Questions and Replies

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19 April 2024 - NW840

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Hicklin, Ms MB to ask the Minister of Health

(1)(a) What total amount is outstanding for accruals at the Chris Hani Baragwanath Hospital and (b) for how long has the specified amount been outstanding; (2) what number of service providers have not been paid within the prescribed requirement of 30 days?

Reply:

1. (a) Total amount outstanding for 2023/24 financial year on accruals sits at R210,711,150.55;

(b) More than 30 Days to over 121 Days.

2. 357 suppliers have not been paid within the prescribed requirement of 30 days.

END.

19 April 2024 - NW835

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Clarke, Ms M to ask the Minister of Health

(1)What total (a) number of cases of corruption has each provincial health department recorded and (b) amount of funds have been lost to corruption in each case since 1 January 2023; (2) whether there have been any investigations that were conducted regarding the specified cases; if not, why not; if so, what (a) consequence management measures have been taken as a result and (b) are the further relevant details; (3) whether his department opened any criminal cases because of such investigations; if not, why not; if so, what are the relevant details?

Reply:

The Table below reflects the details in this regard, according to the Provincial Departments of Health.

PROVINCE

Part 1 - CASES OF CORRUPTION

Part 2 - INVESTIGATIONS PROCESS

Part 3 - OPENING OF CRIMINAL CASES

Eastern Cape

a) number of cases is fifteen (15)

b) amount of funds have been lost has not yet been quantified.

a) consequence management

  • Out of the fifteen cases (15), four (4) cases have been concluded, three (3) cases are still under investigation. There is one (1) case in which there was insufficient evidence to substantiate the allegations of corruption. The remaining 7 cases the investigation process is underway.
  • The department has initiated legal proceedings on the matter that relates to the issuing of fraudulent medical certificates (Case 03/2023 ECDOH).

Limpopo

a) number of cases is eight (8)

b) amount involved is R1, 265, 418.

a) consequence management

  • Of the eight cases investigation, seven (07) cases are complete while investigation on one (1) case is still underway.
  • Fraud allegations on the three (03) cases could not be proved as a result they were closed. On the remaining four (04), internal disciplinary process is underway.
  • Only two (2) cases have been reported to the police.

Northern Cape

a) number of cases is one (1)

b) amount of funds is R10 000 which the official accepted as a bribe.

a) consequence management

The disciplinary process was instituted against the affected official and a sanction of three (3) months suspension without salary and a final written warning pronounced.

Yes, the case was reported to SAPS. (Hartswater) Case no. Case 88/04/2019. The matter went to court and the official was found guilty and a fine of R 120 000.00 or three (3) years imprisonment. Furthermore, the two (2) years of the sentence was suspended for 5 years.

KwaZulu-Natal

a) number of cases is six (06)

b) amount involved that is R282 191,00

a) consequence management

  • Officials involved have been subjected to disciplinary processes.
  • An amount R138 741 was recovered.

One (01) criminal case has been opened and the Department intends to register more criminal cases upon proving the allegations of corruption.

Western Cape

a) There is one (1) case that was reported.

b) Amount of funds involved could not be qualified (it relates that amount that was supposed to be levied against the service provider).

a) consequence management

  • The official has been suspended.
  • Investigation Officer appointed and disciplinary hearing follow.

Yes, SAPS case number SCI Equiry 04/03/2023

Mpumalanga

a) There are two (2) cases that are reported.

b) Financial loss not yet qualified.

a) consequence management

  • The investigation process not yet finalised

No criminal case that has been opened as the investigation is still underway.

Northwest

a) None

b) None

a) consequence management

  • None

None

Free State

a) Number of cases were reported are eight (8).

b) Amount involved is that.

R 2 806 141.66

a) consequence management

  • Two (2) employees were dismissed.
  • Four (4) resigned pending disciplinary process.
  • Two (2) employees are undergoing disciplinary process

Yes,

  • Three (3) cases are under investigation by SAPS.
  • Five are prosecution level

Gauteng

a) There are six (6) cases that are reported.

b) The amount involved is not yet qualified.

a) consequence management.

  • The investigations are underway as a result no consequence management that have been implemented.

None

END.

19 April 2024 - NW818

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Tito, Ms LF to ask the Minister of Health

Whether he has been informed that the Betty Gaetsewe Clinic in Kimberley in the Northern Cape is turning away patients without them being attended to, due to nursing staff shortages; if not, why not; if so, what steps will he take in this regard?

Reply:

According to the Northern Cape Department of Health, Betty Gaetsewe Clinic has seven Professional Nurses, sufficient to run the facility according to Workload Indicator for Staffing Needs(WISN) prescripts. On the day of the incident, 22 February 2024, which may have left an impression that patients’ are turned away, three professional nurses were booked off sick. In addition another nurse was out in the field with the Human Papilloma Virus Vaccination campaign, while another was on annual leave. The number of professional nurses was thus reduced to three.

When the health district became aware of the situation, it seconded one professional nurse from Galeshewe Day Hospital to work at the clinic for a period of two weeks to mitigate the challenge. The number of professional nurses increased to four on that particular day and going forward.

The situation has since returned to normal.

END.

19 April 2024 - NW837

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Clarke, Ms M to ask the Minister of Health

(1) What are the relevant details of the strategy of (a) his department and (b) each provincial department to protect whistle blowers; (2) whether he will furnish Mrs M O Clarke with his department’s (a) approved Fraud Prevention Plan and (b) Whistle Blowing Policy Statement; if not, why not; if so, what are the relevant details; (3) whether the (a) Fraud Prevention Plan and (b) Whistle Blowing Policy Statement were adopted and implemented nationally and in each province; if not, what is the position in each case; if so, what are the relevant details; (4) what are the relevant details of the full report on the outcomes of the strategy of (a) his department and (b) each provincial department to protect whistle blowers?

Reply:

The Table below reflects the details in this regard, according to the Provincial Departments of Health:

PROVINCE

RESPONSE

KwaZulu-Natal

1. (a)

  • The allegations that are received from the whistle blowers in KwaZulu-Natal Department of Health are treated as “Anonymous” complainants in order to protect the identity of the whistle blower throughout the investigation process. Should the investigation reveal that there are elements criminality that needs to be reported to South African Police Service (SAPS), the Department will report the matter to SAPS and serve as the complainant based on the investigation findings and this will be done without making any reference to the whistle blower.
 

2. Yes, approved copy is available.

b) Yes, approved copy is available.

 

3.Ta) he Department has an approved Fraud Prevention Strategy that has its implementation plan, the Whistleblowing Policy stipulates that irrespective of whether the reporting person chooses to disclose or not, their identity, the Minimum Information Security Standard (MISS) shall be always exercised, and information shall be communicated on a “need to know basis”.

b) Fraud Prevention governance documents were adopted by the relevant policy steering committees and subsequently approved by the Head of Department, they are being rolled during the continuous Fraud Prevention Awareness workshops for implementation and adherence by all officials of the Department.

 

4. The KwaZulu-Natal Department of Health has a responsibility to protect the whistle blowers by ensuring that their identity remains confidential. The strategy is being communicated to all officials of the Department, through various channels of communication.

Mpumalanga

1(a) In the Department there are guidelines which are issued in terms of the Protected Disclosures Act, 2000 (Act 26 of 2000), and are aimed at assisting and protect employees who wish to disclose certain information. Employees who are reporting suspected cases of fraud and/or corruption are protected from retribution, vilification, or other consequences pursuant to the terms of the Department fraud and corruption.

 

2. Yes, Mpumalanga Department of health has an approved Fraud Prevention Plan.

a) Yes, Mpumalanga Department of health has an approved Whistle Blowing Policy.

 

3.

a) Fraud Prevention Plan was adopted and implemented by the Mpumalanga Department of Health and Risk Management unit regularly conducts training workshops on Fraud and prevention plan.

b) Whistle Blowing Policy was adopted and implemented by the Mpumalanga Department of Health and Risk Management unit regularly conducts training workshops on Whistle Blowing Policy Statement.

 

4.

a) The Department does not have a full report with details on the outcomes of the strategy to protect whistle blowers however, the Department depends entirely on the Protected disclosure Act, 26 of 2000 that make provision for protection of employees.

Limpoppo

1. (a) The department has developed and implements the “Whistle Blowing Policy” and the underlying pillars of the policy to protect the Whistle blowers are:

  • The whistleblowers are afforded option to report anonymously.
  • The Whistleblowers’ identity is being protected at all times.
 

2. The department has approved Fraud Prevention Plan.

a) The department has approved Whistle Blowing Policy.

 

3. a) Fraud Prevention Plan was adopted and implemented.

b) Whistle Blowing Policy was adopted and implemented.

 

4. Every effort is to ensure that the whistle blowers are protected and that their identity remains confidential.

Western Cape

4. (a) The department has a Whistle-blowing Policy document and there are relevant Annexures

in place which supports the implementation of the Policy.

 

2. 

(a) The department has approved Fraud Prevention Plan which is implemented.

(b) The department has approved Whistle Blowing Policy which is implemented

 

3. 

  • The Western Cape Department of Health and Wellness has adopted and implemented a Fraud Prevention Plan and Whistle Blowing Policy. The department issued Finance Circular: FAC6/2023 in which the Fraud Prevention Strategy was pronounced during September 2023. The Department will reissue a Fraud Circular annually with the most up to date polices.
 

4. 

  • The Western Cape Department of Health and Wellness is unable to provide such a report as the majority of referrals related to suspected fraud, theft and corruption are reported directly through the Provincial Forensic Services (PFS) in line with the provision of the Whistleblowing Policy)

Free State;

(1)

  • The department has an approved Whistle-blowing Policy in place.
 

(2)

(a) The department has approved Fraud Prevention and Implementation Plan.

(b) The department has approved Whistle Blowing Policy and Implementation Procedure.

 

(3) Both the Fraud Prevention Policy – Implementation Plan and the Whistle Blowing Policy were approved I the current financial year (2023-2024)

4. None

Gauteng,

1. 

  • The process of development of a Whistleblowing in Gauteng is coordinated at the Office of the Premier, however the has department developed a guiding Draft Whistleblowing Policy which seeks to comply with Section 6(2) of the Protective Disclosures Act (PDA), that provides practice in terms of reporting and the investigation of wrong-doing and ensuring protection to those who employees who disclose.
 

2. 

  • Gauteng Department of Health's witness protection intent currently incorporated in the Draft Whistle Blowing Policy Draft, however a Whistle Blowing Policy Statement will be officially adopted before the end of the current end of the term.
 

3)

  • a) Since the implementation of the current interim Whistle Blowing arrangements, only two (2) cases were reported of officials being threatened and both the source of threats emanated from externally. In both instances the individuals involved had displayed confidence in the Department's commitment in protecting them.
  • 4) the current interim arrangements in place have proven to be adequate, whilst awaiting finalization of the Witness Protection Policy, that is being coordinated at the Office of the Premier.
 

4. 

a) None

Northern Cape;

 

Northwest;

(1)

a) Reporters are protected in terms of Protected Disclosures Act and the departmental whistle blowing policy from any form of detriment.

 

(2)

(a) Approved Fraud prevention policy and strategy for 2023/2024 are readily available.

(b) Whistle blowing policy for 2023/2024 financial year is readily available.

 

(3)

(a) Fraud Prevention Policy and strategy were approved and implemented throughout the

department.

b) Whistle blowing policy was approved and implemented throughout the department

 

(4)

  • Reporters are protected in terms of Protected Disclosures Act and the departmental policy from any form of detriment.

Eastern Cape

 

National

1. (a)

  • The National Department of Health is in collaboration with stakeholders such as Special Investigation Unit (SIU) and United Nations Office on Drugs and Crime (UNODC) and the risk assessment was conducted which determined the need for whistle-blower protection or to strengthen the current exiting measures and mechanisms in the health Sector and the processes were enhanced through the above risk assessment. There NDoH has number strategies which are line national laws and policy frameworks that protect the whistle-blower, and they are reviewed, when necessary, especially when there is legislative framework.

The Health Sector Anti-Corruption Forum (HSACF) is playing a critical role in eradicating corruption and the protection of whistle blowers.

 

2.

(a) The NDoH has the following strategic documents in place:-

  • Fraud Prevention Long Term Plan;.
  • Fraud Prevention Policy;
  • Fraud Prevention Strategy; and
  • Fraud Investigation Procedure
 

3. Both the Fraud Prevention Plan and Whistle Blowing Policy were adopted and subsequently approved by the Accounting Officer.

 

4. 

  • It is common practice that upon finalizing any collaborative assignment, it is incumbent and becomes essential that the National Department of Health and its stakeholders share the good practice through available mechanisms by adopting a comprehensive approach to benefit the public and interested parties

END.

19 April 2024 - NW839

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Hicklin, Ms MB to ask the Minister of Health

Whether the National Health Laboratory Service analysed any substances relating to Fentanyl; if not, what is the position in this regard; if so, what (a) total number of such tests has been done since 1 January 2023 and (b) number of the tests were positive?

