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HEALTHMAN PRIVATE PRACTICE REVIEW February 2018 February 2018 A summary of breaking news and general information regarding healthcare in the public and private sector, published in the media. Contents 1. Food for Thought 2. View on Special News 3. View on Government 4. Financial Views 5. View on New Products 6. View on General News 7. View on Medical Schemes 8. Special Notices Food for Thought Public servants are the new ‘labour elite’ "SA’s public sector wage bill now swallows nearly 35% of the budget and 14% of GDP. "Not only is this way out of line with other emerging economies, it is extreme by virtually any measure – including developed economies" – Ciaran Ryan, Moneyweb on Monday 12 February. Treasury’s Medium-Term Budget published late last year has showed public sector wages increased at 10.3% a year since 2009, considerably above the rate of inflation. Up to 70% of some provinces’ health budgets go to wages. One of the key figures being monitored in the upcoming budget on February 21 is the size of allocation to public sector wages. Adrian Saville, CEO of Cannon Asset Managers, argues that the government wage bill is already at an unsustainable level and any hike will only exacerbate the problem. “There is no governance and no accountability in respect of the spend. This perpetuates a system in which spending continues to rise without regard for impact or effectiveness.” According to a study: Demographic, Employment, and Wage Trends in South Africa by UNU-WIDER, the Brookings Institution and the Development Policy Research Unit (DPRU) at the University of Cape Town: "Unionised public sector workers have become the new 'labour elite'." According to the OECD’s 2017 Economic Survey of SA the public sector wage bill is at 35.3% of the budget. Despite a freeze on public sector employment in 2015 and 2016, the OECD says further efforts could be made to limit annual wage increases by reallocating workers to areas where they are more needed, such as health and education. Last year, Mike Schussler, the chief economist at Economists.co.za, warned that SA could no longer afford a bloated civil service, and that the only way out was a massive private sector job creation drive. "But that would require government to abandon policies that stood in the way of investment and job growth, " wrote Ryan. Graphics: Figures from OECD, published on Moneyweb, 12 February 2018 View on Special News SASOP's view on cannabis SEMDSA's warns patients about 'The Secret Fat Burner' In a press release regarding its position on cannabis, SASOP notes its concern as a growing public perception of cannabis as a ‘harmless’ plant. A review article by the WHO (2016) concluded that current evidence points to a modest contributory causal role for cannabis in schizophrenia and that a consistent dose- response relationship exists between cannabis use in adolescence and the risk of developing psychotic symptoms or schizophrenia. SASOP commended the MCC’s decision to limit the use of cannabis for medicinal purposes and supports ongoing research. SEMDSA, The Society for Endocrinology, Metabolism and Diabetes of SA issued a press release warning about “The Secret Fat Burner”. A number of endocrinologists have recently noted patients using “The Secret Fat Burner” presenting with overactive thyroid (thyrotoxicosis). SEMDSA has had the above product tested by an independent accredited laboratory, and the test results found that the capsules contained Hydrochlorothiazide, Sibutramine, Levothyroxine (T4) and Triiodothyronine (T3). None of these substances are mentioned in the product’s information leaflet, which means the product is a classified a “secret remedy”, the use of which is prohibited by the Health Professions Council of South Africa. The product is also not approved by the Medicines Control Council (MCC), but is advertised on social media. Symptoms associated with consumption of this product may include: palpitations, anxiety, heat intolerance, aggravation of high blood pressure and cardiac complications such as atrial fibrillation and heart failure which may be potentially life-threatening. Protecting Patient Data in 2018 The new year is upon us and for many it’s started with a bang. But although there may be a need to get back into routine as fast as possible, there are also elements in the typical day-to-day workings of your practice that you should be reviewing and one such element is the protection of patient data. Ensuring the security of patient data should always be a top priority, but you want to avoid data security solutions becoming a bottleneck to productivity. Here are some tips that you can implement within your practice to give you the most time with your patients, safe in the knowledge that data is securely stored. New Year, new passwords It’s a good idea to regularly update passwords and passcodes across your practice and while it’s tempting to recycle old passwords, it should be avoided. Ensure that every staff member with access to patient and practice data updates their passwords to a minimum of six upper and lower case characters, including at least one numeric and one symbol character and free of consecutive identical characters. If the thought of changing passwords makes you want to hit the eggnog, investigate password manager programs that will safely store your passwords and you only have to remember one master password. Go paper-light If you’re still using paper in your practice, ensure that letter trays aren’t placed on the front desk in full view of other patients in the consulting rooms. Keep them behind the desk, out of sight and file paperwork daily in a control-access room. And be sure to dispose of paper records appropriately and in accordance with POPIA. For more data protection tips to start 2018 on a good note, click here. Button Are you drowning in medical practice administration? MFI, a multi-functional service provider, who through our association with specialists, is able to offer specialised medical, accounting & business guidance. Our three pillars of financial service excellence: 1. Medical practice management Through our ‘Medical practice management’ and ‘Medical and hospital practice management ‘ we take the hassle and the grind out of your ‘day to day’ medical administrative issues with clients, hospitals and medical aids alike. 2. Accounting and banking services With a team of qualified accountants and Auditors we provide a professional comprehensive bouquet of accounting and banking services to private individuals and corporate companies. We will cover all your requirements regardless of the size or nature of your business or organisation. 