FPS Mortuaries only handle unnatural deaths |
* FPS Mortuaries only handle unnatural deaths |
* Forensic Pathology Services
TABLE 4: KWA-ZULU NATAL |
|||
2014-15 |
2015-16 |
2016-17 |
|
(a) wounds caused by shootings |
1539 |
1735 |
1506 |
(b) knife wounds |
1534 |
1523 |
1217 |
(c) motor accidents*** |
2913 |
2967 |
2576 |
(d) motor-cycle accidents |
Details not available |
Details not available |
Details not available |
(e) drowning** |
1662 |
1788 |
1473 |
(f) fires |
610 |
642 |
491 |
(g) pedestrians who were run over |
Details not available |
Details not available |
Details not available |
(h) cyclists who were run down |
Details not available |
Details not available |
Details not available |
(i) HIV, tuberculosis and other diseases |
* FPS Mortuaries only handle unnatural deaths |
* FPS Mortuaries only handle unnatural deaths |
* FPS Mortuaries only handle unnatural deaths |
(j) ageing |
* FPS Mortuaries only handle unnatural deaths |
* FPS Mortuaries only handle unnatural deaths |
* FPS Mortuaries only handle unnatural deaths |
* Forensic Pathology Services
** Reported as asphyxia deaths, including drowning, hanging etc.
*** Transportation accidents
TABLE 5: LIMPOPO |
|||
(a) 2014-15 |
(b) 2015-16 |
(c) 2016-17 |
|
(a) wounds caused by shootings |
221 |
261 |
245 |
(b) knife wounds |
277 |
289 |
291 |
(c) motor accidents |
1507 |
1757 |
1742 |
(d) motor-cycle accidents |
1 |
2 |
7 |
(e) drownings |
164 |
139 |
145 |
(f) fires |
150 |
147 |
155 |
(g) pedestrians who were run over |
Details not available |
Details not available |
Details not available |
(h) cyclists who were run down |
Details not available |
Details not available |
Details not available |
(i) HIV, tuberculosis and other diseases |
* FPS Mortuaries only handle unnatural deaths |
* FPS Mortuaries only handle unnatural deaths |
* FPS Mortuaries only handle unnatural deaths |
(j) ageing |
* FPS Mortuaries only handle unnatural deaths |
* FPS Mortuaries only handle unnatural deaths |
* FPS Mortuaries only handle unnatural deaths |
* Forensic Pathology Services
TABLE 6: MPUMALANGA |
|||
(a) 2014-15 |
(b) 2015-16 |
(c) 2016-17 |
|
(a) wounds caused by shootings |
719 |
453 |
472 |
(b) knife wounds |
165 |
171 |
161 |
(c) motor accidents |
1150 |
1201 |
1200 |
(d) motor-cycle accidents |
107 |
29 |
21 |
(e) drownings |
148 |
144 |
132 |
(f) fires |
168 |
169 |
139 |
(g) pedestrians who were run over |
504 |
504 |
523 |
(h) cyclists who were run down |
18 |
8 |
12 |
(i) HIV, tuberculosis and other diseases |
* FPS Mortuaries only handle unnatural deaths |
* FPS Mortuaries only handle unnatural deaths |
* FPS Mortuaries only handle unnatural deaths |
(j) ageing |
* FPS Mortuaries only handle unnatural deaths |
* FPS Mortuaries only handle unnatural deaths |
* FPS Mortuaries only handle unnatural deaths |
* Forensic Pathology Services
TABLE 7: NORTHERN CAPE |
|||
(a) 2014-15 |
(b) 2015-16 |
(c) 2016-17 |
|
(a) wounds caused by shootings |
21 |
23 |
24 |
(b) knife wounds |
294 |
300 |
255 |
(c) motor accidents |
333 |
321 |
297 |
(d) motor-cycle accidents |
6 |
5 |
4 |
(e) drownings |
95 |
98 |
108 |
(f) fires |
63 |
56 |
54 |
(g) pedestrians who were run over |
147 |
134 |
125 |
(h) cyclists who were run down |
3 |
9 |
3 |
(i) HIV, tuberculosis and other diseases |
* FPS Mortuaries only handle unnatural deaths |
* FPS Mortuaries only handle unnatural deaths |
* FPS Mortuaries only handle unnatural deaths |
(j) ageing |
* FPS Mortuaries only handle unnatural deaths |
* FPS Mortuaries only handle unnatural deaths |
* FPS Mortuaries only handle unnatural deaths |
* Forensic Pathology Services
TABLE 8: NORTH WEST |
|||
(a) 2014-15 |
(b) 2015-16 |
(c) 2016-17 |
|
(a) wounds caused by shootings |
187 |
157 |
170 |
(b) knife wounds |
298 |
321 |
453 |
(c) motor accidents |
715 |
784 |
856 |
(d) motor-cycle accidents |
14 |
23 |
24 |
(e) drownings |
82 |
69 |
90 |
(f) fires |
134 |
122 |
146 |
(g) pedestrians who were run over |
217 |
181 |
289 |
(h) cyclists who were run down |
2 |
4 |
20 |
(i) HIV, tuberculosis and other diseases |
* FPS Mortuaries only handle unnatural deaths |
* FPS Mortuaries only handle unnatural deaths |
* FPS Mortuaries only handle unnatural deaths |
(j) ageing |
* FPS Mortuaries only handle unnatural deaths |
* FPS Mortuaries only handle unnatural deaths |
* FPS Mortuaries only handle unnatural deaths |
* Forensic Pathology Services
TABLE 9: WESTERN CAPE |
|||
(a) 2014-15 |
(b) 2015-16 |
(c) 2016-17 |
|
(a) wounds caused by shootings |
1289 |
1323 |
1268 |
(b) knife wounds |
1429 |
1508 |
1649 |
(c) motor accidents |
579 |
701 |
627 |
(d) motor-cycle accidents |
56 |
49 |
55 |
(e) drownings |
180 |
202 |
197 |
(f) fires |
280 |
330 |
349 |
(g) pedestrians who were run over |
605 |
629 |
649 |
(h) cyclists who were run down |
27 |
26 |
30 |
(i) HIV, tuberculosis and other diseases |
* FPS Mortuaries only handle unnatural deaths |
* FPS Mortuaries only handle unnatural deaths |
* FPS Mortuaries only handle unnatural deaths |
(j) ageing |
* FPS Mortuaries only handle unnatural deaths |
* FPS Mortuaries only handle unnatural deaths |
* FPS Mortuaries only handle unnatural deaths |
* Forensic Pathology Services
(2) No, there is no need to. There are many state institutions which release this data time and again, e.g quarterly police crime statistics, the Department of Transport, StatsSA and the South African Medical Research Council.
END.
08 December 2017 - NW3341
Thembekwayo, Dr S to ask the Minister of Health
What number of nurses were employed at Tshilidzini Hospital in (a) 1996, (b) 2000, (c) 2005 and (d) 2010?
Reply:
The following table reflects the details in this regard.
NUMBER OF NURSES EMPLOYED AT TSHILIDZINI HOSPITAL |
|||
1996 |
2000 |
2005 |
2010 |
Information unobtainable |
Information unobtainable |
509 |
568 |
END.
08 December 2017 - NW3571
Krumbock, Mr GR to ask the Minister of Health
(a) What is the total number of supplier invoices that currently remain unpaid by (i) his department and (ii) each entity reporting to him for more than (aa) 30 days, (bb) 60 days, (cc) 90 days and (dd) 120 days and (b) what is the total amount outstanding in each case?
Reply:
(a) (i) 5 invoices remain unpaid;
(aa) 3 invoices remain unpaid for more than 30 days;
(bb) No invoices remain unpaid between 60 to 90 days;
(cc) 2 invoices remain unpaid between 90 days to 120 days;
(dd) No invoices remain unpaid for more than 120 days;
(b) R183,789.38 for more than 30 days;
R27,619.46 between 90 days to 120 days;
(ii) The following table reflects the details with regards to the entities:
Total |
30 days |
60 days |
90 days |
120 days |
|
South African Medical Research Council (SAMRC) |
|||||
Total number of supplier invoices that currently remain unpaid |
99 |
95 |
4 |
0 |
0 |
Total amount outstanding in each case |
R37,255,155.10 |
R37,229,425.37 |
R25,729,73 |
0 |
0 |
Office of Health Standards Compliance (OHSC) |
|||||
Total number of supplier invoices that currently remain unpaid |
11 |
2 |
6 |
3 |
0 |
Total amount outstanding in each case |
R136,784.12 |
R124,613.01 |
R11,571.11 |
R600.00 |
0 |
Council for Medical Schemes (CMS) |
|||||
Total number of supplier invoices that currently remain unpaid |
12 |
11 |
1 |
0 |
0 |
Total amount outstanding in each case |
R473,307.18 |
R469,772.04 |
R3,535.14 |
0 |
0 |
National Health Laboratory Service (NHLS) |
|||||
Total number of supplier invoices that currently remain unpaid |
384 |
36 |
111 |
74 |
163 |
Total amount outstanding in each case |
R348,094,192.70 |
R6,017,985.01 |
R191,333,319.14 |
R93,676,507.35 |
R57,066,381.20 |
END.
