annual report presentation by adv. boyce mkhize registrar and ceo to parliamentary portfolio...
TRANSCRIPT
![Page 1: Annual Report Presentation by Adv. Boyce Mkhize Registrar and CEO to Parliamentary Portfolio Committee: Health 19 October 2004](https://reader033.vdocument.in/reader033/viewer/2022051418/5697bf951a28abf838c90fcc/html5/thumbnails/1.jpg)
Annual Report
Presentation by
Adv. Boyce Mkhize Registrar and CEO
to
Parliamentary Portfolio Committee: Health19 October 2004
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Structure of Presentation
• HPCSA and its Mandate• Structure and Current Leadership• Staff Structure and Equity Profile• Key Strategic Focus Areas:
– Registration– Professional Conduct– Continuing Professional Development– Finances
• Broader Challenges
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Founded for Public Protection
VisionQuality healthcare standards for all
Mission To enhance the quality of health by developing strategic policy
frameworks for effective co-ordination and guidance of the professional boards in:
• Setting health care standards for training and discipline in the professions registered with Council
• Ensuring on-going professional competence; and
• Fostering compliance with those standards
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Founded for Public Protection
• Statutory body established in terms of the Health Professions Act (Act No.56 of 1974)
• HPCSA has 12 Professional Boards operating under its auspices
• The Professional Boards control the professions within their ambit under the overarching coordination and guidance of the HPCSA
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Founded for Public Protection
• To ensure quality of life for all South Africans by:
Promoting the health of South African population
Determining and upholding standards of education & training
Determining and maintaining standards of professional practice and conduct
Advising Minister of Health on matters pertaining to Act
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Functions of Professional Boards
• Operate as Standards Generating Body (SGB), developing education and training outcomes
• Develop professional practice framework
• Develop national strategy and action plans re. training, supervision and career path development (including Internship)
• Evaluate registration applications
• Exercise Education, Training and Quality Assurance (ETQA) functions on behalf of HPCSA
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Functions of Professional Boards
• Evaluate education and training courses and academic facilities
• Recognise courses for registration and additional qualifications purposes
• Develop policy documents and issue rulings to guide professions
• Conduct prelim & professional conduct inquiries
• Formulate regulations and rules of conduct and professional practice
• Assess non-compliant applications for registration, including foreign applications
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HPCSA52 Members
Management Committee4 Members
Finance & Investment Committee
Audit Committee
HPCSA StructureD
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HPCSA Administration
Executive Committee10 Members
Human Rights andEthics Committee
CPDCommittee
Health Committee
12 Professional Boards
Professional ConductReview Committee
Committee on UndesirableBusiness Practices
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Composition of HPCSA• 25 Persons designated by Professional Boards
(At least one per Professional Board, the rest proportional to the number of registered practitioners within each Professional Board)
• 1 Person employed by Dept of Health, appointed by Minister • 1 Person employed by Dept of Education, appointed by
Minister• 9 Registered persons appointed by Minister of Health• 1 Person employed by SA Military Health Services, appointed
byMinister of Defense
• 3 Persons appointed by the Committee of University Principals(SAUVCA)
• 2 Persons appointed by the Committee of Technikon Principals• 9 Public representatives who are not registered with Council
(one for each province), appointed by the MEC’s responsiblefor Health in each province
• 1 Person versed in Law, appointed by Minister of Health• 52 Total
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Transformation : HPCSA
Demographic Profile• First elections according to new
requirements took place end 2003 • Council now reflects 63% of individuals
from historically disadvantaged communities and a much significant representation of women
• Comparator previous term: 54% Black vs 46% White
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Transformation : HPCSA
Old New
MDB 27%/62% 60%/40%
DTB 33%/67% 60%/40%
EMC 35%/65% 55%/45%
Psy 43%/56% 63%/27%
Optom28%/61% 46%/63%
MedTech 38%/61% 70%/30%
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Transformation HPCSA
Governance Issues• Charter for Councillors---covenanting to good
professional and ethical behaviour of Councillors• Financial Policies and new procurement
procedures• Audit & Risk Management Committee; Finance
and Investment Committee, HR and Remuneration Committee---Governance Structures
• Annual report & independent auditors
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Current Leadership
Prof. Nicky Padayachee
President
Prof. Letticia Moja
Vice President
Adv. Boyce Mkhize
Registrar/CEO
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Administration Structure
Registrar/CEOAdv. Boyce Mkhize
COO(Vacant)
Senior Manager: Legal Services
Adv. Tshepo Boikanyo
Senior Manager: Professional Boards
Johann Coetzer
Senior Manager: CPD, Registration & Records
Barbara van Stade
Senior Manager: Finance
Nathaniel Seleka