Reply:

According to the National Health Laboratory Service (NHLS):

a) The Forensic Chemistry Laboratory has done one Fentanyl test since 01 January 2023.

b) The one test that was done was positive.

END.

19 April 2024 - NW838

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Hicklin, Ms MB to ask the Minister of Health

(1)What are the dates of the (a) finalisation and (b) implementation of the plan, which his department developed in collaboration with the UN Office of Drugs and Crime (UNODC), to establish a whistle-blowing protection and risk assessment and mitigation in the procurement system within the health sector; (2) whether the plan will be implemented in all provinces simultaneously; if not, why not; if so, what are the relevant details?

Reply:

a) The dates of finalisation and the implementation of the plan to establish a whistle-blowing protection and risk assessment and mitigation in the procurement system within the health sector could not be confirmed yet as the UN Office of Drugs and Crime (UNODC) is still in the process of workshopping provinces to assess their risks and development strategies to mitigate the identified risks in their respective provinces. So far only the Free State Province has taken the offer and is participating in the workshop, no other provinces have indicated their intention to participate yet.

b)  It is intended that the plan will be implemented after the workshops are completed.

END.

12 April 2024 - NW772

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Clarke, Ms M to ask the Minister of Health

(1)What is the current vacancy rate for each medical profession, including but not limited to (a) doctors, (b) nurses, (c) physiotherapists, (d) occupational therapists, (e) psychiatrists, (f) psychologists, (g) environmental health practitioners and (h) community health workers; (2) whether there are contingency plans in place for each of the units without functioning refrigerators; if not, what is the position in this regard; if so; what are the relevant details?

Reply:

1. The table below reflects vacancy rates as provided by provinces with the Nurses being a consolidated rate across the 3 different categories of nurses (namely: Professional, Registered and Assistant).

PROVINCIAL VACANCY RATES (%)

Category

EC

FS

GP

KZN

LP

MP

NC

NW

WC

Medical Officers

15.0

23.7

11.4

4.9

20.37

9.62

15.2

22.0

5.85

Nurses

9.0

26.5

11.2

11.2

2.96

8.0

17.4

39.0

7.39

Physiotherapist

18.0

38.8

11.0

10.4

2.03

7.0

11.8

26.0

1.73

Occupational Therapist

26.0

39.7

14.3

27.7

3.36

16.0

30.3

56.0

10.5

Psychologist

17.0

17.7

21.4

36.3

4.55

7.0

41.7

61.0**

9.90

Psychiatrist

20.0*

30.0*

 

15.4

87.9

73.0

50.0

50.0

8.89

Environmental Health Pract.

14.0

25.5

8.9

12.6

6.90

7.0

11.1

13.0

N/A

* Rate reflecting Medical Specialists combined

**Inclusive of the Vocational Counsellors

Community Health Workers are contract workers that are appointed on annual contract against abnormal appointments (extra ordinary staff) and vacancy rate not applicable. Furthermore, in the Western Cape the category is appointed through agency and NGO organisation and not accounted for directly under the department.

Provincial Departments are in the process of identifying positions which will be filled during the 2024/25 financial year through the Annual Recruitment Plan (ARP). Once the process is concluded and costed, within the available budget, provinces will be in a position to indicate which positions will be filled by when and recruit accordingly with adverts. There has also been ongoing communication with Provincial Departments of Health to establish the extent of the challenges experienced in this regard.

Table 1: Compensation of employees allocation to provinces

R Thousands

Financial Year

 

Programme

2023/24 Adjusted appropriation

2024/25 Revised Baseline

 

Eastern Cape

20 028 901

20 011 717

 

Free State

 8 961 049

 9 516 387

 

Gauteng

38 159 905

40 078 685

 

KwaZulu-Natal

33 031 152

32 976 479

 

Limpopo

16 441 824

17 351 170

 

Mpumalanga

10 927 652

11 706 368

 

Northern Cape

 3 767 510

 3 740 702

 

North west

10 567 007

11 281 207

 

Western Cape

17 340 851

18 055 309

 

 

 

 

 

Total

159 225 851

 164 718 024

 

END.

12 April 2024 - NW774

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Hicklin, Ms MB to ask the Minister of Health

What are the details of the types of surgery backlogs, including but not limited to elective surgeries (a) at each specified hospital (b) in each province?

Reply:

(1) Surgeries are conducted at the hospital level and every hospital monitors and maintains records of the number of patients awaiting surgery at all public hospitals in the Republic. Surgical backlogs numbers are not static. As provinces do operations, the numbers under each category and in each province change.

Province

Types of surgery backlogs

 

a) at each specified hospital

(b) in each province

Limpopo

Mankweng Hospital

  • Orthopaedic
  • Trauma of femur and Tibia
  • Paediatric surgery
  • Hernia Operations (Inguinal and Umbilical hernia
  • Plastic surgery
  • Cleft lips
  • Orthopaedic
  • Trauma of femur and Tibia
  • Paediatric surgery
  • Hernia Operations (Inguinal and Umbilical hernia
  • Plastic surgery
  • Cleft lips
  • Urology
  • Ear, Nose and Throat
  • General Surgery
  • Maxillofacial
  • Cardio thoracic
  • Orthopaedics
  • Neurosurgery
  • Paediatric cardiology
  • Radiation oncology
 

Polokwane Hospital:

  • Urology
  • Ear, Nose and Throat
  • General Surgery
  • Maxillofacial
  • Cardio thoracic
  • Orthopaedics
  • Neurosurgery
  • Paediatric cardiology
  • Radiation oncology
 

Province

Types of surgery backlogs

 

a) at each specified hospital

(b) in each province

Free State

Universitas hospital

  • General Surgery
  • Opthalmology
  • Urology
  • Orthopaedic
  • Ear, Nose and Throat
  • Urology
  • General Surgery
  • Opthalmology
  • Orthopaedic
  • Maxillo Facial and Oral Surgery
  • Obstetrics and Gynaecology
  • Ear, Nose and Throat
 

Pelonomi hospital

  • Urology
  • General Surgery
  • Orthopaedic
  • Maxillo Facial and Oral Surgery
  • Obstetrics and Gynaecology
 
 

Bongani hospital

  • General Surgery
  • Gynaecology Elective Surgery
  • Urology
  • Orthopaedic Elective Surgery
  • Orthopaedic Trauma
 
 

Boitumelo hospital

  • General Surgery
  • Elective Surgery
  • Orthopaedic Emergencies
  • Orthopaedic Electives
 
 

Dihlabeng hospital

  • General Surgery
  • Gynaecology Elective Surgeries
  • Opthalmology
  • Orthopaedic Trauma
  • Orthopaedic elective surgeries
 
 

Mofumahadi Manapo hospital

  • General Surgery
  • Elective Surgeries
 

Province

Types of surgery backlogs

 

a) at each specified hospital

(b) in each province

Kwa Zulu Natal

Prince Mshiyeni Hospital

  • General Surgery
  • Orthopaedics
  • Obstetrics and Gynaecology
  • Ophthalmology
  • General Surgery
  • Orthopaedics
  • Obstetrics and Gynaecology
  • Ophthalmology
 

Addington

  • General Surgery
  • Orthopaedics
  • Obstetrics and Gynaecology
 
 

Greys Hospital

  • General Surgery
  • Orthopaedics
  • Ophthalmology
 
 

Inkosi Albert Luthuli Hospital

  • Obstetrics and Gynaecology
 
 

RK Khan Hospital

  • Orthopaedics
  • Obstetrics and Gynaecology
 
 

RK Khan Hospital

  • Orthopaedics
  • Obstetrics and Gynaecology
 

Province

Types of surgery backlogs

 

a) at each specified hospital

(b) in each province

Mpumalanga

The hospitals that are affected by the backlogs are the following:

  • Rob Ferreira Tertiary Hospital
  • Witbank Tertiary Hospital
  • Themba Regional Hospital
  • Mapulaneng Regional Hospital
  • Ermelo Regional Hospital

Types of surgery backlogs

  • Orthopaedics
  • Gynaecology
  • General Surgery
  • Cataracts
  • Orthopaedics
  • Gynaecology
  • General Surgery
  • Cataracts

Northwest

Klerksdorp / Tshepong Hospital

  • Urology
  • Ophthalmology
  • Orthopaedic
  • Ear, Nose & Throat (ENT)
  • Neurosurgery
  • Urology
  • Ophthalmology
  • Orthopaedic
  • Ear, Nose & Throat (ENT)
  • Neurosurgery
  • General Surgery
  • Obstetrics and Gynaecology
 

Job Shimankana Tabane Hospital

  • Urology
  • Ophthalmology
  • Orthopaedic
  • Ear, Nose & Throat (ENT)
  • General Surgery
 
 

Potchefstroom Hospital

  • Ophthalmology
  • Orthopaedic
  • Ear, Nose & Throat (ENT)
  • Obstetrics and Gynaecology
  • Surgery
 
 

Mafikeng Provincial Hospital

  • Urology
  • Ophthalmology
  • Orthopaedic
  • General Surgery
  • Obstetrics and Gynaecology
 
 

Joe Morolong Memorial Hospital

  • Ophthalmology
  • General Surgery
  • Gynaecology
 
  • According to Gauteng Department of Health, the province does not have any backlogs.
  • The response from the Western Cape Department of health did not address the question that was asked.
  • Response from Eastern Cape and Northern Cape Provinces still outstanding.

END.

12 April 2024 - NW773

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Clarke, Ms M to ask the Minister of Health

What is the (a) total number of (i) toxicologists and (ii) analysts employed at each of the Forensic Chemistry Laboratories (FCLs), (b) vacancy rate at each of the FCLs and (c) average number of tests analysed (i) daily and (ii) monthly at each of the FCLs as at the latest specified date?

Reply:

a) According to the NHLS,

(i) the FCLs do not have toxicologists specifically appointed in their establishments. Instead, FCLs have analytical chemists who also perform the toxicology analyses. They are known as Forensic Analysts and are able to do toxicology tests because they possess and use the same skills / equipment to do the work as a toxicologist would do.

(ii) Analysts employed at each of the FCLs as follows:

FCL

Number of Forensic Analysts

Cape Town

Twenty-four (24) Forensic analysts in total. Of the twenty-four (24), eight (8) analysts are in the toxicology section.

Johannesburg

Thirty-six 36 Forensic analysts in total. Of the thirty-six (36), twenty-nine (29) are in the toxicology section.

Pretoria

Twenty-five (25) Forensic Analysts in total. Of the twenty-five (25), eleven (11) are in the toxicology section.

Durban

Eight (8) Forensic Analysts in total. Durban FCL will expand its service offering to include toxicology testing as soon as the laboratory has relocated to a larger and more suitable building.

 

b) The vacancy rates are as follows: Cape Town (4%), Durban (20%), Johannesburg (2%) and Pretoria (28%). In the calculation of the vacancy rate for the Pretoria FCL, ten new positions were included in the total staff establishment. These ten new positions were created to establish the new toxicology section at the Pretoria FCL. The new positions have been advertised and recruitment processes are underway.

c) (i) and (ii) The table below indicates the number of toxicology samples that were completed over the three months from 01 December 2023 to 29 February 2024 across the three laboratories that deliver toxicology testing services. The table also shows the monthly and daily averages achieved over this period. As indicated in the paragraphs below the table, the daily number of toxicology samples completed does not indicate productivity in the laboratories as tests run concurrently and completion periods vary.

Laboratory

Total completed over 3 months

Monthly average

Daily average

Cape Town

146

49

2

Johannesburg

431

144

7

Pretoria

243

81

4

Toxicology cases are allocated in batches of 15 cases per analyst per month. When cases are received for toxicology testing, the requesting pathologist does not always specify a specific substance to be tested for detection and quantification. Most cases that are received, require a general “screen” for various recreational or illicit drugs, pharmaceutical drugs, poisons, or other substances. Once a substance is detected, additional tests are required to confirm the presence of the substance and to quantify the amount of the substance that was detected.

If a new or rare (unusual) substance is detected through screening tests, a standard to confirm the substance must be procured. Some standards are procured from international suppliers and require special permits to be imported, resulting in delays in the process.

Each toxicology case that is registered in the laboratory may include a varying number of biological specimens that were taken during the autopsy and each specimen may require to be tested more than once or on different sets of instruments, depending on the test requirements. In the pre-analytic stage, specimens may require specialised preparation, depending on the tests that will be conducted.

As a result, it is difficult to quantify the number of toxicology tests that are processed in a day as tests run concurrently and completion periods differ vastly between cases.

END.

12 April 2024 - NW775

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Hicklin, Ms MB to ask the Minister of Health

(a) What is the total amount of accruals outstanding for each province, (b) for how long has this amount been outstanding in each case and (c) what is the total number of service providers not paid within the required 30 day period in each province?

Reply:

The following information is as received from the provinces.

