Question & Replies No 401 to 450

2008-11-27

[PMG note: Any gaps in the numbering are due to the replies not being provided yet]

QUESTION: NO 427

(Internal Question Paper No – 2008)

Mr M Swart (DA) to ask the Minister of Sport and Recreation:

(1) (a) Who is the Chief Financial Officer (CFO) of his department,

(b) when was this person appointed to this position,

(d) what experience does this person have relevant to the position

of CFO;

(2) whether the CFO of his department received a performance bonus in 2007; if so, (a) how much and (b) why was the performance bonus awarded?

NW983E

RESPONSE:

1) (a) Mr DM Matlala

(b) 01 January 2007

(c) National Matric certificate; Bachelors of Commerce; Masters in Business Administration

(d)

Ø Trainee Accountant (Consol Limited: February 1988 – January 1989) + 11 Months.

Ø Internal Auditor / Accountant (SA Motor Corporation: February 1989 – January 1992) 3 Years.

Ø Accountant (Optimum Collieries and Randvaal Town Council: February 1992 – March 1997) 5 Years, 1 Month.

Ø Senior Financial and Fleet Manager (SA Post Office: April 1997 – September 2003) 6 Years, 5 Months.

Ø Senior Financial Manager (Agricultural Research Council: October 2002 – November 2003) 1 Year, 1 Month.

Ø Chief Financial Officer (South African Sports Commission & Sport and Recreation SA: December 2003 - ) 4 Years, 7 Months.

Ø TOTAL: 21 YEARS, 1 MONTH.

2) No performance bonus was paid to the CFO in 2007.

QUESTION 429

DOF PUBLICATION: Friday, 14 March 2008

INTERNAL QUESTION PAPER NO 9 of 2008

Mrs S V Kalyan (DA) to ask the Minister of Home Affairs:

Whether she will introduce an e-identity document; if not, why not; if so, what are the relevant details?

NW1033E

REPLY

I will be introducing a Smart ID Card, in the course of the 2008/09 financial year, which is considered to be compatible to the needs of our society. A pilot project is scheduled for the end of December 2008, and a full rollout will commence towards the end of December 2009.

QUESTION 431

INTERNAL QUESTION PAPER [NO 9-2008]

DATE OF PUBLICATION: 14 MARCH 2008

431. Mr P J Groenewald (FF Plus) to ask the Minister for Agriculture and Land Affairs:

(1) Whether a restitution claim has been granted in the Majuba area; if so, (a) how many hectares of land are involved, (b) to whom was the claim granted, (c) what sum of money was appropriated for the restitution claim concerned and (d) to whom was it paid;

(2) whether any subcontractors were appointed to cultivate the land; if not, what is the position in this regard; if so, (a) which contactors, (b) for how long, (c) at what rate and (d) on what conditions were they appointed;

(3) whether a harvest has yet been delivered; if not, why not; if so, (a) what was the yield and (b) to whom were the profits paid;

(4) whether any festivities in connection with this claim were arranged; if so, (a) what were the costs to the state and (b) who attended;

(5) whether she will make a statement on the matter? NW1068E

MINISTER FOR AGRICULTURE AND LAND AFFAIRS:

8 community claims were restored in the Majuba district.

(a) 33 964 hectares in total.

(b) There are 8 community claims (35 files) that were restored to approximately 2 328 families.

The total award for the 8 claims was R95 456 899.

(d) The award includes payment to landowners for the purchase of the claimed land and allocation of grants to the claimants.

(2) No. The Regional Land Claims Commission (RLCC) handed the Charlestown, Waaihoek and Kingsley claims to the Department of Agriculture (DoA) to provide support.

(a), (b), (c) and (d) Fall away.

The RLCC is not aware of any harvest.

(a) and (b) Fall away.

Yes. Celebrations were held for the Kingsley and Charlestown claims. No celebrations were held for all other claims.

Approximately R200 000 for both claims.

(b) Delegates who attended the Kingsley celebration included the former Minister for Agriculture and Land Affairs, Minister A T Didiza, Premier of Kwa Zulu Natal, Mr Mtshali, former MEC for Agriculture, the late Mr Makhaye, RLCC staff and members of the community. Delegates who attended the Charlestown celebration included Minister A T Didiza, former Chief Land Claims Commissioner, Mr Gwanya, RLCC staff and members of the community.

(5) No.

Question no.436

QUESTION PAPER DATE: FRIDAY, 14March 2008

436: Dr R Rabinowitz (IFP) to ask the Minister of Minerals and Energy:

Whether Eskom is implementing an incentive programme for the installation of solar water heaters; if not, why not; if so, (a) what are the details of the programme, (b) what is the saving to the consumer as a percentage of the cost of the solar water panels, geyser and installation, (c) how many persons have accessed the programme, (d)(i) at what cost to Eskom has the programme been accessed and (ii) what is the estimated amount of kWh of electricity being saved?

RESPONSE:

Yes, Eskom has an incentive programme for solar water heating. Electrical geysers are the single biggest users of electricity in the home and present a significant opportunity for energy savings through solar water heating. Due to the low price of electricity in South Africa the rate of installation of solar water heating in the country is comparatively low despite our abundant sunshine. Solar water heating is able to save up to 70% of the electricity used for water heating in the home. Eskom has developed and implemented an incentive programme for solar water heaters for the residential market, and is in the implementation phase of the programme. The objective of the programme is to stimulate demand for solar water heating in the country in order to save electricity.

The solar water heating market supplied approximately 10,000 systems into the market in 2007, and the prices of this equipment varied between R 8,500 and R35, 000 per system installed. Eskom aims to increase the installation rate to 200,000 systems per annum over a five year period while dropping the cost of the systems.

Eskom's incentive is paid to accredited suppliers as a re-imbursement for the discount offered on installed solar water heaters. The incentive equates to a discount of between 15% and 30% depending on the performance of each particular type of solar water heater.

To become an accredited on the Eskom programme, a supplier needs to do the following:

Obtain an SABS test report for his equipment in the short term, but ultimately obtain the SABS mark of approval.

Become a member of the industry governing body (SESSA).

Provide auditors with relevant documents such as financial history of the company (or provide a financiers letter of credit).

As part of the SABS testing, each solar water heating system is rated with a daily energy savings value. The Eskom incentive is calculated according to this energy savings value. The average energy savings on a 200 litre geyser, is 5.62 kWh per day, or 2,050 kWh per annum. At an average energy price of R 0.45 per kWh, this equates to an annual savings of R 923.00. The average installed cost of a 200 litre system including the Eskom subsidy would be R 13,200.00, which means that the annual savings would be 7% of the capital cost. The expected increase in electricity price will result in a larger ratio of savings to capital cost.

The incentive programme was introduced in January 2008 . To date 100 home owners have utilised the incentive process to install a solar geyser in their home. This number is set to rise rapidly as the number of accredited suppliers increases. Ten suppliers are currently registered on the programme, and a further twenty are expected to be registered within the next eight weeks.

The estimated annual energy reduction for the 100 systems installed to date is 205,130 kWh. The amount of savings will increase substantially as the programme gains momentum

QUESTION NO. 439

DATE OF PUBLICATION IN INTERNAL QUESTION PAPER: 14 MARCH 2008

(INTERNAL QUESTION PAPER NO. 9)

Mrs S V Kalyan (DA) to ask the Minister of Health:

(1) What role does the SA Nursing Council play in the processing of applications from foreign-qualified nurses to work in South Africa;

(2) whether she has been informed of any capacity or resource constraints within the SA Nursing Council which are impeding its ability to manage its functions; if not, what is the position in this regard; if so, (a) what are the relevant details and (b) what steps are being taken to address these problems?

NW1076E

REPLY:

(1) The SA Nursing Council is a regulatory body for nursing in South Africa. Every nurse rendering nursing in South Africa for gain must be registered with the SA Nursing Council. The SA Nursing Council has to make sure that nurses with foreign qualifications, seeking employment in South Africa, meet the minimum education and training standards for the registration in the relevant nursing category namely: professional nurse, midwife, staff nurse or auxiliary nurse. This is done with a primary aim of protecting the public. Nurses wanting to work in South Africa have to apply to the SA Nursing Council to have their foreign qualifications verified before they can be registered in the relevant category mentioned above. Any offer of employment can therefore not be finalised unless the conditions set by the Nursing Council are fully met.

(2) The SA Nursing Council has experienced some challenges over the past few years, some of these relating to governance, which were reported to the Ministry of Health. The Minister has attended to these, addressing the full Council meetings on three occasions. At present the nomination process has just been finalised and the appointment of the new SA Nursing Council by the Minister will be done before the end of May 2008. It is envisaged that the new Council will be installed by the first week of June 2008.

QUESTION NO. 441

DATE OF PUBLICATION IN INTERNAL QUESTION PAPER: 14 MARCH 2008

(INTERNAL QUESTION PAPER NO. 9)

Mr R Coetzee (DA) to ask the Minister of Health:

In each of the three most recent financial years for which information is available, (a) when was each application for the construction of a private hospital in each province (i) received, (ii) accepted or (iii) rejected, (b) from whom was each application received, (c) how many beds was the applicant proposing to create and (d) in each case, on what grounds was an application rejected? NW1078E

REPLY:

EASTERN CAPE

PERMITTED	AREA	ORGANISATION	NO. OF BEDS	NO. OF POTENTIAL EMPLOYEES	ESTIMATED COST OF THE HOSPITAL
		2004
YES	BEACON BAY	LIFE HEALTH CARE	108	190	NOT STATED
		2005			NOT STATED
YES	MDANTSANE	DR. J. KYANGULANYI	16	52	NOT STATED
YES	GRAHAMSTOWN	DR. T. HENDERSON	30	NOT STATED	NOT STATED

		2006
YES ADDITIONAL BEDS	E.L. ST DOMINIC'S	LIFE HEALTH	66	NOT STATED	NOT STATED
YES ADDITIONAL BEDS	E.L. PRIVATE	LIFE HEALTH	10	NOT STATED	NOT STATED
YES ADDITIONAL BEDS	P.E. ST GEORGES'	LIFE HEALTH	50	NOT STATED	NOT STATED
YES ADDITIONAL BEDS	P.E. MERCANTILE	LIFE HEALTH	30	NOT STATED	NOT STATED
YES ADDITIONAL BEDS	P.E. GREENACRES	NETCARE	48	NOT STATED	NOT STATED
YES	PORT ELIZABETH	EYE & LASER	10	15	NOT STATED
YES (PPP)	PORT ALFRED	NETCARE	30	63	COST FOR BOTH PP'S R200m
YES (PPP)	GRAHAMSTOWN	NETCARE	32	69	SAME AS NO.7
YES	QUEENSTOWN	CARE CURE	20	NOT STATED	NOT STATED
		2007
YES (STEP- DOWN)	EAST LONDON	PRIMED	50	67	NOT STATED
YES (STEP- DOWN)	PORT ELIZABETH	PRIMED	50	67	NOT STATED
YES (STEP- DOWN)	MTHATHA	DR. MASHIYI	50	NOT STATED	NOT STATED
YES (STEP- DOWN)	ALIWAL NORTH	MRS. MALHERBE	20	20	NOT STATED
YES (STEP- DOWN)	PORT ELIZABETH	REV. WILSON	12	17	NOT STATED
YES (RENAL UNIT)	PORT ELIZABETH	NATIONAL RENAL CARE	11	5	NOT STATED
YES (EYE)	EAST LONDON	DR. COOK	10	16	NOT STATED
YES	PORT ELIZABETH	EYE & LASER	120	NOT STATED	NOT STATED
YES	JEFFREY'S BAY	EYE & LASER	20	NOT STATED	NOT STATED
NO (OVER-SERVICED)	PORT ELIZABETH	PHODISO	216	NOT STATED	NOT STATED
NO (OVER-SERVICED)	JEFFREY'S BAY	NEHEMIA NALEDI	68	NOT STATED	NOT STATED
NO (OVER-SERVICED)	EAST LONDON	NETCARE BOPHELO BASETSHABA	200	377	NOT STATED
NO (OVER-SERVICED)	PORT ELIZABETH	EYE & LASER	56	NOT STATED	NOT STATED
NO (OVER-SERVICED)	JEFFREY'S BAY	EYE & LASER	60	NOT STATED	NOT STATED

