SA: CORPORATE SOCIAL INVESTMENT REPORT

NETCARE LIMITED Online report 2015

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01 SA | CORPORATE SOCIAL INVESTMENT REPORTSA | CORPORATE SOCIAL INVESTMENT REPORT

SA: CORPORATE SOCIALINVESTMENT REPORTThe Netcare Foundation is responsible for co-ordinating the Group’s corporate social investment (CSI) strategy and aligns its activities with the Group’s broader strategy to support access to healthcare for the communities in which Netcare works.

IntroductionOur CSI initiatives focus on broadening access to healthcare for disadvantaged communities, particularly in rural areas. The Netcare Foundation partners with organisations that work to create value in their contribution to the healthcare sector in South Africa (SA). Our selected areas of investment are:

✛ Accessibility initiatives, including the Netcare Foundation’s core programmes;

✛ Indigent emergency medical services;

✛ Community sponsorships (outreach programmes);

✛ Academic support; and

✛ CSI discretionary spend.

In 2015, Netcare’s CSI division received the PMR Diamond Arrow Award for corporate social responsibility strategy and practice, for the third consecutive year.

CSI governanceThe Netcare Foundation, established in 2010, is a registered public benefit company governed by a board of trustees. It subscribes to the King Report on Corporate Governance for South Africa (King III), that recognises the role of companies in social transformation in SA. The Netcare Foundation is managed by our CSI department, which is staffed with employees committed to:

✛ Maintaining clear strategic guidelines;

✛ Seeking management support;

✛ Ensuring staff and stakeholder buy-in;

✛ Maintaining a comprehensive risk register;

✛ Adhering to policies and procedures governing activities;

✛ Identifying projects that are aligned to company objectives;

✛ Partnering with stakeholders;

✛ Evaluating the impact of activities through reliable indicators;

✛ Maintaining an efficient monitoring and reporting structure; and

✛ Being accountable to both internal and external stakeholders.

We undertake regular self-assessments, which ensure that any governance gaps are identified and closed. Where required, our CSI governance structures are adapted to align to new CSI practices or guidelines that are relevant to our CSI


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activities. Our CSI initiatives are managed against a balanced scorecard to ensure quality improvement in our processes. During 2015, we improved our recipient-related documentation and our CSI project managers attended workshops and conferences to broaden their networks and keep abreast of CSI trends in the healthcare industry.

Netcare is a founding sponsor of the South African Breastmilk Reserve (SABR), which began distributing donated breastmilk collected at Uitenhage’s Netcare Cuyler Hospital in 2007 in a pilot facility. The Department of Health has released draft regulations for breast milk banks. Netcare’s Neonatal Forum has developed standard operating procedures and key performance indicators aligning to these draft regulations. We have also

considered the recommendations of the World Health Organisation’s Baby Friendly Hospital initiative, which promotes, protects and supports breastfeeding as a key child survival strategy. These inputs have supported greater standardisation of our breast milk banks across the Hospital division.

Monitoring and evaluation Our values of care, dignity, truth, participation and passion are entrenched in our CSI activities, which are aligned with direct business activities. We place great emphasis on ethical and responsible business conduct. The services offered by the Netcare Foundation are communicated through awareness campaigns, and applicants are selected based both on clinical

information and criteria set by the Netcare Foundation.

Financial data and beneficiary details are verified and quality assured before being reported publicly. The Netcare Foundation received 100% assurance regarding the validity of its spend in 2015.

Tax compliance has been strictly adhered to and we achieved 100% compliance against our review assessment tool for our CSI-related key performance indicators (2014: 100%). An integrated CSI report is submitted twice a year to the Social and Ethics Committee, a sub-committee of the Netcare Board. In 2015, we started monitoring volunteering hours through a formal standard operating procedure.

Accessibility initiativesOur accessibility initiatives cover:

✛ Netcare’s core programmes; and

✛ Netcare’s Sexual Assault Centres.

Netcare’s core programmes

Netcare Craniofacial programmeCraniofacial conditions are abnormalities

of the skull (cranium) and/or facial bones.

After three surgical procedures

Before

Mr Sinethemba Qasha, dubbed the ‘Elephant Man’ by the Sowetan newspaper, had his fourth craniofacial procedure in August 2015, inserting zygomatic implants to make his face look symmetrical. When Mr Qasha was evicted by his community and family from his family home in KwaZulu-Natal, the Netcare Foundation organised accommodation for him at Ebenezer Hannah Home in Grasmere. His ongoing surgery continues to be sponsored by the Motsepe Foundation, the Sowetan and many generous individuals.