08 December 2017 - NW3642
Thembekwayo, Dr S to ask the Minister of Health
What is the ratio of (a) nurse and (b) doctor to patient in respect of each (i) hospital and (ii) clinic in the country, based on population within the catchment area for each hospital and clinic?
Reply:
Ratios of health workers to patient was always calculated as nation per unit total population. This was deemed not useful by the World Health Organisation (WHO) because it does not talk about the spread of this Health workforce within a country.
The WHO then came with a mathematical formula called WISN (Work Indicator for Staffing Needs).
We are busy calculating these needs using this mathematical formula.
END.
08 December 2017 - NW3901
Kopane, Ms SP to ask the Minister of Health
(1)(a) What number of forensic science laboratories are currently (i) owned and/or (ii) administered by his department in each province and (b) where is each specified laboratory located; (2) (a) what number of forensic science laboratories does his department intend to set up in each province in the (i) 2017-18, (ii) 2018-19 and (iii) 2019-20 financial years and (b)(i) where will each laboratory be set up and (ii) what are the projected costs in each case?
Reply:
(1) (a) The Department of Health owns no forensic laboratories anywhere in South Africa;
(b) Not applicable;
(2) The Department of Health is not intending to set up any forensic science laboratory in the country, because they all fall under SAPS.
END.
08 December 2017 - NW3719
Mashabela, Ms N to ask the Minister of Health
What is the hospital bed to population ratio in (a) each province and (b) the eight biggest metropolitan municipalities?
Reply:
The following tables reflect the details in this regard
(a) Provinces
Organisation unit |
Total Inpatient beds |
Total population |
Population to Total Inpatient bed ratio |
Beds per 1000 population |
Eastern Cape |
13,176 |
7,139,336 |
542 |
1.8 |
Free State |
4,687 |
2,881,998 |
615 |
1.6 |
Gauteng |
18,103 |
13,773,639 |
761 |
1.3 |
KwaZulu-Natal |
21,609 |
11,229,961 |
520 |
1.9 |
Limpopo |
7,814 |
5,877,930 |
752 |
1.3 |
Mpumalanga |
4,586 |
4,388,269 |
957 |
1.0 |
Northern Cape |
1,646 |
1,200,703 |
729 |
1.4 |
North West |
4,343 |
3,847,629 |
886 |
1.1 |
Western Cape |
9,783 |
6,393,555 |
654 |
1.5 |
National |
85,747 |
56,733,020 |
662 |
1.5 |
(b) The eight biggest metropolitan municipalities
Organisation unit |
Total Inpatient beds |
Total population Midyear 2017 DHIS |
Population to Total Inpatient bed ratio |
Beds per 1000 population |
Buffalo City Metropolitan Municipality |
2090 |
864,130 |
413 |
2.4 |
Nelson Mandela Bay Municipality |
2233 |
1,279,035 |
573 |
1.7 |
Mangaung Metropolitan Municipality |
2388 |
801,716 |
336 |
3.0 |
City of Ekurhuleni Metropolitan Municipality |
3388 |
3,500,231 |
1033 |
1.0 |
City of Johannesburg Metropolitan Municipality |
5946 |
5,055,664 |
850 |
1.2 |
City of Tshwane Metropolitan Municipality |
5634 |
3,376,566 |
599 |
1.7 |
eThekwini metropolitan Municipality |
7450 |
3,715,328 |
499 |
2.0 |
City of Cape Town Metropolitan Municipality |
7103 |
4,070,914 |
573 |
1.7 |
END.
08 December 2017 - NW2174
Esau, Mr S to ask the Minister of Health
(1)(a) How many (i) qualified urologists are currently in practice in the country, (ii) are in the (aa) private and (bb) public sector in each province and (iii) are currently in training and (b) what is the guideline of the World Health Organisation pertaining to the number of urologists; (2) does the country adhere to the specified guideline; if not, why not?
Reply:
(1) (a) (i) 213
(ii) (aa) 248
(bb) 77
(iii) 83
(b) Urologists - there are no published WHO guidelines or other benchmarks specifically for oncologists.
(2) No. There are no WHO guidelines specifically for oncologists.
END.
01 December 2017 - NW3344
Sonti, Ms NP to ask the Minister of Health
With reference to his reply to question 2493 on 10 January 2017, (a) what is the speciality of each of the 56 doctors and (b) what number of the specified doctors are not employed full-time but are on call only?
Reply:
Currently as on the end of September 2017 the information is as follows:
Category |
Posts filled |
Total |
Posts indication |
Medical Specialists |
General Surgery: Medical Services |
1 |
Active Filled |
Family Medicine |
2 |
Active Filled |
|
Paediatrics: Medical Officer |
1 |
Active Filled |
|
Total |
4 |
||
Medical Practitioner (GP) |
Internal Medicine |
9 |
2x Contract 7x Active Filled |
General Surgery: Medical Services |
10 |
3x Contract 1x Part Time 5/8 2x Session Filled 4x Active Filled |
|
Obstetrics & Gynaecology: Medic & Clinic Sup Serv. |
7 |
1x Contract 6x Active Filled |
|
Orthopaedics: Medical |
5 |
1x Contract 2x Session Filled 2x Active Filled |
|
Family Medicine |
5 |
2x Contract 3x Active Filled |
|
Anaesthesiology |
2 |
1x Contract 1x Active Filled |
|
Paediatrics: Medical of |
3 |
1x Session Filled 2x Part Time 5/8 |
|
Total |
39 |
||
Medical Interns |
Medical interns |
23 |
Active Filled |
Total |
23 |
END.
01 December 2017 - NW3342
Mente-Nkuna, Ms NV to ask the Minister of Health
(a) What total number of medical equipment items does the Tshilidzini Hospital have, (b) what is the (i) category, (ii) date of purchase and (iii) purchase price of each item of medical equipment and (c) what number of medical equipment items are not in use because they are dysfunctional or lack service?
Reply:
The following tables reflect the details in this regard:
Ward |
Type of equipment |
No. of equipment |
No. of equipment functioning |
No. of equipment not functioning |
No for repair |
No for service |
Purchase Price (each) |
OPD |
Patient monitor |
09 |
3 |
6 |
6 |
7 |
R60 200-00 |
ECG machine |
1 |
- |
1 |
1 |
1 |
R99 997.22 |
|
Sonar machine |
2 |
- |
2 |
2 |
2 |
R300 000-00 |
|
Sitting scale |
2 |
- |
2 |
2 |
2 |
R5 500-00 |
|
Standing scale |
2 |
2 |
- |
- |
2 |
R3 444.00 |
|
Bathroom scale |
- |
- |
- |
- |
- |
R3 552.50 |
|
Baby scale |
1 |
1 |
- |
- |
1 |
R2 394.00 |
|
Mobile/manual BP machine |
- |
- |
- |
- |
- |
R689,70 |
|
Casualty |
Patient monitor |
17 |
1 |
16 |
17 |
R60 200-00 |
|
Ventilator |
2 |
1 |
1 |
2 |
R172 000-00 |
||
Blood gas machine |
1 |
- |
- |
1 |
1 |
Cost not verified |
|
ISTAT machine |
2 |
- |
- |
- |
- |
No cartridge |
|
Sitting scale |
1 |
- |
1 |
1 |
R5 500-00 |
||
Standing scale |
1 |
1 |
- |
1 |
1 |
R3 444.00 Repair height rod |
|
Baby scale |
