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Makeover for health services

Health-sector watchdog to monitor hospital standards

Nov 24, 2009 10:53 PM | By AMUKELANI CHAUKE

The department of health warned that negligent health officials would be fired and under-performing hospitals closed to improve public health services.


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Deputy health minister Molefi Sefularo announced these and other sweeping measures to deal with appalling conditions at public and private hospitals and clinics.

Sefularo named the five worst performing hospitals in the country and said they did not meet the basic required health standards - from cleanliness and patient safety to staff attitudes and availability of medicine.

The hospitals, among 117 targeted for improvement, were:

  • Rob Ferreira in Mpumalanga;
  • Mahatma Gandhi Memorial in KwaZulu-Natal;
  • Umtata General and Cecilia Makiwane in Eastern Cape, and
  • Natalspruit in Gauteng.

Sefularo said the National Health Act would be amended to allow the introduction of an industry watchdog, the National Quality Management and Accreditation Body, comprising health experts by April. The body will have oversight over public and private hospitals.

The department will also investigate the possible introduction of "stricter" punitive measures for negligence and non-performance.

He said a new call centre through which disgruntled patients will be able to register complaints would be open by the end of the year.

Sefularo said the health department wanted to be more involved in the processes through which negligent health professionals were disciplined by regulatory bodies such as the Health Professions Council of SA. The introduction of new technologies to deal with problems such as long queues at clinics and public hospitals will also be investigated. Sefularo said the moves were prompted by "horror stories" emanating from public hospitals.

"These [hospitals] have been selected based on reviews, reports, surveys, appraisals but also on patient complaints and reports in the media . [like] the patient who died in the queue, the baby [who was] bathed in boiling water."

Wits University public health expert Professor Laetitia Rispel said the new watchdog body was a good initiative, but warned that it would need to be given "enough decision-making powers" for the industry to take it seriously.

"The government has always been good with drawing up policies, but the implementation has not been good," Rispel said.

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Comments

Nov 25 2009 01:32:57 AM
Lebo Maduna
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Lets wait and see maybe this one will be different. We have many watchdogs that are toothless and useless.
Nov 25 2009 07:11:55 AM
steveninthematrix
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South Africa HAD the best public hospital system in the southern hemisphere...

and, like the sabc, like eskom, it was destroyed by the ANC, and then, they need billions again (which were already stolen), to fix it...

how long can 4-5 million taxpayers fund a country for 45+million??

give control of hospitals to provincial government, and shut up the national department of health, which is just a bunch of politicians who take big cheques and do little
Nov 25 2009 07:35:02 AM
pickedlast
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Why close the hospitals that are underperforming? It is not like the patients will go away.

I am glad they said fire and not redeploy. It really is not that difficult, if you offer someone a job and they accept it, they are saying they are capable of doing the job. If they don't do the job fire them and get some one else who can.

Seriously not rocket science here, if we did this from the beginning of our democracy we would not be in this position today
Nov 25 2009 07:50:02 AM
khirisi
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We have a serious shortage of health profesionals in the country and people are talking about firing people in this shortage. To me this is the wrong aproach, effort should be more concerted to mass trainig of nurses and other health professionals so that they will be replacements when the hire and fire takes place. Suggested short term solution is to dock sallaries of the lazy and non perfoming staff this may work better than dsmissal without replacement.
Nov 25 2009 08:01:06 AM
Rockwilder
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More talk, when are we going to start seeing some action for a change?
Nov 25 2009 08:22:22 AM
nkosipeter
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How does closing down hospitals improve public health services?
Nov 25 2009 08:34:01 AM
geanann
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The main focus areas includes the most basic factors in health care. Clealiness and hygiene. If they cannot get the simple things right how do they expect to nationalise the private health sector if they cannot keep a single hospital clean.
See:
http://letterdash.com/g.annandale/nationalisation-of-private-health
Nov 25 2009 08:41:16 AM
Vito_Ginelli
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Accountability from government is all that South Africans are asking for, it's our taxes after all.
Nov 25 2009 08:47:53 AM
Mzungu
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"A Lootin' Continua"
Nov 25 2009 08:54:31 AM
Modder
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The ANC is big on talk when it comes to firing people. In the real world they redeploy or promote non-performers.

The only time the ANC ever allows someone to be fired is when that person is a direct threat to the ANC President.


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