Tshwane ready for NHI roll out - Mekgwe

2012-04-22 22:17

Johannesburg - Tshwane is ready for implementation of the National Health Insurance (NHI) scheme pilot phase, Gauteng Health MEC Ntombi Mekgwe said on Sunday.

"The [health] department has been allocated a NHI conditional grant of R31.5m for the 2012/13 financial year for implementation," she said in a statement.

"As a province we have decided on a phased approach to implement the pilot project, targeting as large a population as possible within the district. In this regard coverage will focus on both the urban and rural mix, especially the most vulnerable."

Mekgwe said the first phase of implementation would include several clinics in sub-districts two and three.

"Together these sub-districts have a combined population of 848 199 which is 31% of the population of Tshwane district. Roll-out to the rest of the district will be incremental over a three-year period."

She said the department had set up a quality assurance unit and a provincial office of standard compliance. The latter had an inspectorate which included nurses, environmental officers, medical technologists and retired nurses who monitored infection control, cleanliness, staff attitudes, patient safety and waiting times.

"The quality assurance unit has conducted self-assessment exercises to test the compliance of all facilities in the province with these norms and standards," Mekgwe said.

"Training was also provided to quality assurance teams in all facilities throughout the province."

The department was busy appointing "district clinical specialist support teams" who would work with the clinics involved in the roll out.

The teams would comprise of an obstetrician, a family physician, a paediatrician, an anaesthetist, an advanced midwife, a clinically trained nurse, and a paediatric nurse.


She further said the Gauteng department was clearing all debts it owed to suppliers and service providers.

"In March we completed the first phase of our payment plan. We used R670m made available to us in November by the provincial treasury, and a further R1bn made available in February, to service the debts according to our plan.

"We have now entered into the second phase of our plan. In this phase we will be paying all suppliers to whom we owe less R1m this month, followed by those we owe less than R100m in May, and those we over a R100m in June."

A total of 2 604 suppliers were owed less than R1m each. They included non-governmental organisations, waste removal companies, and suppliers of fuel, among others.

"An instruction to release R 259m to all these suppliers was issued on Friday and suppliers should have the money in the bank accounts in the coming week."

  • Sheik - 2012-04-22 23:09

    Just another Deptment to be ripped out and miss managed.

      Squeegee - 2012-04-23 07:06

      Yippee hospitals. Just take your own blankets, pillow, stretcher, toilet paper, painkillers, food and safe.

      Gert - 2012-04-23 07:23

      sqeegee----don't forget to take your own doctor also-and a qualified nurse-that is one that hasn't been 'given' the qualification or who just made fantastic photostats of qualifications

      Gert - 2012-04-23 07:55

      THEY JUST COULDN'T LET SUCH AN OPPORTUNITY GO BY as to score millions for friends and connected people. Which country's pension funds were used for this NHI loan?? One gets the idea someone in the anc is sitting planning schemes where the public can be ripped off without control . In the USA they are about to declare obama's health care similar to NHI to be unconstitutional where you are forced to pay money for things against your will. Again that law that they sneaked through a while ago will allow the state to plunder your account to squeeze that money out of you also like for the Toll roads. Communist SA here we come.

      Hugh - 2012-04-23 11:52

      I fully agree Sheik. What a laugh. Anyone who has anything to do with governemt hospitals knows 1] That the trainees they use as doctors are incapable of diagnosing an illness. All they seem capable of doing is following the existing patient record. Rarely do they do what is expected of them. 2] That the same has daily patient quotas that limits time spent with the sick. 3] That pharmacies at patient base hospitals rarely follow percriptions supplied by the referring hospitals. There always deletions or errors in the numbers prescribed. 4] Doctors rarely do a physical inspection to determine the problem relying on verbal communication. i.e My mother had a heart condition that was missed because of the sole reliance of BP results. It was only when I took her to specialist that they found that she was in dire need of a bypass. It took some foot stomping to convice the government Hospital that real treatment was needed. Even then because the problem is on the right side [ 90% restriction] of her heart she is seen as not being most urgent. Sofar we have waited two years for the op. Now tell us again MEC how ready government is to begin NHI rollout.