3. Financial management and planning Let our expert financial wellness practitioners, with their extensive knowledge of the finest financial products available, ‘realise your vision’ of financial peace of mind for you and your family. www.mfi.co.za/ facebook.com/ MFIMedicalBusiness/ [email protected] View on Government Life Esidimeni: Families to receive compensation Medicine patent draft policy set to go to Cabinet On Thursday, 8 February News24 reported that the State and claimants in the Life Esidimeni arbitration hearings have reached an agreement on damages in some of the claims by the families who lost loved ones during the transfer of mental health patients to a number of unlicensed NGOs. Advocate Adila Hassim, appearing on behalf of Section 27, representing the families of 74 people’s families said the State had agreed to a R20 000 claim per family for funeral expenses, and R180 000 for emotional shock and psychological injury, and counselling services. The number of people who died after being moved from the care of Life Esidimeni could reach 156. The hearings was finalised on Friday, 9th February and former Chief Justice Dikgang Moseneke, will later release his findings, including on compensation. "I feel people have been betrayed and I also felt betrayed as the Minister of Health. This has tarnished the health system of the country," said Health Minister Aaron Motsoaledi at the hearing. The Trade and Industry Department expects to submit a revised version of its draft intellectual property policy to the Cabinet by the end of March. The department is facing intense lobbying from health activists and pharmaceutical companies as the draft policy proposes closer scrutiny of patent applications for medicines, a simpler system for issuing compulsory licences and mechanisms for tightening the criteria for granting patents. The Innovative Pharmaceutical Association of SA (IPASA) criticised the draft policy when it was released, saying it placed too much emphasis on drug firms’ “ever-greening” patents on medicines. The draft policy covered only the first phase of the government’s overhaul of its intellectual property regime, which targeted public health and intergovernmental coordination. Phase two will include intellectual property rights in the informal sector, agriculture and genetic resources, as well as the branding of SA goods and services. View on healthcare in the Provinces Limpopo Healthcare in dire straits Protesting healthcare workers in Limpopo warned that the health department’s money problems could be keeping pay checks out of doctors’ hands and health workers out of clinics. Doctors complain that the state can no longer pay for overtime while nursing unions say the province is reneging on commitments to employ medical bursary holders. About 80% of 21 Limpopo clinics surveyed by TAC were short staffed. The opposition party claims that the department has overspent its budget by R1.7-bn since the start of the financial year. As of 2014/2015, salaries ate up nearly 65% of provincial health budgets, according to a July 2016 paper by the non-profit organisation the Rural Health Advocacy Project (RHAP). Gauteng: R1-bn for medical negligence KwaZulu-Natal: Oncologists from Cuba and India Northern Cape Mental hospital for Kimberley The Gauteng DoH forked out over R1-bn in settling 185 medical negligence cases from January 2015 to May last year, according to MEC Gwen Ramokgopa. 76% of the cases were for 50 cases of brain- damaged babies. Chris Hani Baragwanath Academic Hospital in Soweto had the most cases against it, with R514-m paid to 44 claimants. KZN eyes oncologists from Cuba and India as no one will work in state hospitals. Durban still does not have a single permanent oncologist at its two state hospitals designated to address cancer treatment. The KZN health department is now working on plans to import oncologists either from Cuba or India to mitigate the cancer treatment crisis. It is a decade behind schedule and cost more than six times more (R1.86-bn) than originally planned, but the Kimberly Mental Health Hospital will finally be completed next month. The hospital will replace the Free State Psychiatric Complex (Oranje Hospital), which will be decommissioned. However, there is a question mark over whether the provincial health department has the money to run the facility. Financial Views Drug makers want another price hike Pharmaceutical manufacturers are lobbying the DoH to give them an extra price increase for private sector sales, in an attempt to soften the blow of the modest raise (1,26%) permitted for 2018. The 2018 SEP increase failed to cover the rise in input costs faced by manufacturers in the year, said Stavros Nicolaou, chairman of Pharmaceuticals Made in SA. He said the formula applied by the department does not consider global market dynamics or material changes to input costs such as utilities and labour. The Board of Healthcare Funders of Southern Africa (BHF) approved of the 1,26% increase. View on New Products Test can detect 8 types of cancer in a drop of blood Novo Nordisk aims to break mould with new pill Researchers in the US have reported that a test, dubbed CancerSEEK, was developed by Johns Hopkins University. It looks for 16 DNA mutations as well as 8 proteins (biomarkers) associated with cancer. CancerSEEK was tested on 1 000 patients with cancers in the ovary, liver, stomach, pancreas, oesophagus, colon, lung or breast. The test was 70% accurate at spotting people with cancer. Denmark’s Novo Nordisk - the world’s biggest insulin maker - wants to transform the diabetes market with a once-daily pill that belongs to a blockbuster class of treatments known as GLP-1s that stimulate insulin production. If Novo gets over the pricing hurdle, the new pill is set to reshuffle treatment regimens, with oral semaglutide being used as a second or third treatment option after cheap, generic metformin. View on General News Global push to track ‘superbugs’ 'SA Health system was better under apartheid' The Medical Research Council (MRC) and the Foundation for Innovative New Diagnostics (FIND) signed a memorandum of understanding on antibiotic resistance, in an effort to boost collaboration in combating “superbugs”. Globally, an estimated 700 000 people die from drug-resistant strains of common bacterial infections each year. Scientists fear if available antibiotics are not used more judiciously, and new ones developed more rapidly, the world may return to the pre-antibiotic era when an infected scratch or insect bite could prove deadly. Listeriosis outbreak in SA The death count in SA’s listeriosis outbreak - the worst documented listeriosis outbreak in global history - has topped 100. According to the National Institute of Communicable Diseases (NICD) the number of confirmed listeriosis cases was 852‚ and 107 people had died. The death rate was 30%. Roughly two-thirds of cases have been confirmed in state hospitals. Economic Freedom Front (EFF) leader Julius Malema has claimed that public healthcare services were better during apartheid than they are now under the ANC government. He referred to what he called a “national health crisis”, which the EFF is planning to expose. He explained how a functioning clinic in Limpopo, built during apartheid, was closed by the current government. The EFF declared 2018 the year of public healthcare. Abortion: legal service performed mostly illegally Health workers who refuse to help women who want abortions are driving them into the arms of illegal abortionists who perform more than half of the country’s procedures. Shenilla Mohamed, executive director of Amnesty International SA, said it was of major concern that fewer than 7% of health institutions offered safe abortions, and that more than 50% of abortions were carried out by back street abortionists. Teen pregnancies down; TB cure up; NCD's on the increase Pregnancy and condoms Less than 7% of all hospital births were to teen mothers in 2016/17, with the lowest in Gauteng (less than 5%). A decade ago almost 15% of teenage girls were likely to fall pregnant, according to the District Health Barometer 2016/17 (DHB). While HIV and TB rates are dropping slightly, a collection of non-communicable diseases (NCD) - particularly cerebrovascular diseases, ischaemic heart disease and diabetes – are on the increase. The cure rate for TB now stands at 81% - the highest since 2005 - according to the DHB. In March 2013 SA introduced bedaquiline, used for patients with drug-resistant TB, and to date 9 650 drug resistant TB patients have been put on to a bedaquiline- based regimen. Meanwhile SA’s first survey to assess the incidence of tuberculosis in the country has been commissioned by the National Health Department and will enrol an estimated 55 000 participants. Hardly any pregnant women are having safe sex, leaving them at high risk of HIV infection, according a team led by Simnikiwe Mayaphi, a medical virologist at the University of Pretoria. Of the 7 886 pregnant HIV-negative women questioned 99.5% had had recent unprotected sex. Of the 1 661 HIV-negative men and women recruited at counselling and testing clinics, 88.5% admitted having unprotected sex in the last three months. Almost two thirds of the people questioned did not know their partner’s HIV status. Circulars:Council for Medical Schemes The following Circulars were published by the CMS in October. Visit www.medicalschemes.co.za for more info. 1 of 2018 Quarterly Statutory Returns Submission (31/12/2017) 2 of 2018 Personal Medical Savings Account and Scheme Rules 3 of 2018 Healthcare Utilisation Annual Statutory Returns (31/12/2017) 4 of 2018 Postponement of the Managed Care Workshop 5 of 2018 Induction Programme for Brokers 6 of 2018 Reiew of the Prescribed Minimum Benefits-Update and Call for Inputs 7 of 2018 Categorisation of Assets in terms of Annexure B to the Regulations Special Notices Private Psychiatry Practice in Klerksdorp up for grabs Established practice (about 2 800 active out-patient files) with consulting rooms at the Sunningdale Hospital in Wilkoppies, Klerksdorp, North West Province. Work in association (and share the consulting room building) with Dr Henriette Smith, long- established and experienced psychiatrist in private practice; Scope to do sessions in the state sector; Excellent private admission facilities available; Scope of practice include general adult psychiatry; child and adolescent psychiatry; geriatric psychiatry; and medico-legal or forensic work. (Current receptionist and personal assistant are willing to stay on if required.) Reason for giving up practice: Relocating to Canada. Contact: Dr Hendrik Potgieter 082 561 6265 (all hours) OR Dr Henriette Smith 082 776 3171 (all hours) Vacancy for Paediatrician at Busamed Private Hospital, Harrismith Busamed Private Hospital in Harrismith is currently looking for a Paediatrician. Should you wish to apply, please send your detailed CV, accompanied with qualification certificates to: [email protected] or [email protected] For queries, please contact (058) 624-3004. Facebook: www.facebook.com/busamedhph Consulting Rooms to Rent in Bryanston Bona Dea Centre is an established and growing multidisciplinary centre in Bryanston. The team currently comprises of an adult general psychiatrist, clinical and counseling psychologists, psychometrist and neurotherapist/EEG technician. We have just moved to bigger premises and are looking for a Child and Adolescent Psychiatrist to join our team. We are also looking for an Educational psychologist, Occupational Therapist, Physiotherapist, Speech Therapist/Audiologist and Dietician. We are offering rental of space, services, a referral network and substantial online presence with a well-established website. Each therapist runs their own private practice. Please e-mail Dr Barbara Pierce: [email protected] or Trix O’ Callaghan: [email protected] Private Sale Plettenberg Bay Whale Rock Heights. 337 square meters in a gated estate. Plans, water connection, engineered retaining & boundary walls built. Bargain at R380 000. Phone: 074 801 6129 Email: [email protected] On a successful sale to a PMG member, I pledge R10 000 to the PMG for allowing exposure to their membership. R5 000 is also pledged to the PLETT BITOU FIRE VICTIMS DISASTER RELIEF FUND. HealthView and Private Practice Review provide news and opinion articles as a service to our members to enhance their understanding of the health care industry. The information contained in these publications is published without warranties of any kind, either express or implied. HealthView and Private Practice Review are published solely for informational purposes and should not to be construed as advice or recommendations. Individuals should take into account their own unique and specific circumstances in acting on any news or articles published. Often these articles originate from sources outside our organization that are reported in the national press. Consequently, any information, trademarks, service marks, product names or named features are assumed to be the property of their respective owners, and are used solely for informative purposes in our publications. There is furthermore no implied endorsement of any of the products, goods or services mentioned in our publications.