Manager: PR andService Delivery
Anina Steele
Manager: InformationTechnology
Walter Maphosa
Manager: Human Resources
Nthabiseng Mphuthi
Manger: Support Services
Anton Swanepoel
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Administration Equity Profile
OccupationalCategory
Male Female Total
African Coloured Asian White African Coloured Asian White
Senior Officials & Managers
4 2 2 87 %
Professionals 6 2 3 2 1310 %
Technicians & Associated Professions
7 1 1 5 2 6 2218 %
Clerks 16 3 30 9 1 18 7762 %
Maintenance Workers
2 2 43 %
Total 3528 %
32 %
11 %
54 %
4032 %
119 %
11 %
2823 %
124
44 (35 %) 80 (65 %)
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Administration Equity Profile
OccupationalCategory
Black White Total
African Coloured Asian
Senior Officials & Managers
4 0 0 4 8
Professionals 9 0 0 4 13
Technicians & Associated Professions
12 2 1 7 22
Clerks 46 12 1 18 77
Maintenance Workers 4 0 0 0 4
Total 57 32 2 33 124
73 % 27 %
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Registration with HPCSA
• Registration with HPCSA is a legislative requirement and precondition for the practice of any profession registrable in terms of the Act
• Performance of professional acts for reward without such registration attracts criminal sanctions
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Registration - StatisticsAs at 31 March 2004: 105 441 practitioners
Dental Therapy & Oral Hygiene 1311 Dietetics 1511 Environmental Health Practitioners 2536 Emergency Care Practitioners 26726 Medical & Dental 36995 Medical Technology 5921 Occupational Therapy & Medical Orthotics/Prosthetics 3604 Optometry & Dispensing Opticians 2509 Physiotherapy, Podiatry & Biokinetics 5630 Psychology 7724 Radiography & Clinical Technology 5974 Speech, Language & Hearing Professions 1709
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Registration - Challenges
Erasures• More than 8000 erased due to non-payment of
annual fees• Tracking of practitioners-- challenge
Foreign Qualified Practitioners• Policy framework being revised to streamline
and harmonize with National Health Department policy eg. No private practice registration except for RSA citizens
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Professional Conduct - Statistics
• Received 1341 complaints previous year – increase of 27 %
• Unable to finalise new cases and backlog of old cases:– Increased Legal Services’ in-house
capacity– Outsourced 108 old cases to external
legal firms – 23 cases have been finalised in 3 months; 33 hearing dates
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Professional Conduct - Statistics
• As at 31 March 2004 finalised 203 professional conduct cases (14 per month)
• Conviction rate: 86 %• 54 % of guilty verdicts in Dishonesty/Criminality
category• 22 % of guilty verdicts in Practice Issues• 19 % of guilty verdicts in Treatment• 5 % of guilty verdicts in Personal Behaviour• As at 30 September 2004 finalised 132 cases
(22 per month)
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Professional Conduct - Challenges• System of Peer Review creates perception of
professional and not public protection• Perceptions about light/inconsistent sentences • Professional Conduct Review Committee to
Council level to monitor processes and issue guidelines
• This Committee is developing guidelines to improve consistency and tightening of sentences
• Creating ombudsperson to facilate processing of minor complaints & drafting charge sheets
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Professional Conduct - Challenges
• Introducing categorisation of complaints• Empowering Committees of Preliminary Inquiry
to finalise “lesser” complaints• Council proposing inclusion of community
representatives on Professional Conduct Committees
• Initiatives can only be realised through revision of the Act
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Continuing Professional Development
• Council Committee appointed to re-configure current CPD system
• Current system is time based, practitioners earn points for related (or non-related) CPD activities
• Proposed system is outcome based, practitioners earn units only for related, measurable outcomes
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Sustaining the HPCSA
• Favourable Audit Opinion• Generated about R63 million Gross
Revenue compared to R45million previous year
• Net surplus from Operations – R402 980• Provisions for post-retirement medical
benefits, leave and legal services costs• Revised HR benefits and conditions
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Broader Challenges
• Over-exerting power of private health care establishments over practitioners
• Disintegrated regulatory processes between HPCSA and other structures like Council for Medical Schemes
• Interference by Medical Aid Schemes on practitioners’ autonomy/ independence
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Broader Challenges
• Barriers to quality health-care access manifested through inadequate infrastructure, equipment and capacity [ Council sometimes forced to withdraw internship status for certain internship sites]
• Barriers to education and training opportunities in health-care---stringent admission criteria which are sometimes indirectly discriminatory—notion of independence of institutions needs review in this regard
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HPCSA Contact Details
• Physical Address:553 Vermeulen Street, Arcadia, (Cnr Vermeulen & Hamilton Streets)
• Postal Address:P O Box 205, Pretoria, 0001
• Telephone : (012) 338 9300/01 Fax: (012) 328 5120
• Website: www.hpcsa.co.za
• E-mail: [email protected]
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Thank you for your attention