Annual Report

1

• Annual Report

Presentation by Adv. Boyce Mkhize Registrar
and CEO to Parliamentary Portfolio Committee
Health 19 October 2004
2
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

3
Founded for Public Protection

• Vision
• Quality 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

5
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

6
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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HPCSA Structure
HPCSA 52 Members
Management Committee 4 Members
Executive Committee 10 Members
Finance Investment Committee
Audit Committee
Human Rights and Ethics Committee
CPD Committee
Health Committee
Professional Conduct Review Committee
Committee on Undesirable Business Practices
12 Professional Boards
Occupational Therapy Medical Orthotics /Prosthet
ics
Dental Therapy Oral Hygiene
Environmental Health Practitioners
Optometry Dispensing Opticians
Physiotherapy, Podiatry Biokinetics
Radiography Clinical Technology
Speech, Language Hearing Professions
Medical Technology
Dietetics
Emergency Care Personnel
Medical Dental
Psychology
HPCSA Administration
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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 by Minister 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 MECs responsible for 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
• Optom 28/61 46/63
• MedTech 38/61 70/30

12
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

13
Current Leadership
Prof. Nicky Padayachee President
Prof. Letticia Moja Vice President
Adv. Boyce Mkhize Registrar/CEO
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Administration Structure
Registrar/CEO Adv. 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 and Service Delivery Anina Steele
Manager Information Technology Walter Maphosa
Manager Human Resources Nthabiseng Mphuthi
Manger Support Services Anton Swanepoel
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Administration Equity Profile
Occupational Category Male Male Male Male Female Female Female Female Total
Occupational Category African Coloured Asian White African Coloured Asian White Total
Senior Officials Managers 4 2 2 8 7
Professionals 6 2 3 2 13 10
Technicians Associated Professions 7 1 1 5 2 6 22 18
Clerks 16 3 30 9 1 18 77 62
Maintenance Workers 2 2 4 3
Total 35 28 3 2 1 1 5 4 40 32 11 9 1 1 28 23 124
44 (35 ) 44 (35 ) 44 (35 ) 44 (35 ) 80 (65 ) 80 (65 ) 80 (65 ) 80 (65 )
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Administration Equity Profile
Occupational Category Black Black Black White Total
Occupational Category African Coloured Asian White Total
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 73 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 - Statistics

• As 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/Prostheti
  cs 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 discriminatorynoti
  on 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 [phone] Fax (012) 328
  5120
• Website www.hpcsa.co.za
• E-mail hpcsa_at_hpcsa.co.za

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• Thank you for your
  attention