(d) Reasons for non approval -

Phodiso: - Port Elizabeth is over-serviced

Nehemia Naledi - Jeffrey's Bay is over-serviced

Bophelo Basetshaba - No need for a new facility in Clarendon Gardens

PERMITTED	AREA	ORGANISATION	NO. OF BEDS	NO. OF POTENTIAL EMPLOYEES	ESTIMATED COST OF THE HOSPITAL
		2008
NO	E.L. PRIVATE	LIFE HEALTH	61	NOT STATED	NOT STATED
NO(OVER SERVICED)	PORT ELIZABETH	PALM SPRINGS	60	NOT STATED	NOT STATED
YES STEP DOWN	PORT ELIZABETH	PALM SPRINGS	100	NOT STATED	NOT STATED
NO	PORT ELIZABETH	PALM SPRINGS	40	NOT STATED	NOT STATED
NO	PORT ELIZABETH	LIFE HEALTH	200	247	NOT STATED
NO	PORT ELIZABETH	NETCARE	120	NOT STATED	NOT STATED
YES	PORT ALFRED	NATIONAL RENAL CARE	6 STATIONS	3	NOT STATED
YES	ALICE	NATIONAL RENAL CARE	6 STATIONS	10	NOT STATED
YES	PORT ELIZABETH KWA-DWESI	NATIONAL RENAL CARE	6	10	NOT STATED
YES	MDANTSANE CMH	NATIONAL RENAL CARE	6	3	NOT STATED
YES	P.E. GREENACRES	NATIONAL RENAL CARE	3 ADDITIONAL	5	NOT STATED
YES	GRAHAMSTOWN SETTLERS	NATIONAL RENAL CARE	2 ADDITIONAL	3	NOT STATED
YES	CRADOCK	NATIONAL RENAL CARE	6	3	NOT STATED
NO	JEFFREY'S BAY	SAKHIWO HEALTH SOLUTION	80	NOT STATED	NOT STATED
YES	MTHATHA	PROLILEX 3200cc	100	132	NOT STATED
YES	UITENHAGE	NETCARE	28	NOT STATED	NOT STATED

Decision not to approve: Signed by the Acting Superintendent General. Qualification: B Sc, MBCHB, MAP, who was acting for the Superintendent General and who has the authority in terms of Regulation 158 of the Health Act of 1977 to decide on these applications.

ADVISORY COMMITTEE ON LICENSING OF PRIVATE HEALTH FACILITIES:-

The Superintendent General is advised by an Advisory Committee on Licensing of Private Health Facilities, whose members and qualifications are as follows:

Qualifications & Job Title

1. Dr. L. Matiwane (Chairperson): MBCHB; Advanced Management Programme

2. Mr. S. Frachet: B Com (Commercial Law & Accounting, Articles)

3. Mr. T. Gwebindlala: B Sc Honours Degree; Cert. Programme

Management; Certificate - Health Facilities Planning

4. Mrs. Nonhonho: University Diploma in Nursing Education; BA

Nursing Sc. Honours; Post Graduate Certificate in Management Health & Welfare; Certificate in Business Management; Advanced Project Management

5. Dr. G. Khan: Medical Doctor

6. Miss T. Qangule: Lawyer (Senior Legal Advisor Dept. of Health)

7. Mrs M.D. Mlalanlde (Secretary): Certificate in Advanced Public Management;

Post Graduate Certificate in Managing Health and Welfare; Post Graduate Certificate in Health Care Management; Diploma in Psychiatric Nursing Science; Diploma in Human Resource Management; Diploma in Nursing Education; Diplomas in Community Nursing Science, Midwifery, General Nursing

FREE STATE

Date (a)(i)	Applicant (b)	Number of Beds applied for (c)	Not Approved (iii) (d)	Approved (ii)
2005	Mangaung Clinix Hospital (Bloemfontein)	300 Beds		Approved for only 120 beds. Reason being to ensure an equitable distribution of beds in the Free State
2005	Botshabelo Private Hospital	150 Beds		150 Beds Approved
2005	Corona Medical Care Sub acute facility (Bethlehem)	30 Beds		30 Beds approved
2005	Care Cure sub acute facility (Parys)	17 Beds		Approved
2005	Bayswater Care Bloemfontein	4-Sub acute Beds 8-Frail care beds		Approved
2005	Aphloria House (Bloemfontein)	12 Sub acute psychiatric beds	Not approved based on bed norms
2005	JD van der Merwe and DP Pretorious Medicross Bloemfontein	24 Beds	Application not approved based on Bed norms
2006	Pelonomi Netcare Bloemfontein	143 Acute Beds		Approved
2006	Bonolo Private hospital (Thaba-Nchu)	36 Beds		36 Beds Approved
2006	Setsoto Private Hospital (Ficksburg)	30 Beds		30 Beds Approved
2006	Thaba-Med Private Hospital (Thaba-Nchu)	30 Beds	Not Approved based on bed norms in Thaba-Nchu
2006	Phuthaditjhaba Private Hospital (Qwaqwa)	30 Beds		30 Beds Approved
2006	Hillandale Woodlands adult sub acute facility (Bloemfontein)	36 Beds		36 Beds approved
2007	Bloemcare Psychiatric Hospital (Bloemfontein)	70 Psychiatric Beds		70 Beds approved
2007	Welkom Sub acute facility	30 Sub acute Beds		30 Beds approved
2007	Kroonstad Sub acute facility	30 Sub acute Beds		30 Beds approved
2007	Welkom Stepdown facility	40 Beds		40 Beds approved
2007	Welkom Day Hospital	20 Beds		20 Beds approved
2007	Bloemfontein Psychiatric Hospital	50 Psychiatric Beds	Application put on hold because applicants applied under two companies. First application was for 50 beds and the second application was for 96 beds
2007	Langenhoevenpark Hospital	120 Beds	Not approved. Application did not meet requirements as stipulated in R158
2007	Arengo 57 (Bloemfontein)	80 Beds	Not approved based on bed norms in Bloemfontein area. The department uses 2.15 per 1000 population for both Private and Public. Current state of bed norms is at 4.42 beds per 1000 population for both Private and Public

KWAZULU/NATAL

(a) to (d) The table below reflects the applications received for the period 2004 to 2007.

2004 15 application

2005 06 applications

2006 None

2007 19 applications

2004
Area Application for Hospital or Clinic	Organisation/Person		No. of Beds	Application Approved/not Approved	Reasons for Refusal
Pietermaritzburg St. Mary's Rehabilitation Centre	Ms B Appelgren		25 Beds (against rehabilitation)	Not Approved	Need not established
eThekwini Chatsworth Hospice (Step-down facility)	Chatsworth Regional Hospice Association		10 Stepdown beds form palliative care	Not Approved	Need not established
Ophthalmic Facility	Dr J Carlisle		40 beds for ophthalmic care 2 Ophthalmic theatres	Not Approved	Needs not established
Bluff, eThekwini Dental Clinic	Dr A Mohamed		1 recovery bed 1 dental theatre	Not Approved	Need not established
Post Delivery Centre	Ms BS Khumalo		4 beds 1 couch 1 gynae bed with stirrups	Not Approved	Need not established
eThekwini Natal Clinic cc	Dr A Ramdeo		4 beds and 1 theatre	Approved
eThekwini Respite Unit Hillcrest Hospital	Hillcrest AIDS Centre Trust		6 beds for AIDS respite only	Approved
Stanger Hospital	Victoria Hospital Limited		120 beds 3 operating theatres	Not approved	Final Approval for 1 private hospital in Stanger given to Kwadukuza Hospital Limited in 2006
Stanger Hospital	Trans Africa		100 beds 4 operating theatres	Not approved	Final Approval for 1 private hospital in Stanger given to Kwadukuza Hospital Limited in 2006
KwaDukuza Canelands Hospital	Dr ZR Khumalo with Venture Team Organisers		105 beds 4 operating theatres	Not Approved	Final Approval for 1 private hospital in Stanger given to Kwadukuza Hospital Limited in 2006
Kwadukuza Hospital Limited	KwaDukuza Independent Practitioners Association		120 beds 3 operating theatres	Approved in 2006
Umhlali Area Sinidisa Health Care	Dr LL Ndokweni		66 beds	Not Approved	Final Approval for 1 private hospital in Stanger given to Kwadukuza Hospital Limited in 2006
Stanger The Zweli Mkhize Private Hospital	KwaDukuza Medical Hospital (Pty) Ltd		77 beds 3 operating theatres	Not Approved	Final Approval for 1 private hospital in Stanger given to Kwadukuza Hospital Limited in 2006
Vryheid Abaqulusi Private Clinic	Dr LMR Maphumulo		97 beds 4 operating theatres	Approved
Mbazwana Maputuland Private Hospital	Thinabantu Investments Holdings(Pty) Ltd		60 beds 2 operating theatres	Approved
2005
Area Application for Hospital or Clinic		Organisation/Person	No. of Beds	Application Approved/not Approved	Reasons for Refusal
Umdoni Private Hospital		Umdoni Private Hospital Development (Pty) Ltd	68 beds 3 operating theatre	Approved
Hillcrest Private Hospital		Dr Mji Trans Africa	100 beds 4 operating theatres	Approved
Matatiele Private Hospital		Dr Thusi	20 beds 2 operating theatres	Approved
Ballito Hospital		Pegasus Medical	89 beds 3 operating theatres	Approved
Vryheid Private Hospital		Pegasus Medical	89 beds 3 operating theatres	Not Approved	Need not established for another licence to be given out
Dundee Step-down clinic		Dr J Fourie	16 beds	Approval given for 8 beds

