Health

Question by: 
Hon Brett Herron
Answered by: 
Hon Nomafrench Mbombo
Question Number: 
8
Question Body: 

With reference to the community of Van Wyksvlei, Wellington:

  1. Whether the Wellington Community Day Centre (CDC) is registered as a 24/7 medical centre; if so, (a) what is the clinic’s operation plan, (b) has a permanent matron been appointed to oversee the daily operation of the institution, (c) how many doctors are permanently allocated to the clinic, (d) is the building capacitated (i) to accommodate minor surgeries, (ii) with oxygen facilities, (iii) to provide mental health aid and (iv) with pregnancy facilities and (e) is the building equipped to accommodate stay-in patients;
  2. (a) what medical conditions can be treated at the Wellington CDC and (b)(i) what is the clinic’s operational budget allocated by her Department and (ii) how much of this annual allocation is spent;
  3. whether the Wellington CDC is fully operational in terms of its functions; if not, what departments or sections in the healthcare facility must still be implemented;
  4. (a) what current medical equipment is the Wellington CDC stocked with, (b) what are the basic functions of these medical tools and (c)(i) which communities fall within the operational area of the Wellington CDC and (ii) does this include the farm communities adjacent to the Wellington CDC;

whether she has received complaints of (a) nurses writing prescriptions on behalf of doctors to patients who have not undergone medical observation, (b) patients being turned away as their condition is not “serious enough” for medical care, (c) patients being advised to use herbal medication, (d) patients having to purchase medication from private pharmacies at astronomical costs, (e) patients not being able to get doctors’ appointments for months and being advised to seek medical care from the Paarl District Hospital; if so, how has she responded or resolved them?

Answer Body: 

 

  1. No 8-hour Community Day Centre
  1. n/a
  2. Operational manager appointed
  3. 2 [two]
  4. No, the facility does not enough space to accommodate the demand in terms of patient patients.
  1. Scheduled lumps & bumps.
  2. With mobile oxygen cylinders.
  3. Through weekly outreach at the clinic.
  4. There is no Maternity Obstetrics Unit but the facility renders basic antenatal services.
  5. No. The facility is an 8-hour facility.
  6. [a] Non-communicable diseases [chronic conditions] , HIV, TB, basic antenatal services, postnatal services, sick children under 5, Primary healthcare acute services, well baby clinic, physio outreach, psychology outreach, dental services, rehab outreach, Sonography outreach.

[b] [i] Adjusted 20/21 budget Wellington CDC is R12 585 000

[ii] Annual allocation spend – R11 690 000

  1. The facility is fully functional with minimal staff requirements in place which is  according to norms required as per priority post list.
  2. [a] ENT, HGT monitor, HB meters, INR meter, TSB meter, Dental chair, ECG, AED, Suction machine, Emergency Trolley, Dobtone Fetal Monitor.

[b] The equipment is used to render the services listed: Non-communicable diseases [chronic conditions] , HIV, TB, basic antenatal services, postnatal services, sick children under 5, Primary healthcare acute services, well baby clinic, physio outreach, psychology outreach, dental services, rehab outreach, Sonography outreach.

© [i] Van Wyksvlei, Newrest, Newton, Carterville, Chris Hani, Hillcrest, Mbekweni, OR, Project 2 Wellington, Uitsig, Wamakersvlei, Wellington, Weltevrede, White City.

  [ii] No farms directly in the vicinity of the facility.

  1. [a] No, all observations done prior to rescript of prescriptions.

[b] Scheduled appointments are made.

© No, health promotion are performed for home remedies.

[d] All medicines according to EDL are in place – sometimes stock outs occur, as across all health facilities, but alternatives are prescribed.

[e] The doctors’ appointment list are fully booked at times, but emergency and urgent cases are attended to.

Date: 
Friday, May 14, 2021
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