Contents - MM3 Admin€¦ · Fat Burner”. A number of endocrinologists have recently noted patients using “The Secret Fat Burner” presenting with overactive thyroid (thyrotoxicosis)

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Page 1: Contents - MM3 Admin€¦ · Fat Burner”. A number of endocrinologists have recently noted patients using “The Secret Fat Burner” presenting with overactive thyroid (thyrotoxicosis)

HEALTHMANPRIVATEPRACTICEREVIEWFebruary2018

February2018

Asummaryofbreakingnewsandgeneralinformationregardinghealthcareinthepublicandprivatesector,publishedinthemedia.

Contents1. FoodforThought2. ViewonSpecialNews3. ViewonGovernment4. FinancialViews5. ViewonNewProducts6. ViewonGeneralNews7. ViewonMedicalSchemes8. SpecialNotices

FoodforThought

Publicservantsarethenew‘labourelite’"SA’spublicsectorwagebill

nowswallowsnearly35%of

thebudgetand14%ofGDP.

"Notonlyisthiswayoutoflinewithotheremerging

economies,itisextremebyvirtuallyanymeasure–includingdeveloped

economies"–CiaranRyan,Moneywebon

Monday12February.

Treasury’sMedium-Term

Budgetpublishedlatelastyear

hasshowedpublicsector

wagesincreasedat10.3%a

yearsince2009,considerably

abovetherateofinflation.Up

to70%ofsomeprovinces’

healthbudgetsgotowages.

Oneofthekeyfiguresbeing

monitoredintheupcoming

budgetonFebruary21isthe

sizeofallocationtopublic

sectorwages.

AdrianSaville,CEOofCannonAssetManagers,arguesthatthegovernmentwagebillis

alreadyatanunsustainable

levelandanyhikewillonly

exacerbatetheproblem.

“Thereisnogovernanceandnoaccountabilityinrespectofthespend.Thisperpetuatesasysteminwhichspendingcontinuestorisewithoutregardforimpactoreffectiveness.”

Accordingtoastudy:

Demographic,Employment,

andWageTrendsinSouth

AfricabyUNU-WIDER,the

BrookingsInstitutionandthe

DevelopmentPolicyResearch

Unit(DPRU)attheUniversityof

CapeTown:

"Unionisedpublicsectorworkershavebecomethe

new'labourelite'."

AccordingtotheOECD’s2017EconomicSurveyofSAthepublicsectorwagebillisat

35.3%ofthebudget.

Despiteafreezeonpublic

sectoremploymentin2015and

2016,theOECDsaysfurther

effortscouldbemadetolimit

annualwageincreasesby

reallocatingworkerstoareas

wheretheyaremoreneeded,

suchashealthandeducation.

Lastyear,MikeSchussler,the

chiefeconomistat

Economists.co.za,warnedthat

SAcouldnolongerafforda

bloatedcivilservice,andthat

theonlywayoutwasamassive

privatesectorjobcreationdrive.