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76% African

6% Coloured

4% Indian

14% White

CSI beneficiary distribution

201557.8% Indigent emergency

medical services

8.0% Accessibility initiatives

13.5% Community sponsorships

0.4% CSI discretionary

26.3% Academic support

CSI spend per category

2015

CSI spendIn 2015, R25.1 million (2014: R47.2 million) was invested in healthcare-related CSI initiatives, 1.03% (2014: 2.17%) of Netcare’s profit after tax.

It is estimated that one baby in every

2 000 is born with craniofacial anomalies.

These patients are often shunned and

ostracised by society, particularly in rural

areas. This programme is led by plastic

and reconstructive surgeons, Professor

Tim Christofides and Dr Martin Kelly,

working together with a multi-disciplinary

team at the Netcare Sunninghill Hospital.

Patients usually require a series of

craniofacial surgical techniques,

depending on the severity of the deformity, which is extremely costly. Together with our partners, the Vodacom Foundation, Blue Label Telecoms and other individuals, we have facilitated 80 successful surgeries since 2008, with seven patients receiving treatment in 2015.


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Netcare Cleft Lip and Palate programme

Cleft lip and palate patients are managed by a team including the child’s parents; a plastic surgeon; an ear, nose and throat (ENT) surgeon; a speech therapist; an orthodontist; a social worker; a paediatrician; a genetic counsellor; and a parents’ support group. The programme is run from Netcare Park Lane Hospital (Professor Laurence Chait) and Netcare Sunninghill Hospital (Professor Tim Christofidis) where multi-disciplinary teams are actively involved with each patient. The programme has two funding partners – Tannah’s Gift and Drs Darling & Partners – and to date has facilitated surgery for 11 patients.

Netcare Cataract programmeNetcare together with valued support from the Nedbank Foundation, Vodacom Foundation, Alcon Laboratories and specialist ophthalmologists, continues to invest in this programme that assists qualifying beneficiaries affected by cataracts to regain their sight. The Cataract programme has been extended to the KwaZulu-Natal and the Western Cape provinces, with nine hospitals nationwide participating in the programme. From October 2014 to September 2015, 33 cataract procedures were performed.

Hear for Life: Netcare cochlear implant programmeIn partnership with Bidvest Hear for Life Trust and 94.7 Highveld Stereo, the Netcare Foundation facilitated six cochlear implants in 2015. These procedures are performed by Dr Morris Hockman at Netcare Linksfield Hospital and Dr Duane Mol from Netcare Union Hospital.

Applications for Netcare’s core programmesThe following criteria are applicable to those looking for assistance through these programmes:

✛ Applicants must be South African citizens.

✛ Applicants must be unemployed or reliant on a state grant.

✛ If receiving an income, it should be no more than R2 000 per month. A means-of-living test will apply.

✛ Applicants must have no access to medical scheme or insurance cover.

To apply contact us on [email protected] or telephonically on (011) 301 0374 or (011) 301 0107.

After

Before

Hloniphani Mkhize – Netcare Sunninghill Hospital Jorgia Pereira – Netcare Park Lane Hospital

Netcare Sexual Assault CentresSexual violence is a pervasive global problem with severe consequences for the physical and psychological health of survivors. We are committed to the provision of quality healthcare services to these survivors and are the only private hospital group in SA that offers medico-legal services and care. Since the inception of the first unit (the Albertina Sisulu Centre at Netcare Sunninghill Hospital in 1998), over 11 000 survivors have been assisted in our 37 Sexual Assault Centres. Of the rape survivors assisted in 2015, 80% did not have medical insurance (2014: 79%).

77% African

7% Coloured

1% Indian

15% White

Netcare sexual assault CSI breakdown

2015

Indigent emergency medical servicesWe treat indigent patients requiring life-threatening care at our 43 emergency departments nationally and through Netcare 911 pre-hospital emergency medical services. In 2015, support was provided to 1 354 patients.

SA | CORPORATE SOCIAL INVESTMENT REPORT

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Community sponsorships – outreach programmesWe support numerous healthcare community initiatives that facilitate primary care and broaden access to healthcare. Our support is provided in various forms, ranging from staff volunteer support to donations of medical equipment and depreciated hospital equipment. Some of the programmes supported during 2015 are outlined below.