      Papa-storm - 2012-04-23 12:06

      another epic fail by the sa goverment, wait the anc is an epic do you expect 5% of the country to pay for 95%

  • Marlene Black - 2012-04-22 23:36

    All these suppers have waited HOW long to be paid?

      Marlene Black - 2012-04-22 23:37


      Sheik - 2012-04-23 00:15

      Can you see this working if they already can't pay their suppliers?

      wynandjsmit - 2012-04-23 00:24

      And they want to start NHI! Ha ha ha.

      IcemanGP - 2012-04-23 07:21

      Oh they WILL start it. ANC has many means to bleed it's citizens dry.

      Gert - 2012-04-23 07:42


  • marina.poniatowska - 2012-04-23 01:45

    I'm so glad non of my money is being stolen anymore!

      John - 2012-04-23 05:37

      Why is your money not being stolen any more?

      dewalds3 - 2012-04-23 08:50

      You emigrated?

  • TaniaSandraSteyn - 2012-04-23 02:08

    I am glad they have a monitoring system and check and balances in place. As long as it's not just paperwork to cover the cracks...

  • John - 2012-04-23 05:36

    This is just another imminent disaster waiting to happen. For sure, it will be mismanagfed and corruption will be rife. So so so glad I am not part of this fiasco and feeble attempt at further re-distribution of wealth. The pit is bottomless.

      Tisetso2 - 2012-04-23 07:50

      But John, the present healthcare system is failing. Private healthcare is so expensive that an average person cannot afford it. NHI is the only hope at the moment. The government will have to start somewhere,lets give them benefit of doubt at least for now.

      John - 2012-04-23 10:21

      Tisetso2, nothing that this government touches will ever be a success, just like the rest of Africa. And while we continue to set our benchmarks and praise ourselves when we are anounced as the best in Africa at whatever it is, we slap ourselves on the back because we are the best of the pile of crap, rather than set our sights on real world class targets. The only result is that everything will be stollen until it becomes another bankrupt scheme. This governmenrt cant run a single hospital properly, let alone run a national health scheme.

  • brionyl.french - 2012-04-23 05:53

    I dont have any trust in anything this ANC government implements...sorry

  • IcemanGP - 2012-04-23 07:18

    the money should last about a week.

  • Tisetso2 - 2012-04-23 07:35

    I hope it works.

  • Gert - 2012-04-23 08:19

    We shall have to gear up on our carribean spanish also as to communicate with the Cuban doctors. The real doctors are going to get out of SA as soon as they can. Rumours are rumours but talk goes round that some staff at some hospitals got massive increases as to keep them and white staff were told they can forget to apply for those positions.

  • Mark - 2012-04-23 08:22

    A disaster in the making - as somebody who is expected to fund this I an extremely nervous. If you are somebody who pays taxes and has a medical aid you can expect your tax liability to increase significantly and your medical benefits to be cut to about a 1/3 of the benefits you currently enjoy. For the non-payers this is a major boost as they will be receiving free medical benefits (at the payers expense) I predict a tax revolt - i certainly have no intention of paying.

  • leonie.vanwyk - 2012-04-23 08:25

    How much is this going to cost me?

      John - 2012-04-23 10:52

      It will cost you One Country.

      Mark - 2012-04-23 11:29

      Its going to cost you about double you current tax bill and less than half your current medical benefits , but at least you will have the satisfaction of knowing that all the entitled freeloaders are get health benefits

  • Lauden Kirk - 2012-04-23 08:34

    Let's watch this. Can't wait for the terms and conditions and the excuses.

  • Piet - 2012-04-23 09:10

    We are so going to be ripped of with this again! I see all the cadres lining up to become medical suppliers......

  • kelebogile.maphanga - 2012-04-23 09:16

    I'd like to thank all the doctors,nurses n department of health as whole for the great job their doing for us.thank u

      John - 2012-04-23 10:28

      Nothing will change.

  • Thando - 2012-04-23 10:16

    Suppliers owed R100m.........ths is not 1 April ryt?

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