"Butthatwouldrequire

governmenttoabandon

policiesthatstoodinthewayof

investmentandjobgrowth,"

wroteRyan.

Graphics:FiguresfromOECD,publishedonMoneyweb,12February2018

ViewonSpecialNews

SASOP'sviewoncannabis

SEMDSA'swarnspatientsabout'TheSecretFatBurner'

Inapressreleaseregardingits

positiononcannabis,SASOP

notesitsconcernasagrowing

publicperceptionofcannabis

asa‘harmless’plant.Areview

articlebytheWHO(2016)

concludedthatcurrent

evidencepointstoamodest

contributorycausalrolefor

cannabisinschizophreniaand

thataconsistentdose-

responserelationshipexists

betweencannabisusein

adolescenceandtheriskof

developingpsychotic

symptomsorschizophrenia.

SASOPcommendedtheMCC’s

decisiontolimittheuseof

cannabisformedicinal

purposesandsupports

ongoingresearch.

SEMDSA,TheSocietyforEndocrinology,Metabolismand

DiabetesofSAissuedapressreleasewarningabout“TheSecret

FatBurner”.Anumberofendocrinologistshaverecentlynoted

patientsusing“TheSecretFatBurner”presentingwithoveractive

thyroid(thyrotoxicosis).

SEMDSAhashadtheaboveproducttestedbyanindependent

accreditedlaboratory,andthetestresultsfoundthatthecapsules

containedHydrochlorothiazide,Sibutramine,Levothyroxine(T4)

andTriiodothyronine(T3).Noneofthesesubstancesare

mentionedintheproduct’sinformationleaflet,whichmeansthe

productisaclassifieda“secretremedy”,theuseofwhichis

prohibitedbytheHealthProfessionsCouncilofSouthAfrica.

TheproductisalsonotapprovedbytheMedicinesControl

Council(MCC),butisadvertisedonsocialmedia.

Symptomsassociatedwithconsumptionofthisproductmay

include:palpitations,anxiety,heatintolerance,aggravationofhigh

bloodpressureandcardiaccomplicationssuchasatrialfibrillation

andheartfailurewhichmaybepotentiallylife-threatening.

ProtectingPatientDatain2018

Thenewyearisuponusandformanyit’sstartedwithabang.Butalthoughtheremaybeaneedtogetbackintoroutineasfastaspossible,therearealsoelementsinthetypicalday-to-dayworkingsofyourpracticethatyoushouldbereviewingandonesuchelementistheprotectionofpatientdata.

Ensuringthesecurityofpatientdatashould

alwaysbeatoppriority,butyouwanttoavoid

datasecuritysolutionsbecomingabottleneckto

productivity.Herearesometipsthatyoucan

implementwithinyourpracticetogiveyouthe

mosttimewithyourpatients,safeinthe

knowledgethatdataissecurelystored.

NewYear,newpasswordsIt’sagoodideatoregularlyupdatepasswords

andpasscodesacrossyourpracticeandwhile

it’stemptingtorecycleoldpasswords,itshould

beavoided.Ensurethateverystaffmemberwith

accesstopatientandpracticedataupdatestheir

passwordstoaminimumofsixupperandlower

casecharacters,includingatleastonenumeric

andonesymbol

characterandfreeofconsecutiveidentical

characters.

Ifthethoughtofchangingpasswordsmakesyou

wanttohittheeggnog,investigatepassword

managerprogramsthatwillsafelystoreyour

passwordsandyouonlyhavetorememberone

masterpassword.

Gopaper-lightIfyou’restillusingpaperinyourpractice,ensure

thatlettertraysaren’tplacedonthefrontdeskin

fullviewofotherpatientsintheconsultingrooms.

Keepthembehindthedesk,outofsightandfile

paperworkdailyinacontrol-accessroom.And

besuretodisposeofpaperrecordsappropriately

andinaccordancewithPOPIA.

Formoredataprotectiontipstostart2018onagoodnote,clickhere.

Button

Areyoudrowninginmedicalpracticeadministration?

MFI,amulti-functionalserviceprovider,whothroughourassociationwithspecialists,isabletoofferspecialisedmedical,accounting&businessguidance.

Ourthreepillarsoffinancialserviceexcellence:

1. MedicalpracticemanagementThroughour‘Medicalpracticemanagement’and‘Medicalandhospitalpracticemanagement

‘wetakethehassleandthegrindoutofyour‘daytoday’medicaladministrativeissueswith

clients,hospitalsandmedicalaidsalike.

2. AccountingandbankingservicesWithateamofqualifiedaccountantsandAuditorsweprovideaprofessionalcomprehensive

bouquetofaccountingandbankingservicestoprivateindividualsandcorporatecompanies.

Wewillcoverallyourrequirementsregardlessofthesizeornatureofyourbusinessor

organisation.

