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Government Notice STAATSKOERANT, 12AUGUSTUS 2011 No.34521 3 GOVERNMENT NOTICE DEPARTMENT OF HEALTH No. A. 655 12 August 2011 NATIONAL HEALTH ACT, 2003 REGULATIONS RELATING TO CATEGORIES OF HOSPITALS The Minister of Health intends, in terms of section 35 read together with section 90 of National Health Act, 2003, (Act No. 61 of 2003), after consultation with the National Health Council, to make the regulations in the Schedule. Interested persons are invited to submit any substantiated comments or representations on the proposed regulations to the Director-General: Health, Private Bag X828, Pretoria, 0001, within a period of two months from the date of publication of this notice. SCHEDULE Definitions 1. In these regulations any word or expression to which a meaning has been assigned in the National Health Act, 2003, shall have such meaning and unless the context otherwise indicates:- "post levels and salary scales" mean post levels and salary scales as determined from time to time by the Minister for Public Service and Administration in terms of the Public Service Act, 1994 (Proclamation No. 103 of 1994) as amended. Categories of public hospitals 2. The following are categories of public hospitals: (a) district hospital; (b) regional hospital; (c) tertiary hospital; 4 No. 34521 GOVERNMENT GAZETTE, 12 AUGUST 2011 (d) central hospital; and (e) specialized hospital. District hospitals 3. (1) District hospitals are categorized into small, medium and large district hospitals with the following number of beds: (a) small district hospitals with no less than 50 beds and no more than 150 beds; (b) medium size district hospitals with more than 150 beds and no more than 300 beds; and (c) large district hospitals with no less than 300 beds and no more than 600 beds. (2) A district hospital must- (a) serve a defined population within a health district and supports primary health care; (b) provide a district hospital package of care on a 24 hour basis; (c) have general practitioners and clinical nurse practitioners providing health services; (d) provide services that include in-patient and ambulatory health services as well as emergency health services. (3) A district hospital receives outreach and support from general specialists based at regional hospitals. (4) A district hospital may only provide the following specialist services­ (a) paediatric health services, (b) obstetrics and gynaecology, (c) internal medicine; and (d) general surgery. Regional hospitals 4 (1) A regional hospital must, on a 24 hour basis, provide- STAATSKOERANT, 12 AUGUSTUS 2011 No.34521 5 (a) health services in the fields of internal medicine, paediatrics, obstetrics and gynaecology, and general surgery and; (b) health services in at least one of the following specialties­ (i) orthopaedic surgery; (ii) psychiatry; (iii) anaesthetics; (iv) diagnostic radiology; (c) trauma and emergency services; (d) short term ventilation in a critical care unit; and (e) services to a defined, regional drainage population, limited to provincial boundaries and receives referrals from several district hospitals. (2) A regional hospital receives outreach and support from tertiary hospitals. (3) A regional hospital has between 400 and 800 beds. Tertiary hospitals 5. A tertiary hospital· (a) provides specialist level services provided by regional hospitals; (b) provides subspecialties of specialties referred to in paragraph (a); (c) provides intensive care services under the supervision of a specialist or specialist intensivist; and (d) receives referrals from regional hospitals not limited to provincial boundaries; and (e) has between 400 and 800 beds. Central Hospitals 6. (1) A central hospital· (a) must provide tertiary hospital services and central referral services and may provide national referral services; (b) must provide training of health care providers; (c) must conduct research; (d) receives patients referred to it from more than one province; 6 No. 34521 GOVERNMENT GAZETTE, 12 AUGUST 2011 (e) must be attached to a medical school as the main teaching platform; and (f) must have a maximum of 1200 beds. (2) Central referral services are provided in highly specialised units, require unique, highly skilled and scarce personnel and at a small number of sites nationwide. (3) National referral services- (a) refer to super-specialised national referral units; and (b) represents extremely specialised and expensive services (e.g. heart and lung transplant, bone marrow transplant, liver transplant, cochlear implants). Specialized hospitals 7. A specialized hospital- (a) provides specialized health services like psychiatric services, tuberculosis services, treatment of infectious diseases and rehabilitation services; and (b) has a maximum of 600 beds. List of public hospitals 8. The list of public hospitals is attached hereto as an Annexure to these regulations. Categories of private hospitals 9. Private hospitals are categorized into- (a) for profit private hospitals; and (b) not for profit private hospitals. Management of public hospitals 10. (1) Public hospitals must be managed in accordance with national policy as determined from time to time by the Minister in terms of sections 3(1 )(c) and 23(1) of the National Health Act, 2003. STAATSKOERANT, 12 AUGUSTUS 2011 No.34521 7 (2) The policy referred to in subregulation (1) shall include: (a) management structures, post levels and salary scales; (b) delegations of functions; (c) list of health establishments; and (d) hospital boards. 