{"id":44095,"date":"2024-12-19T08:23:50","date_gmt":"2024-12-19T06:23:50","guid":{"rendered":"https:\/\/novanews.co.za\/noordkaapbulletin\/nhi-public-private-collaboration-an-alternative-20241219\/"},"modified":"2025-03-21T17:03:06","modified_gmt":"2025-03-21T15:03:06","slug":"nhi-public-private-collaboration-an-alternative-20241219","status":"publish","type":"post","link":"https:\/\/novanews.co.za\/noordkaapbulletin\/nhi-public-private-collaboration-an-alternative-20241219\/","title":{"rendered":"NHI: Public-private collaboration an alternative"},"content":{"rendered":"\n

As debates on the National Health Insurance (NHI) rages, voices are suggesting that public-private collaboration is a viable, practical alternative. <\/p>\n\n\n\n

Two camps have emerged in the debate: those who believe it will bring equitable healthcare, improve national productivity thanks to better health and reduce inequality; and those who raise concerns about cost and poor governance, implementation, the risks of corruption, and the dismantling of private healthcare. <\/p>\n\n\n\n

However, there are those who see potential for collaboration. <\/p>\n\n\n\n

Healthcare in the Northern Cape, as South Africa\u2019s largest province, has challenges, such as vast distances.<\/p>\n\n\n\n

Dr Lindiwe Matebula, medical officer at the Robert Mangaliso Sobukwe Hospital\u2019s (RMSH) oncology unit, says screening programmes in rural areas and resources in state facilities are limited. <\/p>\n\n\n\n

\u201cWe only have one CT-scan machine, which caters for the whole of the Northern Cape.\u201d <\/p>\n\n\n\n

There was also no radiation therapy available in the province until five years ago, says Matebula, and patients had to go to Bloemfontein. <\/p>\n\n\n\n

Once in Bloemfontein, that did not guarantee treatment, says Dr Allastair Kantani, clinical manager for hospital services and previous chief executive officer (CEO) of the RMSH.<\/p>\n\n\n\n

Kantani said there was a plan underway to start radiotherapy services at the RMSH, but it would take time. <\/p>\n\n\n\n

\n
Received unsolicited bid<\/div>\n
Then the Northern Cape Department of Health (DOH) received an unsolicited bid from Icon Oncology to provide treatment for state patients at its radiotherapy facility. <\/div>\n<\/div>\n\n\n\n

Icon had established a centre in Kimberley focused on private patients, and its Linear Accelerator machine, used for radiotherapy, had spare capacity, explains Dr Ernst Marais, chief of operations (COO). <\/p>\n\n\n\n

As a large portion of the operational costs were covered by private and medical aid patients, the business could provide the service at cost to the government. Kimberley had received a grant from government ringfenced for cancer treatment. <\/p>\n\n\n\n

\u201cWe collaborated with the RSMH and the DOH to see if we could not put our heads together to solve this problem (of no radiation therapy in Kimberley),\u201d he said.<\/p>\n\n\n\n

Marais said the size of the province meant that the group had to find transport solutions for patients, and accommodation for those needing up to six weeks of radiotherapy treatment. <\/p>\n\n\n\n

Transport and accommodation were organised. Now patients have planned transport that fetch them from home; they are brought to the hospital, stay for the duration of treatment, and are taken home afterwards, says acting CEO of the RMSH, Dr Esm\u00e9 Olivier. <\/p>\n\n\n\n

In the five years since the project\u2019s inception in 2019, 556 cancer patients have completed radiation treatment. <\/p>\n","protected":false},"excerpt":{"rendered":"

As debates on the National Health Insurance (NHI) rages, voices are suggesting that public-private collaboration is a viable, practical 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