PROVINCES

a) TOTAL AMOUNT OF ACCRUALS OUTSTANDING

b) AGEING - PERIOD THE AMOUNT BEEN OUTSTANDING IN EACH CASE

(C)TOTAL NUMBER OF SERVICE PROVIDERS NOT PAID WITHIN THE

REQUIRED 30-DAY PERIOD 2023/2024

R THOUSAND

2022/23 FY

2023/24FY (29 FEB 2024)

2022/23 FY

2023/24 FY

 

Eastern Cape

R4, 764, 773

R5,132,000

Current:

R1, 626, 945

More than 30 days

R3, 137, 828

Above 30 days R525,685

Above 60 days R268,465

Above 90 days R345,637

Above 120 days R2,746,364

534 suppliers

Free State

R682,362

R922,130

Current:

R369,764

More than 30 days

R312,598

>R621,746

< Above R300,383

3121 number of suppliers/ invoices were not paid within 30 days

Gauteng

R6, 827, 872

R5, 926, 667

Current:

R2, 040, 370

More than 30 days

R4, 787, 502

Above 30 days

R874, 366

Above 60 days

R618, 711

Above 90 days

R2, 928, 777

2, 099 number of suppliers

Kwazulu-Natal

R1, 838, 121

R1,694,242

Current:

R1, 548, 239

More than 30 days

R289, 882

R355,000 was more than 80 days overdue

514 service providers affected

Limpopo

R 767, 038

R 358 023

Current:

R718, 330

More than 30 days

R48, 708

1957 transactions amounting to R356 2667 are within 30 days.

40 outstanding transactions amounting to R1 756 are more than 30 days.

28 service providers were not paid within the required 30-day period.

Mpumalanga

R825, 870

R 87 081

Current:

R706, 780

More than 30 days

R119, 090

R952

1439 suppliers

Northern Cape

R514 622

R842 875

30 Days-R56 991

30+ Days R457 631

Current R153 429

Above 30 Days

R689 446

170 354 service providers

North West

R 959 137

R339,687 

Current:

R619, 450

More than 30 days

R339, 687

More than 30 days

R339,687 

4 330 suppliers

Western Cape

Accruals (A)

Payables (P)

R 589 529

R 289 746 (A)

R 299 783 (P)

R 135 622

R 88 093 (A)

R 47 528 (P)

R251 531 (A) (0-30days)

R 38 215 (A) (30+ days)

R293 951 (P) (0-30days)

R 5 832 (P) (30+ days)

R 31 535 (A) (0-30 days)

R 56 558 (A) (30+ days)

R 42 869 (P) (0-30 days)

R 4 659 (P) (30+ days)

1094 (for the period 1 April 2023- 29 February 2024)

(equates to 1.75% of all payments)

END.

12 April 2024 - NW796

Profile picture: George, Dr DT

George, Dr DT to ask the Minister of Health

With reference to the 2024-25 financial year, as per Budget Vote 18, what are the itemised details for each of the 28 individuals employed under Programme 2 of the National Health Insurance at salary levels 13 to 16, including their (a) respective salary level and (b) detailed job description for their roles?

Reply:

From the Department’s PERSAL records, there are 21 posts on salary levels 13 to 16. Of these posts, the NHI Branch has managed to fill ten (10).

a) The respective salary levels for each of the filled posts are shown in the column named ‘Notch’ of the table below.

b) Additionally, the Job Titles are listed in column 2 of the table. Detailed job descriptions for each post and key performance duties as were published in the advertisements for the posts are included as an annexure to this response.

 

POST JOB TITLE DESCRIPTION

FILLED/ VACANT

FILLED/ VACANT DATE

POST SALARY LEVEL

NOTCH

1

DEPUTY DIRECTOR-GENERAL: NHI

FILLED

20210606

15

1663581

2

TECHNICAL SPECIALIST: HEALTH ECONOMIST

FILLED

20180401

15

1817142

3

DIR: MEDICAL DEVICES & HEALTH TECHNOLOGY PROCUREME

FILLED

20230701

13

1268919

4

CD: SECTOR WIDE PROCUREMENT

FILLED

20230201

14

1371558

5

TECHNICAL EXPERT

FILLED

20130201

14

1476000

6

DIR: PHARMACEUTICAL ECONOMIC EVALUATION

FILLED

20110401

13

1306665

7

DIR: BUSINESS INTELLIGENCE & DATA ANALYTICS

FILLED

20230601

13

1306665

8

CHIEF DIRECTOR: HEALTH SYSTEM DIGITAL INFORMATION

FILLED

20230101

14

1433289

9

CD:USER & SERVICE PROVIDER MANAGEMENT

FILLED

20230915

14

1371558

10

CD: HEALTH CARE BENEFITS & PROVIDER PAYMENT

FILLED

20230904

14

1371558

END.

12 April 2024 - NW797

Profile picture: George, Dr DT

George, Dr DT to ask the Minister of Health

Whether, with the expectation of the additional roles being created within Programme 2 of the National Health Insurance over the Medium-Term Expenditure Framework period, he will detail the planned positions including the proposed salary level and job descriptions for each; if not, why not; if so, what are the further, relevant details?

Reply:

The National Department of Health requested the Minister of Public Service and Administration to consider a request for strengthening the NHI Branch of the department on 16 May 2022.

On 2 June 2022, the Minister of Public Service and Administration approved the creation of 44 new technical positions for the NHI Programme in the Department.

The posts were advertised in the media (Sunday Times) on 28 August 2022. All job descriptions, duties and remuneration levels were advertised as per the Public Service requirements. The relevant remuneration levels of public servants are available in public domain. Details are contained in the annexure.

There are currently no plan for posts addition to the 44 posts mentions above to be created within the National Health Insurance Branch in the Department.

END.

12 April 2024 - NW770

Profile picture: Hicklin, Ms MB

Hicklin, Ms MB to ask the Minister of Health

(1)(a) When last was each forensic pathology unit’s refrigerators serviced, (b) how often are they serviced, (c) what is the total number of refrigerators that are not functional and (d) on what date will they be repaired or replaced per province in each case; (2) whether there are contingency plans in place for each of the units without functioning refrigerators; if not, what is the position in this regard; if so; what are the relevant details?

Reply:

(1) and (2) Please see table below

Responses were received from the Free State, Gauteng, Limpopo, Mpumalanga, North West and Western Cape Provinces only. Information from other provinces is yet to be received.

Free State Department of Health

Name of facility

Date of last service

How often are they serviced

Number of refrigerators not functional

Dates for repairs or replacements

Contingency plan

1. Bloemfontein Forensic Mortuary

December 2023

Every 3 months

5

Date of repair or replacement: awaiting infrastructure approval

Bloemfontein FPS currently has 12 functional refrigerators. Surrounding state hospitals like Pelonomi and Universitas, Botshabelo provide refrigeration and storage of bodies when the demand exceeds capacity of Bloemfontein Forensic mortuary.

2. Botshabelo Forensic Mortuary

December 2023

Every 3 months

0

N/A

Bloemfontein Forensic mortuary has enough capacity to provide refrigeration and storage of bodies when the demand exceeds capacity at Botshabelo mortuary

3. Phuthaditjhaba Forensic Mortuary

December 2023

Every 3 months

6

Date of repairs or replacement: appointed service provider for repairs to visit facility on the 28 March 2024

 

4. Bethlehem Forensic Mortuary

December 2023

Every 3 months

3

Date of repair or replacement: Appointed service provider for repairs to visit facility on the 28 March 2024

State hospitals in the region including Elizabeth Ross, Thebe and Phekolong hospital provide additional 26 body storage capacity for contingency refrigerating and storage of bodies, when the demand exceeds the capacity in the Forensic Mortuaries, in Phuthaditjhaba and Bethlehem

5. Welkom Forensic Mortuary

February 2024

Every 3 month

6

Date of repair or replacement: awaiting infrastructure approval.

Bloemfontein Forensic mortuary has enough capacity to provide refrigeration and storage of bodies when the demand exceeds capacity at Welkom mortuary.

6. Kroonstad Forensic Mortuary

March 2024.

Every 3 months

0

N/A

 

7. Sasolburg Forensic Mortuary

November 2023

Every 3 months

15

Date of repairs or replacement: awaiting infrastructure approval

Bloemfontein Forensic Mortuary has enough capacity to provide refrigeration and storage of bodies when the demand exceeds capacity for both Kroonstad and Sasolburg mortuary

Limpopo Department of Health

Name of facility

Date of last service

How often are they services

Number of refrigerators not functional

Dates for repairs or replacements

Contingency plan

1. Polokwane FPS

March 2024

Every 6 months

0

N/A

All refrigerators are functional, continue to monitor the gauges.

2. Lebowakgomo FPS

February 2024

Every 6 months

0

N/A

All refrigerators are functional, continue to monitor the gauges.

3. Mokopane FPS

December 2023

Every 6 months

0

N/A

All refrigerators are functional, continue to monitor the gauges.

4. Warmbaths FPS

27 November,

11 December,

1 February

5th March 2024

Every 6 months

3

May 2024

Contingency plan is

available, all refrigerators functional, continue to monitor the gauges

5. Tshilidzini FPS

February 2024

Every 3 months

4

June 2024

Purchase order is in progress to procure compressors

6. Elim FPS

October 2023

Every 3 months

0

N/A

All refrigerators are functional, continue to monitor the gauges.

7. Groblersdal FPS

February 2024

Every 6 months

0

N/A

All the refrigerators functional, continue to

monitor the gauges.

8. St Rita’s FPS

March 2024

Every 6 months

0

September 2024

Contingency plan available, all refrigerators functional,

continue to monitor the gauges.

9. Letaba FPS

March 2024

Every 6 months

0

N/A

Contingency plan available, all refrigerators functional, continue to monitor the gauges

10. Kgapane FPS

November 2023

Every 6 months

4

April 2024

Contingency plan available,

11. Maphutha Malatji FPS

25 August 2023

Every 6 months

6

April 2024

Request to repair the broken refrigerators is under way, continue to monitor the gauges

12. Nkhensani FPS

21 November 2023

25 March 2024

Every 6 months

0

N/A

Contingency plan available, all refrigerators functional, continue to monitor the

gauges

3 months vs. 6 months depends on the manufacturer specifications.

Western Cape Department of Health

Name of facility

Date of last service

How often are they services

Number of refrigerators not functional

Dates for repairs or replacements

Contingency plan

1. Beaufort West FPS

January 2024

Every 3 months

0

N/A

Maintenance plans are in place. Refrigerators are repaired immediately either via maintenance contracts or emergency delegations.

2. Ceres FPS

January 2024

Every 3 months

0

N/A

Maintenance plans are in place. Refrigerators are repaired immediately either via maintenance contracts or emergency delegations.

3. George FPS

March 2024

Every 3 months

0

N/A

Maintenance plans are in place. Refrigerators are repaired immediately either via maintenance contracts or emergency delegations.

4. Hermanus FPS

December 2024

Every 3 months

0

N/A

Maintenance plans are in place. Refrigerators are repaired immediately either via maintenance contracts or emergency delegations.

5. Knysna FPS

November 2023

Every 3 months

0

N/A

Maintenance plans are in place. Refrigerators are repaired immediately either via maintenance contracts or emergency delegations.

6. Laingsburg FPS

February 2024

Every 3 months

0

N/A

Maintenance plans are in place. Refrigerators are repaired immediately either via maintenance contracts or emergency delegations.

7. Malmensbury FPS

March 2024

Every 3 months

0

N/A

Maintenance plans are in place. Refrigerators are repaired immediately either via maintenance contracts or emergency delegations.

8. Mossel Bay FPS

January 2024

Every 3 months

0

N/A

Maintenance plans are in place. Refrigerators are repaired immediately either via maintenance contracts or emergency delegations.

9. Observatory FP Institution

March 2024

Every 3 months

0

N/A

Maintenance plans are in place. Refrigerators are repaired immediately either via maintenance contracts or emergency delegations.

10. Oudtshoorn FPS

March 2024

Every 3 months

0

N/A

Maintenance plans are in place. Refrigerators are repaired immediately either via maintenance contracts or emergency delegations.

11. Paarl FPS

March 2024

Every 3 months

0

N/A

Maintenance plans are in place. Refrigerators are repaired immediately either via maintenance contracts or emergency delegations.

12. Riversdale FPS

November 2023

Every 3 months

0

N/A

Maintenance plans are in place. Refrigerators are repaired immediately either via maintenance contracts or emergency delegations.

13. Tygerberg FPS

March 2024

Every 3 months

0

N/A

Maintenance plans are in place. Refrigerators are repaired immediately either via maintenance contracts or emergency delegations.

14. Vredenburg FPS

March 2024

Every 3 months

0

N/A

Maintenance plans are in place. Refrigerators are repaired immediately either via maintenance contracts or emergency delegations.

15. Vredendal FPS

November 2023

Every 3 months

0

N/A

Maintenance plans are in place. Refrigerators are repaired immediately either via maintenance contracts or emergency delegations.