1 |
1 |
- |
- |
1 |
R2 394.00 |
|
Manual BP machine |
2 |
- |
- |
2 |
2 |
R1 600.00 |
|
HB meter |
1 |
- |
- |
- |
- |
R4 967.68 |
|
Resuscitation beds |
4 |
0 |
- |
4 |
4 |
Cost not verified |
|
POP bed |
. |
. |
. |
. |
. |
One needed |
|
EYE and Transfer |
Wall ophthalmoscope |
1 |
1 |
- |
- |
- |
- |
Manual Baunometer |
2 |
2 |
- |
- |
- |
R1 600.00 |
|
Pen torch |
3 |
3 |
- |
- |
- |
Cost not verified |
|
New slit lamp |
1 |
- |
1 |
- |
- |
Cost not verified |
|
Old slit lamp |
1 |
- |
1 |
Cost not verified |
|||
Old handheld ophthalmoscope |
1 |
- |
1 |
- |
- |
Cost not verified |
|
Paediatric medical |
Monitors |
10 |
3 |
7 |
10 |
R60 200-00 |
|
Pulse Oximeter |
3 |
- |
- |
- |
1 |
R6 467.03 |
|
Data scope Accutur plus |
2 |
- |
- |
2 |
2 |
R68 000 |
|
Infusion pump Agalia |
3 |
3 |
- |
- |
3 |
R8 908.96 |
|
Infusion pump Infusamat |
3 |
- |
- |
3 |
3 |
R36 736.50 |
|
Syringe pump |
3 |
3 |
- |
- |
3 |
R23 683.80 |
|
Electric suction machine |
3 |
2 |
- |
1 |
3 |
R6 384.00 |
|
Defibrillator |
1 |
1 |
- |
- |
1 |
R81 827.60 |
|
Manual BP Apparatus |
2 |
1 |
- |
1 |
1 |
R1 600.00 |
|
Baby scale |
3 |
1 |
- |
2 |
3 |
R2 394.00 |
|
ENT set |
1 |
1 |
- |
- |
1 |
R1 200 |
|
Standing scale |
2 |
2 |
- |
- |
2 |
R3 444.00 |
|
Paediatric surgical |
Monitors |
3 |
1 |
- |
- |
2 |
R60 200-00 |
Pulse oximeter |
1 |
- |
- |
- |
- |
R6 467.03 |
|
Suction apparatus electric |
2 |
1 |
- |
- |
1 |
R6 384.00 |
|
Data scope accutur |
1 |
- |
- |
1 |
1 |
Cost not verified |
|
HB meter |
1 |
1 |
- |
- |
1 |
R4 967.68 |
|
Baby scale |
1 |
1 |
- |
- |
1 |
R2 394.00 |
|
Sitting scale |
1 |
- |
- |
1 |
1 |
R5 500-00 |
|
Standing scale |
1 |
1 |
- |
- |
1 |
R3 444.00 |
|
BP apparatus manual |
3 |
2 |
- |
1 |
3 |
R1 600.00 |
|
Agalia infusion |
2 |
2 |
- |
- |
2 |
R8 908.96 |
|
Infusamat pump |
2 |
1 |
- |
1 |
2 |
R36 736.50 |
|
Medical Ward |
Suction machine |
4 |
2 |
2 |
- |
- |
R6 384.00 |
Patient monitor |
4 |
2 |
2 |
1 |
R60 200-00 |
||
Defibrillator |
2 |
1 |
1 |
- |
1 |
R81 827.60 |
|
Pulse Oxymeter |
1 |
- |
1 |
- |
- |
R6467.03 |
|
Ripple mattrass |
2 |
- |
2 |
- |
- |
R18 950-90 |
|
Female medical |
Patient monitor |
5 |
2 |
3 |
- |
1 |
R60 200-00 |
Data scope accutur plus |
2 |
2 |
2 |
Cost not verified |
|||
Electric suction machine |
2 |
2 |
- |
- |
2 |
R6 384.00 |
|
Pulse oxymeter |
1 |
1 |
- |
- |
- |
R6 467.03 |
|
Infusion pump Agalia |
1 |
1 |
- |
- |
1 |
R8 908.96 |
|
Defibrillator |
1 |
1 |
- |
- |
1 |
R81 827.60 |
|
ECG machine |
1 |
1 |
- |
- |
1 |
R99 997.22 |
|
SUB-ACUTE |
Monitor |
2 |
1 |
1 |
1 |
1 |
R60 200-00 |
Mobile suction |
1 |
1 |
- |
- |
1 |
R6 270-00 |
|
Standing weight scale |
2 |
2 |
- |
1 |
- |
R3 444.00 |
|
TB- ISOLATION |
Monitor |
2 |
2 |
- |
- |
2 |
R60 200-00 |
Portable BP machine |
1 |
1 |
1 |
1 |
1 |
Cost not verified |
|
Vacuum aspirator or suction machine |
1 |
1 |
- |
- |
1 |
R6 384.00 |
|
Battery operated weight scale |
1 |
- |
1 |
1 |
1 |
Cost not verified |
|
Weight scale |
1 |
1 |
- |
1 |
1 |
Cost not verified |
|
Defibrillator |
1 |
1 |
- |
1 |
1 |
R81 827.60 |
|
Wall mounted ENT set |
1 |
- |
1 |
1 |
1 |
Cost not verified |
|
Glucometer |
1 |
1 |
- |
- |
1 |
Cost not verified |
|
Laryngoscope |
1 |
1 |
- |
1 |
1 |
Cost not verified |
|
Wall oxygen plus suctions |
1 |
1 |
- |
1 |
1 |
Cost not verified |
|
DSPN |
Data scope |
2 |
1 |
1 |
1 |
1 |
R68 784.82 |
Portable BP machine |
1 |
1 |
- |
- |
1 |
Cost not verified |
|
Sitting scale |
1 |
- |
1 |
1 |
1 |
R5 500-00 |
|
Glucometer |
2 |
2 |
- |
- |
2 |
Cost not verified |
|
ENT set |
1 |
1 |
- |
- |
1 |
Cost not verified |
|
Defibrillator |
1 |
1 |
- |
1 |
1 |
R81 827.60 |
|
Wall oxygen and suction |
14 |
14 |
- |
- |
14 |
Cost not verified |
|
Portable suction machine |
1 |
1 |
- |
- |
1 |
Cost not verified |
|
Standing scale |
1 |
1 |
- |
- |
1 |
R3 444.00 |
|
Standing height and weight scale |
1 |
1 |
- |
- |
1 |
Cost not verified |
|
ICU |
Cardiac monitor |
9 |
4 |
5 |
1 |
8 |
1 broken |
Ventilator |
5 |
3 |
2 |
2 |
3 |
R172 000-00 EACH |
|
ECG machine 12 heads |
2 |
- |
2 |
1 |
1 |
R99 997.22 |
|
Patient warmer bair hugger |
1 |
- |
1 |
- |
1 |
Cost not verified |
END.
01 December 2017 - NW3322
Thembekwayo, Dr S to ask the Minister of Health
(1)Whether the (a) chief executive officer and (b) chief financial officer of entities reporting to him are employed on a permanent basis; if not, (2) whether the specified officers are employed on a fixed term contract; if so, (a) what are the names of each of the officers and (b) when (i) was each officer employed and (ii) will each officer’s contract end?
Reply:
(1) and (2) The following tables reflect the details in this regard:
South African Medical Research Council (SAMRC)
Name: Prof Glenda Elisabeth Gray
Contract |
Start Date |
End Date |
Job Title |
Current |
01 April 2014 |
31 March 2019 |
President/CEO |
Name: Mr Nicholas John Douglas Buick
Contract |
Start Date |
End Date |
Job Title |
1st Contract |
16 July 2012 |
15 July 2017 |
Chief Financial Officer |
2nd Contract(Current) |
16 July 2017 |
15 July 2022 |
Chief Financial Officer |
Council for Medical Schemes (CMS)
Name: Dr Sipho Kabane
Contract |
Start Date |
End Date |
Job Title |
Current |
31 January 2017 |
Pending appointment of the Registrar/CEO |
Acting Registrar/CEO |
Current |
01 July 2016 |
30 June 2021 |
Senior Strategist |
Name: Mr Daniel Lehutjo
Contract |
Start Date |
End Date |
Job Title |
Current |
01 May 2002 |
30 May 2020 |
Chief Financial Officer |
National Health Laboratory Services
Name: Ms Joyce Mogale (suspended)
Contract |
Start Date |
End Date |
Job Title |
Current |
01 September 2015 |
31 August 2020 |
CEO |
Name: Mr Sikhumbuzo Zulu (suspended)
Contract |
Start Date |
End Date |
Job Title |
Current |
01 March 2015 |
28 February 2020 |
Chief Financial Officer |
Office of Health Standards Compliance
Name: Dr Siphiwe Mndaweni
Contract |
Start Date |
End Date |
Job Title |
Current |
09 October 2017 |
9 October 2022 |
CEO |
Name: Mr Julius Maphatha
Contract |
Start Date |
End Date |
Job Title |
Permanent |
08 June 2015 |
Permanent |
Chief Financial Officer |
END.
01 December 2017 - NW3629
Thembekwayo, Dr S to ask the Minister of Health
Whether (a) his department and/or (b) any entity reporting to him own land; if so, in each case, (i) where is each plot of land located, (ii) what is the size of each specified plot and (iii) what is each plot currently being used for?
Reply:
(a) No.