3. FinancialmanagementandplanningLetourexpertfinancialwellnesspractitioners,withtheirextensiveknowledgeofthefinest

financialproductsavailable,‘realiseyourvision’offinancialpeaceofmindforyouandyour

family.

www.mfi.co.za/facebook.com/MFIMedicalBusiness/[email protected]

ViewonGovernment

LifeEsidimeni:Familiestoreceivecompensation

MedicinepatentdraftpolicysettogotoCabinet

OnThursday,8FebruaryNews24reportedthat

theStateandclaimantsintheLifeEsidimeni

arbitrationhearingshavereachedanagreement

ondamagesinsomeoftheclaimsbythe

familieswholostlovedonesduringthetransfer

ofmentalhealthpatientstoanumberof

unlicensedNGOs.AdvocateAdilaHassim,

appearingonbehalfofSection27,representing

thefamiliesof74people’sfamiliessaidtheState

hadagreedtoaR20000claimperfamilyfor

funeralexpenses,andR180000foremotional

shockandpsychologicalinjury,andcounselling

services.

Thenumberofpeoplewhodiedafterbeing

movedfromthecareofLifeEsidimenicould

reach156.ThehearingswasfinalisedonFriday,

9thFebruaryandformerChiefJusticeDikgang

Moseneke,willlaterreleasehisfindings,

includingoncompensation.

"IfeelpeoplehavebeenbetrayedandIalsofelt

betrayedastheMinisterofHealth.Thishas

tarnishedthehealthsystemofthecountry,"said

HealthMinisterAaronMotsoalediatthehearing.

TheTradeandIndustryDepartmentexpectsto

submitarevisedversionofitsdraftintellectual

propertypolicytotheCabinetbytheendof

March.Thedepartmentisfacingintenselobbying

fromhealthactivistsandpharmaceutical

companiesasthedraftpolicyproposescloser

scrutinyofpatentapplicationsformedicines,a

simplersystemforissuingcompulsorylicences

andmechanismsfortighteningthecriteriafor

grantingpatents.

TheInnovativePharmaceuticalAssociationofSA

(IPASA)criticisedthedraftpolicywhenitwas

released,sayingitplacedtoomuchemphasison

drugfirms’“ever-greening”patentsonmedicines.

Thedraftpolicycoveredonlythefirstphaseof

thegovernment’soverhaulofitsintellectual

propertyregime,whichtargetedpublichealth

andintergovernmentalcoordination.

Phasetwowillincludeintellectualpropertyrights

intheinformalsector,agricultureandgenetic

resources,aswellasthebrandingofSAgoods

andservices.

ViewonhealthcareintheProvinces

LimpopoHealthcareindirestraits

ProtestinghealthcareworkersinLimpopowarnedthatthehealthdepartment’smoneyproblems

couldbekeepingpaychecksoutofdoctors’handsandhealthworkersoutofclinics.Doctors

complainthatthestatecannolongerpayforovertimewhilenursingunionssaytheprovinceis

renegingoncommitmentstoemploymedicalbursaryholders.About80%of21Limpopoclinics

surveyedbyTACwereshortstaffed.Theoppositionpartyclaimsthatthedepartmenthasoverspent

itsbudgetbyR1.7-bnsincethestartofthefinancialyear.Asof2014/2015,salariesateupnearly

65%ofprovincialhealthbudgets,accordingtoaJuly2016paperbythenon-profitorganisationthe

RuralHealthAdvocacyProject(RHAP).

Gauteng:R1-bnformedicalnegligence

KwaZulu-Natal:OncologistsfromCubaandIndia

NorthernCapeMentalhospitalforKimberley

TheGautengDoHforkedout

overR1-bninsettling185

medicalnegligencecasesfrom

January2015toMaylastyear,

accordingtoMECGwen

Ramokgopa.76%ofthecases

werefor50casesofbrain-

damagedbabies.

ChrisHaniBaragwanath

AcademicHospitalinSoweto

hadthemostcasesagainstit,

withR514-mpaidto44

claimants.

KZNeyesoncologistsfrom

CubaandIndiaasnoonewill

workinstatehospitals.

Durbanstilldoesnothavea

singlepermanentoncologistat

itstwostatehospitals

designatedtoaddresscancer

treatment.

TheKZNhealthdepartmentis

nowworkingonplanstoimport

oncologistseitherfromCubaor

Indiatomitigatethecancer

treatmentcrisis.

Itisadecadebehindschedule

andcostmorethansixtimes

more(R1.86-bn)thanoriginally

planned,buttheKimberly

MentalHealthHospitalwill

finallybecompletednext

month.Thehospitalwillreplace

theFreeStatePsychiatric

Complex(OranjeHospital),

whichwillbedecommissioned.

However,thereisaquestion

markoverwhetherthe

provincialhealthdepartment

hasthemoneytorunthe

facility.

FinancialViews

Drugmakerswantanotherpricehike

Pharmaceuticalmanufacturersarelobbyingthe

DoHtogivethemanextrapriceincreasefor

privatesectorsales,inanattempttosoftenthe

blowofthemodestraise(1,26%)permittedfor

2018.