16. Worcester FPS

February 2024

Every 3 months

0

N/A

Maintenance plans are in place. Refrigerators are repaired immediately either via maintenance contracts or emergency delegations.

North-West Department of Health

Name of facility

Date of last service

How often are they services?

Number of refrigerators not functional

Dates for repairs or replacements

Contingency plan

1. Mafikeng FPS

March 2024

When need arises

0

N/A

N/A

2. Lichtenburg FPS

December 2023

When need arises

0

N/A

N/A

3. Brits FPS

 

When need arises

0

N/A

N/A

4. Phokeng FPS

 

When need arises

0

N/A

N/A

5. Potchefstroom FPS

March 2024

When need arises

0

N/A

N/A

6. Tshepong FPS

 

When need arises

0

N/A

N/A

7. Vryberg FPS

 

When need arises

0

N/A

N/A

Gauteng Department of Health

Name of facility

Date of last service

How often are they services

Number of refrigerators not functional

Dates for repairs or replacements

Contingency plan

1. Johannesburg FPS

October 2023

Every 3 months

0

N/A

N/A

2. Roodepoort FPS

October 2023

Every 3 months

0

N/A

N/A

3. Germiston FPS

November 2023

Every 3 months

0

N/A

N/A

4. Springs FPS

December 2023

Every 3 months

1

Awaiting appointment of service provider

 

5. Heidelberg FPS

December 2023

Every 3 months

0

N/A

N/A

6. Diepkloof FPS

October 2023

Every 6 months

6

11/04/2024

 

7. Sebokeng FPS

February 2024

Every 3 months

0

N/A

N/A

8. Pretoria FPS

December 2023

Every 3 months

0

N/A

N/A

9. Bronkhorstpruit FPS

January 2024

Every 3 months

0

N/A

N/A

10. Ga-Rankuwa FPS

March 2024

Every 3 months

0

N/A

N/A

11. Carletonville FPS

October 2023

Every 6 months

0

N/A

N/A

  • 3 months vs. 6 months depends on the manufacturer specifications

Mpumalanga Department of Health

Name of facility

Date of last service

Hoe often are they services?

Number of refrigerators not functional

Dates for repairs or replacements

Contingency plan in place

1. Themba FPS

8 April 2024

On request

2

 

Replacements 2022/2023 :

4-New body storage cabinets loading 6 bodies per unit (Completed)

2024/25:Cool room – work in progress

New walk-in freezer – Work in progress

2. Tonga FPS

8 December 2023

On request

0

N/A

N/A

3. Mapulaneng FPS

20 March 2024

On request

0

N/A

N/A

4. Tintswalo FPS

22 March 2024

On request

1

Not stated

Contingency plans are available. Repairs are done between scheduled minor and major

repairs.

5. Lydenburg FPS

16 March 2024

On request

0

N/A

N/A

6. Barberton FPS

26 June 2023

O request

1

Not stated

Contingency plans are available. Repairs are done between scheduled minor and major

repairs.

7. Middelburg FPS

4 April 2024

On request

0

N/A

N/A

8. Witbank FPS

New units installed

On request

0

N/A

N/A

9. KwaMhlanga FPS

6 October 2023

On request

0

N/A

N/A

10. Belfast FPS

5 April 2024

On request

1

Not stated

Contingency plans are available. Repairs are done between scheduled minor and major

repairs.

11. Mammethlake FPS

Reconstruction of the cold room

On request

1

Currently under construction

New facility

12. Delmas FPS

26 March 2024

On request

0

N/A

N/A

13. Ermelo FPS

6 December 2023

On request

2

Not stated

Contingency plans are available. Repairs are done between scheduled minor and major

repairs.

14. Evander FPS

18 August 2023

On request

1

 

Contingency plans are available. Repairs are done between scheduled minor and major

repairs.

15. Piet Retief FPS

23 February 2024

On request

0

N/A

N/A

16. Standerton FPS

25 January 2024

On request

1

   

17. Volkrust FPS

4 August 2023

On request

0

N/A

N/A

18. Embhuleni FPS

3 August 2023

On request

1

Not stated

Contingency plans are available. Repairs are done between scheduled minor and major

repairs.

19. Balfour FPS

New refrigerators

On request

0

N/A

N/A

20. Bethal FPS

22 June 2023

On request

2

Not stated

Contingency plans are available. Repairs are done between scheduled minor and major

repairs.

21. Carolina FPS

10 January 2023

On request

0

N/A

N/A

END.

12 April 2024 - NW771

Profile picture: Clarke, Ms M

Clarke, Ms M to ask the Minister of Health

Whether, with reference to funding of the National Health Insurance through taxes, the rate of tax will be uniform for all the individual taxpayers; if not, how will the different taxes be calculated; if so, what are the relevant details?

Reply:

As was debated in the Portfolio Committee of the National Assembly during 2023 and described in Clause 49 of the National Health Insurance Bill, the possible tax amendments will be introduced through a Money Bill by the Minister of Finance as and when appropriate and earmarked for use by the Fund, subject to the transitional arrangements as provided in Section 57 of the Bill.

END.

02 April 2024 - NW685

Profile picture: Hicklin, Ms MB

Hicklin, Ms MB to ask the Minister of Health

What (a) are the full details of the last inspection of each of the forensic pathology units by health inspectors, (b) were the outcomes for each province and (c) whether all units have adequate personal protection equipment?

Reply:

The responses to (a), (b) and (c) are provided in the Table below, according to the Provincial Departments of Health.

Table 1.

Province

(a) Full Details of last inspection

(b) Outcomes

(c) Personal Protective Equipment

 

Name of Unit

Date of last inspection

   

Eastern Cape

a. Mount Frere

b. Mbizana

c. Butterworth

d. Adelaide

e. Woodbrook

f. Bhisho

g. Mdantsane

h. Queenstown

i. Aliwal North

j. Mt Fletcher

k. Mount Road

l. Uitenhage Provincial Hospital

m. Gail Road

n. Lusikisiki

o. Graaff Reinet

p. Grahamstown

23/08/2023

07/07/2023

15/03/2024

22/01/2024

19/03/2024

14/03/2024

28/09/2023

19/02/2024

08/11/2023

15/03/2024

31/01/2024

10/2023

06/2023

11/05/2023

10/10/2023

05/12/2023

- 13 Units non-compliant with health norms and standards.

- 3 Units have certificates of competence

- Adequate in 9 Units.

- Inadequate in 7 Units.

Free State

a. Bloemfontein

b. QwaQwa

c. Welkom

d. Bethlehem

e. Kroonstad

f. Sasolburg

30/01/2024

22/02/2024

14/11/2023

16/01/2024

04/03/2024

20/02/2023

No Certificate of Competence issued at Bloemfontein and Kroonstad Units due to:

- Mechanical failure of fridges.

- Lack of or poor maintenance of infrastructure.

- Poor health and unhygienic conditions.

- Lack or poor medical waste management.

4 Units have certificates of competence

Adequate in all 7 Units.

Gauteng

a. Germiston Forensic Pathology

b. Springs Forensic Pathology

c. Hillbrow Forensic Pathology

d. Roodepoort Police Station Forensic Pathology Services

e. Diepkloof

f. Pretoria Forensic Pathology

g. Garankuwa Forensic Pathology

h. Bronkhorstspruit Forensic Pathology

i. Sebokeng Forensic Pathology

j. Carltonville Forensic Pathology

17/01/2024

15/01/2024

08/11/2023

11/09/2023

20/09/2023

January 2024

February 2024

August 2023

May 2023

23/01/2024

9 Units have certificates of competence

Others have not due to:

- Poor management of medical waste.

- Poor maintenance and infrastructure.

 

Adequate in 10 Units.

Mpumalanga

a. Themba

b. Tonga

c. Mapulaneng

d. Tintswalo

e. Lydenburg

f. Barberton

g. Witbank

h. Middelburg

i. KwaMhlanga

j. Belfast

k. Mammethlake

l. Delmas

m. Ermelo

n. Evander

o. Piet Retief

p. Standerton

q. Volkrust

r. Embhuleni

s. Balfour

t. Bethal

u. Carolina

19/03/2024

14/03/2024

22/02/2024

15/03/2024

18/03/2023

12/03/2024

Inspected in 2022

31/08/2023

Last inspected before COVID

01/12/2023

Not inspected

19/02/2024

24/11/2023

01/11/2023

21/02/2024

29/09/2023

24/01/2024

22/11/2023

22/09/2023

20/03/2024

24/01/2024

12 Units issued with Certificates of competence

9 Units not compliant due to: - Poor maintenance (Fridges not working properly).

- Poor infrastructure.

Adequate in all 21 Units.

Limpopo

a. Elim

b. Letaba

c. St Rita’s

d. Groblersdal

e. Warmbaths

f. Polokwane

g. Bela-Bela

h. Nkhensani

i. Lebowakgomo

j. Tshilidzini

k. Mokopane

l. Kgapane

February, November, December 2023

Not inspected

Not inspected

Not inspected

Not inspected

-Elim Unit was non-compliant with health norms and standards.

Bela-Bela and Nkhensani were issued with certificates of competence

 

Adequate in all Units.

North West

a. Brits Forensic

b. Rustenburg Forensic

c. Matlosana Forensic

d. JB Marks, Potchefstroom

e. Joe Morolong Hospital Mortuary

f. Lichtenburg Forensic Pathology

g. Mahikeng Forensic Pathology

No date provided

No date provided

18/03/2024

20/03/2024

No date provided

No date provided

No date provided

Only Matlosana and Potchefstroom have certificates of competence

Other units do not have due to:

- Poor housekeeping at the storage areas

- Adequate in 2 Units

- Inadequate in 5 Units.

Northern Cape

a. Kimberley

b. Harstwater

c. Springbok

d. Calvinia

e. De Aar

f. Upington

01/11/2022

13/10/2023

28/02/2024

06/03/2024

13/07/2023

29/06/2022

- 4 Units non-compliant to health norms and standards

- 2 Units have certificates of competence

Adequate in all 6 Units.

Western Cape

a. No name provided

b. Beaufort West

c. Laingsburg

d. Tygerberg Forensics

e. No name provided

f. Hermanus

g. Vredenburg

h. Vredendal

i. Malmesbury

j. Mossel Bay FPS

k. Observatory FP Institution

l. Oudtshoorn FPS

m. Riversdale FPS

n. Swellenndam FPS

o. Worcester FPS

p. Ceres

q. Paarl

11/10/2023

12/12/2023

13/02/2024

19/03/2024

20/03/2024

No date provided

No date provided

No date provided

No date provided

19/01/2023

19/03/2024

20/03/2024

October 2023

Not Inspected

01/02/2023

11/10/2023

14/05/2021

15 Units have certificates of competence

- One Unit was not certified with Certificate of Competence

Adequate in 16 Units.

No report for 1 unit

Kwa Zulu Natal

a. Madadeni Forensic Mortuary

b. Newcastle forensic Mortuary

c. Phoenix Medico Legal Mortuary

d. Pinetown Forensic Mortuary

e. uMzimkhulu Forensic Mortuary

f. Ixopo Forensic Mortuary

g. Bulwer Forensic Mortuary

h. Kokstad Forensic Mortuary

i. Kwadukuza Forensic Mortuary

j. Richards Bay Forensic Mortuary

k. Eshowe Forensic Mortuary

l. Park Rynie Forensic

m. Port Shepstone Forensic

n. Harding Forensic

o. Pietermaritzburg Forensic

p. New Hanover Forensic Mortuary (SAPS)

q. Howick SAPS

r. Dundee Forensic Mortuary

s. Ladysmith Forensic Mortuary

t. Escourt Forensic Mortuary

u. Vryheid

Forensic Mortuary

v. Nongoma Forensic Mortuary

w. Greytown Forensic Mortuary

19/03/2024

No date provided

11/12/2023

03/11/2023

06/12/2021

09/11/2021

No date provided

07/05/2020

29/06/2023

18/03/2024

14/01/2024

05/03/2024

18/03/2024

02/02/2024

19/03/2024

01/02/2023

19/03/2024

18/03/2024

December 2023

18/03/2024

22/12/2023

12/03/2024

11/03/2024

None/ not in use

20/02/2024

- 13 Units have certificates of competence

- 10 Units are not compliant with health norms and standards due to:

- Poor infrastructure.

- Poor maintenance.

- Areas of continuous improvements highlighted in terms of risk management, infrastructure, and incident reporting.

- Adequate in 19 Units.

- Inadequate in 4 Units.

END.

02 April 2024 - NW666

Profile picture: Siwisa, Ms AM

Siwisa, Ms AM to ask the Minister of Health

(1)What are the reasons that Inkosi Albert Luthuli Central Hospital in eThekwini was without electricity for a week which had a negative impact on services provided to patients seeking medical attention; (2) whether the specified issue has been resolved; if not, why not; if so, what (a) led to the hospital finding itself without electricity and (b) are the relevant details?