(b) The Office of Health Standards Compliance and Council for Medical Schemes do not own any plot of land and the details regarding ownership of land by the South African Medical Research Council and the National Health Laboratory Service are provided in the table below:
where is each plot of land located |
what is the size of each specified plot |
what is each plot currently being used for |
South African Medical Research Council |
||
1. Parow Valley - Western Province |
76 007 m² |
Medical Research |
2. Parow Valley - Western Province |
24 124 m² |
Medical Research |
3. Delft - Western Province |
216 399 m² |
Medical Research and Leasing |
4. Delft - Western Province |
130 000 m² |
Currently informal farming and reviewing its future use |
5. Overport - Kwa-Zulu Natal |
4 456 m² |
Medical Research |
6. Hlabisa – Kwa-Zulu Natal |
7 257m² |
Submission made to National Treasury to donate the property to the Hlabisa Community |
7. Pretoria - Gauteng Province |
14 578 m² |
Medical Research |
8. Parow Valley - Western Province |
76 007 m² |
Medical Research |
National Health Laboratory Service |
||
1. ERF 265 Mount Road-Port Elizabeth |
1. 41 407sq feet |
NHLS Laboratory are built on the properties |
2. ERF 1883 Mount Road-Port Elizabeth |
2. 1112sq feet |
|
3. ERF 1883 Mount Road-Port Elizabeth |
3.110sq meters |
|
4. R/E of portion 70(A Portion of Portion 1) of the farm-Rietfontein |
55 777 hectares |
|
5. Portion 85(A Portion of Portion 70) of the farm-Rietfontein |
55 777 hectares |
|
6. R/E of ERF 157 Lyndhurst,182 Lyndhurst Road |
10688 sq feet |
|
7. Portion TN 1 of ERF 4354 JHB,114 Joubert Street-Johannesburg |
27377 hectares |
|
8. Portion 2 of ERF 4354 JHB,25 Hospital Street-Johannesburg |
27377 hectares |
|
9. Portion 3 of ERF 4354 JHB,122 Joubert Street-Johannesburg |
27377 hectares |
|
10. Portion 5 of ERF 4354 JHB,114 Joubert Street-Johannesburg |
27377 hectares |
|
11. Portion 8 of ERF 4354 JHB,114 Joubert Street-Johannesburg |
27377 hectares |
|
12. Portion 2 of ERF10102, Durban,149 Prince Street, Point 4001 |
1559sq feet |
|
13. ERF 4883 Worcester-Western Cape |
820sq feet |
END.
01 December 2017 - NW3346
Ntlangwini, Ms EN to ask the Minister of Health
(a) Who is the supplier of coal for the Tshilidzini Hospital boiler, (b) when was the supplier appointed, (c) what is the total monetary value of the contract and (d) (i) what amount did Tshilidzini Hospital spend on coal for the boiler in the (aa) 2012-13, (bb) 2013-14, (cc) 2014-15, (dd) 2015-16 and (ee) 2016-17 financial years and (ii) who were the suppliers in each respective financial year?
Reply:
The following tables reflect the details in this regard.
2012/13 |
|||
NAME OF SUPPLIER |
DATE OF APPOINTMENT |
CONTRACT AMOUNT |
EXPENDITURE |
Mpho Coal Yard |
4-Aug-10 - 31 Jul 203 |
R1700 / ton |
R 180,000 |
Mpho Coal Yard |
R 180,000 |
||
Mpho Coal Yard |
R 179,953 |
||
Mpho Coal Yard |
R 180,000 |
||
Mpho Coal Yard |
R 216,000 |
||
Mpho Coal Yard |
R 216,000 |
||
Mpho Coal Yard |
R 216,000 |
||
Mpho Coal Yard |
R 108,000 |
||
Mpho Coal Yard |
R 324,000 |
||
Mpho Coal Yard |
R 216,000 |
||
TOTAL |
|
|
R 2,015,953 |
2013/14 |
|||
NAME OF SUPPLIER |
DATE OF APPOINTMENT |
CONTRACT AMOUNT |
EXPENDITURE |
Mpho Coal Yard |
No contract was appointed it was based on quotation |
No contract was appointed it was based on quotation |
R 324,000 |
Mpho Coal Yard |
R 216,000 |
||
Mpho Coal Yard |
R 216,000 |
||
Mpho Coal Yard |
R 216,000 |
||
Mpho Coal Yard |
R 432,000 |
||
Mpho Coal Yard |
R 162,000 |
||
Mpho Coal Yard |
R 216,000 |
||
Mpho Coal Yard |
R 216,000 |
||
Shiela and Katlego |
R 195,000 |
||
TOTAL |
|
|
R 2,193,000 |
2014/15 |
|||
NAME OF SUPPLIER |
DATE OF APPOINTMENT |
CONTRACT AMOUNT |
EXPENDITURE |
Mphoyashu Trading |
No contract was appointed it was based on quotation |
No contract was appointed it was based on quotation |
R 297,000 |
Rirothe Trading Enterprise |
R 280,800 |
||
All Eyez Construction |
R 291,600 |
||
KMA Business Consulting |
R 387,500 |
||
Mbulayi Construction |
R 345,000 |
||
Zwiriitavhathu Trading |
R 337,500 |
||
|
|
|
R 1,939,400 |
2015/16 |
|||
NAME OF SUPPLIER |
DATE OF APPOINTMENT |
CONTRACT AMOUNT |
EXPENDITURE |
Shedo Business Enterprise |
5-Feb-16 |
No contract was appointed it was based on quotation |
R 388,785 |
Wenderic Trading & project |
R 403,500 |
||
Matshepete and trading |
R 190,500 |
||
Mulisa Business Enterprise |
R 307,500 |
||
|
|
|
R 1,290,285 |
2016/17 |
|||
SUPPLIER |
DATE OF APPOINTMENT |
CONTRACT AMOUNT |
EXPENDITURE |
Masetlaletsi General Trading |
No contract was appointed it was based on quotation |
No contract was appointed it was based on quotation |
R 489,597.60 |
RRA Trading |
R 446,997.00 |
||
RRA Trading |
R 446,997.00 |
||
RRA Trading |
R 446,997.00 |
||
RRA Trading |
R 446,997.00 |
||
|
|
|
2,277,585.60 |
END.
29 November 2017 - NW3679
Kopane, Ms SP to ask the Minister of Health
What is the total amount that was budgeted for medical negligence claims in each province (a) in the (i) 2014-15, (ii) 2015-16 and (iii) 2016-17 financial years and (b) since 1 April 2017?
Reply:
Provincial Departments do not make provision for budgets for medical negligence claims, due to the fact that Provincial Treasuries discourage budget in this regard as it is treated as fruitless and wasteful expenditure, which requires nil budget and has been treated in that manner in respect of all the relevant financial years.
END.
29 November 2017 - NW3182
Thembekwayo, Dr S to ask the Minister of Health
(1)What are the details including the ranks of service providers and/or contractors from which (a) his department and (b) the entities reporting to him procured services in the past five years; (2) what (a) service was provided by each service provider and/or contractor and (b) amount was each service provider and/or contractor paid; (3) (a) how many of these service providers are black-owned entities, (b) what contract was each of the black-owned service providers awarded and (c) how much was each black-owned service provider paid?
Reply:
1. (a) The Department concluded 271 Contracts (Tenders) which were awarded to 289 Service Providers.
2. (a) The services provided ranged from general goods and services and construction works and services.
(b) The total contract value associated with the awards is R 3 254 243 582.91 and as at 30 September 2017 an amount of R 1 793 385 746.65 has been paid to Service Providers as referenced in 1 (a) above.
(3) (a) In terms of the Preferential Procurement Regulation of 2011 as amended the Service Providers are measured on B-BBEE contribution levels and not purely on their black status;
(b) the awards made are based on B-BBEE contribution and form part of the contract value amount as referenced in 2 (b) above.
(c) As at 30 September 2017 an amount of R 1 793 385 746.65 has been paid to Service Providers.
END.
29 November 2017 - NW3340
Thembekwayo, Dr S to ask the Minister of Health
With reference to his reply to question 862 on 25 April 2016, what is being done to assist patients who opt to sleep on benches at the Butterworth Hospital waiting for patients transport when referred to Frere and/or Cecilia Makiwane Hospitals from Butterworth Hospital?
Reply:
The Province is indeed aware of this challenge and is looking at various options to alleviate this challenge. This problem arises from the fact that the Province has only got three (3) Tertiary hospitals which can be as far as 200 to 300 km from the referring hospital and can take up to five (5) hours to reach owing to the distance and terrain.
In the medium term, the Department plans to develop halfway houses, where these patients would be accommodated in a dignified manner, however owing to competing infrastructure needs, this cannot be achieved in the short term.
Furthermore, the Department is looking at organising an EMS Professional Emergency service that will be flying Scarce Professionals to out-of-reach District Hospitals, that way saving patients who have to travel to the Tertiary hospitals and thus sleeping at the referring hospitals to await transportation.
END.
29 November 2017 - NW3343
Sonti, Ms NP to ask the Minister of Health
With reference to his reply to question 861 on 11 April 2016, (a) what is the status of the Senekal Clinic in the O R Tambo section in eastern Free State, (b) what amount was paid to the contractor who did not comply with the terms and conditions of the contract and (c) what are the relevant details of the specified contractor?
Reply:
(a) Senekal Clinic in OR Tambo Section was opened in July 2016 after it was renovated;
(b) The contractor was only paid for the work done which is R4,800,000.00 (four million and eight hundred thousand rand). The contractor complied with the specifications up to the point where they were unable to continue with the project;
(c) The name of the contractor appointed was Steward Scott Mafuri Joint Venture (Pty) Ltd.
END.
29 November 2017 - NW3460
Thembekwayo, Dr S to ask the Minister of Health
(1)How many officials and/or employees in his department were granted permission to have businesses and/or do business dealings in the past three financial years; (2) are any of the officials and/or employees that have permission to have businesses and/or do business dealings doing business with the Government; if so, (a) what was the purpose of each business transaction, (b) when did each business transaction occur and (c) what was the value of each business transaction?