Sandy Segal St Augustines Hospital Blanket drive

Diabetic outreach programme

Wheelchair tennis championships

Named after a late staff member within our CSI team, this drive has provided blankets to the less fortunate over the cold winter season for the past three years. The aim of the drive is to encourage our employees at all Netcare hospitals to collect a combined total of 5 000 blankets. To date, R29 325 and more than a thousand blankets have been donated to charities and the homeless.

In November 2014, over 600 people were tested for diabetes and high blood pressure at Tsakane township near Springs. The event was attended by the Netcare Foundation, Netcare 911 and the Netcare trauma division. Several potential CSI patients were identified for possible follow-up assessments.

Netcare 911 and Netcare nurses volunteered their time to care for the participants of the wheelchair tennis championships, held over 10 days in April 2015. The volunteers ensured that the 120 players received medical attention when needed.

Dance for a Cure – cervical cancer vaccination programme

Equipment donation Mandela Day

In 2015, a vaccination drive was carried out at Kids Haven in Benoni where 72 young girls were inoculated against the HPV virus which may cause cervical cancer. Each girl received a free blanket donated by Aranda textiles and a goodie bag donated by GSK pharmaceuticals, the manufacturers of the vaccine.

When a hospital is refurbished, often the beds, linen and lockers are replaced. Increasingly, these items, together with hospital equipment are donated to facilities in need. To date six organisations have benefitted from these donations. Aligned to the World Health Organisation’s ‘One Health’ policy which states that healthcare includes all aspects of the environment, we donated equipment, linen and expertise to selected animal welfare projects, including SANCCOB, the non-profit seabird centre.

In 2015, our head office staff supported the Epic Foundation, packing comfort packs for 120 children who are survivors of sexual assault. The comfort packs were stocked with contents received from our staff, as well as generous supplier companies. Staff participation was encouraging and feedback received from our employees was positive.

South African Breastmilk ReserveFor 10 years, SABR has provided high-risk premature HIV-exposed infants with safe, pasteurised breast milk. The SABR is a public benefit organisation that Netcare has supported since inception. SABR’s Feed for Life initiative promotes infant survival in neo-natal intensive care units through human milk banking, the use of donated breast milk, and breast feeding promotion. To date, over 9 000 babies have been supported through donated milk.

The SABR co-ordinates the collection and redistribution of life-saving donated breast milk to critically ill babies. Today there are nine breast milk banks in Netcare facilities and our intention is to expand this to all 36 of our maternity facilities in SA. In 2015, we donated R1.7 million to the SABR.

Hospice WitsIn 2015, the Health Partners for Life Trust (Netcare’s broad-based black economic empowerment initiative) donated R100 000 to Hospice Wits, which provides palliative care and support to communities within the Johannesburg Metropolitan District.

Organisations and initiatives supported in 2015 by the Netcare Foundation ✛ Africa Calls Today Inc ✛ Othandweni Family Care Centre

✛ Bongani Ngema Zuma Diabetic Foundation ✛ South African Breastmilk Reserve

✛ Breast Health Foundation ✛ Rhema Bible Church

✛ Cardiac Arrhythmia Society of Southern Africa ✛ Sefako Makgatho Health Sciences University (anatomy department)

✛ Dance for a Cure ✛ Sizanani Childrens Home

✛ Ebenezer Hannah Home ✛ South African Society for Surgery, Obesity and Metabolism

✛ Epic Foundation ✛ South African Foot Surgeons Association

✛ Handmaidens for Christ ✛ South African Tissue Bank Association

✛ Hatzolah Medical Rescue ✛ South African Transplant Society

✛ Hlayisekani Naising Nursing Home ✛ Sungardens Hospice

✛ Holy Cross Hospice ✛ The 702 Sun International CEO SleepOut

✛ Hospice Wits ✛ The Breast Health Foundation

✛ Kwazulu-Natal Managed Care Coalition ✛ The Kingdom Connection Community Church Foundation

✛ Lambano Sanctuary ✛ The Organ Donor Foundation

✛ Leratong Hospice ✛ Tumelo Home and Hospice Centre

✛ Mobile Mammography unit ✛ Vhutshilo Mountain School

✛ National Sea Rescue Institute

✛ Netcare Sexual Assault Centres

Academic support

Bursaries A portion of our CSI spend is invested in entities that support the training and development of doctors. The table below sets out our grant investment for 2015.