Reply:

According to the KZN Provincial Health:

1. The hospital electricity supply was disrupted by the breakdown of the eThekwini Metro Council managed substation which supplies the area. The disruption continued for 3 days starting from around 11H35 on Monday 04 March 2024 up to around 11h35 on Wednesday 06 March 2024.

2. The issue was resolved at 11h35 on Wednesday, March 6, 2024. (a) The delay in resolving the situation was caused by the eThekwini Metro workers' strike which prohibited the required staff from responding swiftly. (b) All six generators at the hospital were active during this time preventing the hospital from being completely shut down. This allowed vital services such as critical care, intensive care units, and four theatres to continue operating.

END.

02 April 2024 - NW663

Profile picture: Thembekwayo, Dr S

Thembekwayo, Dr S to ask the Minister of Health

What urgent steps of intervention has he taken at the Tintswalo Hospital in Bushbuckridge, with regard to (a) lack of nutritional food for patients, (b) water shortages, (c) infrastructural challenges and (d) shortage of medical staff?

Reply:

a) The official report from Mpumalanga Head of the department (HOD) of Health, Tintswalo hospital has not experienced a lack of nutritional food or food. Food is one of the Department’s non-negotiable priorities to ensure that patients have access to nutritious meals. A specific budget is allocated for food, enabling the hospital to seamlessly provide meals tailored to patients’ dietary needs. Strict food safety standards are adhered to, ensuring the safety of all meals served in the hospital.

b) In 2022, the Department effectively tackled the issue of water scarcity by drilling an additional borehole and installing twenty-eight (28) Jojo tanks, each with a capacity of 10,000 litres, at strategic locations. As a result of these initiatives, access to water is no longer a problem.

c) Temporary measures were implemented to address roof leaks in the wards while awaiting hospital refurbishment in the new financial year.

d) The hospital has sufficient medical staff to provide 24-hour services. It has a complement of 49 medical doctors comprising of 34 full-time doctors, 15 sessional doctors

END.

02 April 2024 - NW684

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Hicklin, Ms MB to ask the Minister of Health

What is the (a) policy for unclaimed bodies and (b) current total number of unclaimed bodies at government mortuaries in each province?

Reply:

a) Policy of Unclaimed Bodies

Regulation 341 of 2005: Regulations Regarding the Rendering of Forensic Pathology Service, sections 43 and 44 of the make provision that:

43. A body not identified must be moved to a freezer within seven days of admission, and if such body remains unidentified for 30 days, the municipal council under whose jurisdiction the designated facility is, must ensure that a pauper burial for such body is undertaken.

44. The person in charge of a facility where there is an unidentified body must ensure that complete details of such body, including a photograph, fingerprints, and blood or tissue sample, are taken from the body and archived.

b) Table 1: Total number of unclaimed bodies per Province as of 15 March 2024

Province

Number of unclaimed bodies

Free State

73

KwaZulu-Natal

1336

Limpopo

283

Mpumalanga

82

Northen Cape

51

Northwest

266

Western Cape

 

Eastern Cape

 

Gauteng

 

Total

2091

END.

02 April 2024 - NW707

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De Villiers, Mr JN to ask the Minister of Health

Whether he will furnish Mr J N de Villiers with a (a) list and (b) full description of all events planned by his department to take place before 29 May 2024 in celebration of the 30 years of democracy in the Republic, including the (i) projected total cost or expenditure of each event and (ii) breakdown thereof in terms of expenditure for (aa) catering, (bb) entertainment, (cc) venue hire, (dd) transport and (ee) accommodation; if not, why not; if so, what are the relevant details?

Reply:

a) The National Department of Health has no list of planned events specifically for celebration of the 30 years of democracy, however the Department will continue to have events planned for administration of government.

b) As indicated in (a) above, there are no planned events specifically for 30 years of democracy in the Republic scheduled to take place before 29 May 2024 and therefore no description can be provided.

c) The questions asked relating to projected total cost or expenditure of each event and breakdown thereof in terms of expenditure for catering, entertainment, venue hire, transport and accommodation are not applicable as there is no cost that can be attached when there are no event planned.

END.

02 April 2024 - NW689

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Clarke, Ms M to ask the Minister of Health

(1)How did his department assist the 29 interns placed at military hospital facilities who did not receive their appointment letters in time; (2) whether all 29 interns have (a) been placed and (b) received (i) payment and (ii) accommodation; if not, why not; if so, what are the relevant details?

Reply:

1. According to the Internship and Community Services Placement (ICSP) programme and confirmation from South African Military Health Services (SAMHS), only five (5) Medical Interns were allocated to military facilities for 2024 and all of these have been appointed and already commenced duty in various Military Hospitals in January 2024.

2. As stated above (a) all 5 medical interns were successfully placed and have commenced duty in January 2024, (b)(i) they all have received payment of their salaries and (ii) where they have required accommodation formally the relevant Military Hospital has provided accommodated accordingly.

END.

02 April 2024 - NW688

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Clarke, Ms M to ask the Minister of Health

Whether, with reference to an apparent dispute regarding the treatment of a patient at Ngwelezana Hospital in KwaZulu-Natal in January 2017 (details furnished), in respect of which Dr Morton J Abrams alleges that the Health Professions Council of South Africa (HPCSA) failed to properly investigate and/or properly handle the matter and help him resolve the issue of his Account Support Page on the Practitioners Portal acknowledging that there are no records of complaint against him, while a Certificate of Status from July 2019 states otherwise, his department will (a) assist the doctor to get to the bottom of his queries and allegations and (b) address the alleged failures of HPCSA; if not, why not; if so, (i) in what way and (ii) what are the further relevant details?

Reply:

a) According to the HPCSA, the case of treatment of a patient at Ngwelezana Hospital in KwaZulu-Natal was duly investigated. The case was considered by the Preliminary Committee of Inquiry and finalised in line with applicable regulations. The outcome of the Inquiry was communicated to both the complainant and the respondent. In terms of the query related to the Certificate of Status (COS), the issue of a pending case against the practitioner was resolved internally and a clean COS was subsequently issued (clean COS for Case no. 25504608 was issued on 7 August 2023);

b) (i) There were delays in the finalisation of the case. This was due to the referral of the practitioner to the Health Committee of the Board for consideration of possible impairments that the practitioner may have had before the case was finalized. This is a necessary step in HPCSA’s internal processes. Also, there were system errors that led to the COS indicating a “pending complaint” against the practitioner when that was not the case;

(ii) Following this case, processes of referral between Committees were reviewed and subsequently streamlined. A new online complaints management system was introduced which allows for ease of monitoring of cases and proper tracking by both complainants and respondents, with regular updates.

END.

02 April 2024 - NW687

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Clarke, Ms M to ask the Minister of Health

Whether certain doctors (details furnished) who have qualified for placement as interns have been placed; if not, (a) what are the specific reasons that each of them has not been placed and (b) on what date will each of the interns be assisted with placement; if so, what are the relevant details?

Reply:

a) As per the details furnished by the member of Parliament, the Department confirms that 16 of the 17 names received to be unallocated were actually allocated and have since commenced duty as indicated by the Persal report extract for the February 2024. The one outstanding applicant is not allocated because he has not met the Registration requirements as set by the Health Professions Council of South Africa (HPCSA).

b) The unallocated applicant will be only be assisted during the mid-year cycle on condition that he has met the HPCSA Registration requirements. The table below for individual details of the applicants are avaiable on request.

 

02 April 2024 - NW686

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Hicklin, Ms MB to ask the Minister of Health

What (a)(i) is the current total number of forensic pathology units conducting autopsies in each province and (ii) are their names and (b)(i) are the full details of forensic pathology units in each province that should be conducting autopsies, but are unable to and (ii) are the reasons that they are unable to perform the service?

Reply:

a) (i) See Table 1

(ii) See Table 2

Table 1.

Province

  1. (i) Number of facilities conducting autopsies
  1. (i) Number of facilities not conducting autopsies

Names of facilities unable to deliver services

  1. (ii) Reasons for not conducting autopsies

Mpumalanga

17

3

Barberton FPS

Holding facility

     

Belfast FPS

Holding facility

     

Standerton FPS

Infrastructure challenges

Free State

7

0

N/A

N/A

Kwa-Zulu Natal

22

0

N/A

N/A

Northen Cape

5

1

Calvinia FPS

No medical officer/pathologist appointed, infrastructure challenges

Limpopo

12

3

Musina

No operational resources

     

Lephalale

No operational resources

     

Thabazimbi

No operational resources

Northwest

7

0

N/A

N/A

Gauteng

       

Eastern Cape

       

Western Cape

       

Table 2.

Mpumalanga Department of Health

Forensic Pathology Sites

a)(ii) names

Conducting autopsies

Not Conducting autopsies

Reasons for not conducting autopsies

  1. Themba FPS

YES

N/A

 
  1. Tonga FPS

YES

N/A

 
  1. Mapulaneng FPS

YES

N/A

 
  1. Tintswalo FPS

YES

N/A

 
  1. Lydenburg FPS

YES

N/A

 
  1. Barberton FPS
 

YES

Holding facility

  1. Middelburg FPS

YES

N/A

 
  1. Witbank FPS

YES

N/A

 
  1. KwaMhlanga FPS

YES

N/A

 
  1. Belfast FPS
 

YES

Holding facility

  1. Mammethlake FPS

YES

N/A

 
  1. Delmas FPS

YES

N/A

 
  1. Ermelo FPS

YES

N/A

 
  1. Evander FPS

YES

N/A

 
  1. Piet Retief FPS

YES

N/A

 
  1. Standerton FPS
 

YES

Challenges of Infrastructure

  1. Volkrust FPS

YES

N/A

 
  1. Embhuleni FPS

YES

N/A

 
  1. Balfour FPS

YES

N/A

 
  1. Bethal FPS

YES

N/A

 
  1. Carolina FPS
 

YES

Challenges of Infrastructure

 

17

4

 

Frees State Department of Health

Name of facility

Conducting autopsies (YES/NO)

Not conducting autopsies (Y/N)

Reasons for not conducting autopsies

  1. Bloemfontein Forensic Mortuary

YES

N/A

N/A

  1. Botshabelo Forensic Mortuary

YES

N/A

N/A

  1. Phuthaditjhaba Forensic Mortuary

YES

N/A

N/A

  1. Bethlehem Forensic Mortuary

YES

N/A

N/A

  1. Welkom Forensic Mortuary

YES

N/A

N/A

  1. Kroonstad Forensic Mortuary

YES

N/A

N/A

  1. Sasolburg Forensic Mortuary

YES

N/A

N/A

Kwa-Zulu Natal Department of Health

Name of facility

Conducting autopsies (YES/NO)

Not conducting autopsies (Y/N)

Reasons for not conducting autopsies

  1. Port Shepstone

Forensic Mortuary

YES

N/A

N/A

  1. Park Rynie

Forensic Mortuary

YES

N/A

N/A

  1. Pinetow

Forensic Mortuary

YES

N/A

N/A

  1. Phoenix

Forensic Mortuary

YES

N/A

N/A

  1. Welkom Forensic Mortuary

YES

N/A

N/A

Wrong Province

  1. Kokstad

Forensic Mortuary

YES

N/A

N/A

  1. Mzimkhulu

Forensic Mortuary

YES

N/A

N/A

  1. Ixopo

Forensic Mortuary

YES

N/A

N/A

  1. Kwadukuza Forensic Mortuary

YES

N/A

N/A

  1. Pietermaritzburg Forensic Mortuary

YES

N/A

N/A

  1. New Hanover

Forensic Mortuary

YES

N/A

N/A

  1. Howick

Forensic Mortuary

YES

N/A

N/A

  1. Estcourt

Forensic Mortuary

YES

N/A

N/A

  1. Ladysmith

Forensic Mortuary

YES

N/A

N/A

  1. Greytown

Forensic Mortuary

YES

N/A

N/A

  1. Dundee Forensic Mortuary

YES

N/A

N/A

  1. Vryheid Forensic Mortuary

YES

N/A

N/A

  1. Newcastle Forensic Mortuary

YES

N/A

N/A

  1. Madadeni

Forensic Mortuary

YES

N/A

N/A

  1. Nongoma

Forensic Mortuary

YES

N/A

N/A

  1. Eshowe

Forensic Mortuary

YES

N/A

N/A

  1. Richardsbay

Forensic Mortuary

YES

N/A

N/A

  1. Harding Forensic Mortuary

YES

N/A

N/A

 

23

0

No 5 to be removed

Limpopo Department of Health

Name of facility

Conducting autopsies (YES/NO)

Not conducting autopsies (Y/N)

