It took the National Health Insurance project eight years from achieving green paper status in 2011 to becoming a bill presented to Parliament in 2019. Any project whose implementation affects all three spheres of government, and the private sector must be regarded as massive in scale. Add to this the wide-ranging scope covering a spectrum stretching from public health research to the payment for health services and you have a complex project that requires skilful navigation.
This represents a major shift in the funding of healthcare services currently funded by the provinces to the NHI Fund. Assessments of the readiness of a district hospital to provide the needed support must be based on an understanding of the nature and scope of the functions assigned to a CUP. Besides the function related to the”, all CUP functional areas are covered by the role and functions assigned to district hospitals as contained in the National Norms and Standards for District Hospitals .
The first step is a readiness assessment to determine a district hospital’s capacity to assist a CUP, specifically in relation to the functions assigned in terms of section 37 of the Bill. This can be facilitated by using the Office of Health Standards Compliance to establish compliance with the NNSDH. Using the OHSC will accelerate the process as it obviates the need to develop a new programme.
GiveMeABreak! The ANCGovt cannot even provide quality healthcare in its existing PublicHealthSystem, so how (with its trackrecord of corruption, incompetence, waste & extravagance), is it going to successully implement a totally new, countrywide NHI?!
So how many ANCLeaders will be flocking to the probably still-dysfunctional CharlotteMaxekeHospital under the NHI when it's implemented, and how many will follow DavidMabuza by hotfooting it to Russia for medical care?!
The HealthDept couldn't even operate its PilotNHIProgramme successfully! How the heck is it going to do this at a national level, especially after it has destroyed the private healthcare system in order to implement this pie-in-the-sky idea?!
Disaster waiting to happen!
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