2015Rands

South African Society for Surgery, Obesity and Metabolism 980 000The Breast Health Foundation 60 000Cardiac Arrhythmia Society of Southern Africa 20 000Kwazulu-Natal Managed Care Coalition (a surgical society) 45 000South African Foot Surgeons Association 26 900South African Transplant Society 200 000Sefako Makgatho Health Sciences University (anatomy department) 100 000South African Tissue Bank Association 25 000Total 1 456 900

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Hamilton Naki Clinical Scholarship SchemeThe Hamilton Naki Clinical Scholarship Scheme awards scholarships to clinical specialists or sub-specialists of high academic calibre who demonstrate a capacity and commitment to make a difference to academic healthcare in SA. We provide financial support to the individual so that they are able to undertake full-time doctoral or post-doctoral research training in leading institutions locally or overseas for three or more years. On completion, the scholarship provides further support enabling candidates to establish themselves in SA or commence an independent academic career for a further period of one or more years.

To be eligible to participate, candidates must be SA citizens from historically disadvantaged backgrounds who are registered as specialists or sub-specialists with the Health Professions Council of South Africa. The candidate is required to have identified a funded research project and must have selected a supervisor with the appropriate research infrastructure and facilities. The objectives of the scholarship align to the recommendations of the Academy of Science of South Africa, which aims to revitalise clinical research in SA. Individuals may apply for a scholarship or be nominated by an academic institution. Since 2007, we have invested R15 million in eight doctors, assisting them to achieve academic excellence. The scholarship is awarded under the umbrella of the Physician Partnerships Trust, which forms part of Netcare’s Health Partners for Life.

Registrar programmes We facilitate post graduate learning for healthcare practitioners to assist skills transfer, and enhance expertise and specialist training to ultimately contribute to the number of healthcare practitioners in SA. We have co-operative agreements and memorandum of understanding with six universities: University of Pretoria, University of Cape Town, Sefako Makgatho Health Sciences University, University of Johannesburg, Stellenbosch University and North West University. In 2015, we committed R6 million

(2014: R9 million) to support the following registrar and fellowship posts in the following fields:

✛ Dr Spence: trauma research fellowship.

✛ Dr Kock: infectious diseases fellowship.

✛ Dr Roche: nephrology studies.

✛ Dr Mlanga-Mlambo: maternal and foetal health studies.

✛ Dr Parris: paediatric pulmonology fellowship.

✛ Dr Jeeverathnum: neonatal pulmonology studies.

✛ Dr Harris: cardiology studies.

Discretionary spendOur discretionary spend covers a range of initiatives. Where surgery is required, our contribution is generally in the form of hospital and theatre fees. Often these procedures are performed pro bono by surgeons and anaesthetists. All healthcare providers performing pro bono work are rewarded with a certificate of gratitude. Our discretionary spend for 2015 contributed to the following medical services:

✛ Wheelchair donations: Two wheelchairs were donated to individual applicants and a further two wheelchairs to the Thandululo Day Care Centre which cares for children with cerebral palsy in Mutale, Limpopo.

✛ Colorectal / psychological intervention: Netcare Montana Hospital facilitated a colorectal procedure for an 18-year-old man who was referred to the Johannesburg Child Advocacy Forum for psychological help.

✛ Gynaecology surgery: Two young teenage girls from local orphanages were surgically treated at Netcare Mulbarton and Netcare Vaalpark hospitals.

✛ International blood screening: Donated R5 000 to a young boy with a rare blood disorder who required blood tests for a definitive diagnosis that could only be performed in the United States.

✛ Dentistry: The Netcare Bay Hospital facilitated a procedure to clean a young autistic boy’s teeth under anaesthetic.

✛ General surgery: Facilitated the treatment of a 15-year-old orphan admitted to Netcare Unitas Hospital with a septic appendisectomy.

✛ Paediatric medical: Netcare Union Hospital facilitated the care of an eight-month old orphan in respiratory distress.

✛ ENT: Facilitated two operations requested by the Smile Foundation.

National Renal Care As part of National Renal Care’s CSI, we performed 906 (2014: 958) discounted or free dialysis sessions in 2015 and provided transport assistance to 29 (2014: 41) patients. To qualify for this subsidy a patient must attend the recommended three sessions per week, with the cost of transport for the third dialysis session reimbursed to the patient. Given that National Renal Care is a joint venture, their CSI spend is not included in our total CSI spend.

All individuals photographed in this section of the annual integrated report have provided their consent.


Documents

SA: CORPORATE SOCIAL INVESTMENT REPORT