Private hospital sends Covid-19 patient to stretched Groote Schuur

Groote Schuur hospital in Cape Town has about 140 Covid-19 patients.
Groote Schuur hospital in Cape Town has about 140 Covid-19 patients.
Ashraf Hendricks/GroundUp
  • GroundUp previously reported that Groote Schuur, a public hospital in Cape Town, was experiencing a surge of Covid-19 related cases that is stretching its capacity.
  • This week GroundUp reported that a Covid-19 patient who did not have medical aid insurance was moved from Life Vincent Pallotti, a private hospital, to Groote Schuur.
  • This is despite the private hospital having enough capacity to treat the patient at its premises.

Just over a week ago, as Groote Schuur Hospital was scrambling to increase its capacity to take in new Covid-19 patients, a private Cape Town hospital, Life Vincent Pallotti, transferred a Covid-19 patient to Groote Schuur, a public hospital, because the patient did not have medical scheme cover.

On 21 May GroundUp reported that the number of Covid-19 patients at Groote Schuur Hospital in Cape Town was doubling every five days. It reported that the hospital was running seven wards with over 120 Covid-19 patients, and four intensive care units with 19 Covid-19 patients.

Three of the wards were for confirmed Covid-19 cases, others were for suspected cases such as for people with respiratory illnesses. Since then, additional capacity has been added to the hospital to take in more patients.

Meanwhile, GroundUp understands that Life Vincent Pallotti, located in Pinelands, Cape Town had enough spare capacity to treat the patient, GroundUp reported on Monday.

On Tuesday Life Vincent Pallotti defended its position.

In an email, spokesperson Ailsa Gouws, told GroundUp: "In the event that a private or non-medical aid patient is admitted at a Life Healthcare hospital for medical treatment, it is standard procedure to stabilise the patient and provide treatment according to the doctors' instructions. Private paying patients are only transferred if they are stable and willing to be transferred to another hospital."

"In the event that a transfer is agreed to between the patient and the hospital, the treating specialist contacts the state hospital that the patient is being transferred to, to arrange a specialist to receive the patient on arrival and to ensure the availability of a vacant bed and resources. In this instance, protocol was followed and the patient was transferred."

Western Cape Health Department spokesperson Mark Van der Heever said the Department was monitoring the situation.

"All our hospitals are experiencing an increase in admissions. With regard to clients on medical aid there are currently high level discussions also with national [government]. Nothing is finalised yet."

The provincial government said in a statement that from 27 May that the public sector is planning to purchase 300 beds from the private sector. The statement also said that the increase in Covid-19 cases "has resulted in additional pressure on our health service, with our hospitals continuing to experience an increase in general admissions and ICU and High Care admissions".

Additional hospital beds are also being set up in temporary care facilities, such as the CTICC (850 beds), Brackengate (330 beds), and the Thusong Centre in Khayelitsha (68 beds).

Editor's comment:

In normal times this story wouldn't be newsworthy. Patients admitted to private hospitals who cannot afford to pay or who don't have medical scheme cover are routinely transferred to public hospitals.

But these are not normal times. We are in the middle of a national - make that global - disaster. Everyone who can, has to do a bit more than normal. Private hospitals can't be expected to run themselves into bankruptcy, but there's currently no risk of that. You don't have to be committed to the nationalisation of the health system or any particular ideology to realise that Life Vincent Pallotti should have done better, that profit is not the single most important factor in running a hospital, especially at the moment.

Our public hospitals are likely to get much busier over the next few months. At times they may even be overwhelmed. The private health system has to do its share to help carry that burden.

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