11. The Minister shall publish in the Gazette the policy referred to in regulation 10. Transitional measures 12. (1) Public hospitals that exist at the time of commencement of these regulations and that require time to effect changes to their structures, number of beds, services or any other matter in order to comply with these regulations shall effect such changes within such period, after the commencement of these regulations, as requested by the relevant Member of the Executive Council and approved by the Minister. DR A MOTSOALEDI, MP MINISTER OF HEALTH 8 No.34521 GOVERNMENT GAZETTE, 12 AUGUST 2011 ANNEXURE list of Designated Public Hospitals CENTRAL HOSPITALS PROVINCE DISTRICT GAUTENG Johannesburg F SD gpC ~IHB Johannesburg D SD GAUTENG Tshwane Central Health 832 District 13,394,015 Tshwane Odi 1652 District EASTERN ORTambo 507 CAPE 975 FREE Motheo OM 1636 STATE KWA~ZULU Ethekwini MM 846 NATAL Ethekwini MM 922 WESTERN CapeTown MM 1310 CAPE · Cape Town MM STAATSKOERANT, 12 AUGUSTUS 2011 No.34521 9 List of Designated Public Hospitals Eastern Cape Province District Sub District Facility level ! Facility No of Popul21tion beds (DHIS) District Sub- District A Nzo DM Maluti SD District ec Madzikane kaZulu 267 406,723 194,599 Hospital Memorial Hospital Umzimvubu District ec Mount Ayliff 167 so Hospital Hospital 212,124 Amathole DM Amahlathi SD Specialised TB • ec Khotsong TB 198 1,803,186 150,022 Hospital Hospital District · ec SS Gida Hospital 122 Hospital Buffalo City SD District ec Bhisho Hospital 265 909,739 Hospital District ec Grey Hospital 85 Hospital District ec Nompumelelo 180 Hospital (Peddie) Hospital Regional ec Cecilia Makiwane 1000 Hospital Hospital f- Provincial 1 ec Frere Hospital 850 Tertiary Hospital Specialised TB ec Fort Grey TB 239 Hospital Hospital Mbhashe SD District ec Madwaleni Hospital 220 269,665 Hospital Mnquma SD District ec Butterworth 350 306,815 Hospital Hospital District ec Tafalofefe Hospital 284 Hospital District 1 ec Fort Beaufort 70 Hospital Hospital District ec Victoria Hospital 110 Hospital ! I Specialised ec Tower Hospital 600 10 No. 34521 GOVERNMENT GAZETTE, 12 AUGUST 2011 District Sub District Facility level Facility No of Population beds (CHIS) District Sub- District Psychiatric Hospital Specialised TB ec Winterberg TB 106 Hospital Hospital Chris Hani District ec Glen Grey Hospital 208 780,975 Emalahleni SD Hospital • 119,245 lntsika Yethu District ec Cofimvaba Hospital 140 165,992 SD • Hospital lnxuba District ec Cradock Hospital 72 92,100 Yethemba SD Hospital District • ec Wilhelm Stahl 83 Hospital (Middelburg) Hospital District ec Frontier Hospital ! 450 Hospital Specialised ec Komani Hospital 1440 Psychiatric Hospital Ngcobo SD • District • ec All Saints Hospital 310 140,779 Hospital I District 1 ec Mjanyana Hospital . 100 Hospital Sakhisizwe SD District ec Cala Hospital 92 61,075 Hospital District ec Elliot Hospital 52 Hospital I Cacadu DM Camdeboo SD District • ec Andries Vosloo 76 438,025 123,448 • Hospital • Hospital District ec Midland Hospital • 70 Hospital Specialised TB ec Margery Parkes TB 80 Hospital Hospital I Kouga SD District • ec Humansdorp 85 168,250 · Hospital · Hospital Specialised TB ec PZ Meyer Hospital • 57 Hospital Makana SD • District ec Port Alfred Hospital 60 146,327 Hospital District ec Settlers Hospital i 219 Hospital I Specialised ec Fort England 313 I Psychiatric Hgs~ital STAATSKOERANT, 12 AUGUSTUS 2011 No. 34521 11 District Sub District , Facility level Facility No of Population beds {CHIS) District Sub- District Hos_pital Specialised TB ec Marjorie Parrish TB 180 Hospital Hospital Specialised TB ec Temba TB Hospital 60 Hospital N Mandela N Mandela A District ec Dora Nginza 570 1,139,032 539,642 MM SD Hospital Hospital N Mandela 8 District ec Uitenhage Hospital 223 260,607 SD Hospital Specialised TB ec Jose Pearson TB 350 Hospital Hospital Specialised TB ec Orsmond TB 201 Hospital Hospital N Mandela C Provincial ec Livingstone Hospital 496 338,783 SD Tertiary Hospital Provincial ec Port Elizabeth 450 Tertiary Provincial Hospital Hospital Specialised
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