Reply:
(1) None;
(2) None. However, the Department has received applications from employees. The applications are being reviewed for possible recommendation to the Minister for consideration for approval. The following table reflects the details in this regard:
Official's level of position |
Number of applications |
Type of business |
Level 13 |
3 |
|
Level 12 |
1 |
Lecturing lessons for students via on-line |
Level 10 |
1 |
Taxi owner |
Level 7 |
1 |
Dispensing of medicines (Locum Pharmacist) |
(b) Not applicable;
(c) Not applicable.
END.
29 November 2017 - NW3754
Thembekwayo, Dr S to ask the Minister of Health
(1)Whether (a) his department and/or (b) entities reporting to him procured services from a certain company (name furnished); if so, (i) what services were procured in each case and (ii) what is the total amount that was paid to the specified company in each case; (2) whether the specified company provided services related to international travel to (a) his department and/or (b) entities reporting to him; if so, (i) what is the name of each person who travelled, (ii) what was the travel route and (iii) what is the total amount that was paid for each person?
Reply:
It would be important for the Honourable Member to specify which period the question is referring to.
The National Department of Health in the past used to procure services from this company but their contract came to an end more than 6 years ago.
END.
29 November 2017 - NW3680
Kopane, Ms SP to ask the Minister of Health
(1)With reference to his reply to question 2169 on 30 October 2017, (a) in how many cases was there non-compliance with medical negligence court orders in each province (i) in each of the past three financial years and (ii) since 1 April 2017, (b) what was the amount awarded in each case and (c) what are the reasons for non-compliance in each case; (2) what is the total number of cases of medical negligence that are still (a) pending and/or (b) that have been instituted in each province where court orders have not been granted yet?
Reply:
(1) (a) in how many cases was there non-compliance with medical negligence court orders in each province (i) each of the past three financial years
NAME OF THE PROVINCE |
HOW MANY CASES WAS THERE NON-COMPLIANCE WITH MEDICAL NEGLIGENCE COURT ORDERS |
|||
(a) (i)2014-2015 Financial year |
(a)(i)2015-2016 Financial year |
(a)(i)2016-2017 Financial year |
(ii)Since 1 April 2017 |
|
Eastern Cape |
None |
None |
None |
None |
Free State |
None |
None |
None |
None |
Gauteng |
None |
None |
None |
22 |
Kwazulu- Natal |
None |
None |
None |
None |
Limpopo |
None |
None |
None |
None |
Mpumalanga |
None |
None |
1 |
2 |
Northern Cape |
None |
None |
None |
None |
North West |
None |
None |
None |
None |
Western Cape |
None |
None |
None |
None |
TOTALS |
None |
None |
1 |
24 |
(b) what was the amount awarded in each case
NAME OF THE PROVINCE |
WHAT WAS THE AMOUNT AWARDED IN EACH CASE |
|||
2014-2015 Financial year |
2015-2016 Financial year |
2016-2017 Financial year |
Since 1 April 2017 |
|
Eastern Cape |
None |
None |
None |
_ |
Free State |
None |
None |
None |
None |
Gauteng |
None |
None |
None |
R17 000 000.00 R17 000 000.00 R25 421 538.00 R16 000 000.00 R27 000 000.00 R18 258 595.00 R17 879 453.00 R20 603 010.00 R 1 162 576.48 R 2 909 955.48 R916 066.50 R 171 465.34 R 391 014.00 R 65 000.00 R 6 115.32 R 150 000.00 R 14 000 000.00 R 50 000.00 R 21 900 208.00 R 17 879 453.00 R 18 090 501.65 R 223 000.00 R900 000.00 |
Kwazulu- Natal |
None |
None |
None |
None |
Limpopo |
None |
None |
None |
None |
Mpumalanga |
None |
None |
R4 109 273.00 |
R 400 000.00 R 600 000.00 |
Northern Cape |
None |
None |
None |
None |
North West |
None |
None |
None |
None |
Western Cape |
None |
None |
None |
None |
TOTALS |
None |
None |
R4 109 273.00 |
R238 977 947.77 |
(c) what are the reasons for non-compliance in each case;
NAME OF THE PROVINCE |
WHAT ARE THE REASONS FOR NON-COMPLIANCE IN EACH CASE |
|||
2014-2015 Financial year |
2015-2016 Financial year |
2016-2017 Financial year |
Since 1 April 2017 |
|
Eastern Cape |
None |
None |
None |
_ |
Free State |
None |
None |
None |
None |
Gauteng |
None |
None |
None |
The court orders are received late through the office of the state attorney. And that same are processed through the office of treasury. |
Kwazulu- Natal |
None |
None |
None |
None |
Limpopo |
None |
None |
None |
None |
Mpumalanga |
None |
None |
The claimant’s attorneys bank account not yet verified through Central Supplier Database as required by National Treasury, as a result they cannot obtain tax clearance from SARS |
The claimant’s attorneys bank account not yet verified through Central Supplier Database as required by National Treasury, as a result they cannot obtain tax clear |
Northern Cape |
None |
None |
None |
None |
North West |
None |
None |
None |
None |
Western Cape |
None |
None |
None |
None |
TOTALS |
None |
None |
None |
None |
(2) The following table reflects the details in this regard
NAME OF THE PROVINCE |
WHAT IS THE TOTAL NUMBER OF CASES OF MEDICAL NEGLIGENCE THAT ARE STILL (A) PENDING |
(B)THAT HAVE BEEN INSTITUTED IN EACH PROVINCE WHERE COURT ORDERS HAVE NOT BEEN GRANTED YET? |
Eastern Cape |
2289 |
2289 |
Free State |
191 |
191 |
Gauteng |
_ |
_ |
Kwazulu- Natal |
2077 |
2077 |
Limpopo |
731 |
731 |
Mpumalanga |
418 |
418 |
Northern Cape |
75 |
75 |
North West |
377 |
377 |
Western Cape |
308 |
308 |
TOTALS |
6466 |
6466 |
END.
29 November 2017 - NW3518
Waters, Mr M to ask the Minister of Health
(1)With reference to his reply to question 2540 on 22 September 2017, what would be the total cost to the Ekurhuleni Metropolitan Municipality in respect of adhering to the national normative ratio of one ambulance to 10 000 people; (2) (a) what should the ideal number of ambulances be in each shift in the Ekurhuleni Metropolitan Municipality and (b) what is the number of existing shifts and ambulances that are allocated to each shift; (3) are any of the ambulances in the Ekurhuleni Metropolitan Municipality not in working order; if so, what are the relevant details; (4) whether the 212 ambulances operating within the Ekurhuleni Metropolitan Municipality have all the basic equipment needed at all times; if not, (a) what basic equipment needed at all times is missing from each ambulance, (b) what is the projected cost to repair and provide all ambulances with all the basic equipment needed at all times; (5) (a) whether the 45 ambulances are owned and managed by the Gauteng Department of Health Provincial EMS operational (b) what are the specific functions of these ambulances and (c) do they form part of the national normative ratio of one ambulance per 10 000 people?
Reply:
1. The approximate cost to Ekurhuleni Metropolitan in respect of one ambulance to 10 000 people is R668,091,000.00;
(2) (a) The ideal number of operational ambulances in Ekurhuleni should be 96 per shift.
(b) There are four existing shifts which are rostered on a 12 hour basis with 63 operational ambulances allocated per shift.
3. Yes, 28 ambulances are at workshops.
4. All 212 operational ambulances are equipped with the basic ambulance equipment.
(a) There is no basic ambulance equipment missing when the ambulance is operational.
(b) None. See (a) above.
5. (a) Yes.
(b) These ambulances respond to all ill or injured patients as well as undertake inter-facility transfers. They also transport chronically ill patients to specialist health facilities for appointments and treatment.
(c) Yes.
END.
30 October 2017 - NW1989
Thembekwayo, Dr S to ask the Minister of Health
(a) What is the total number of senior nursing vacancies at (i) Elim, (ii) Malamulele, (iii) Messina, (iv) Siloam and (v) Tshilidzini hospitals; (b) for how long has each post been vacant and (c) by what date will each post be filled?
Reply:
(a) and (b) The following table reflects the details in this regard
Hospital |
Post Designation |
Approved |
Filled |
Vacant |
Date vacated |
Date to be filled |
Elim |
Deputy Director |
1 |
0 |
1 |
Not yet determined |
|
Assistant Manager |
6 |
2 |
4 |
1 each in 2010, 2012, 2014 and 2017 |
||
Operational Manager |
23 |
9 |
14 |
2 each in 2013 and 2014, and 10 never |
||
Malamulele |
Deputy Manager |
1 |
1 |
0 |
Filled |
Not yet determined |
Assistant Manager |
6 |
3 |
3 |
2 never filled, and 1 in 2015 |
||
Operational Manager |
17 |
8 |
9 |
6 never filled, 1 each in 2011, 2015 and 2016 |
||
Messina |
Deputy Manager |
1 |
1 |
0 |
Filled |
Not yet determined |
Assistant Manager |
3 |
2 |
1 |
Never filled |
||
Operational Manager |
13 |
4 |
9 |
1 each in 2011, 2014, 2015 and 6 never filled |
||
Siloam |
Deputy Manager |
1 |
0 |
1 |
July 2005 |
Not yet determined |
Assistant Manager |
6 |
1 |
5 |
1 in 2012 and 4 never filled |
||
Operational Manager |
19 |
12 |
7 |
1 in 2013 and 6 never filled |
||
Tshilidzini |
Deputy Manager |
1 |
0 |
1 |
July 2014 |
Not yet determined |
Assistant Manager |
11 |
3 |
8 |
1 each in 2011, 2012, 2013, 2015, 2016, and 3 never filled |
||
Operational Manager |
31 |
21 |
10 |
1 each in 2011, 2012, 2014, 2015, 2016, 2017 and 4 never filled |
END.