Reasons for not conducting autopsies

  1. Polokwane FPS

YES

N/A

N/A

  1. Lebowakgomo FPS

YES

N/A

N/A

  1. Mokopane FPS

YES

N/A

N/A

  1. Warmbaths FPS

YES

N/A

N/A

  1. Tshilidzini FPS

YES

N/A

N/A

  1. Elim FPS

YES

N/A

N/A

  1. Groblersdal FPS

YES

N/A

N/A

  1. St Rita’s FPS

YES

N/A

N/A

  1. Letaba FPS

YES

N/A

N/A

  1. Kgapane FPS

YES

N/A

N/A

  1. Maphutha Malatji FPS

YES

N/A

N/A

  1. Nkhensani FPS
     
  1. Musina
 

YES

Holding facility

  1. Lephalale
 

YES

Holding facility

  1. Thabazimbi
 

YES

Holding facility

Northwest Department of Health

Name of facility

Conducting autopsies (YES/NO)

Not conducting autopsies (Y/N)

Reasons for not conducting autopsies

  1. Mafikeng FPS

YES

N/A

N/A

  1. Lichtenburg FPS

YES

N/A

N/A

  1. Brits FPS

YES

N/A

N/A

  1. Phokeng FPS

YES

N/A

N/A

  1. Brits FPS

YES

N/A

N/A

  1. Potchefstroom FPS

YES

N/A

N/A

  1. Tshepong FPS

YES

N/A

N/A

Western Cape

Name of facility

Conducting autopsies (YES/NO)

Not conducting autopsies (Y/N)

Reasons for not conducting autopsies

  1. Beaufort West FPS

YES

N/A

N/A

  1. Ceres FPS

YES

N/A

N/A

  1. George FPS

YES

N/A

N/A

  1. Hermanus FPS

YES

N/A

N/A

  1. Knysna FPS

YES

N/A

N/A

  1. Laingsburg FPS

NO

N/A

Currently serving as a holding facility

  1. Malmensbury FPS

YES

N/A

N/A

  1. Mossel Bay FPS

YES

N/A

N/A

  1. Observatory FPInstitution

YES

N/A

N/A

  1. Oudtshoorn FPS

YES

N/A

N/A

  1. Paarl FPS

YES

N/A

N/A

  1. Riversdale FPS

NO

N/A

Currently serving as a holding facility

  1. Swellenndam FPS

NO

N/A

Training facility

  1. Tygerberg FPS

YES

N/A

N/A

  1. Vredenburg FPS

YES

N/A

N/A

  1. Vredendal FPS

YES

N/A

N/A

  1. Worcester FPS

YES

N/A

N/A

END.

22 March 2024 - NW432

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Hlengwa, Ms MD to ask the Minister of Health

Whether an assessment of all public hospitals has been undertaken to determine if their equipment and consumable needs will be met within the budget of R848 billion allocated to his department over the Medium-term Expenditure Framework by the Minister of Finance, Mr E Godongwana; if not, why not; if so, what are the relevant details?

Reply:

On 21st February 2024, the Minister of Finance announced 2024 MTEF allocation of R848 billion for the health sector which is inclusive of the following obligations:

  • Payment of current employees and the impact of the wage bill agreement
  • Provision of the health services in all facilities
  • Medical equipment and consumables
  • Maintenance and construction of new facilities

The consolidated assessment of equipment and consumables was not undertaken, however, health facilities do develop a demand plan for their equipment and consumables. Upon the budget allocation by the Provincial Treasury, Provincial Departments of health allocates the budgets and develop annual procurement plans.. The total allocated budget over the 2024 MTEF is R15,5 billion for machinery and equipment combined and R7.2 billion for consumables of which are medical supplies and laboratory services. Due to budgetary constraints, it is possible that the equipment and consumables needs will not be met based on the allocated budget.

END.

20 March 2024 - NW597

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De Villiers, Mr JN to ask the Minister of Health

With reference to his reply to question 86 on 22 February 2023, what are the details of the (a) make, (b) model, (c) year of manufacture, (d) date of purchase and (e) purchase price paid for each vehicle purchased by his department for (i) him and (ii) the Deputy Minister since 8 May 2019?

Reply:

Since 1 June 2019 the department only bought one vehicle for the current Minister: Dr. MJ Phaahla, MP, when he was the Deputy Minister as per the table below:

Members of Executive Authority

(a) Make

(b) Model

(c) Year of Manufacture

(d) Cost

(e) Purchase date

i) Minister: Dr MJ Phaahla, MP

No Procurement was made

No Procurement was made

No Procurement was made

No Procurement was made

No Procurement was made

ii) Former Minister:

Dr ZL Mkhize, MP

No Procurement was made

No Procurement was made

No Procurement was made

No Procurement was made

No Procurement was made

iii) Deputy Minister: Dr S Dhlomo,MP

No Procurement was made

No Procurement was made

No Procurement was made

No Procurement was made

No Procurement was made

iv) Former Deputy Minister: Dr MJ Phaahla

Audi

Q5

2020

R 756,489.83

10/5/2020

END.

20 March 2024 - NW623

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Hlengwa, Ms MD to ask the Minister of Health

What specific steps has his department taken to regulate the (a) sales and (b) marketing of unhealthy foods and/or products that make a significant contribution to death, especially in the context of inadequate regulation in the countries of the global south?

Reply:

(a) and (b)

The Minister of Health, through the Foodstuffs, Cosmetics and Disinfectants Act (FCD), 1972 (Act. 54 of 1972) regulates foodstuffs with the aim of promoting food safety and to prohibit the misleading advertising of foods. The regulations relating to foodstuffs are aligned to the global best practice of the joint World Health Organisation and Food and Agricultural Organisations’ Codex Alimentarius.

The Department of Health is committed to the improvement of the health and nutrition of South Africans through regulating the labelling of foodstuffs sold in South Africa. This would allow South Africans to make healthy food choices without being misled through inaccurately labelled and advertised foodstuffs thereby assisting consumers to make good nutritional choices and adopt a healthy lifestyle.

In terms of the legislation “it is an offence’ to sell foodstuff that does not bear a label indicating the kinds or grades of ingredients and their proportions or amounts present in a mixed, blended or compounded foodstuff.

The Minister of Health has published the following regulations to help reduce premature death from noncommunicable diseases which is Goal 3.4 of the Sustainable Development Goals:

1. Regulations relating to Trans-Fats in foodstuffs (No.R.127 of 2011), prohibit the sale, manufacture and importation of oils and fats, including continuous phase emulsions, either alone or as part of processed foods. An increased intake of trans fat (>1% of total energy intake) is associated with increased risk of coronary heart disease (CHDs) mortality and relevant events. South Africa is one of the global leaders in protecting the heart health of its citizens through the regulation of Trans Fats.

2. Regulations relating to the reduction of sodium in certain foodstuffs and related matters (No.R.214 of 2013) to help in reducing salt (sodium chloride) intake to less than 5g per day. Excessive salt intake is associated with high blood pressure (hypertension) which is a major risk factor for CVDs. Scientific evidence suggests that reducing sodium intake significantly reduce blood pressure and risk of cardiovascular diseases in adults particularly its contribution towards coronary artery disease and stroke. South Africa is the first country in the world to legislate salt levels to help reduce the amount of salt in processed foods.

3. Regulations relating to foodstuffs for infants and young children (No.R.991 of 2012) aims to protect and promote optimal infant and young child feeding practices and to encourage the safe and appropriate use of commercially processed foods through regulating the labelling, advertising, sale and promotion, and the provision of information and education relating to infant and young child feeding and nutrition.

4. Regulations governing general hygiene requirements for food premises, the transport of food and related matters (No.R.638 of 2018) ensures that all food products are safe for consumption by the public. The regulations apply to all food establishments, including restaurants and hotels, and cover a range of topics including hygiene, food handling, transportation, storage and food preparation. All food establishments that comply with these regulations are issued with the Certificate of Acceptability.

The Minister has also published draft regulations to improve food labelling requirements so that consumers are clear about the contents of food. (No.R.146/2010). These regulations include the following :

(i) a model to classify healthy foods

(ii) specifying criteria for health claims, and,

(iii) a mandatory Front of Pack Label in the form of a easily understood logos, to assist consumers in identifying foods that exceed the threshold of certain “negative” nutrients (added sugar, sodium, and saturated fats) that contribute to the rising obesity and non-communicable disease and death burden in South Africa.

These regulations are implemented at local government level where health inspectors would do inspections to check compliance with regulatory requirements outlined above.

The purpose of regulating the sale and marketing of foods is to inform the consumer of the risk associated to the consumption of particular foods. Evidence from several countries suggests that consumers make healthy food choices when provided with information about the food they consume.

END.

20 March 2024 - NW624

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Hlengwa, Ms MD to ask the Minister of Health

In light of the concerning revelations surrounding corporate funding of health research in academic institutions, what collaborative mechanisms does his department have in place with the Department of Higher Education, Science and Innovation to ensure that there is transparency and integrity in health research funding in the Republic’s institutions of higher learning?

Reply:

The National Department of Health (NDoH) collaborates with the Department of Higher Education, Science and Innovation through the National Health Research Committee (NHRC). NHRC is an NDoH Ministerial Advisory statutory body established in terms of National Health Act of 2003. It responsible for determining the nature, scope, as well as the co-ordination of health research. NHRC is made up of researchers and representative of various academic institutions.

It is a prerequisite that all health research proposals and protocols are reviewed and approved by the health research ethics committee which is registered with the National Health Ethics Council (NHREC) to ensure transparency and integrity of health research. The NHREC is mandated by the Health Act of 2003 to develop guidelines for institutional research ethics committees (IRECs), register and audit IRECs, advise the department of health on all research ethics matters, and adjudicate complains about health research ethics committees.

END.

20 March 2024 - NW540

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Thembekwayo, Dr S to ask the Minister of Health

What (a) are the reasons that (i) the staff at the Swellendam Hospital have not been paid their much-needed salaries and (ii) the specified staff have to wait until the next financial year in order to be remunerated and (b) urgent steps of intervention have been taken to resolve the problem?

Reply:

(a) (i), (ii) and (b)

The official report form Western Cape Department of Health and Wellness is that they do not have any records, nor reports of staff from Swellendam hospital not receiving their remuneration. Also, contractors of Swellendam hospital have also reported that they are not aware of any of such claims emanating from themselves nor their employees. However, it will be appreciated if the honourable member could provide any further specific details regarding any person who has not been paid as it is pointed out in the question.

END.

20 March 2024 - NW622

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Hlengwa, Ms MD to ask the Minister of Health

What proactive measures has he put in place to safeguard against undue influence of the tobacco industry on research focusing on the impact of tobacco products on health?

Reply:

The World Health Organization Framework Convention on Tobacco Control (WHO FCTC) Guidelines for implementation of Article 5.3 recommends that Parties monitor the activities of the tobacco industry. The Convention Secretariat assisted countries with the establishment of tobacco industry observatories in some interested Parties. One of the Observatories is based in South Africa specifically to monitor tobacco industry interference. These observatories inform policy makers and governments on Tobacco industry activities. The South Africa based observatory is called Africa Centre for Tobacco Industry Monitoring and Policy Research (ATIM).

The Department works closely with ATIM- one of their functions is to interrogate research by the industry and they have been able to identify studies and scientist that are funded by the tobacco industry. The Department has access to ATIM findings which have demonstrated how industry has manipulatedsuppressed or used data incorrectly to suit the needs of the tobacco industry.

The Department also is also influenced by research and analysis conducted by the South African Medical Research Council (SAMRC), who analyse studies conducted by the Tobacco industry, further citations from other reputable research organisations that are pro-tobacco control and pro-protection of public health are available for use.

The current and proposed laws on tobacco control warrant that the tobacco industry discloses the research conducted by a manufacturer or by a person conducting research paid for in whole or in part by a manufacturer.

END.

14 March 2024 - NW493

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Komane, Ms RN to ask the Minister of Health

(1)Whether the Hospital and Emergency Centre Tracking Information System (HECTIS) that has been introduced by his department, is now available in all hospitals; if not, (2) whether HECTIS is still piloted at certain hospitals; if not, why not; if so, (a) which hospitals have used the HECTIS system and (b) what are the relevant details?

Reply:

1. No, the Hospital and Emergency Centre Tracking Information System (HECTIS) is not available in all hospitals. The system has only been implemented by the Western Cape Provincial Department of Health. It has not been implemented in any other province as it is not part of the national Emergency Medical Services Plan.

2. (a) HECTIS is not in a pilot phase. It has been successfully integrated into a total of 64 health facilities in the Western Cape in both hospitals and Primary Healthcare facilities (see annexure showing HECTIS Sites List).

(b) HECTIS is a web-based hospital and emergency centre tracking information system. The system was developed as an in-house custom-built system by an emergency physician from Mitchells Plain Hospital in the Western Cape for their internal processes. It is a Clinician driven innovative healthcare technology initiative, focused on improving the management and efficiency of Emergency Centres.

END.

14 March 2024 - NW471

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Mkhaliphi, Ms HO to ask the Minister of Health

(1)What total number of persons have been admitted to (a) the Mahatma Gandhi Memorial Hospital, (b) the King Edward VIII Hospital, (c) the Addington Hospital and (d) surrounding hospitals in eThekwini as a result of contaminated water; (2) what is the breakdown of the total number of (a) children and (b) elderly persons admitted as a result of contaminated water?

