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THE HEALTH COMMITTEE WAS ESTABLISHED UNDER SECTION 15(5)(F) OF THE HEALTH PROFESSIONS ACT, 1974 (ACT NO.56 OF 1974) AND INCLUDES A JOINT STANDING COMMITTEE ESTABLISHED UNDER SECTION 15B (1)(F) OF THE ACT. The Health Committee regulates/advices impaired practitioners who
suffer from mental or physical condition or the abuse of or dependence on chemical substances, which affects the competence, attitude, judgment or performance of a student or a person registered in terms of the Health Professions Council Act, (Act 56 of 1974) section 51.
The Health Committee is a non-punitive Committee which was established to manage the compliance of the practitioners while also protecting the public. The Committee also focuses on the refinement of the regulations and procedures affecting the day to day functions and
operations of the Health Committee.
FUNCTIONS OF THE
HEALTH COMMITTEE
Establish policies and procedures and to enlist cooperation and support for the prevention or alleviation of circumstances which may lead to impairment in students and practitioners.
Establish mechanisms and procedures for the early identification of impairment in students and practitioners
.
FUNCTIONS OF THE HEALTH
COMMITTEE (cont.)
Implement procedures for handling crisis situations which may threaten patient safety and care.
Undertake informal assessments of reports on alleged impaired students and practitioners, to make findings with regard to impairment and , if required, to impose conditions of registration or practice on such persons aimed at protection of patients and treatment of impaired persons.
FUNCTIONS OF THE HEALTH COMMITTEE
Appoint investigation committees on an Ad Hoc basis to undertake formal investigations into reports on alleged impairment in the absence of voluntary cooperation of students or practitioners, to make findings with regard to impairment and, if required, to impose conditions of registration or practice aimed at protection of patients and treatment of impaired students or practitioners
Consider applications by students or practitioners who were found to
be impaired to have their conditions of registration or practice amended or to have such conditions revoked.
Oversee the implementation of treatment programmes of impaired students or practitioners and to review the position of each such student or practitioner at least every three years.
PROCESSES OF THE HEALTH COMMITTEE
Complaints regarding alleged impairment are lodged with the Health Committee secretariat;
The matter is reported to the Health Committee for consideration during its next meeting;
An informal investigation in terms of SECTION 51 of the Health Professions Act is put into place;
One specialist is appointed by the Committee to assess the practitioner for the alleged impairment, the practitioner appoints a second specialist of his choice.
The above mentioned specialists are given reporting guidelines for the assessment;
PROCESSES (cont.)
The practitioner is informed of the complaint and is requested to undergo an assessment with the appointed specialists;
The assessment reports from the two appointed specialists are
submitted to the Committee for consideration;
Should the committee determine that an impairment exists, the practitioner will be declared impaired. The impairment is then processed on the HPCSA administration system against the practitioners name;
The practitioner would then be required to work under supervision and to undergo treatment with the treating practitioner/institution approved by the Committee;
PROCESSES (cont.)
The Committee monitors and enforces compliance by Practitioners.
If impairment doesn’t exist, the Committee dismisses the case and the
practitioner is informed accordingly; The assessment reports from the two appointed specialists are
submitted to the Committee for consideration;
Should the committee determine that an impairment exists, the
practitioner will be declared impaired. The impairment is then processed on the HPCSA administration system against the practitioners name;
PROCESSES OF THE
HEALTH COMMITTEE
The practitioner would then be required to work under supervision and to undergo treatment with the treating practitioner/institution approved by the Committee;
The Committee monitors and
enforces compliance by Practitioner.
PROCESSES OF THE HEALTH
COMMITTEE (cont.)
If impairment doesn’t exist, the Committee dismisses the case and the practitioner is informed accordingly.
Should the practitioner refuse to subject himself/herself to the informal investigation, the Committee will do a formal investigation in terms of SECTION 51 of the Health Professions Act
PROCESSES (cont.) The practitioner will be sent a notice to
subject himself/herself to do the assessment within 30 days;
Should the practitioner refuse to comply with the notice given;
The practitioners name will be suspended from the register of health practitioners until such time that the practitioner is assessed by the two specialists and properly diagnosed.