30 October 2017 - NW2883
Steenkamp, Ms J to ask the Minister of Health
What is the detailed (a) breakdown of and (b) valuation for current and non-current assets and investments held by (i) his department and (ii) each entity reporting to him according to (aa) listed assets (aaa) directly held and (bbb) indirectly held and (bb) unlisted investments (aaa) directly held and (bbb) indirectly held by each of the entities, in each case breaking the current assets and investments down by 0-3 months, 3-6 months, 6-12 months and beyond 12 months?
Reply:
1. The Office of Health Standards Compliance valuation for current and non-current assets and investments as at 30 June 2017:
(a) Detailed breakdown |
(b) valuation |
(aa) Listed assets |
bb) Unlisted investments |
0-3 months |
3-6 months |
6-12 months |
>12 months |
||
(aaa) Directly held |
(bbb) Indirectly held |
(aaa) Directly held |
(bbb) Indirectly held |
||||||
CURRENT ASSETS |
|||||||||
Receivables from non-exchange transactions |
66,253 |
16,366 |
49,887 |
||||||
Prepayments |
3,192,660 |
3,130,610 |
62,050 |
||||||
Cash and cash equivalents |
83,270,298 |
59,589,407 |
23,680,891 |
||||||
NON-CURRENT ASSETS |
|||||||||
Property, plant and equipment |
6,015,006 |
||||||||
Intangible assets |
2,585,285 |
||||||||
2. The Council for Medical Schemes valuation for current and non-current assets and investments as at 31 August 2017:
(a) Detailed breakdown |
(b) valuation |
(aa) Listed assets |
bb) Unlisted investments |
0-3 months |
3-6 months |
6-12 months |
>12 months |
||
(aaa) Directly held |
(bbb) Indirectly held |
(aaa) Directly held |
(bbb) Indirectly held |
||||||
CURRENT ASSETS |
|||||||||
Accounts receivable |
79,624 |
79,624 |
|||||||
Sundry debtors |
4,873,090 |
15,848 |
68,806 |
4,788,436 |
|||||
Prepaid expenses |
3,220,753 |
3,220,753 |
|||||||
Cash and bank |
1,158,476 |
1,158,476 |
|||||||
Call account(Reserve bank) |
107,303,678 |
107,303,678 |
|||||||
NON-CURRENT ASSETS |
|||||||||
Plant and equipment |
17,940,586 |
||||||||
Intangible assets |
1,421,388 |
3. The South African Medical Research Council valuation for current and non-current assets and investments as at 30June 2017:
(a) Detailed breakdown |
(b) valuation |
(aa) Listed assets |
bb) Unlisted investments |
0-3 months |
3-6 months |
6-12 months |
>12 months |
||
(aaa) Directly held |
(bbb) Indirectly held |
(aaa) Directly held |
(bbb) Indirectly held |
||||||
CURRENT ASSETS |
|||||||||
Financial assets at fair value |
6,386,972 |
6,386,972 |
|||||||
Receivables from exchange transactions |
34,799,476 |
31,995,122 |
17,892 |
2,786,462 |
|||||
Prepayments |
6,098,706 |
6,098,706 |
|||||||
Cash and cash equivalents |
743,993,413 |
743,993,413 |
|||||||
NON-CURRENT ASSETS |
|||||||||
Biological assets that form part of an agricultural activity |
1,147,101 |
||||||||
Property, plant and equipment |
140,813,375 |
||||||||
Intangible assets |
6,063,895 |
||||||||
LISTED INVESTMENT |
|||||||||
Sanlam unit trusts |
5,442,565 |
5,442,565 |
5,442,565 |
||||||
Sanlam shares |
823,932 |
823,932 |
823,932 |
||||||
Old mutual shares |
120,475 |
120,475 |
120,475 |
||||||
Sanlam unit trusts |
5,442,565 |
5,442,565 |
5,442,565 |
||||||
UNLISTED INVESTMENT |
|||||||||
Investments in controlled entities |
2 |
1 |
1 |
2 |
4. The National Health Laboratory Service valuation for current and non-current assets and investments as at 31March 2017:
(a) Detailed breakdown |
(b) valuation |
(aa) Listed assets |
bb) Unlisted investments |
0-3 months |
3-6 months |
6-12 months |
>12 months |
||
(aaa) Directly held |
(bbb) Indirectly held |
(aaa) Directly held |
(bbb) Indirectly held |
||||||
CURRENT ASSETS |
|||||||||
Inventories |
116,843 |
116,843 |
|||||||
Trade and other receivable |
1,719,404 |
1,719,404 |
|||||||
Cash and Cash equivalent |
391,976 |
391,976 |
|||||||
NON-CURRENT ASSETS |
|||||||||
Property, plant and equipment |
541,937 |
||||||||
Intangible assets |
109,841 |
END.
30 October 2017 - NW3050
Thembekwayo, Dr S to ask the Minister of Health
(a) Since the beginning of the 2017-18 financial year, what number of patients were attended to (i) at each public hospital and (ii) at each public clinic and (b) what was the reason of each patient’s visit?
Reply:
(a) A total of 8 733 556 patients were attended to at public hospitals and 38 035 852 were attended at public clinics from 1 April 2017 to 31 August 2017. The breakdown of patients by the type of public health facility is reflected in the following table.
(i) |
Public Hospitals Visits |
||||||
OPD headcount |
TOTAL |
||||||
National |
Facility-Type |
Apr-17 |
May-17 |
Jun-17 |
Jul-17 |
Aug-17 |
|
za South Africa |
District Hospital |
635957 |
742927 |
650971 |
689568 |
738522 |
3 457 945 |
National Central Hospital |
294064 |
346570 |
341103 |
333093 |
360698 |
1 675 528 |
|
Provincial Tertiary Hospital |
234647 |
288300 |
255631 |
265197 |
290240 |
1 334 015 |
|
Regional Hospital |
406714 |
469484 |
446894 |
452170 |
490806 |
2 266 068 |
|
|
|
|
|
|
|
|
8 733 556 |
(ii) |
|||||||
Public Clinic Visits |
|||||||
National |
Facility-Type |
PHC headcount |
TOTAL |
||||
za South Africa |
|
Apr-17 |
May-17 |
Jun-17 |
Jul-17 |
Aug-17 |
|
|
|
|
|
|
|
|
|
Mobile Service |
408463 |
577930 |
513175 |
521767 |
594258 |
2 615 593 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||
|
Clinic |
5897683 |
7528698 |
7261529 |
7025627 |
7706722 |
35 420 259 |
|
|
|
|
|
38 035 852 |
(b) Honourable Member, I cannot disclose patients confidential information to you, unless you bring a certified copy of the a signed consent from each of them
END.
30 October 2017 - NW3002
King, Ms C to ask the Minister of Health
(1)What is the (a) total amount that was paid out in bonuses to employees in his department and (b) detailed breakdown of the bonus that was paid out to each employee in each salary level in the 2016-17 financial year; (2) what is the (a) total estimated amount that will be paid out in bonuses to employees in his department and (b) detailed breakdown of the bonus that will be paid out to each employee in each salary level in the 2017-18 financial year?
Reply:
(1) There are no bonuses paid yet for the National Department of Health for the financial year 2016/17. The Performance Assessment process is currently underway and the final amount to be paid for bonuses will only be determined once concluded before the end of December 2017 as stipulated in terms of the Public Service Regulation 2016, regulation 72 (9);
(2) The estimated budgeted amount for the Performance Management and Development System (PMDS) cost for 2017/18 is 2% of the wage bill. There is no indication yet on how much of the estimated amount will be paid for bonuses.
END.
30 October 2017 - NW2796
Thembekwayo, Dr S to ask the Minister of Health
What amount is his department paying to a certain company (name furnished) for the contract to provide radiotherapy to cancer patients in Kwa-Zulu Natal?
Reply:
The KwaZulu-Natal Department of Health agreed on a fixed fee structure to see between 51-75 patients in a month for a maximum of six (6) months at a cost of R56 422 per patient.
The following services will be provided by the service provider:
- Facility and Oncologist fee.
- Number of treatments per patient: 20 Days or once a week for four (4) consecutive weeks depending on treatment protocol; 50:50 split is envisaged.
- Transport for patients between facilities and Richards Bay Medical Institute.
- Radiation treatment to be provided include stereotatic for 2% of population seen, 3D single for 20% of the population, 3D Multiple for 70%, IMRT for 6% and Electron-manual for 2% of population seen.