2006
No applications for new facilities were dealt with in 2006

2007
Area Application for Hospital or Clinic		Organisation/Person	No. of Beds	Application Approved/not Approved	Reasons for Refusal
Ugu-Shelley Beach Philani Day Clinic		Nr IM Mkhwanazi Delivez Trading Company	20 day beds 3 operating theatres	Approved
eThekwini, Umhlanga Rocks (northwards extension) Gateway Private Hospital		Dr AJ Ash	160 beds 6 operating theatres	Approved
Umzinyathi, Greytown Medical Clinic		Mr K Simpson GADCCA	24 beds 1 operating theatre	Approved
eThekwini, Westridge Durban Heart and Endovascular Hospital (with day clinic)		Mr M Khubeka Capital Heart Centre Pty Ltd	24 beds 3 operating theatres 1 Cath Laboratory	Not approved	Need not established
eThekwini, Umhlanga Old CBD Durban Heart and Endovascular Hospital with day clinic		Mr M Khubeka Capital Heart Centre Pty Ltd	24 beds 3 operating theatres 1 cath Laboratory	Not approved	Need not established
eThekwini, Bhejani Road Bridge City Private Hospital		Mr F Pietersen Crowie Projects Pty Ltd	175 beds 8 operating theatres	Not approved	Need not established
Umgungundlovu, Imbali Eden Gardens Private Hospital		Dr PKV Patel Edenvision Medical Holding LTD	113 beds 5 operating theatres	Approved
eThekwini, Manning Road La Belvedere Care Centre		Sr AM Dippenaar	12 specialised neuro beds	Not Approved	Need not established
eThekwini, between Isipingo and Umzimtoti Serenity Hospital		Mr H Narismulu Seven Falls Pty Ltd	50 medical / surgical beds 50 day beds	Pending Final Decision
eThekwini, Berea area Serenity Hospital		Mr H Narismulu Seven Falls Pty Ltd	50 medical / surgical beds 50 day beds	Pending Final Decision
eThekwini, Durban South Area Serenity Hospital		Mr H Narismulu Seven Falls Pty Ltd	50 medical / surgical beds 50 day beds	Pending Final Decision
eThekwini, Inner City of Durban Serenity Hospital		Mr H Narismulu Seven Falls Pty Ltd	50 medical / surgical beds 50 day beds	Pending Final Decision
eThekwini, Pinetown Serenity Hospital		Mr H Narismulu Seven Falls Pty Ltd	50 medical / surgical beds 50 day beds	Pending Final Decision
Uthungulu, surrounding Richard's Bay Serenity Hospital		Mr H Narismulu Seven Falls Pty Ltd	50 medical / surgical beds 50 day beds	Pending Final Decision
eThekwini, Umdloti area Serenity Hospital		Mr H Narismulu Seven Falls Pty Ltd	50 medical / surgical beds 50 day beds	Pending Final Decision
Ugu, Port Shepstone area Serenity Hospital		Mr H Narismulu Seven Falls Pty Ltd	50 medical / surgical beds 50 day beds	Pending Final Decision
Umgungundlovu, Pietermaritzburg Serenity Hospital		Mr H Narismulu Seven Falls Pty Ltd	50 medical / surgical beds 50 day beds	Pending Final Decision
Umgungundlovu, Howick-Merrivale area Cedarwood House		Mrs N Coetzer	10 sub-acute stepdown beds	Not awarded	Need not established
Uthukela, Bergville Jireh Foundation Care Centre		Mr G Oosthuis	40 palliative/step-down beds	Approved

MPUMALANGA

The following is a table of applications for new facilities:

(i) DATE	(ii / iii) COMMITTEE REC	(b) APPLICANT	(c) BEDS	(d) RATIONALE
10 Feb 2006	Not recommended 1 April 2008	Ehlanzeni Hospital Nelspruit	179 Bed	Nelspruit Tertiary Hospital to be built
3 Mar 2006	Recommended 1 April 2008	Turquoise Moon Hazyview	29 Bed
18 Sept 2006	New information needed	Piet Retief Private Piet Retief	70 Bed	Adjudication 7 May 2008
12 Mar 2007	PPP with Lydenburg Hospital 1 April 2008	Thaba Chweu Lydenburg	100 Bed	To engage with applicant and compare with Swarogo application and review 7 May 2008
12 April 2007	Recommended 1 April 2008	Philani-Phelang Kwa-Mhlanga	82 Bed
04 July 2006	PPP with Lydenburg Hospital 15 Mar 2007	Swarago Lydenburg	PPP with Lydenburg Hospital	To engage with applicant and compare with Thaba Chweu application. Decision 7 May 2008
09 July 2007	Recommended	Pan Africa Malelane	74 Bed
11 May 2007	Applicants to provide information requested. Quality Assurance unit to do assessment 19 April 2008	Bhubezi Bushbuckridge	CHC	Adjudicate 7 May 2008
	Not recommended	Hazyview Private Hazyview	400 Bed	Too many beds requested. applicants to revise no of beds and re apply

The following is a table of applications for additions/extensions to existing facilities:

(ii / iii) COMMITTEE REC	(b) APPLICANT	(c) REQUEST
Recommended	Midmed Hospital Middelburg	Change in allocation of beds
Recommended	Eden Park Mental Health Unit Witbank	30 Bed ward to be added
Recommended	Mar-peh Step down facility Standerton	Conversion of 2 beds for acute care
Applicants to provide more information on maternal care and review 7 May 2008	Goldmine group Evander	Facility to be allowed to give care to family members of workers in mine and fully fledged private status
Provide information as to possibility of PPP with Embhuleni Hospital and do 2^nd presentation.	Lindeni Embhuleni	Expansion of private practice to clinic
Recommended	Kriel hospital Kriel	36 Bed day hospital to clinic
Recommended- operational	Anglo-Coal Witbank	Renovations and extensions
Committee to review information in IHPF and decide 7 May 2008	Mediclinic Nelspruit	54 Beds
Recommended	Life-Cosmos Witbank	Endoscopy Unit
Applicants to clarify some issues to committee next sitting	Palm day clinic & Witbank Community Hospital Witbank	Theatre

NORTHERN CAPE

	(a)(i)	(ii)	(iii)	(b)	(c)
1.	7 March 2004	-	-	Afro Prima	30 beds
2.	18 July 2007	-	-	Minerva Gardens	6 beds
3.	31 July 2007	-	-	Dr's N Van Aswegen & Dr S Allie	Number of beds not specified
4.	19 September 2007	-	-	Swarago Investment (Pty) Ltd	50 beds
5.	3 November 2007	-	-	Gasegonyana Municipality	Number of beds not specified
6.	13 November 2007	-	-	Care Cure Clinic	24 beds
7.	20 November 2007	-	-	Petunia House	Number of beds not specified
8.	21 November 2007	-	-	Marie Stopes South Africa	Number of beds not specified

(d) None of the above mentioned applications have been either approved or rejected and are still pending the submission of further correspondence from the applicants.

NORTH WEST

(i) received,

2005

2006

2007

1. Dr Mathekga

2. Brits Medi Clinic

3. B McGillewie Sub-Acute

4. Brits Medi Clinic

5. Dr J Rampedi

6. Dr Mkoana

7. Victoria Hospital

1. Dr A Mokgokong

2. Rustenburg Private Hospital/Matlosana Medical Services

3. Peglerae Hospital

4. Wisani Clinic

5. Primary Health Care Clinic

6. Kagiso Maternity Home

7. New Maternity Home in Itsoseng

1. Green Circle Health Care

2. New Mafikeng Private Hospital (G I Chaane)

3. Lichtenburg Clinic

4. Lichtenburg Hospital

(ii) accepted

2005	2006	20007
1. Dr. E Mathekga	1. Kagiso Maternity Home	1. New Mafikeng Private Hospital
2. Brits Medi Clinic	2. New Maternity home in Itsoseng
3. MB McGillewie Sub-Acute Facility
4. Dr. J Rampedi
Victiria Private Hospital

(iii) rejected

2005	2006	2007
1. Brits Medi Clinic	1. Dr. A Mokgokong Community Healthcare	1. Green Circle HealthCare
2. Dr. Mokoena Lesego Private Clinic	2. Dr. A Mokgokong	2. Lichtenburg Clinic
	3. Rustenburg Private hospital Matlosana Medical Services	3. Lichtenburg Hospital
	3. Peglerae Hospital
	4. Wisani Clinic
	5. Primary health Clinic

(b) from whom was each application received,

2005

2006

2007

1. Dr Mathekga

2. Brits Medi Clinic

3. B McGillewie Sub-Acute

4. Brits Medi Clinic

5. Dr J Rampedi

6. Dr Mkoana

7. Victoria Hospital

1. Dr A Mokgokong

2. Rustenburg Private Hospital/Matlosana Medical Services

3. Peglerae Hospital

4. Wisani Clinic

5. Primary Health Care Clinic

6. Kagiso Maternity Home

New Maternity Home in Itsoseng

1. Green Circle Health Care

2. New Mafikeng Private Hospital (G I Chaane)

3. Lichtenburg Clinic

4. Lichtenburg Hospital

2005

2006

2007

1. Dr Mathekga =05

2. Brits Medi Clinic =52

3. B McGillewie Sub-Acute =12

4. Brits Medi Clinic =18

5. Dr J Rampedi =100

6. Dr Mokoena =60

7. Victoria Hospital = 93

1. Dr A Mokgokong =200

2. Rustenburg Private =126

3. Peglerae Hospital=150

4. Wisani Clinic =118

5. Primaru Health Care Clinic =not provided

6. Kagiso Maternity Home =10

7. New Maternity Home = 10

1. Green Circle Health Care = 210

2. New Mafikeng Private Hospital (G I Chaane)= 160

3. Lichtenburg = 06

4. Lichtenburg = 50

(d) in each case, on what grounds was an application rejected?

1. Dr. A Mokgokong Community Healthcare	· Netcare is already providing the service which caters for the catchment population of that area
2. Brits Medi Clinic	· They had an existing clinic which had additional 20 beds approved. The approval was given to another applicant in the Hartebeespoort area
3. Dr. Mokoena 4. Lesego Private Clinic	· Could not be traced down to make an oral presentation
5. Rustenburg Private hospital Matlosana Medical Services	· Public- Private ratio already exceeded
6. Peglerae Hospital	· Rustenburg could not afford 3 services providers. · Peglerae Hospital PPP is recommended · Oversupply of level 1 and level 2 beds at District level and Provincial level
7. Wisani Clinic	· Applicant was referred to Gauteng Province since the area where the clinic is to be based now falls under Gauteng Province
8. Primary health Clinic	· Application did not comply with the R158 Regulation and was referred to relevant statutory bodies
9. Green Circle HealthCare	· Oversupply of level 1 and level 2 beds at District level and Provincial level · PPP to be recommended
10. Lichtenburg Clinic	· Due to the gaps identified and non-compliance with the R158 Regulations and the time frames of building the new clinic, the application was not approved.
11. Lichtenburg Hospital	· The Province has development a business case to upgrade General De La Rey from a District Hospital to a Regional Hospital. The business case for this hospital is based on the catchment population of the area which covers the 30-bed clinic/hospital proposed by Dr Botha

WESTERN CAPE

APPROVALS OF PRIVATE HOSPITAL APPLICATIONS FOR THE WESTERN CAPE PROVINCE: APRIL 2005 – MARCH 2006

PHEAC[1] 26 APRIL 2005

DATE RECEIVED

NAME

NUMBER OF BEDS / THEATRES

APPROVED

TYPE OF FACILITY

EXTENSION OF EXISTING (E) / NEW FACILITY (N)

18/01/2005

National Renal Care - George

Registration of an existing outpatient dialysis unit with 6 stations at Lamprecht Clinic.

Dialysis

PHEAC 29 JUNE 2005

DATE RECEIVED	NAME	NUMBER OF BEDS / THEATRES APPROVED	TYPE OF FACILITY	EXTENSION OF EXISTING (E) / NEW FACILITY (N)
23/02/2005	Symington & Partners, Parklands	Registration of a new radio-diagnostic unit.	Radio-diagnostic	N
08/03/2005	Cecil Morgan Aftercare Brackenfell	Registration of a 24 bedded sub-acute, long-term, convalescent and hospice facility.	Non-Acute	N (excluding mental services).
28/10/2004	Muslim Maternity Home	Registration of a new facility with 10 beds, 2 first stage rooms, 2 delivery rooms and 1 procedure room in Rondebosch East.	Acute	· Additional information requested by Committee 08/02/05 · Approved on condition that no caesarean sections be performed and high-risk patients be referred timeously.