Reply:

1. According to the KZN Department of Health, the responses are as follows:

(a) There were no persons admitted at Mahatma Gandhi Memorial Hospital due to contaminated water

(b) There were no persons admitted at King Edward VIII Hospital due to contaminated water.

(c) There were no persons admitted at Addington Hospital due to contaminated water.

(d) There were no persons admitted at surrounding hospitals in eThekwini due to contaminated water.

(2) According to the KZN Department of Health, there were (a) no children and (b) no elderly persons admitted as a result of contaminated water.

END.

14 March 2024 - NW489

Profile picture: Thembekwayo, Dr S

Thembekwayo, Dr S to ask the Minister of Health

What (a) are the reasons that the Health Professions Council of South Africa demands that practitioners who are unemployed should pay their outstanding annual fees by 31 March 2024 and (b) interventions can his department make in this regard?

Reply:

According to the Health Professions Council of South Africa (HPCSA):

(a) It is a legal requirement that all practising health professionals register with their Professional Council namely the HPCSA, South African Nursing Council, South African Pharmacy Council, Dental Technicians Council and the Allied Health Professions Council. The Health Professions Act, 1974 (Act No. 56 of 1974) requires health professionals to register with the HPCSA before practicing. As section 17 of the Health Professions Act, 1974 (Act No. 56 of 1974) states the following:

If the registrar is satisfied that the qualifications and the other documents submitted in support of the application satisfy the requirements of this Act, he or she shall, upon payment by the applicant of the prescribed registration fee, issue a registration certificate authorising the applicant, subject to the provisions of this Act or of any other law, to practise the health profession in respect whereof he or she has applied for registration, within the Republic.

The HPCSA legislation does not require that unemployed practitioners (non-practising) to pay registration fees. Infact a person not practising a health profession registrable with the HPCSA may apply for voluntary erasure from the register in writing before 31 March of the year that he/she wishes to be voluntarily erased in line with section 19 (1) (c) of the Act.

When the health professional decides to resume practice then a restoration fee is payable and the person could be restored to the register. There may be additional requirements such as continuous professional development, depending on the number of years the health professional is unregistered with the Council.

(b) There is no need for an intervention since there is no obligation on a non-practising health practitioner to registered with the HPCSA.

END.

08 March 2024 - NW367

Profile picture: Tito, Ms LF

Tito, Ms LF to ask the Minister of Health

In each province, what is the total number of (a) public clinics and (b) public healthcare facilities that (i) have permanent (aa) pharmacists and (bb) pharmacist assistants and (ii) do not have permanent pharmacists and pharmacist assistants and have to rely on general nurses to dispense medicine?

Reply:

(a) (b) (i) (aa) (bb) (ii)

The table below shows public facilities with permanent pharmacists, permanent pharmacist assistants and those facilities without pharmacists and Pharmacists assistants

Province

Public Clinics (a)

Public Facilities (Clinics & hospitals)

Public Facilities with Permanent Pharmacists(b) (i) (aa)

Public Facilities with Permanent Pharmacists Assistants(b) (i) (bb)

Public Clinics without permanent Pharmacist &Pharmacist Assistants (ii)

Eastern Cape

777

867

139

236

490

Free State

219

251

43

 170

38

Gauteng

373

409

 67

 210

132 

KwaZulu-Natal

608

678

93

412

173

Limpopo

477

518

78

89

351

Mpumalanga

295

327

75

159

93

Northern Cape

161

176

47

85

44

North West

309

330

49

60

248 

Western Cape

255

307

123

94

90

Total

3474

3863

714

1515 

 1659

Facilities without pharmacists and pharmacists assistants are supported by district pharmacists for monitoring availability of medication while nurses with dispensing course are dispensing their own prescriptions. Nurses without dispensing course are given authorisation to dispense medication in accordance with the Primary Health Care Standard Treatment Guideline and Essential Medicine List as per section 56(6), 33 of 2005. of Nursing Act .

END.

08 March 2024 - NW302

Profile picture: Graham, Ms SJ

Graham, Ms SJ to ask the Minister of Health

(1)With regard to the emergency generators received from China, what is the full breakdown of the total number of generators that were allocated to (a) his department as a whole and (b) the provincial departments; (2) (a) how were these generators transported to their final destinations and (b) what (i) are the full details of the service providers who transported the generators and (ii) is the total cost of transporting these generators; (3) whether his department is responsible for the provision and procurement of diesel for the generators; if not, what is the position in this regard; if so, what are the relevant details, including the cost of the diesel used to date; (4) how many of the generators that reached their destination are (a) installed and functional and (b) yet to be installed?

Reply:

1. (a) The National Department of Health has received 306 generators.

(b) 34 generators per province. In order to meet the minimum demand for each clinic, it’s going to be two generators per clinic. 6KW x 2 = 12KW. Therefore, it’s going to be 19 clinics earmarked for the generators.

2. (a) The National Department of Health is currently finalising the procurement process. The procurement process covers both the collection and installation of the generators directly to the main electrical distribution board of the clinics.

(b) (i) The details of the Service Providers will be provided after the completion of the procurement process.

(ii) the total cost will also be provided after the completion of the procurement process.

3. The National Department of Health will ensure that there is enough budget allocation for the fuel consumption of generators across the country. Currently, there is no fuel expenditure on these new generators.

4. (a) None installed yet.

(b) 306 to be installed.

END.

08 March 2024 - NW417

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Hicklin, Ms MB to ask the Minister of Health

What are the details of the medico-legal insurance that peri-operative nursing staff in training enjoy (a) during the completion of all the various stages of their training and (b) after they complete their training?

Reply:

a) All nurses whether undergraduate or post graduate students or qualified, are enjoy vicarious liability cover by working in public health establishments. Vicarious liability is a legal principle that holds employers responsible for the wrongful actions of their employees. This implies that when the employee commits a wrongful act whils acting withn the course of and scope of their employment, the employer can be held liable for damages caused by the employee. The nursing staff in training who performs duties for the state are therefore employees and they are not personally liable for any wrongful act committed whilst so employed as part of their training. The deciding factor is whether or not the individual acted in course of and within the scope of their employment.

b) While indemnity cover is not required as a pre-requisite for employment, nurses are advised to take indemnity cover to protect them in the event they are sued in their personal capacity. This can be obtained by way of associations, union and or private.

END.

08 March 2024 - NW420

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Bagraim, Mr M to ask the Minister of Health

Whether his department has undertaken any study and/or research to determine the extent to which the implementation of the National Health Insurance will encourage the perceived medical and specialist skills drain in the healthcare sector; if not, why not; if so, what are the relevant details of the findings?

Reply:

The implementation of National Health Insurance (NHI) as a mechanism towards realizing universal health coverage (UHC) in South Africa is based on a structured, phased approach. A strategic part of the phased implementation includes proactive and ongoing engagements with various healthcare professional associations and groupings directed at providing them with clear information on the intentions of the policy and how the envisaged reforms are intended to contribute to overall health system sustainability.

The National Department of Health has undertaken study tours, including engaging with multilateral and bilateral partners, on the path that other countries, such as the United Kingdom, Thailand, Taiwan, and Canada, have taken towards implementing UHC reforms. Even in these countries there was anxiety among healthcare professionals concerned with changes around reimbursement mechanisms (i.e., changes from fee for service to capitation systems). To address such anxieties, it is specifically the reason why the Department is deliberately adopting a phased approach to the roll-out of NHI, as well as continuing to actively engage healthcare professionals through various channels and engagement platforms to provide all concerned stakeholders, not just healthcare professionals, with key information on the elements outlined in the NHI Bill and why they are important.

Emphasis is towards adopting a co-creation approach between the Department and stakeholders, including healthcare professionals. It is through this approach that the Department intends to address the perceived medical and specialist skills drain in the healthcare sector associated with the planned implementation of NHI.

END.

08 March 2024 - NW421

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Clarke, Ms M to ask the Minister of Health

On what evidence did he rely during the debate on the President’s State of the Nation Address on 13 February 2024 when he made the statement that all public health entities, without exception, received either clean or unqualified audits during the 2022-23 financial year?

Reply:

The evidence of the public health entities audit outcomes is contained in their 2022-23 Financial Year Annual Reports which were tabled in Parliament on 23 September 2023.

The following Public Health entities obtained Clean Audits:

a) South African Medical Research Council – refer to page 314 for the Auditor General’s report for the 2022/23 Financial Year

b) Office of Health Standards Compliance – refer to page 77 for the Auditor General’s report for the 2022/23 Financial Year

The following Public Health Entities obtained Unqualified Audits:

c) Council for Medical Schemes – refer to page 106 for the Auditor General’s report for the 2022/23 Financial Year

d) South African Health Products Regulatory Authority – refer to page 121 for the Auditor General’s report for the 2022/23 Financial Year

National Health Laboratory Service – refer to page 165 for the Independent Auditor’s report for the 2022/23 Financial Year

END.

08 March 2024 - NW422

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Clarke, Ms M to ask the Minister of Health

With reference to his undertaking that medical doctors who will not be already in posts after they have recently completed statutory community service programmes will be employed in the Public Service by 1 April 2024, what (a) are the full details of the plan to employ such doctors and (b) is the duration of the contract that the doctors will be expected to sign?

Reply:

(a) Additional budget of R3.7 billion has been allocated towards compensation of employees in the health sector for the financial year 2024/25 to address the wage bill increase and recruitment of additional staff including nurses and medical doctors.

Provincial Departments of Health had already advertised 823 since December 2023 and have reported projections of 1103 Medical Officer appointments by 1st April 2024.

(b) The recruitment plan for the department is to appoint the Medical Doctors as Grade 1 Medical Officers on permanent basis.

END.

08 March 2024 - NW426

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Halse, Ms T to ask the Minister of Health

With reference to the delayed operationalisation of various facilities and functions at the Senorita Nhlabathi District Hospital in Ladybrand, (a) what are the relevant details of the total costs that have been incurred since its opening in 2014 to transport patients to the Pelonomi Hospital in Bloemfontein for operations and (b) how do the specified costs compare to employing qualified medical professionals to perform the operations in the Senorita Nhlabathi District Hospital?

Reply:

a) The total costs that have been incurred since its opening in 2014 to transport patients to Pelonomi Hospital in Bloemfontein for operations is estimated at R 58 152 804. This is calculated based on Uniform Patient Fee Schedule (UPFS) rates applicable for externally funded patients for 5514 cases (High risk patients including 1521 maternity patient transfers that were to be operated at Senorita Nhlabathi District Hospital) at a cost of R 9 484 763, 65 transported since 2014 to 2024.

b) Senorita Hospital is based in the rural area, classified as a small district hospital and offers a comprehensive district hospital package of services. Due to challenges associated with the rural nature of the District where the hospital is placed, the district hospital experience difficulties in attracting and retaining medical professionals thus affecting consistency of conducting operations at Senorita District hospital. See table below comparing the cost of transferring patients from Senorita District hospital to Pelonomi Hospital.

The department remains committed to improving the health of the population being served by the hospital. More than consideration of the costs the Department is concerned about saving the lives of the users. According to the referral pathway the hospital should refer high risk patients to Dihlabeng Regional Hospital which is 200 km but due to longer distance and very poor condition of the road, the hospital refer their high risk patients and maternity cases to Pelonomi Tertiary Hospital which is closer by 130 km away. Additionally contingency measures put in place are that all the elective operations from Senorita hospital will be conducted by mainly community service medical doctors appointed by Senorita Nhlabathi District hospital on a shift basis at Moroka District Hospital which is 70km away and Botshabelo District hospitals which is 100 km away from Senorita district hospital.

Patients Transferred 2014-2024

Cost of Transport 2014-2024

Job Title

Notch

Cost

X 3993 High risk patients

R48 668 040,35

X 3 medical Doctors

R906 540.00

R3 725 879

   

X3 Theatre Nurse(PNB1)

R431 265.00

R1 772 499

X 1521 maternity patients

R9 484 763,65

X2 Professional Nurse (PNA2)

R293 670.00

R804 656

   

X 3 Staff Nurse

R199 725.00

R820 870

   

X 1 Porter

R147 036.00

R201 439

Total transferred 5514

R58 152 804

X 1 Cleaner

R125 373.00

R171 761

GRAND TOTAL

R58 152 804.00

 

R7 497 104 p/annum

END.

08 March 2024 - NW431

Profile picture: Hlengwa, Ms MD

Hlengwa, Ms MD to ask the Minister of Health

With regard to the R848 billion allocated to his department over the Medium-term Expenditure Framework by the Minister of Finance, Mr E Godongwana, what total number of (a) doctors and (b) nurses will be employed?