Furthermore, if patients exceed or are below the figure agreed upon then a process is in place to charge accordingly.
END.
30 October 2017 - NW2737
Topham , Mr B to ask the Minister of Health
(a) What is the total number of vacancies that currently exists across the public healthcare system, (b) what are the salary levels of the specified vacancies and (c) what amount in remuneration packages will be neededto fill the specified vacancies?
Reply:
According to the human resources records drawn from Vulindlela as updated on 30 September 2017, the total number of vacant posts that currently exist across the public healthcare system is 37 986 (b) The Salary levels of the specified vacancies range between Salary level 3 to 12 for Administrative Posts, 13 to 16 Senior Management Posts and different Occupational Specific Dispensation Levels. (c) The average amount that would be required to fill all the listed posts above is R10 633 796 279.05.
Summary of calculation per province:
PROVINCE |
Number of Posts |
Range of Salary levels |
Averaged remuneration amount required to fill the posts |
North West |
4281 |
Level 3 to 16 and OSD Posts |
R1 108 523 766,15 |
Limpopo |
686 |
Level 3 to 16 and OSD Posts |
R145 154 768,45 |
Western Cape |
1813 |
Level 3 to 16 and OSD Posts |
R522 462 877,45 |
Northern Cape |
980 |
Level 3 to 16 and OSD Posts |
R309 585 602,00 |
National DoH |
223 |
Level 3 to 16 and OSD Posts |
R93 842 380,00 |
Mpumalanga |
2179 |
Level 3 to 16 and OSD Posts |
R501 863 797,20 |
KwaZulu- Natal |
5177 |
Level 3 to 16 and OSD Posts |
R1 919 464 376,45 |
Gauteng |
5359 |
Level 3 to 16 and OSD Posts |
R1 540 808 598,40 |
Free State |
4185 |
Level 3 to 16 and OSD Posts |
R11858589930,00 |
TOTAL |
37986 |
Level 3 to 16 and OSD Posts |
R10 633 796 279,05 |
END.
30 October 2017 - NW2716
Mileham, Mr K to ask the Minister of Health
Whether any cases of human prion disease were reported (a) in each of the past three financial years and/or (b) since 1 April 2017; if so, (i) what number of cases were reported, (ii) where was the disease reported, (iii) what was the cause in each case and (iv) what preventative action was taken to prevent further transmission of the disease in each case?
Reply:
No cases of human prion disease have been reported to the Department during the period in question.
END.
30 October 2017 - NW2713
Jooste, Ms K to ask the Minister of Health
How many (a) adults and (b) children received post-exposure prophylaxis treatments in each province (i) in the (aa) 2014-15, (bb) 2015-16 and (cc) 2016-17 financial years and (ii) since 1 April 2017?
Reply:
The table below snows the total number of clients who received sexual assault prophylaxis disaggregated per province, data is not collected separately for adults and children, to prevent HIV infection.
With regard to the period April 2017 to June 2017 the data element is not included in the National Indicator Data Set (NDIS)
PROVINCE |
2014/15 |
2015/16 |
2016/17 |
Eastern Cape |
5,511 |
4,923 |
4,390 |
Free State |
2,224 |
1,839 |
1,853 |
Gauteng |
5,585 |
4,998 |
8,103 |
KwaZulu Natal |
5,008 |
5,024 |
4,597 |
Limpopo |
3,612 |
3,213 |
2,882 |
Mpumalanga |
2,829 |
2,277 |
2,346 |
North West |
700 |
1,970 |
1,747 |
Northern Cape |
3,243 |
770 |
676 |
Western Cape |
3,243 |
3,122 |
3,374 |
RSA |
31,010 |
28,136 |
29,968 |
END.
30 October 2017 - NW2172
Steenkamp, Ms J to ask the Minister of Health
(a) What system is currently in place pertaining to patient file management in (i) public hospitals and (ii) clinics and (b) how does this system work?
Reply:
(a) (i) Each Provincial Department of Health has a Patient Records Management system that includes the management of Patient Files in public hospitals. Most public hospitals are using a paper-based patient file management system with the file number linked to the Patients Date of date of birth.
(ii) As from 2015 the National Department of Health in partnership with Provincial Departments of Health has implemented a system to standardise the patient file management system and patient administration in 540 primary health care facilities in the NHI Pilot Districts. Provincial Departments of Health are in the process of expanding this to primary health care facilities external to the NHI Pilot Districts.
(iii) The System consists of the following components:
1. Rationalise the number of Reception areas in the facility to one reception area;
2. Installation of Bulk Steel Filing Cabinets that can lock and are compliant with the minimum standards for the safe storage of documentation and allow for the fast retrieval of files;
3. The Department of Health has developed an electronic software that allows for a computer-generated Patient Folder number that is Facility Specific, gives the indication of where the Folder should be filed and retrieved in or from the bulk filing cabinet and allows for the Uniform Implementation of the Patient File Management System in the different PHC Facilities;
4. The Department, through an 18-month process of consultation and testing, has developed a Standardised Patient Folder in the form of a Booklet for Patients using PHC facilities. Separate standardised Patient Folders for Male, Female and Children has been developed and has been implemented at facilities.
END.
30 October 2017 - NW2171
Steenkamp, Ms J to ask the Minister of Health
Which public (a) hospitals, (b) clinics currently have a shortage of (i) medical equipment and (ii) consumables and (c) what is the extent of this?
Reply:
Honourable Member, your question is too generalised and makes it impossible to know what you want.
What specific equipment are you talking about? What specific consumables are you talking about?
On what day are you referring to such consumables because this is never static?
END.
30 October 2017 - NW2169
Dreyer, Ms AM to ask the Minister of Health
(a) What is the total number of claims of medical negligence that have been instituted against his department (i) in the (aa) 2014-15, (bb) 2015-16 and (cc) 2016-17 financial year and (ii) since 1 April 2017, (b)(i) what is the (aa) nature and (bb) total amount paid for medical negligence claims against his department in (aaa) settlement agreements (bbb) court orders in each financial year?
Reply:
The following tables reflect the details in this regard.
Table 1.
2014/15 |
PROVINCE |
NUMBER OF MEDICO- LEGAL CLAIMS |
NATURE OF THE CLAIM |
TOTAL AMOUNT PAID FOR MEDICO- LEGAL CLAIMS |
TOTAL AMOUNT PAID FOR MEDICO- LEGAL CLAIMS BY WAY OF SETTLEMENT AGREEMENTS |
TOTAL AMOUNT PAID FOR MEDICO- LEGAL CLAIMS BY WAY OF COURT ORDERS |
Eastern Cape |
450 |
Maternity cases Orthopaedic cases |
R73 703 837.58 |
- |
- |
Free State |
44 |
Cerebral Palsy, Wrong diagnosis/medication, Surgical complications |
R15 090 000.00 |
R190 000.00 |
R14 900 000.00 |
Gauteng |
396 |
Cerebral Palsy Botched operations Amputations Hysterectomy Spine complications Anaesthetic Deaths Retinopathy of premature (ROP) Uninformed consent |
R 154 480 155.61 |
0 |
R 154 480 155.61 |
KwaZulu Natal |
176 |
Obstetrics & Gynaecology Surgical Orthopaedic |
R102 626 616.05 |
||
Limpopo |
93 |
Cerebral Palsy Orthopaedics Surgical Obstetric& Gynaecology |
0 |
0 |
0 |
Mpumalanga |
149 |
Maternity cases Orthopaedic cases |
R 2 773 768.00 |
R 280 000.00 |
R 2 493 768.00 |
North West |
53 |
Maternity cases Orthopaedic cases |
R 19 978 582.84 |
R 19 978 582.84 |
0 |
Northern Cape |
4 |
Cerebral Palsy Surgical |
R80 000.00 |
R80 000.00 |
Nil |
Western Cape |
197 |
Medical malpractice claims |
R 22 587 000.00 |
R 22 587 000.00 |
Nil |
TOTALS |
1562 |
R391 319 960.08 |
R20 528 582.84 |
R171 873 923.61 |
2015/16 |
|||||
PROVINCE |
NUMBER OF MEDICO- LEGAL CLAIMS |
NATURE OF THE CLAIM |
TOTAL AMOUNT PAID FOR MEDICO- LEGAL CLAIMS |
TOTAL AMOUNT PAID FOR MEDICO- LEGAL CLAIMS BY WAY OF SETTLEMENT AGREEMENTS |
TOTAL AMOUNT PAID FOR MEDICO- LEGAL CLAIMS BY WAY OF COURT ORDERS |
Eastern Cape |
524 |
Maternity cases Orthopaedic cases |
R147 882 433.20 |
- |
- |
Free State |
40 |
Cerebral Palsy, Wrong diagnosis/medication, Surgical complications |
R20,614,459.59 |
R70,000.00 |
R20,544,459.59 |
Gauteng |
330 |