PHEAC 13 JULY 2005

DATE RECEIVED

NAME

NUMBER OF BEDS / THEATRES

APPROVED

TYPE OF FACILITY

EXTENSION OF EXISTING (E)

/ NEW FACILITY (N)

26/04/2005

N1 City Hospital (Goodwood)

Registration of one existing cardiac catheterisation laboratory.

Acute

11/05/2005

Bay View Hospital – Mossel Bay

Registration of one existing cardiac catheterisation laboratory.

Acute

PHEAC 25 AUGUST 2005

DATE RECEIVED

NAME

NUMBER OF BEDS / THEATRES

APPROVED

TYPE OF FACILITY

EXTENSION OF EXISTING (E) / NEW FACILITY (N)

09/05/2005

National Renal Care (Swellendam)

4 treatment stations for chronic haemodialysis in Swellendam.

Dialysis

PHEAC 22 NOVEMBER 2005

DATE RECEIVED	NAME	NUMBER OF BEDS / THEATRES APPROVED	TYPE OF FACILITY	EXTENSION OF EXISTING (E) / NEW FACILITY (N)
31/08/2005	Kuils River Hospital	22 medical, 18 surgical and 2 day beds (a total of 42 beds) be approved on condition that the two day beds be commissioned prior to the commissioning of the 22 medical and 18 surgical.	Acute	E
11/05/2005	Okavango Private Hospital	Application for the registration of a new private health establishment with 140 beds (31 adult medical, 31 adult surgical, 15 obstetric, 4 adult intensive care, 1 paediatric intensive care, 2 neonatal intensive care, 3 adult high care, 15 paediatric, 35 day, 1 adult isolation, 1 paediatric isolation and 1 neonatal isolation) and 1 minor theatre, 2 major theatres, 2 first stage rooms, 2 delivery rooms, 1 emergency unit, 2 resuscitation rooms.	Acute	N
18/08/2005	Symington & Partners Radiologists	Application for the transfer of services (bone marrow density and mammography) from Symington Radiologists (N1 City Medical Chambers to the Symington Radiologists N1 City Hospital).	Radio-diagnostic	E (Relocation)

PHEAC 07 DECEMBER 2005

DATE RECEIVED

NAME

NUMBER OF BEDS / THEATRES

APPROVED

TYPE OF FACILITY

EXTENSION OF EXISTING (E)

/ NEW FACILITY (N)

29/09/2005

National Renal Care – Blaauwberg

Application for the registration of a new facility with six (6) treatment stations for haemodialysis.

Dialysis

15/09/2005

Paarl Medi-Clinic

The sacrifice of 1 adult intensive care and 4 general beds in order to receive 4 high care beds (3 adult surgical and 1 adult medical).

Acute

PHEAC 17 FEBRUARY 2006

DATE RECEIVED	NAME	NUMBER OF BEDS / THEATRES APPROVED	TYPE OF FACILITY	EXTENSION OF EXISTING (E) / NEW FACILITY (N)
24/08/2005	Pinelands Recuperation Centre Conditional Approval	Application for the registration of a 30 bedded, step-down, sub-acute and rehabilitation facility subject to the application not being in conflict with any other council's rules or legislation.	Non -Acute	N
18/02/2005	Renaissance Surgical Clinic (previously Shirnel Clinic)	Application for the extension of facility with 1 procedure room.	Acute	E
29/09/2005	Hermanus Medi-Clinic	31 beds (7 adult medical, 14 adult surgical, 4 obstetric, 2 adult intensive care, 4 adult high care) and 1 major theatre.	Acute	E
17/10/2005	West Coast Private Hospital	Application for the extension of facility with 2 neonatal beds (on condition that 1 of the beds is an isolation bed).	Acute	E

PHEAC 16 MARCH 2006

DATE RECEIVED

NAME

NUMBER OF BEDS / THEATRES

APPROVED

TYPE OF FACILITY

EXTENSION OF EXISTING (E)

/ NEW FACILITY (N)

14/04/2005

Vergelegen Oncology Unit

Application for the extension of the Vergelegen Oncology unit with 7 treatment stations for chemotherapy.

Oncology

13/12/2005

Knysna Private Hospital

Application for the conversion of 3 general adult beds to 3 high care beds.

Acute

APPROVALS OF PRIVATE HOSPITAL APPLICATIONS FOR THE WESTERN CAPE PROVINCE: APRIL 2006 – MARCH 2007

PHEAC 20 APRIL 2006

DATE RECEIVED	NAME	NUMBER OF BEDS / THEATRES APPROVED	TYPE OF FACILITY	EXTENSION OF EXISTING (E) / NEW FACILITY (N)
14/12/2005	Panorama Oncology Unit	Application for the extension of facility with 8 treatment stations for chemotherapy.	Oncology	E
14/12/2005	Vincent Pallotti Oncology Unit	Application for the extension of Vincent Pallotti Oncology Unit with 5 treatment stations for chemotherapy and 1 linear accelerator.	Acute	E
02/02/2006	Southern Cross Radiotherapy Unit	Application for the transfer of the existing radiotherapy unit with 1 linear accelerator from Southern Cross Hospital to N1 City Hospital as well as the extension of services for stereotactic irradiation treatment with an additional linear accelerator. (The application for the extension of services for IMRT, IGRT and extra-stereotactic irradiation was not approved).	Oncology	E

02/02/2006

Peninsula Eye Clinic

Conditional Approval

Application for the registration of a new facility with 10 beds (4 general beds, 1 isolation bed and 5 lazy boys) with 2 minor theatres and 1 procedure room is approved subject to the decision of the Health Professions Council of South Africa. If the application process exceeds 90 days after the adjudication of this application, this application would be considered null and void. The applicant would be able to re-apply for the same service, on condition that the applicant has prior approval from the Health Professions Council of South Africa.

Acute

06/02/2006

Sports Science Surgery Unit

Conditional Approval

Application for the registration of 2 minor theatres, 4 day beds and 4 lazy boys for orthopaedic procedures only on condition that the applicant obtain the necessary approval from the Health Professions Council of South Africa.

Acute

30 MAY 2006: AD-HOC MEETING WITH HOD (Following a request for exemption by the applicant which is upheld by the MEC as per P.N 187, 2(2))

DATE RECEIVED

NAME

NUMBER OF BEDS / THEATRES

APPROVED

TYPE OF FACILITY

EXTENSION OF EXISTING (E)

/ NEW FACILITY (N)

31 March 2006

Langebaan Medi-Care Hospital

Application for the registration of 70 beds (12 adult medical, 14 adult surgical, 10 obstetric, 3 adult intensive care, 1 neonatal intensive care, 6 adult high care, 12 paediatric, 10 day and 2 paediatric isolation beds) as well as 1 minor theatre, 2 major theatres (of which 1 will be a cardiac theatre), 1 first stage room, 1 delivery room, 1 emergency unit, 1 resuscitation room, 2 laser units, 1 cardiac catheterisation laboratory, 1 haemodialysis unit and 2 procedure rooms.

Acute

PHEAC 31 MAY 2006

DATE RECEIVED

NAME

NUMBER OF BEDS / THEATRES

APPROVED

TYPE OF FACILITY

EXTENSION OF EXISTING (E)

/ NEW FACILITY (N)

14 December 2005

Netcare Blaauwberg Hospital

(Northern Panorama District)

Conditional Approval

Application for the registration of a new facility with 100 beds which include (26 adult medical, 26 adult surgical, 20 obstetric, 14 paediatric, 4 neonatal intensive care, 6 adult intensive care, 4 adult high care) and 3 major theatres, 4 delivery rooms, 1 emergency unit, 4 resuscitation rooms and 4 procedure rooms.

The Committee recommended the applicant sacrifice an equal amount of general beds according to the ratios applied for by the Department and according to the proportion of beds applied for.

Acute

15 December 2005

Vincent Pallotti Hospital

Application for the extension of facility with 8 adult medical and 14 adult surgical beds (The application for the unattached unit with 37 orthopaedic beds, 5 adult high care beds and 4 major theatres was upheld on appeal – 18/10/2006).

Acute

PHEAC 20 JULY 2006

DATE RECEIVED

NAME

NUMBER OF BEDS / THEATRES

APPROVED

TYPE OF FACILITY

EXTENSION OF EXISTING (E)

/ NEW FACILITY (N)

5 May 2006

Cape Town Medi-Clinic

Application for the extension of facility with 1 procedure room, 1 neonatal intensive care and 2 neonatal high care beds.

Acute

9 May 2006

Dr HR Morkel Inc. (Panorama)

Application for the extension of facility with a PET (Positron Emission Tomography)-CT Unit (diagnostic).

Radio-diagnostic

31 AUGUST 2006: AD HOC MEETING WITH HOD (Following a request for exemption by the applicant which is upheld by the MEC as per P.N 187, 2(2))

DATE RECEIVED

NAME

NUMBER OF BEDS / THEATRES

APPROVED

TYPE OF FACILITY

EXTENSION OF EXISTING (E)

/ NEW FACILITY (N)

23 May 2006

Dr Cronje & Partners (Ceres)

Application for the extension of an existing radio-diagnostic unit with mammography services at Ceres Satellite Office.

Radio- Diagnostic

PHEAC 21 SEPTEMBER 2006

DATE RECEIVED	NAME	NUMBER OF BEDS / THEATRES APPROVED	TYPE OF FACILITY	EXTENSION OF EXISTING (E) / NEW FACILITY (N)
23 June 2006	Kuils River Oncology Unit – Dr E Coertse	Application for the registration of a new oncology unit with 6 treatment stations for the treatment of chemotherapy.	Oncology	N
20 June 2006	Fountaine Bleau Retirement Village	Application for the registration of a new non-acute facility with 17 beds for step-down care in Welgelegen, Parow.	Non-Acute	N
13 June 2006	National Renal Care (Plettenberg Bay)	Application for the registration of a new dialysis unit with four (4) treatment stations for haemodialysis.	Dialysis Unit	N

PHEAC 19 OCTOBER 2006

DATE RECEIVED	NAME	NUMBER OF BEDS / THEATRES APPROVED	TYPE OF FACILITY	EXTENSION OF EXISTING (E) / NEW FACILITY (N)
25 May 2006	Bay View Hospital – Mossel Bay	Application for the extension of facility with 11 days beds.	Acute	E
27 June 2006	Bay View Hospital – Mossel Bay	Application for the extension of facility with 1 major theatre.	Acute	E
31 July 2006	Noordhoek Manor Healthcare Centre	Application for the registration of an existing sub-acute facility with 19 day beds.	Non-Acute	N

PHEAC 16 NOVEMBER 2006

DATE RECEIVED

NAME

NUMBER OF BEDS / THEATRES

APPROVED

TYPE OF FACILITY

EXTENSION OF EXISTING (E)

/ NEW FACILITY (N)

8 August 2006

South Peninsula Medical Centre

Application for a new facility with a total of 126 beds, be approved as follows:

q 27 adult medical

q 40 adult surgical

q 9 obstetrics

q 4 adult intensive care

q 3 adult high care

q 17 paediatric

q 15 day beds

q 7 step-down beds

q 1 paediatric intensive care

q 1 paediatric isolation

q 1 neonatal intensive care

q 1 neonatal isolation

q 2 major theatres

q 2 first stage rooms

q 2 procedure rooms

q 2 delivery rooms

q 1 resuscitation room

q 1 emergency unit

v The Committee indicated that the application is approved subject to the facility being located in a confined geographical area i.e. on the M5 Highway, Victoria Road Junction, Grassy Park and the bed numbers reduced as indicated above.