RECORD OF IMPAIRMENT
Me
dic
al P
ract
itio
ne
r
Stu
de
nt
Rad
iogr
aph
er
Bas
ic A
mb
ula
nce
Ass
ista
nt AN
T
Inte
rn S
tud
en
t
Psc
ych
olo
gist
Inte
rn
Me
dic
al P
ract
itio
ne
rSt
ud
en
t
Ph
ysio
the
rap
ist
TT
233
1 1 7 3 6 26 3
2 1
STATISTICS - DIAGNOSIS
PSYCHIATRIC DISORDER NOS 8
DUAL DIAGNOSIS 37
PETHEDINE ABUSE 14
BIPOLAR MOOD DISORDER 25
ALCOHOL ABUSE 32
DEPRESSION 22
SCHIZOPHRENIA 19
FITNESS TO PRACTICE 3
SUBSTANCE ABUSE 34
PRESCRIPTION DRUG ABUSE 7
POST TRAUMATIC STRESS 1
HEAD INJURY 2
BACK OPERATION 2
MOTOR VEHICLE ACCIDENT 3
SPONDYLOARTHRITIS 1
POOR HEALTH CONDITION 2
EMOTIONAL PROBLEMS 1
OPIATES AUSE 2
ALZHEIMER'S DISEASE 1
PSYCHIATRIC ILLNESS 11
AMNESIA 1
PARALYSIS OF RIGHT ARM 1
NEUROLOGICAL PROBLEMS 1
QUADRAPLEGIC 1
TUBERCULOSIS 1
STROKE 1
DEMENTIA 1
METHYLPHENIDATE ABUSE 1
NARCOTIC ABUSE 1
SCHEDULE 7 DRUG ABUSE 1
CONGENITAL NYSTAGMUS 1
0
5
10
15
20
25
30
35
40
PSY
CH
IATR
IC D
ISO
RD
ER N
OS
DU
AL
DIA
GN
OSI
S
PET
HED
INE
AB
USE
BIP
OLA
R M
OO
D D
ISO
RD
ER
ALC
OH
OL
AB
USE
DEP
RES
SIO
N
SCH
IZO
PH
REN
IA
FITN
ESS
TO P
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CE
SUB
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SE
PR
ESC
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TIO
N D
RU
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SE
PO
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ATI
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D IN
JUR
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BA
CK
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N
MO
TOR
VEH
ICLE
AC
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ENT
SPO
ND
YLO
AR
THR
ITIS
PO
OR
HEA
LTH
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TIO
NA
L P
RO
BLE
MS
OP
IATE
S A
USE
ALZ
HEI
MER
'S D
ISEA
SE
PSY
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IATR
IC IL
LNES
S
AM
NES
IA
PA
RA
LYSI
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F R
IGH
T A
RM
NEU
RO
LOG
ICA
L P
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MS
QU
AD
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TUB
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DEM
ENTI
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AB
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DR
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AB
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TAG
MU
S
REHABILITATION AND COMPLIANCE OF
PRACTITIONERS The following are the guidelines that should be followed during the
rehabilitation process after a practitioner has been declared impaired.
Three monthly progress reports should be submitted to the Health Committee by the treating doctor and the supervisor for a period of twelve months for consideration by the Committee;
If progress is observed and the practitioner is complying, the Health
Committee requires six monthly reports from the treating doctor and the supervisor for consideration during the second year ;
REHABILITATION AND COMPLIANCE OF
PRACTITIONERS
If progress is observed and the practitioner is complying, the Health Committee requires an annual report from the treating doctor and the supervisor for the third year;
An interview is conducted by the Health Committee and depending on the progress made in achieving rehabilitation, the conditions of service imposed upon the practitioner may be LIFTED.
If the practitioner does not comply with conditions of service, his/her name is suspended from the register until compliance is observed.
The Health Committee Secretariat can be contacted at 012 338 9447 and the regulations are accessible at www.hpcsa.co.za