Cerebral Palsy Botched operations Amputations Hysterectomy Spine complications Anaesthetic Deaths Retinopathy of premature (ROP) Uninformed consent |
R433 336 588.66 |
0 |
R 433 336 588.66 |
KwaZulu- Natal |
210 |
Obstetrics & Gynaecology Surgical Orthopaedic Paediatric |
R75 752 135.62 |
||
Limpopo |
122 |
Cerebral Palsy Orthopaedics Surgical Obstetric& Gynaecology |
R6 883 452.00 |
R50 000.00 |
R6 783 452.99 |
Mpumalanga |
168 |
Maternity cases Orthopaedic cases Mental Health care user case |
R 14 538 941.92 |
R 737 249.00 |
R 13 801 692.92 |
Northern Cape |
9 |
Cerebral Palsy Surgical |
R70 000.00 |
R70 000.00 |
Nil |
North West |
126 |
Maternity cases Orthopaedic cases |
R 14 147 274.00 |
R 7 696 946.00 |
R 6 450 328.00 |
Western Cape |
203 |
Medical malpractice |
R 17 641 080.30 |
R 17 641 080.30 |
Nil |
TOTALS |
1 732 |
R730 866 365.29 |
R26 265 275.30 |
R480 916 522.16 |
2016/17 |
|||||
PROVINCE |
NUMBER OF MEDICO- LEGAL CLAIMS |
NATURE OF THE CLAIM |
TOTAL AMOUNT PAID FOR MEDICO- LEGAL CLAIMS |
TOTAL AMOUNT PAID FOR MEDICO- LEGAL CLAIMS BY WAY OF SETTLEMENT AGREEMENTS |
TOTAL AMOUNT PAID FOR MEDICO- LEGAL CLAIMS BY WAY OF COURT ORDERS |
Eastern Cape |
424 |
Maternity cases Orthopaedic cases |
R218 784 980.55 |
- |
- |
Free State |
44 |
Cerebral Palsy, Wrong diagnosis/medication, Surgical complications |
R32,997,664.87 |
R1,190,000.00 |
R31,807,664.87 |
Gauteng |
521 |
Cerebral Palsy Botched operations Amputations Hysterectomy Spine complications Anaesthetic Deaths Retinopathy of premature (ROP) Uninformed consent |
566 900 336.00 |
0. |
566 900 336.00 |
KwaZulu- Natal |
138 |
Obstetrics & Gynaecology Surgical Oncology Urology Ophthalmology |
R241 926 630.19 |
||
Limpopo |
218 |
Cerebral Palsy Orthopaedics Surgical Obstetric& Gynaecology |
R74 174 281.15 |
R11 583 685.00 |
R62 590 596.15 |
Mpumalanga |
220 |
Maternity cases Orthopaedic cases Mental Health care user case |
R 33 274 495.67 |
R 1 696 687.00 |
R 31 577 808.67 |
Northern Cape |
32 |
Cerebral Palsy Surgical |
R 70 000.00 |
R 70 000.00 |
Nil |
North West |
72 |
Maternity cases Orthopaedic cases |
R 48 198 000.00 |
R 27 957 629.96 |
R 20 240 370.04 |
Western Cape |
265 |
Medical malpractice |
R 17 426 356.96 |
R 17 426 356.96 |
R20,000,000.00 |
TOTALS |
1934 |
R1 233 752 745.39 |
R59 924 358.92 |
R733 116 775.73 |
|
2017/18 |
|||||
PROVINCE |
NUMBER OF MEDICO- LEGAL CLAIMS |
NATURE OF THE CLAIM |
TOTAL AMOUNT PAID FOR MEDICO- LEGAL CLAIMS |
TOTAL AMOUNT PAID FOR MEDICO- LEGAL CLAIMS BY WAY OF SETTLEMENT AGREEMENTS |
TOTAL AMOUNT PAID FOR MEDICO- LEGAL CLAIMS BY WAY OF COURT ORDERS |
Eastern Cape |
|||||
Free State |
26 |
Cerebral Palsy, Wrong diagnosis/medication, Surgical complications |
R13,650,000.00 |
R13,500,000.00 |
R150,000.00 |
Gauteng |
90 |
Cerebral Palsy Botched operations Amputations Hysterectomy Spine complications Anaesthetic Deaths Retinopathy of premature (ROP) Uninformed consent |
R 46 604 718.99 |
0 |
R 46 604 718.99 |
Kwazulu- Natal |
- |
Obstetrics & Gynaecology Surgical Oncology Urology Ophthalmology |
R134 436 666.80 |
||
Limpopo |
116 |
Cerebral Palsy Orthopaedics Surgical Obstetric& Gynaecology |
R1 243 160.00 |
R265 000.00 |
R978 160.00 |
Mpumalanga |
80 |
Maternity cases Orthopaedic cases Mental Health care user case |
R 25 947 455.00 |
R 310 000.00 |
R 25 673 455.00 |
Northern Cape |
11 |
Cerebral Palsy Surgical |
Nil |
Nil |
Nil |
North West |
37 |
Maternity cases Orthopaedic cases |
R25 119 377.36 |
R 24 470 641. 36 |
R 648 736.00 |
Western Cape |
|||||
TOTALS |
360 |
R247 001 378.15 |
R38 545 641.36 |
R74 055 069.99 |
END
30 October 2017 - NW2167
James, Ms LV to ask the Minister of Health
(1)(a) What is the total number of public (i) hospitals and (ii) clinics that currently have broken medical machinery and (b) what are the relevant details in each case, in particular with regard to how long the specified machines have been broken; (2) whether his department has received any quotations to fix the machines; if so, what are the relevant details of the amounts quoted in each case?
Reply:
Honourable Member, what actually do you mean by broken medical machinery? There is so much equipment in every corner of every hospital that can be called "machinery". May you please help me by specifying.
END.
22 September 2017 - NW2540
Steenkamp, Ms J to ask the Minister of Health
(1)What number of ambulances that are operated by the (i) province and (ii) Ekurhuleni Metropolitan Municipality are operating within the boundaries of the Ekurhuleni Metro Municipality; (2) (a) what is the maximum number of people one ambulance is supposed to service and (b) how many people live within the boundaries of the Ekurhuleni Metropolitan municipality; (3) with regard to the standards of compliance, what (a) is the (i) minimum number of people that are supposed to be operating an ambulance at any given time and (ii) basic equipment that is supposed to be on an ambulance at all times and (b) are the other relevant details of any other standard of compliance?
Reply:
(1) EMS in Ekurhuleni Metropolitan Municipality is provided at provincial level by Gauteng Emergency Medical Services as well as at local government level by Ekurhuleni Metropolitan Municipality.
(i) An average of 25 of a total pool of 45 ambulances owned and managed by Gauteng Department of Health Provincial EMS are operational per shift for specific functions within Ekurhuleni Metropolitan Municipality.
(ii) An average of 63 of a pool of 167 ambulances are operational per shift within the boundaries of Ekurhuleni Metropolitan Municipality - 83 of the 167 ambulances are owned by Gauteng Department of Health Provincial EMS and 84 of the 167 are owned by Ekurhuleni Metropolitan Municipality. The day-to-day operations of these vehicles are managed by Ekurhuleni Metropolitan Municipality.
The total combined fleet available for operations within Ekurhuleni Metropolitan Municipality is 212.
(2) (a) The national normative ratio (which is used as a guide) is one ambulance per 10 000 people (1:10 000);
(b) The number of people in Ekurhuleni Metropolitan Municipality is estimated at 3 178 470 as per StatsSA June 2016
(3) (a) (i) The minimum number of registered EMS personnel to work on an ambulance is two (2);
(ii) The basic equipment that is supposed to be on an ambulance at all times is as per Annexure A;
(b) In terms of the Health Professions Act of 1974 all personnel are required to practice within their respective scopes of practice as per their registration categories. All personnel must hold a valid Professional Driving Permit (PDP) and all ambulances are required to be registered as such in terms of the National Road Traffic Act. Furthermore, all Emergency Medical Service providers will be required to comply with the Emergency Medical Services Regulations when promulgated by the Minister of Health. The EMS Regulations prescribe the application and accreditation processes, as well as the minimum standard of staffing and equipments for all categories of pre-hospital vehicles in South Africa in both public and privates services.
END.
22 September 2017 - NW2439
Singh, Mr N to ask the Minister of Health
Whether, with reference to the 2017 Division of Revenue, any allocation has been directly or indirectly made by his department through a transfer of funds to the provincial Department of Health in KwaZulu-Natal for the specific purpose of funding posts at the Nelson Mandela medical school in KwaZulu-Natal; if not, why not; if so, what are the relevant details?
Reply:
Neither the Health Professions Training and Development Grant (HPTDG) nor the National Tertiary Services Grant (NTSG) in the Division of Revenue Act (DORA) makes provision to fund Higher Education Institutions, but rather funds hospitals under the Department of Health.
There is no allocation made to KwaZulu-Natal Medical School through either direct or indirect Conditional Grants transfers. This is due to the fact that there is currently no provision in any health sector conditional grant framework allowing the Health Department to fund the medical schools.
Medical Schools are funded from other funding streams, currently the Equitable Share.
END.