Acute

DATE RECEIVED

NAME

NUMBER OF BEDS / THEATRES

APPROVED

TYPE OF FACILITY

EXTENSION OF EXISTING (E)

/ NEW FACILITY (N)

8 September 2006

Paarl Medi-Clinic

Application for the conversion of one (1) minor theatre to one (1) major theatre.

Acute

30 NOVEMBER 2006: AD-HOC MEETING WITH HOD (Following a request for exemption by the applicant which is upheld by the MEC as per P.N 187, 2(2))

DATE RECEIVED

NAME

NUMBER OF BEDS / THEATRES

APPROVED

TYPE OF FACILITY

EXTENSION OF EXISTING (E)

/ NEW FACILITY (N)

26 May 2006

Sport Science Radiology

(Newlands)

Application for the registration of an existing radio-diagnostic unit (on the premises of the Sport Science Institute) for the provision of MRI, X-ray and ultrasound services.

Radio-Diagnostic

25 JANUARY 2007: AD-HOC MEETING WITH HOD (Following a request for exemption by the applicant which is upheld by the MEC as per P.N 187, 2(2))

DATE RECEIVED

NAME

NUMBER OF BEDS / THEATRES

APPROVED

TYPE OF FACILITY

EXTENSION OF EXISTING (E)

/ NEW FACILITY (N)

9 November 2005

Hermanus Medi-Clinic

Application for the extension of facility with 31 beds (which include 7 adult medical, 14 adult surgical, 4 obstetric, 2 adult ICU, 4 adult high care) as well as 1 major theatre.

Acute

PHEAC 23 FEBRUARY 2007

DATE RECEIVED

NAME

NUMBER OF BEDS / THEATRES

APPROVED

TYPE OF FACILITY

EXTENSION OF EXISTING (E)

/ NEW FACILITY (N)

3 November 2006

Durbanville Oncology Unit

Application for the registration of an existing facility with 3 (three) treatment stations for chemotherapy.

Oncology

13 November 2006

Reproductive Clinic (Dr TI Siebert)- Vincent Pallotti Hospital

Application for registration of a new fertility clinic with 1 (one) minor theatre only.

Acute

DATE RECEIVED	NAME	NUMBER OF BEDS / THEATRES APPROVED	TYPE OF FACILITY	EXTENSION OF EXISTING (E) / NEW FACILITY (N)
30 November 2006	Bellville Medical Centre	1. Application for the relocation of Bellville Medical Centre. 2. Extension of the facility with a 24-hour Emergency Unit with one (1) procedure room. 3. Only nine (9) ICU beds be approved which consists of six (6) adult ICU beds, one (1) adult isolation bed, one (1) neonatal ICU bed and one (1) neonatal isolation bed.	Acute	E & Conversion & Relocation.
30 November 2006	Mitchell's Plain Medical Centre	Application for the extension of an existing facility with a 24-hour Emergency Unit and one (1) procedure room.	Acute	E
11 January 2007	SA Radiology Services – Blaauwberg	Application for the registration of a new specialized radio-diagnostic unit on the premises of the new Netcare Blaauwberg Hospital be approved, subject to only CT Scanning, General X-rays, Fluoroscopy, Screening Ultrasound and Mammography being practiced in this unit at this time. The Committee also recommended that the final condition to the Head of Department on the portion of the application relating to Bone Densitometry and a MRI Scanner, stand over until the following additional information is provided by the applicant: How the need for these services was determined? Which norm was applied in calculating this need? What population will be served by these services?	Radio-Diagnostic	E
24 November 2006	Drs Van Wageningen & Partners (Stellenbosch)	Application for the extension of an existing Radio- Diagnostic unit with an MRI Scanner.	Radio-Diagnostic	E

PHEAC 15 MARCH 2007

DATE RECEIVED	NAME	NUMBER OF BEDS / THEATRES APPROVED	TYPE OF FACILITY	EXTENSION OF EXISTING (E) / NEW FACILITY (N)
6 December 2006	Winelands Kidney & Dialysis Centre	Application for the extension of the dialysis unit with four (4) treatment stations for chronic haemodialysis in Somerset West.	Dialysis	E
6 December 2006	Hermanus Kidney & Dialysis Centre	Application for the registration of a new dialysis unit with six (6) treatment stations for haemodialysis in Hermanus.	Dialysis	N
21 December 2006	National Renal Care – Worcester	Application for the registration of a new dialysis unit with six (6) treatment stations for chronic haemodialysis in Worcester.	Dialysis	N
15 December 2006	Stellenbosch Medi-Clinic	Application for the extension of the facility with two (2) neonatal ICU beds.	Acute	E - approved subject to one of the beds being a neonatal isolation bed.
18 December 2006	West Coast Private Hospital (Vredenburg)	Application for the conversion of one (1) adult ICU bed to three (3) adult high care beds.	Acute	E (conversion) - conversion of one (1) adult Intensive Care Unit Bed to three (3) Adult High Care Beds.

APPROVALS OF PRIVATE HOSPITAL APPLICATIONS FOR THE WESTERN CAPE PROVINCE: APRIL 2007 – MARCH 2008

PHEAC 19 APRIL 2007

DATE RECEIVED

NAME

NUMBER OF BEDS / THEATRES

APPROVED

TYPE OF FACILITY

EXTENSION OF EXISTING (E)

/ NEW FACILITY (N)

7 March 2007

SA Radiology Services – Blaauwberg

Application for extension of facility with Bone Densitometry and a MRI Scanner.

Radio-diagnostic

PHEAC 17 MAY 2007

DATE RECEIVED	NAME	NUMBER OF BEDS / THEATRES APPROVED	TYPE OF FACILITY	EXTENSION OF EXISTING (E) / NEW FACILITY (N)
9 January 2007	Palm Garden Retreat	Application for the registration of a new non-acute facility with eight (8) beds in Sea Point for step-down, sub-acute and convalescent care.	Non-Acute	N
6 February 2007	National Renal Care - South Peninsula Dialysis Unit	Application for the extension of an existing dialysis unit with six (6) treatment stations for haemodialysis in Plumstead.	Dialysis	E
6 January 2007	Groenkloof Security Village (Great Brak River)	Application for the registration of a new sub-acute and step-down facility with 28 beds in Great Brak River is approved on condition that a qualified medical practitioner is present or on call at all times and that the facility has reasonable access to emergency support services.	Non-Acute	N
6 February 2007	Dr. Coetzer & Bartlett (Mossel Bay)	Application for the extension of an existing radio-diagnostic unit, with one (1) x-ray room.	Radio-diagnostic	E
9 February 2007	Bay View Hospital (Mossel Bay)	Application for the extension of the facility with two (2) neonatal ICU beds only is approved and the applicant be advised that the conversion of three (3) non-acute beds to three (3) paediatric beds may be applied for once the step-down beds become officially commissioned.	Acute	E
5 February 2007	Dr. I Perold Diagnostic Unit (Gansbaai)	Application for the registration of a radio-diagnostic unit with one (1) x-ray room in Gansbaai.	Radio-Diagnostic	N

PHEAC 21 JUNE 2007

DATE RECEIVED	NAME	NUMBER OF BEDS / THEATRES APPROVED	TYPE OF FACILITY	EXTENSION OF EXISTING (E) / NEW FACILITY (N)
21 December 2006	N1 City Hospital	Application for the extension of the facility with an interventional and intra-operative MRI suite in N1 City Hospital.	Radio-diagnostic	E
23 February 2007	National Renal Care – Vredenburg	Application for the registration of a new dialysis unit with six (6) treatment stations for chronic haemodialysis in Vredenburg.	Dialysis	N
22 February 2007	Mossel Bay Renal Unit -EW Pope & Associates	Application for the registration of an existing dialysis unit with six (6) treatment stations for haemodialysis in Mossel Bay.	Dialysis	E
27 February 2007	Netcare Blaauwberg Hospital	Application for the extension of an existing facility with two (2) major theatres, one of which is a trauma theatre and one which will be an obstetric theatre. (The Committee recommended that the application for the extension of an existing acute facility with (1) additional theatre dedicated to trauma only, be approved).	Acute	N
5 March 2007	Tokai Medicross Radio-Diagnostic Unit	Application for the registration of an existing radio-diagnostic unit with one (1) general bucky room and one (1) ultrasound room in Tokai.	Radio- Diagnostic	N

DATE RECEIVED	NAME	NUMBER OF BEDS / THEATRES APPROVED	TYPE OF FACILITY	EXTENSION OF EXISTING (E) / NEW FACILITY (N)
5 March 2007	Kenilworth Medicross Radio-Diagnostic Unit	Application for the registration of an existing radio-diagnostic unit with one (1) general bucky room and one (1) ultrasound room in Kenilworth.	Radio- Diagnostic	N
5 March 2007	Table View Medicross Radio-Diagnostic Unit	Application for the registration of an existing radio-diagnostic unit with one (1) general bucky room and one (1) ultrasound room in Table View.	Radio- Diagnostic	N
5 March 2007	Kraaifontein Medicross Radio-Diagnostic Unit	Application for the registration of an existing radio-diagnostic unit with one (1) general bucky room and one (1) ultrasound room in Kraaifontein.	Radio- Diagnostic	N
9 March 2007	UCT Private Academic Hospital	Application for the extension of an existing facility with one (1) paediatric ICU bed, one (1) paediatric isolation bed and four (4) general paediatric beds.	Acute	E
6 March 2007	Breëde River Sub-acute Hospital	Application for the registration of a new non-acute facility with 24 beds for step-down, sub-acute and rehabilitation care in Worcester.	Non-Acute	N

PHEAC 19 JULY 2007

DATE RECEIVED

NAME

NUMBER OF BEDS / THEATRES

APPROVED

TYPE OF FACILITY

EXTENSION OF EXISTING (E)

/ NEW FACILITY (N)

1 March 2007

Gatesville Medical Centre

Application for the extension of an existing facility with 40 beds, which includes ten (10) adult medical, ten (10) adult surgical, five (5) adult ICU, five (5) paediatric high care, ten (10) day beds, be approved, subject to the following conditions:

· That the five (5) paediatric high care beds must be accommodated in a separate unit from the adult unit.

· The applicant must allocate of the five (5) additional ICU beds applied for, as paediatric ICU beds. At least two (2) of the allocated paediatric ICU beds must be accommodated on a separate ICU unit from the adult unit.

Acute

DATE RECEIVED

NAME

NUMBER OF BEDS / THEATRES

APPROVED

TYPE OF FACILITY

EXTENSION OF EXISTING (E)

/ NEW FACILITY (N)

19 April 2007

Life Kingsbury Hospital

Application for the extension of an existing acute facility with fifty (50) Acute Rehabilitation beds, which include forty (40) Adult and ten (10) Paediatric beds.

