Annual Report
Presentation by
Adv. Boyce Mkhize Registrar and CEO
to
Parliamentary Portfolio Committee: Health19 October 2004
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
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
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
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
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
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
HPCSA52 Members
Management Committee4 Members
Finance & Investment Committee
Audit Committee
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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
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
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
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%
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
Current Leadership
Prof. Nicky Padayachee
President
Prof. Letticia Moja
Vice President
Adv. Boyce Mkhize
Registrar/CEO
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
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 %)
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 %
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
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
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
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
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)
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
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
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
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
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
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
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]
Thank you for your attention