The2018SEPincreasefailedtocovertherisein

inputcostsfacedbymanufacturersintheyear,

saidStavrosNicolaou,

chairmanofPharmaceuticalsMadeinSA.

Hesaidtheformulaappliedbythedepartment

doesnotconsiderglobalmarketdynamicsor

materialchangestoinputcostssuchasutilities

andlabour.

TheBoardofHealthcareFundersof

SouthernAfrica(BHF)approvedofthe

1,26%increase.

ViewonNewProducts

Testcandetect8typesofcancerinadropofblood

NovoNordiskaimstobreakmouldwithnewpill

ResearchersintheUShavereportedthatatest,

dubbedCancerSEEK,wasdevelopedbyJohns

HopkinsUniversity.Itlooksfor16DNAmutations

aswellas8proteins(biomarkers)associated

withcancer.

CancerSEEKwastestedon1000patientswith

cancersintheovary,liver,stomach,pancreas,

oesophagus,colon,lungorbreast.Thetestwas

70%accurateatspottingpeoplewithcancer.

Denmark’sNovoNordisk-theworld’sbiggest

insulinmaker-wantstotransformthediabetes

marketwithaonce-dailypillthatbelongstoa

blockbusterclassoftreatmentsknownasGLP-1s

thatstimulateinsulinproduction.

IfNovogetsoverthepricinghurdle,thenewpill

issettoreshuffletreatmentregimens,withoral

semaglutidebeingusedasasecondorthird

treatmentoptionaftercheap,genericmetformin.

ViewonGeneralNews

Globalpushtotrack‘superbugs’

'SAHealthsystemwasbetterunderapartheid'

TheMedicalResearchCouncil(MRC)andthe

FoundationforInnovativeNewDiagnostics

(FIND)signedamemorandumofunderstanding

onantibioticresistance,inanefforttoboost

collaborationincombating“superbugs”.

Globally,anestimated700000peoplediefrom

drug-resistantstrainsofcommonbacterial

infectionseachyear.Scientistsfearifavailable

antibioticsarenotusedmorejudiciously,and

newonesdevelopedmorerapidly,theworld

mayreturntothepre-antibioticerawhenan

infectedscratchorinsectbitecouldprove

deadly.

ListeriosisoutbreakinSA

ThedeathcountinSA’slisteriosisoutbreak-the

worstdocumentedlisteriosisoutbreakinglobal

history-hastopped100.Accordingtothe

NationalInstituteofCommunicableDiseases

(NICD)thenumberofconfirmedlisteriosiscases

was852‚and107peoplehaddied.

Thedeathratewas30%.Roughlytwo-thirdsof

caseshavebeenconfirmedinstatehospitals.

EconomicFreedomFront(EFF)leaderJulius

Malemahasclaimedthatpublichealthcare

serviceswerebetterduringapartheidthanthey

arenowundertheANCgovernment.Hereferred

towhathecalleda“nationalhealthcrisis”,which

theEFFisplanningtoexpose.

Heexplainedhowafunctioningclinicin

Limpopo,builtduringapartheid,wasclosedby

thecurrentgovernment.TheEFFdeclared2018

theyearofpublichealthcare.

Abortion:legalserviceperformedmostlyillegally

Healthworkerswhorefusetohelpwomenwho

wantabortionsaredrivingthemintothearmsof

illegalabortionistswhoperformmorethanhalfof

thecountry’sprocedures.ShenillaMohamed,

executivedirectorofAmnestyInternationalSA,

saiditwasofmajorconcernthatfewerthan7%

ofhealthinstitutionsofferedsafeabortions,and

thatmorethan50%ofabortionswerecarriedout

bybackstreetabortionists.

Teenpregnanciesdown;TBcureup;NCD'sontheincrease

Pregnancyandcondoms

Lessthan7%ofallhospitalbirthsweretoteenmothersin

2016/17,withthelowestinGauteng(lessthan5%).

Adecadeagoalmost15%ofteenagegirlswerelikelytofall

pregnant,accordingtotheDistrictHealthBarometer2016/17

(DHB).

WhileHIVandTBratesaredroppingslightly,acollection

ofnon-communicablediseases(NCD)-particularly

cerebrovasculardiseases,ischaemicheartdiseaseand

diabetes–areontheincrease.

ThecurerateforTBnowstandsat81%-thehighestsince

2005-accordingtotheDHB.

InMarch2013SAintroducedbedaquiline,usedfor

patientswithdrug-resistantTB,andtodate9650drug

resistantTBpatientshavebeenputontoabedaquiline-

basedregimen.

MeanwhileSA’sfirstsurveytoassesstheincidenceof

tuberculosisinthecountryhasbeencommissionedbythe

NationalHealthDepartmentandwillenrolanestimated55

000participants.