Acute

PHEAC 25 JULY 2007: AD-HOC MEETING WITH THE HOD (Following a request for exemption by the applicant which is upheld by the MEC as per P.N 187, 2(2))

DATE RECEIVED

NAME

NUMBER OF BEDS / THEATRES

APPROVED

TYPE OF FACILITY

EXTENSION OF EXISTING (E)

/ NEW FACILITY (N)

13 June 2007

Gatesville Kidney & Dialysis Centre

Application for the registration of a new dialysis unit with six (6) treatment stations in Gatesville, Athlone.

Dialysis

PHEAC 16 AUGUST 2007

DATE RECEIVED	NAME	NUMBER OF BEDS / THEATRES APPROVED	TYPE OF FACILITY	EXTENSION OF EXISTING (E) / NEW FACILITY (N)
20 February 2007	Bellville Renal Unit – EW Pope & Associates	Application for the registration of a new dialysis unit with seven (7) treatment stations for haemodialysis in Bellville.	Dialysis	N
18 April 2007	Life Vincent Pallotti Hospital	Application for the conversion of four (4) adult ICU beds to twelve (12) adult high care beds as well as the extension of the facility with twelve (12) treatment stations for haemodialysis.	Acute & Dialysis	E
22 May 2007	Oasis Care Centre	Application for the registration of a non-acute facility in Century City with a total of 30 beds (which includes eight (8) sub-acute, six (6) long-term and 16 step-down) beds.	Non-Acute	N
2 April 2007	Overberg Oncology Unit	Application for the registration of a new Oncology unit with six (6) Chemotherapy stations in Hermanus.	Oncology	N
8 June 2007	National Renal Care – Paarl Dialysis Unit	Application for the registration of a dialysis unit with four (4) treatment stations for haemodialysis in Paarl.	Dialysis	N
11 June 2007	West Coast Private Hospital (Vredenburg)	Application for the extension of an existing facility with five (5) paediatric beds.	Acute	E

PHEAC 25 OCTOBER 2007

DATE RECEIVED	NAME	NUMBER OF BEDS / THEATRES APPROVED	TYPE OF FACILITY	EXTENSION OF EXISTING (E) / NEW FACILITY (N)
11 May 2007	National Renal Care (Mitchell's Plain)	Application for the registration of a new dialysis unit with six (6) treatment stations for haemodialysis in Mitchell's Plain.	Dialysis	N
28 June 2007	Dr Schnetler Corbett & Partners	Application for the extension of the facility with one (1) CT scanner for Oncology planning in Panorama.	Radio-Diagnostic	E
21 June 2007	Outeniqua Oncology Unit (George)	Application for extension of the facility with three (3) chemotherapy chairs in George.	Oncology	E
13 June 2007	Dr Scribante and Partners (Knysna)	Application for the extension of the facility with one (1) Magnetic Resonance Imaging Scanner in Knysna.	Radio-Diagnostic	E
29 June 2007	Dr Cronje & Partners (Robertson)	Application for the registration of a new radio-diagnostic unit with one (1) General X-ray Machine in Robertson.	Radio-Diagnostic	N

PHEAC 06 DECEMBER 2007

DATE RECEIVED

NAME

NUMBER OF BEDS / THEATRES

APPROVED

TYPE OF FACILITY

EXTENSION OF EXISTING (E)

/ NEW FACILITY (N)

28 August 2007

Baphumelele Respite Care Centre

(Khayelitsha)

Application for the registration of a new non-acute facility with 20 beds for recuperation, rehabilitation, palliative and step-down care at Z118 Dabula Street in Khayelitsha.

Non-Acute

PHEAC 29 FEBRUARY 2008

DATE RECEIVED	NAME	NUMBER OF BEDS / THEATRES APPROVED	TYPE OF FACILITY	EXTENSION OF EXISTING (E) / NEW FACILITY (N)
1 October 2007	Kuils River Hospital (Northern)	Application for the extension of the facility with fourteen (14) adult high care beds	Acute	E - The Netcare Group sacrifices 12 general adult beds or two (2) adult ICU beds at any of the Netcare Group Hospitals in the Western Cape. - Alternatively the facility should relocate six (6) adult high care beds from one of the other Netcare Group Hospitals. - Before the approval takes effect, the applicant should confirm which option it wishes to apply.
12 October 2007	Netcare Blaauwberg Hospital	Application for the extension of the facility with one endoscopy suite and five (5) day beds	Acute	E - The Committee recommended that the application for one (1) procedure room for endoscopy procedures be approved. - Should the applicant wish to establish the five (5) day beds, these must be converted from the existing general beds. - Before the approval can take effect, the applicant musty advise on their decision regarding the five (5) day beds.
23 October 2007	Worcester Medi-Clinic	Application for the conversion of two (2) general adult beds to two (2) paediatric beds	Acute	E (conversion)

31 MARCH 2008: AD- HOC MEETING WITH HOD (Following a request for exemption by the applicant which is upheld by the MEC as per P.N 187, 2(2))

DATE RECEIVED	NAME	NUMBER OF BEDS / THEATRES APPROVED	TYPE OF FACILITY	EXTENSION OF EXISTING (E) / NEW FACILITY (N)
9 January 2008	Marie Stopes Clinic – Cape Town	Application for the registration of an existing acute facility with 6 recliners and 1 procedure room for the termination of pregnancy at 91 Breë Street, Cape Town	Acute	N (existing)
9 January 2008	Marie Stopes Clinic – Cape Town – Wynberg	Application for the registration of an existing acute facility with 6 recliners and 1 procedure room for the termination of pregnancy at Royal Square, Station Road, Wynberg	Acute	N (existing)
9 January 2008	Marie Stopes Clinic – George	Application for the registration of an existing acute facility with 6 recliners and 1 procedure room for the termination of pregnancy at 11 Wellington Road, George	Acute	N (existing)
9 January 2008	Marie Stopes Clinic – Mossel Bay	Application for the registration of an existing acute facility with 6 recliners and 1 procedure room for the termination of pregnancy at 119 Montaque Road, Mossel Bay	Acute	N (existing)
9 January 2008	Okavango Private Hospital	Application for the registration of Okavango Private Hospital (Cape Gate Medi-Clinic) with 140 beds (which includes 31 adult medical, 31 adult surgical, 35 day, 15 obstetric, 15 paediatric, 3 adult high care, 4 adult ICU, 1 paediatric ICU, 2 neonatal ICU, 1 adult isolation, 1 paediatric isolation, 1 neonatal isolation) as well as 3 major theatres, 1 minor theatre, 2 first stage rooms, 2 delivery rooms, 1 emergency unit, 2 resuscitation rooms and 1 procedure room in Cape Gate area in Brackenfell,	Acute	N

APPLICATIONS FOR PRIVATE HOSPITALS TURNED DOWN/ REJECTED FOR THE WESTERN CAPE PROVINCE: APRIL 2005 – MARCH 2006

DATE RECEIVED

NAME

NUMER OF BEDS / THEATRES APPLIED FOR

TYPE OF FACILITY

EXTENSION OF EXISITNG (E) / NEW FACILITY

DATE TURNED DOWN / REJECTED AND REASONS

18 October 2004

Century Med Private Hospital

Application for the registration of a new facility with 79 beds, 10 cots, 4 major theatres, 1 minor theatre, 4 delivery rooms, 1 emergency unit, 1 resuscitation room, 2 laser units, 1 haemodialysis unit, 4 procedure rooms and 3 specialized units.

Acute

26/04/05

· There was an oversupply of beds/services in the Northern Panorama and Central Districts.

· The approval of this application would negatively affect the known nursing staff shortage in health care sectors.

· The inconsistency in the planning demonstrated in the ration of levels 1, 2 and 3 services.

5 May 2005

Southern Cross Hospital

Application for the transfer/relocation of 76 existing beds (60 general adult, 8 adult intensive care unit, 8 adult high care) as well as 5 major theatres from Southern Cross Hospital to the proposed Netcare Blaauwberg Hospital.

Acute

25/08/05

· There is already an oversupply of beds in the Northern Panorama District.

12/10/05

· After reconsidering and re-evaluating the recommendation of 25/08/05, the merits of the application and critically analysing R187 (9)(2)(a-n).

APPLICATIONS FOR PRIVATE HOSPITALS TURNED DOWN / REJECTED FOR THE WESTERN CAPE PROVINCE (APRIL 2006 TO MARCH 2007)

DATE RECEIVED

NAME

NUMER OF BEDS / THEATRES APPLIED FOR

TYPE OF FACILITY

EXTENSION OF EXISITNG (E) / NEW FACILITY

DATE TURNED DOWN / REJECTED AND REASONS

23 June 2006

N1 City Oncology Unit – Dr E Coertse

Application for the extension of facility with 2 treatment stations for chemotherapy.

Oncology

21/09/06

· After careful consideration of all the facts and criteria as pertained in P.N. 187 (9)(2)(a-n).

8 September 2006

Constantiaberg Medi-Clinic

Application for the conversion of 3 general adult beds to 3 adult high care beds.

Acute

16/11/2006

· Application for the conversion of 3 general beds to 3 adult high care beds is turned down on the basis that the norm for high care beds was exceeded.

APPLICATIONS FOR PRIVATE HOSPITALS TURNED DOWN / REJECTED FOR THE WESTERN CAPE PROVINCE (APRIL 2007 TO MARCH 2008)

DATE RECEIVED	NAME	NUMER OF BEDS / THEATRES APPLIED FOR	TYPE OF FACILITY	EXTENSION OF EXISITNG (E) / NEW FACILITY	DATE TURNED DOWN / REJECTED AND REASONS
29 January 2007	National Renal Care – Mossel Bay	Application for the registration of a new dialysis unit with four (4) treatment stations in Mossel Bay.	Dialysis	N	21/6/2007 · An application for a dialysis unit with four (4) treatment stations namely Mossel Bay Renal Unit EW Pope & Associates had been approved. · There would therefore not be an additional renal unit in Mossel Bay.
7 February 2007	Mossel Bay Kidney & Dialysis Centre – Fresenius Medical Centre (Southern)	Application for the registration of a dialysis unit with six (6) treatment stations for haemodialysis in Mossel Bay.	Dialysis	N	21/6/2007 · An application for a dialysis unit with six (6) treatment stations namely Mossel Bay Renal Unit (EW Pope & Associates) had been approved. · There would therefore not be an additional renal unit in Mossel Bay.
2 April 2007	Overberg Oncology Unit	Application for the registration of a new non- acute facility with 48 beds, (which includes six (6) step-down, twelve (12) sub-acute, six (6) Convalescent care, six (6) Rehabilitation, twelve (12) Long-term and six (6) Hospice beds) as well as one (1) Radiation Bunker in Hermanus.	Non-Acute and Oncology Unit	N	16/08/2007 After careful consideration of all the facts and specifically the criteria as contained in the Provincial Notice 187, 9(2), the Committee recommended that the application for the registration of a non-acute private health facility with 48 beds be turned down due to the following reasons: -The non-acute service needs in Hermanus are already provided by Onrus Manor Healthcare Centre as well as Koggepark Care Centre to provide step-down service. Both facilities are under-utilized. -The potential risk of perverse incentives. - The applicant did not clearly demonstrate the attraction and retention of nursing and other staff required, in view of the shortage of nursing and allied health professionals in the Western Cape. - The Committee recommended that the application for the registration for a Radiation Bunker in Hermanus be turned down due to the following reason: - The Committee noted the supporting documentation, which proves that there is no need for a radiation bunker in the Overberg Region, which consists of the Bredasdorp, Overstrand and the Swellendam Districts. - There is an oversupply of the radiation bunkers within the Metropole, which could be utilized. - The Committee noted the supporting documentation utilised by PHEAC, which indicates that six (6) linear accelerators should be allocated per million population.
17 May 2007	Bay View Hospital (Mossel Bay)	Application for the extension of an existing facility with ten (10) hospice beds in Mossel Bay.	Acute	E	16/8/2007 After careful consideration of all the facts and specifically the criteria contained in the Provincial Notice 187, 9 (2), The Committee recommended that the application for the registration of ten (10) non-acute beds for hospice care at Bay View Hospital, to be turned down for the following reasons: - The need for the additional ten (10) non-acute beds for hospice care could not be determined. There is already an approval of 28 non-acute beds in the Southern Cape Region, which has not been commissioned yet. -The Committee noted that Bay View Hospital already has ten (10) non-acute beds, which were recently commissioned. -The applicant did not sufficiently demonstrate the need for ten (10) additional hospice beds.
16 August 2007	National Renal Care - Gatesville	Application for the registration of a dialysis unit with six (6) treatment stations for haemodialysis in Gatesville.	Dialysis	N	14/11/2007 After careful consideration of all the facts and specifically the criteria as contained in the Provincial Notice 187, 9(2), the Committee recommended that the application for the registration of a haemodialysis unit with six (6) treatment stations in Gatesville, be turned down.