Reply:

The allocated budget of R848 billion for the Health sector is inclusive of the following obligations:

  • Payment of current employees and the impact of wage bill agreement
  • Provision of the health services in all facilities
  • Medical equipment
  • Maintenance and construction of new facilities

Included in the above budget is an additional budget of R3.7 billion has been allocated towards compensation of employees in the sector for the financial year 2024/25 to address the wage bill increase and recruitment of additional staff including nurses and medical doctors.

The department has been in constant communication with the representatives of and individual unemployed doctors since beginning of the year. Whilst interacting with the different lists submitted and comparing them with the Persal system, the following conclusion was deduced:

  • 417 duplications from grand total of 1415
  • 13 applicants still to complete their Community Service
  • 2 registered as Internship
  • 6 interested in Specialist Posts
  • 860 completed Community Service in December 2023

a) Provincial Departments of Health have already advertised 823 since December 2023 and have reported projections of 1103 Medical Officer appointments by 1st April 2024.

b) Consolidation of funded posts for Nurses will be confirmed by the 15th March 2024.

END.

08 March 2024 - NW400

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Thembekwayo, Dr S to ask the Minister of Health

Whether he has any intervention mechanisms in place to address and/or mitigate challenges of poor service experienced by patients at public hospitals and clinics across the Republic; if not, what is the position in this regard; if so, what are the relevant details?

Reply:

There are many testimonies from South Africans of excellent service received at both PHC facilities and hospitals, however there are pockets of incidents where our patients experience poor service delivery. The NDoH however takes every specific incident of poor service received seriously, and endeavour to provide redress and reduce such incidents in the future.

The Department is implementing various quality improvement interventions to ensure the provision of quality health care at health facilities which include the following:

  • Ideal facility monitoring system which provides a platform for all health facilities to track the facility self-assessment progress, quality improvement interventions and the remedial actions taken to ensure compliance with standards.
  • Implementation of Quality learning centres which is a cluster of facilities in a geographic area made up of hospitals, primary health care and private hospitals to facilitate an integrated approach to quality improvement through mentorship.
  • Clinical Governance structures that are responsible and accountable for continuous improvement of the quality of care rendered at facilities and ensures best clinical outcomes for patient care.
  • Patient waiting times are monitored and provinces support facilities to improve on waiting times.
  • Patient safety incidence committees where adverse events are reported and analysed, and quality improvement plans are implemented.
  • The National Department of Health has instituted a formal system of obtaining feedback on patients’ experience of care that they receive in public health establishments, through the patient experience of care surveys. Reports from these surveys guide continuous quality improvement of care.
  • Office of Health Standards Compliance (OHSC) which monitor and enforce compliance by health establishments with norms and standards prescribed by the Minister of Health.

END.

08 March 2024 - NW393

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Shaik Emam, Mr AM to ask the Minister of Health

(1)What measures is his department putting in place to accommodate the more than 1 000 medical graduates who have completed their community service and remain unemployed; (2) whether his department has succeeded in acquiring additional funding from the National Treasury as previously alluded to by him, in order to accommodate the specified graduates; if not, why not; if so, what are the relevant details?

Reply:

1. The Provincial Departments of Health had already advertised 823 since December 2023 and have reported projections of 1103 Medical Officer appointments by 1st April 2024. In monitoring the progress and supporting the provinces, regular discussions are held between the National Department of Health and Provinces.

2. Additional budget of R3.7 billion has been allocated towards compensation of employees in the health sector for the financial year 2024/25 to address the wage bill increase and recruitment of additional staff including nurses and medical doctors.

END.

07 March 2024 - NW377

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Mohlala, Ms MR to ask the Minister of Health

What measures has his department taken to ensure that healthcare facilities in areas such as Kimberley have reliable access to (a) water, (b) electricity and (c) sufficient staffing to provide adequate healthcare services?

Reply:

a) The National Department of Health requirements is that each facility should have clean water. New clinics that are constructed in the Northen Cape province, particularly around Kimberley since 2011/12 are provided with water supplied though municipality line and back up water system through boreholes. Facilities that were build prior 2011/12 that does not have back up water system are attended to through Borehole Water Programme.

A service provider has been appointed during 2003/24 financial year in Robert Mangaliso Sobukwe Hospital (RMSH) in Kimberley to build a 2 Mega Liters (2 million litters) water tanker as additional water capacity to the current 360,000 Liters.

b) All facilities around Kimberley have electricity and some also have back up generators. There is a program running to provide generators to facilities that don’t have any back up system. The province is also benefiting from People Republic of China donated generators. Robert Mangaliso Sobukwe Hospital is also equipped with GenSets in case of electricity went off during loadshedding.

c) Ideally the Department of Health wishes to fill all health care worker posts in order to improve the health outcomes of the population. Due to current financial constraints, annually, the Provinces appoint Employment Recruitment Teams led by Heads of Health Departments or delegated officials at senior level to develop recruitment plans, prioritising the filling of critical posts with required skills mix. However, they must guard against overspending on provided / available budgets.

END.

07 March 2024 - NW376

Profile picture: Mohlala, Ms MR

Mohlala, Ms MR to ask the Minister of Health

What are the full, relevant details of the plan that his department has put in place to address the compromised health services in Kimberley, Northern Cape, particularly the (a) reliance on domestic water storage tanks or JoJo tanks for water supply, (b) clinic closures and (c) increased cases of diarrhoea?

Reply:

a) The National Department of Health requirements is that each facility should have clean running water. All clinics that are constructed in the Northen Cape province, particularly around Kimberley are having water, and also provided with back up water system through boreholes. Most of the old facilities are getting water from municipalities and those that don’t have borehole are prioritised in 2024/25 to get back up water.

b) No clinics have been closed as a result of poor water supply or quality.

c) Provision of water is the competency of municipalities, the Department interacts with other departments like Water and Sanitation and municipalities to ensure that communities have access to safe clean water. The challenges of unsafe water negatively impact on the health of communities. Random samples are taken to check safety of water at laboratories if there is a sudden increase of diarrhoea cases at certain areas as a precautionary measure.

The tap water in Carnavon was tested and results were positive faecal organisms and therefore not fit for human consumption. Information from District Health Information System (DHIS) for Carnavon CHC and Carnavon clinic for the past six month showed only 1 new case of diarrhoea reported. The matter is dealt with Water and Sanitation Department and outbreak response team has been activated for health education in the community.

END.

07 March 2024 - NW364

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Chirwa, Ms NN to ask the Minister of Health

What is the (a) total number of nurses that are currently unemployed in the Republic and (b) statistical breakdown of unemployed nurses in each province?

Reply:

The Department of Health does not keep a database of unemployed health professionals including the nurses. However, all health professionals, including nurses, whether employed or unemployed, are required to remain registered with their relevant statutory health councils, this being the South African Nursing Council in the case of nurses.

END.

07 March 2024 - NW363

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Chirwa, Ms NN to ask the Minister of Health

What are the relevant details of the steps of intervention his department has taken to ensure that the community of Mountain City in Orange Farm receives a healthcare facility that is able to cater for its health needs?

Reply:

A meeting was held on 9 November 2022 with Mountain City Community Leaders whereby the issue of the clinic was addressed at length. During the meeting, it was communicated to the Community Leaders that there are two clinics at close proximity to Mountain City, namely Thulamntwana clinic which is 2.8 km and Weilers Farm Clinic which is 3.4 km from Mountain City. The two facilities provide health services to the community of Mountain City, thus ensuring access to health services. Both health facilities are within the national norm of the 5km radius access to communities. The Department of Health will continue monitor the situation Mountain City area and respond appropriately.

END.

07 March 2024 - NW362

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Chirwa, Ms NN to ask the Minister of Health

(a) What are the reasons that the Lenasia South District Hospital, which services a great number of communities, remains under resourced and unable to admit patients overnight, (b) what plans have been put in place to increase the capacity for the hospital and (c) on what date(s) will the (i) plans be fulfilled and (ii) infrastructural decay be addressed?

Reply:

The Deputy Minister of Health, Dr Sibongiseni Dhlomo, has made plans to visit the Lenasia South District Hospital, with the MEC for Health, to assess the state of affairs at the Hospital. This visit will take place on Wednesday, 13 March 2024 and the Minister will then provide the Honourable Member with a full report on the state of health services in that Hospital.

END

07 March 2024 - NW272

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Hlengwa, Ms MD to ask the Minister of Health

Considering that he recently stated that the salaries of South African doctors are straining his department’s budget and that the department has had several bilateral engagements with the National Treasury to find creative ways to shield the healthcare service and the frontline workforce, and noting that his department has undertaken to place unemployed doctors in public service employment by 1 April 2024, how will his department’s budget be adjusted to account for this?

Reply:

1. Health sector relies on employment of doctors, nurses and other critical posts hence most of the budget is allocated to compensation of employees. Currently in 2023/2024 about 63% of total budget has been allocated to compensation of employees and 64% in 2024/2025 financial year.

2. As reflected during the media briefing hosted on 05/02/2024, we do acknowledge fiscus challenges the country is facing and the impact in the health care system. The Provincial Departments of Health continue to actively engage their Provincial Treasuries to find ways of addressing the unemployment of health professionals, including medical doctors. The ongoing provincial engagements will allow provinces to get leverage of activating the posts that were previous unfunded due to the budget pressures and subsequent austerity measures encountered last year.

Indeed the “several bilateral engagements” with National Treasury have yielded very positive results and become a confirmatory expression that government departments work together to better the lives of the people. On 21st February 2024, the Minister of Finance announced allocation of R848 billion for the health sector which is inclusive of the following obligations:

  • Payment of current employees and the impact of the wage bill agreement
  • Provision of the health services in all facilities
  • Medical equipment
  • Maintenance and construction of new facilities

Included in the budget above is an additional budget of R3.7 billion has been allocated towards compensation of employees in the sector for the financial year 2024/25 to address the wage bill increase and recruitment of additional staff including nurses and medical doctors.

As a result of the provincial inter-departmental engagements, Provincial Departments of Health have already advertised 823 since December 2023 and have reported projections of 1103 Medical Officer appointments by 1st April 2024. According to the 09th February 2024 persal print out, 425 Medical Officer appointments were captured for January 2024 of which 371 are Grade 1 category.

END.

07 March 2024 - NW292

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Clarke, Ms M to ask the Minister of Health

What (a)(i) is the current backlog on toxicology analysis at the Durban Forensic Chemistry Laboratories, (ii) measures have been put in place to eradicate the backlog and (iii) total number of toxicology tests are run on each day and (b) by what date will the Durban backlog be eradicated?

Reply:

According to the National Health Laboratory Service (NHLS):

a) (i) There is no backlog of toxicology cases at the Durban FCL.

The Durban FCL does not offer a full toxicology service. Postmortem cases referred from the Kwazulu-Natal and regions of the Eastern Cape provinces that require analysis for carbon monoxide testing only are processed and completed at the Durban FCL. These comprise a small number of samples and no backlog has developed.

(ii) There is no backlog of toxicology cases at the Durban FCL.

(iii) The Durban FCL receives on average 12 carbon monoxide cases for analysis per month and completes these cases each month.

b) There is no backlog of toxicology cases at the Durban FCL.

END

07 March 2024 - NW293

Profile picture: Clarke, Ms M

Clarke, Ms M to ask the Minister of Health

(1)What total number of medico-legal claims (a) have been filed and (b) have been paid out as (i) settlements and (ii) court-ordered payments; (2) what total (a) number of claims were awarded based on (i) lost patient files and (ii) duplicate claims that have been filed and (b) amount has been spent on (i) legal costs and (ii) claim costs from 1 January 2020 to 31 December 2023?

Reply:

The following table reflects the details in this regard:

NAME OF THE PROVINCE

1 (a)

Total number of medico-legal claims filed

1 (b)

Total number of the claims paid out

1 (b) (i)

Total number of claims paid out as settlements

1 (b) (ii)

Total number of claims paid out as court ordered payments

2 (a) (i)

Total number of claims that were awarded based on lost patient files

2 (a) (ii)

Total number of duplicate claims that have been filed

2 (b) (i)

Total amount spent on legal cost

2 (b) (ii)

Total amount of claim cost

 

Eastern Cape[1]

               

Free State

651

53

50

3

0

0

R37 259 798.24

R2 484 606 393.54

Gauteng

322

449

0

449

108

0

R634 637 738.31

R1 897 283 000.00

KwaZulu- Natal

779

 94

0

 94

 0

1

R328 252 675.68

R8 677 266 708.80

Limpopo

903

30

2

28

0

1

R63 145 941.00

R266 804 823.43

Mpumalanga

569

62

32

30

15

0

R224 990 555.00

R245 485 320.00

Northern Cape

57

28

27

1

7

0

R24 670 478.26

R152 235 223.45

North West

241

22

15

7

0

0

R59 270 605.65

R99 136 357.41

Western Cape[2]

               

Totals

3522

738

126

612

130

1

R1 372 227 792,14

R23 637 317 204,63

  1. Eastern Cape still verify the figures.

  2. Still waiting the information from WC. We have been advised that the responses have been forwarded to the HoD for approval.