Health
- (a) What are the updates regarding the process of integrating City of Cape Town and provincial government clinics and (b) what are the (i) details of the clinics, (ii) locations of clinics that will be integrated and (iii) proposed time frames for when the process will be finalised;
- whether there are any plans to close certain clinics; if not, why not; if so, (a) what are the relevant details, (b) what are the circumstances under which a clinic may be closed and (c) which clinics may be closed;
- (a) what is the number of clinic facilities and other health facilities in the province that have been closed in the period 2014 to 2022, as at the latest date for which information is available, and (b) what were the reasons therefor?
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- (a)There are 9 Joint Facilities where the provision of personal clinical PHC services by the City of Cape Town (CoCT) functions alongside the provision of comprehensive health services by the Western Cape Department of Health. Both the Department and the CoCT acknowledge their combined intent to transfer 9 facilities, known as the 9 Joint Facilities, where there is joint provision of health services by both the Department of Health and the City of Cape Town.
(b) (i) and (ii) The 9 Joint Facilities that are to be transferred to the Department are: Dirkie Uys Clinic (Goodwood), Durbanville Clinic (Durbanville), Heideveld Clinic (Heideveld), Kasselsvlei Clinic (Bellville South), Nolungile Clinic (Khayelitsha), Nyanga Clinic (Nyanga), Parow Clinic (Parow), Ravensmead Clinic (Ravensmead) and Scottsdene Clinic (Kraaifontein). In addition to these 9 Joint Facilities a 10th Facility, Fisantekraal (Durbanville), has been completed and by agreement between the Department and the CoCT this facility will be added as a 10th facility to the list of 9 Joint Facilities.
(iii) At a meeting between the Department and CoCT it was agreed that the transfer of the joint facilities to the Department will be concluded by 30 June 2022.
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- (a) There are other smaller facilities run by the CoCT, some of which are in close proximity to Western Cape Government Health (WCGH) facilities. The CoCT and WCGH must still agree on this position.
(b) CoCT clinics are considered for closure when they are small in size and where there is a nearby WCG Health facility that can provide the services currently being provided by the small clinic.
(c) The CoCT management can provide this information.
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- (a) As at 18 February 2022, 63 health facilities have closed in the period 2014 to 2022, and includes but is not limited to clinics, CDCs, satellite clinics, mobile services, intermediate care facilities, forensic pathology services and reproductive health centres.
(b) A number of these facilities had provided temporary services, such as the mobile clinics, which account for 21 of the closed facilities, and the CTICC Intermediate Care Facility, which closed once it was no longer needed for Covid-19 patients. Others, such as Robbie Nurock and Woodstock CDCs amalgamated; in this instance, into District 6 CDC.