APPEALS UPHELD BY THE MINISTER OF HEALTH IN THE WESTERN CAPE PROVINCE: (APRIL 2005 TO MARCH 2006)

NAME	NUMBER OF BEDS / THEATRES APPLIED FOR	TYPE OF FACILITY	EXTENSION OF EXISTING (E) / NEW FACILITY (N)	DATE APPEAL WAS UPHELD AND REASON FOR OUTCOME (IF GIVEN)
UCT Private Academic Hospital Kidney & Dialysis Centre	Registration of a new outpatient dialysis unit with 6 treatment stations.	Acute	N	30/06/05 (No reasons provided)
Gatesville Kidney & Dialysis Centre	Registration of a new dialysis unit for outpatients for 6 treatment stations.	Acute	N	30/06/05 (No reasons provided)
SA Endovascular Group Practice	Application for the licensing of 1 Philips Brilliance 40 CV Expert CT Scanner at Kuils River Hospital.	Acute	E	16/08/05 (No reasons provided)
N1 City Hospital	Application for the conversion of 10 general adult beds to 8 adult ICU and 2 adult high care beds.	Acute	E	24/03/06 (No reasons provided)

APPEALS UPHELD BY THE MINISTER OF HEALTH IN THE WESTERN CAPE PROVINCE (APRIL 2006 TO MARCH 2007)

NAME	NUMBER OF BEDS / THEATRES APPLIED FOR	TYPE OF FACILITY	EXTENSION OF EXISTING (E) / NEW FACILITY (N)	DATE APPEAL WAS UPHELD AND REASON FOR OUTCOME (IF GIVEN)
Okavango Private Hospital	Application for three major theatres in addition to the number of beds and theatres granted by the HoD on 09/01/06.	Acute	N	04/05/06 (No reasons provided)
Paarl Medi-Clinic	Application for the conversion of 4 general adult beds to 4 adult high care beds.	Acute	N	29/05/06 (No reasons provided)
Khangella Eye Theatre	Application for the registration of an existing ophthalmic facility with 4 day beds, 1 laser unit and 1 procedure room.	Acute	N	19/06/06 (No reasons provided)
Newlands Surgical Clinic	Application for the relocation of 65 beds (which include 53 adult surgical, 3 adult intensive care and 9 general paediatric) as well as 4 major theatres and 2 procedure rooms. The approval is granted on condition that the applicant relinquishes the obstetric portion of their current license, which includes 13 obstetric beds, 2 neonatal ICU and 1 neonatal ICU.	Acute	E	17/08/06 Relocation of a portion of Newlands Surgical Clinic to Claremont Hospital subject to the applicable laws and free of the condition of the HPCSA approval is obtained.
Vincent Pallotti Hospital	Application for the extension of facility with 64 beds which include an unattached orthopaedic unit of 37 orthopaedic beds, 8 adult medical, 14 adult surgical bedsand 5 adult high care beds as well as 4 major theatres.	Acute	E	18/10/2006
Broad Road Surgical Clinic Conditional Approval	Application for the relocation of Broad Road Surgical Clinic to Perbro House, Klipfontein Road, Rondebosch with 27 beds and 3 minor theatres only (appeal upheld for the application for 1 minor theatre and 3 day beds).	Acute	E	12/10/2006(appeal upheld for the application for 1 minor theatre and 3 day beds). On condition that the applicant obtain the necessary approval from the Health Professions Council of South Africa.
Milnerton Medi-Clinic	Application for the extension of facility with 74 beds which include (10 adult medical, 18 adult surgical, 5 day, 16 obstetric, 3 paediatric, 2 neonatal intensive care, 12 general adult intensive care, 4 adult intensive care, 4 adult high care) and 1 minor theatre and 1 delivery room.	Acute	E	08/11/06 (without any conditions).

APPEALS UPHELD BY THE MINISTER OF HEALTH IN THE WESTERN CAPE PROVINCE: APRIL 2007 TO MARCH 2008

NAME	NUMBER OF BEDS / THEATRES APPLIED FOR	TYPE OF FACILITY	EXTENSION OF EXISTING (E) / NEW FACILITY (N)	DATE APPEAL WAS UPHELD AND REASON FOR OUTCOME (IF GIVEN)
South Peninsula Medical Centre	Application for a new facility with a total of 135 beds, be approved (which include of 27 medical beds, 40 adult surgical beds, 9 obstetric beds, 8 adult intensive care beds, 2 paediatric beds, 3 neonatal intensive care beds, 4 adult high care beds, 17 paediatric beds, 15 day beds, 3 paediatric isolation beds and 7 step-down beds) as well as 4 major theatres, 2 first stage rooms, 2 delivery rooms, 1 emergency unit, 1 resuscitation room and 2 procedure rooms.	Acute	N	9/5/2007 The Minister indicated that the application is approved on condition that the proposed location of the new hospital will be between Wetton Road Bridge to the north, Retreat Road to the south and no further than 500 metres on either side of the M5 Highway.
Netcare Blaauwberg Hospital	Application for the extension of the facility with two (2) additional theatres, one (1) dedicated to trauma and one (1) dedicated to obstetrics.	Acute	E	14/11/2007 The Minister upheld the appeal for the approval for one (1) additional obstetric theatre.
Overberg Oncology Unit	Application for the registration of a new non- acute facility with 48 beds, (which includes six (6) step-down, twelve (12) sub-acute, six (6) Convalescent care, six (6) Rehabilitation, twelve (12) Long-term and six (6) Hospice beds) as well as one (1) Radiation Bunker in Hermanus.	Non-Acute & Oncology	N	13/3/08 The Minister upheld the appeal for 24 non-acute beds (which include 12 sub-acute, 6 rehabilitation and 6 step-down beds) as well as one (1) linear accelerator linked to a radiation bunker.

APPEALS TURNED DOWN / REJECTED BY THE MINISTER OF HEALTH IN THE WESTERN CAPE PROVINCE: APRIL 2005 TO MARCH 2006

NAME	NUMBER OF BEDS / THEATRES APPLIED FOR	TYPE OF FACILITY	EXTENSION OF EXISTING (E) / NEW FACILITY (N)	DATE AND REASON FOR OUTCOME
Oostenberg Day Care Clinic	Application for the registration of a new private health establishment with 20 day beds, 2 minor theatres, and 1 procedure room.	Acute	N	Appeal turned down on 02/08/05. -No need had been demonstrated for the services offered by the applicant for the immediate population. -Services applied for are of a highly specialized nature and would not promote an optimal mix of level 1, 2 and 3 beds/services. -Some of the procedures listed are of an acute nature and could require immediate access to emergency care services.
Brackenfell Day Clinic & Cape Anaesthetic Day Clinic	Application to relocate the Cape Anaesthetic Day Clinic with 13 day beds and 1 (one) minor theatre only to the premises of Vincent Pallotti Hospital subject to the Brackenfell Day Clinic closing down and the license being repealed.	Acute	E	Appeal turned down on 12/08/05 Support the HoD's decision
Century Med Private Hospital	Application for the registration of a new facility with 79 beds, 10 cots, 4 major theatres, 1 minor theatre, 4 delivery rooms, 1 emergency unit, 1 resuscitation room, 2 laser units, 1 haemodialysis unit, 4 procedure rooms and 3 specialized units.	Acute	N	Appeal turned down on 27/10/05. Support the HoD's decision

APPEALS TURNED DOWN / REJECTED BY THE MINISTER OF HEALTH IN THE WESTERN CAPE PROVINCE: APRIL 2006 TO MARCH 2007

NAME

NUMBER OF BEDS / THEATRES

APPLIED FOR

TYPE OF FACILITY

EXTENSION OF EXISTING (E) / NEW FACILITY (N)

DATE AND REASON FOR OUTCOME

Southern Cross Hospital

Acute

-There is already an oversupply of beds in the Northern Panorama District.

-After reconsidering and re-evaluating the recommendation of 25/08/05, the merits of the application and critically analysing R187 (9)(2)(a-n).

-Appeal turned down on 12/10/2006.

Southern Cross Oncology Unit

Partial Approval

Application for the transfer of the existing radiotherapy unit with 1 linear accelerator from Southern Cross Hospital to N1 City Hospital as well as the extension of services for stereotactic irradiation treatment with an additional linear accelerator. (The application for the extension of services for IMRT, IGRT and extra-stereotactic irradiation was not approved).

Oncology

Appeal turned down 18/10/06

(The appeal for the extension of services for IMRT, IGRT and extra-stereotactic irradiation was turned down).

APPEALS TURNED DOWN / REJECTED BY THE MINISTER OF HEALTH IN THE WESTERN CAPE PROVINCE (APRIL 2007 TO MARCH 2008)

NAME

NUMBER OF BEDS / THEATRES

APPLIED FOR

TYPE OF FACILITY

EXTENSION OF EXISTING (E) / NEW FACILITY (N)

DATE AND REASON FOR OUTCOME

Good Hope City Hospital

Application for the registration of a new Private Health Establishment with 64 beds as well as one (1) Minor Theatre, two (2) Major Theatres, one (1) Delivery Room, one (1) First Stage Room, one (1) Emergency Unit, one (1) Resuscitation Room, two (2) Laser Units, one (1) Cardiac Cath Lab and two (2) Procedure Rooms in Malmesbury.

Acute

Appeal turned down on 18/12/2007.

Bay View Hospital

(Southern Cape / Karoo)

Application for the extension of the facility with 10 hospice beds

Acute

· Appeal turned down on 27/02/08

QUESTION NO. 443

DATE OF PUBLICATION IN INTERNAL QUESTION PAPER: 14 MARCH 2008

(INTERNAL QUESTION PAPER NO. 9)

Mr M Waters (DA) to ask the Minister of Health:

(1) Whether there are any backlogs in respect of autopsies; if so, how long does it take (a) for an autopsy to be conducted and (b) before the report is made available;

(2) whether there are any staff shortages at any of the centres that conduct autopsies; if so, (a) at which centres and (b) how many positions are (i) vacant and (ii) filled in respect of each profession? NW1080E

REPLY:

FREE STATE

(1) There are no backlogs in respect of autopsies.