Hardlyanypregnantwomen

arehavingsafesex,leaving

themathighriskofHIV

infection,accordingateamled

bySimnikiweMayaphi,a

medicalvirologistatthe

UniversityofPretoria.Ofthe7

886pregnantHIV-negative

womenquestioned99.5%had

hadrecentunprotectedsex.Of

the1661HIV-negativemen

andwomen

recruitedatcounsellingand

testingclinics,88.5%admitted

havingunprotectedsexinthe

lastthreemonths.Almosttwo

thirdsofthepeoplequestioned

didnotknowtheirpartner’sHIV

status.

Circulars:CouncilforMedicalSchemes

ThefollowingCircularswerepublishedbytheCMSinOctober.Visitwww.medicalschemes.co.zaformoreinfo.

1of2018QuarterlyStatutoryReturnsSubmission(31/12/2017)

2of2018PersonalMedicalSavingsAccountandSchemeRules

3of2018HealthcareUtilisationAnnualStatutoryReturns(31/12/2017)

4of2018PostponementoftheManagedCareWorkshop

5of2018InductionProgrammeforBrokers

6of2018ReiewofthePrescribedMinimumBenefits-UpdateandCallforInputs

7of2018CategorisationofAssetsintermsofAnnexureBtotheRegulations

SpecialNotices

PrivatePsychiatryPracticeinKlerksdorpupforgrabs

Establishedpractice(about2800activeout-patientfiles)withconsultingroomsattheSunningdale

HospitalinWilkoppies,Klerksdorp,NorthWestProvince.

Workinassociation(andsharetheconsultingroombuilding)withDrHenrietteSmith,long-

establishedandexperiencedpsychiatristinprivatepractice;

Scopetodosessionsinthestatesector;

Excellentprivateadmissionfacilitiesavailable;

Scopeofpracticeincludegeneraladultpsychiatry;childandadolescentpsychiatry;geriatric

psychiatry;andmedico-legalorforensicwork.

(Currentreceptionistandpersonalassistantarewillingtostayonifrequired.)

Reasonforgivinguppractice:RelocatingtoCanada.

Contact:DrHendrikPotgieter0825616265(allhours)

ORDrHenrietteSmith0827763171(allhours)

VacancyforPaediatricianatBusamedPrivateHospital,Harrismith

BusamedPrivateHospitalinHarrismithiscurrentlylookingforaPaediatrician.

Shouldyouwishtoapply,pleasesendyourdetailedCV,accompaniedwithqualificationcertificates

to:

[email protected]@busamed.co.zaForqueries,pleasecontact(058)624-3004.Facebook:www.facebook.com/busamedhph

ConsultingRoomstoRentinBryanston

BonaDeaCentreisanestablishedandgrowing

multidisciplinarycentreinBryanston.Theteam

currentlycomprisesofanadultgeneral

psychiatrist,clinicalandcounseling

psychologists,psychometristand

neurotherapist/EEGtechnician.

Wehavejustmovedtobiggerpremisesandare

lookingforaChildandAdolescentPsychiatristto

joinourteam.

WearealsolookingforanEducational

psychologist,OccupationalTherapist,

Physiotherapist,SpeechTherapist/Audiologist

andDietician.

Weareofferingrentalofspace,services,a

referralnetworkandsubstantialonlinepresence

withawell-establishedwebsite.Eachtherapist

runstheirownprivatepractice.

Pleasee-mailDrBarbaraPierce:

[email protected]

TrixO’Callaghan:

[email protected]

PrivateSalePlettenbergBay

WhaleRockHeights.337squaremetersinagatedestate.

Plans,waterconnection,engineeredretaining&boundarywallsbuilt.

BargainatR380000.

Phone:0748016129

Email:[email protected]

OnasuccessfulsaletoaPMGmember,IpledgeR10000tothePMGforallowingexposuretotheir

membership.R5000isalsopledgedtothePLETTBITOUFIREVICTIMSDISASTERRELIEFFUND.

HealthViewandPrivatePracticeReviewprovidenewsandopinionarticlesasaservicetoourmemberstoenhance

theirunderstandingofthehealthcareindustry.Theinformationcontainedinthesepublicationsispublishedwithout

warrantiesofanykind,eitherexpressorimplied.HealthViewandPrivatePracticeReviewarepublishedsolelyfor

informationalpurposesandshouldnottobeconstruedasadviceorrecommendations.Individualsshouldtakeinto

accounttheirownuniqueandspecificcircumstancesinactingonanynewsorarticlespublished.Oftenthesearticles

originatefromsourcesoutsideourorganizationthatarereportedinthenationalpress.Consequently,anyinformation,

trademarks,servicemarks,productnamesornamedfeaturesareassumedtobethepropertyoftheirrespective

owners,andareusedsolelyforinformativepurposesinourpublications.Thereisfurthermorenoimpliedendorsement

ofanyoftheproducts,goodsorservicesmentionedinourpublications.

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