(2) There are no staff shortages at any of the centers that conduct autopsies.

GAUTENG

(1) (a) It takes approximately one to two hours to conduct a routine medico-legal autopsy, but this may vary considerably, depending on the nature and complexity of the case. In cases where specialised investigations (e.g. radiology, etc) may be required, the conclusion of the actual autopsy procedure may take considerably longer, depending on logistics & facilities, etc. When regard is had for the totality of time required for the completion of a forensic "case" from a medical perspective (i.e. to review the case material, conduct the autopsy, do the relevant special investigations and consultations, compile the report(s), liaise with investigating authorities and testify in court), an average time allocation of six to eight hours per case should be provided for.

(b) In the vast majority of cases, medico-legal autopsy reports are available and released to the SAPS within days to a few weeks of the autopsy having been conducted. In a number of cases, there may be delays of approximately 3-6 weeks, pending finalisation of further laboratory investigations (forensic chemical tests, etc.). In a small percentage of cases however, undue delays are being experienced - particularly in instances where specialised further examinations and tests (including toxicology, histology and DNA-tests) are required. These latter categories probably account for less than 10% of total case load.

(2) (a) In the Southern Gauteng region, there are approximately 41 posts for medical professionals (forensic medical practitioners, registrars and pathologists) for the (a) 7 mortuaries (Johannesburg, Roodepoort, Diepkloof, Sebokeng, Germiston, Springs & Heidelberg) in the Southern Cluster of the Gauteng FPS.

(b) Some 15% of these posts are currently vacant in this region. There are approximately 128 posts for forensic medical support officers ("forensic pathology officers") in the Southern Gauteng, of which some 10% are vacant.

LIMPOPO

(1) No

(a) 1.30hours to 2.2hours depending on

(b) 5 working days

(2) (a) The staff establishment is for one Forensic Medical Services

Category	Posts	filled
Specialists
Chief medical officers
Registras
Dissectors
Managers

MPUMALANGA

(1) No significant backlogs exist in respect of conducting the medico-legal autopsies in the Mpumalanga Province.

(a) for an autopsy to be conducted

Most medico-legal autopsies in Mpumalanga Province are carried out within 24 - 72 hours. The maximum delay for a post mortem is six days. It might take longer in specialized cases such as where ICD is involved or where documentation is incomplete for carrying out a postmortem.

(b) And before the report is made available;

The medico-legal autopsy reports are available and released to the SAPS within 1 to 2 weeks after the autopsy has been conducted. In some complicated/ specialized cases, the delay may be approximately 3-6 weeks, pending finalisation of further laboratory investigations (including toxicology, histology and DNA-tests).

(2) There are significant problems in staffing at almost all the medico-legal mortuaries in Mpumalanga Province - specifically due to the lack of appropriate infrastructure for the level service, skilled and suitably qualified medical practitioners as well as experienced and willing forensic technical support personnel.

(a) The following table reflects the situation in this regard.

District	Centre
Gert Sibande District	Volksrust, Balfour, Standerton Evander Bethal Ermelo Piet Retief
Nkangala District	KwaMhlanga Witbank Delmas Belfast Middelburg
Ehlanzeni District	Tonga, Nelspruit, Mapulaneng, Lydenburg

(b) The following table reflects the situation in this regard

Position	Total number of posts	(i) Number of Vacant posts	(ii) Number of Filled posts
Principal Specialist	2	2	0
Medical Officer (Full-time)	14	5	9
Technical officers	55	15	40
Admin staff	51	25	26
Total	122	47	75

*Full time posts can be split to appoint more than one Part-time Medical Officer.

NORTHERN CAPE

(1) No

(2) Yes

POSITIONS FILLED POSITIONS VACANT

	Specialist	MO	Liaison	CFPO	FPO	Specialist	Liaison	CFPO	FPO	Clerks
Kimberley	1	2	1	0	9	0	0	0	2	0
Upington	0	1	0	1	5	1	0	0	0	0
De Aar	0	1	0	1	4	0	0	0	4	0
Colesberg	0	0	0	1	1	0	0	0	0	0
Calvinia	0	0	0	1	1	0	0	0	0	1
Kuruman	0	1	0	1	4	0	0	0	3	0
Postmasburg	0	0	0	0	0	0	0	0	4	1
Springbok	0	0	0	1	4	0	0	0	0	0

The incorporation of Moshawaneg (North West) into the Northern Cape has necessitated that the organogram be restructured to incorporate additional posts. This is work-in-progress. NORTH WEST

(1) There is no backlog in respect of autopsies in the Province.

(2) Yes there is staff shortage in 8 mortuaries in the Province

(a) Vacancies exist in the following mortuaries; Phokeng, Klerksdorp, Mafikeng (only two FPOs are employed to service Mafikeng sub-district and Zeerust sub-district) Phokeng, Brits, Lichtenburg, (only 4 FPOs are employed to service Lichtenburg sub-district and Tswaing sub-district) Koster, Vryburg, Potchefstroom and Fotchville Mortuary.

(b) (i) Vacant posts

Post category	No of posts	No vacant
1 administration support	31	3
2. Operational (Forensic officers)	70	19
3. Medical professionals	15	7
Total	116	29

(ii) Post filled in respect of each profession

Post category	No of posts	No filled
1. Administration support	31	28
2. Operational (Forensic officers)	70	51
3. Medical professionals	15	8
Total	116	87

Note

There is a process of creating more posts in areas which were previously serviced by private service providers like DOVE and AFBOB in Tswaing sub-district, Zeerust sub-district, (Carletonville sub-district which was serviced by Gauteng Health Department), Wolmaranstad sub-district, Taung, Bloemhof and Christiana area. These posts will be filled in the next financial year 2009/10 when a request for additional funding for those posts has been approved.

WESTERN CAPE

(1) No.

(a) This varies on a daily basis. The average monthly caseload at present in the Western Cape is 834 (as at Financial Year-end) cases. This in effect means that on average a daily caseload of 42 bodies are admitted and awaiting post-mortem. As at the end of March the year-to-date average for the Province is 3,1 days from admission to when examination is completed. It must be noted that special circumstances (for example religious requirements in the case of the Muslim community) are considered when post-mortems are scheduled and concluded to try and ensure that all the processes are expedited.

(b) Average number of days from Postmortem done to report completed is 8 days. It should however be noted that this may in some instances be an interim report due to the fact that reports on toxicological or blood analysis is still awaited.

(2) Yes

(a) Vacancies exist at most of the 18 centres within the Province.

(b) (i) Vacant posts:

Post category No of posts No Vacant

Administration (Support) 80 20

Operational (Forensic Officer) 135 33

Medical (All categories) 37 10

(ii) Post filled in respect of each profession?

Post category No of posts No Filled

Administration (Support) 80 60

Operational (Forensic Officer) 135 102

Medical (All categories) 37 27

The two facilities most affected in terms of number of staff are Tygerberg and Saltriver in the Metro Area. The Forensic Pathology Services (FPS) is currently in the recruitment and selection process with 28 Operational (across the Province); 17 of these posts are at Tygerberg and Saltriver. The filling of posts in this category is a challenge as current experience has shown that a number of applicants withdraw once the actual job content becomes clear / are clarified and explained during the interview process. Lack of appropriate infrastructure / office accommodation in some areas has some impact on the filling of full operational requirement.

As far as medical posts are concerned; the FPS entered into Service contracts with Private General Practitioners in some areas where these contracts existed prior to the transfer of the service where the actual workload does not warrant the fulltime appointment of a Medical Practitioner or where retention of medical personnel is problematic. Problems are experience with the attraction of Medical Officers to the Service. As an example, a post in Oudsthoorn was advertised three times and could only be filled through a two-year contract appointment.

QUESTION NO. 444

DATE OF PUBLICATION IN INTERNAL QUESTION PAPER: 14 MARCH 2008

(INTERNAL QUESTION PAPER NO. 9)

Mr M Waters (DA) to ask the Minister of Health:

Whether the State has any plans to create its own pharmaceutical company; if so, what are the relevant details?

NW1081E

REPLY:

The State is exploring the feasibility of establishing its own pharmaceutical plant.

QUESTION 446

DATE OF PUBLICATION OF INTERNAL QUESTION PAPER: 13/11/2007

(INTERNAL QUESTION PAPER 44-2007)

Mr G T Madikiza (UDM) to ask the Minister of Education:

What systems and plans are in place to ensure that there will be no late delivery of school textbooks when the school year commences in 2008?

NO2888E

REPLY:

Provinces are responsible for the selection, procurement, and distribution of textbooks, and each province has established a unit to manage this process. For the 2007/ 08 financial year an amount of R2.4 billion has been included in the block allocations made to Section 21 schools. Furthermore, schools may use their own funds to buy additional textbooks and materials.

Provinces have adopted different approaches to the procurement and distribution of textbooks. Two provinces make use of a centralised private agency, which orders and delivers on behalf of the provincial education department, while another province has decentralised the function directly to schools, which make their own purchases with funds provided. These different systems make monitoring difficult, since there are few transversal benchmarks that can be used to monitor progress for all provinces.

The Department is using its normal monitoring instruments to check on the various stages of the textbook (and LTSM) cycle, including the preparation of catalogues, the selection of books by schools, and the placing of orders. However, even if all of these processes are completed on time, the provision of textbooks is still subject to the ability of publishers to deliver on time at the start of the year.

The Department has learned from its positive experience of textbook procurement and distribution in implementing the National Recovery Plan. This year, for the first time, we have published national textbook catalogues for selected grades to ensure greater quality and alignment with the curriculum. Using donor funds, we have been able to ensure that every Grade 10 child in the dinaledi schools has a full set of textbooks to start the year. We rely on provinces to use their voted funds to do likewise in every other school.

QUESTION NO.: 451 DATE OF PUBLICATION: 14 MARCH 2008

Dr J T Delport (DA) to ask the Minister for Justice and Constitutional Development:

(a) What are the reasons for the case of assault with the intent to commit grievous bodily harm (details furnished) being withdrawn, (b) in which court was the case heard and (c) what are the reasons for the victim not being (i) summoned to court to give evidence and (ii) informed of the court date?

NW1088E

REPLY:

(a) The Control Prosecutor, upon receipt of the case docket, decided not to institute proceedings against the accused. The investigation by the Control Prosecutor found that the complainant was the aggressor in the incident and swore at the accused's mother. Thereafter, the two became embroiled in a fight.

An affidavit was also obtained from a 16 year old relative of the accused who had witnessed the incident. The witness confirmed that the complainant was the first to hit the accused with a stick. The witness also indicated that the complainant had also assaulted her when she tried to stop the fight.

(b) The matter was referred to the Gelvandale Magistrate's Court as the incident occurred in that court's area of jurisdiction. The matter was, however, not formally enrolled as the Control Prosecutor was of the opinion that there was no prospect of a successful prosecution.

(c)(i) The complainant was not summoned to court to give evidence as the matter was not enrolled for trial due to the reasons provided above.

(c)(ii) The complainant was not informed of a court date as the matter was not set down for trial.

[1] PHEAC – Private Health Establishment Advisory Committee

2008-11-27

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