Procuring oncology services is not only about the money, says Gauteng health committee

“Medical guidelines specify radiotherapy should be done within 60 days of surgery or chemotherapy, and no later than 90 days, to destroy remaining malignant cancer cells.

“I estimate hundreds of cancer patients had to be taken off radiotherapy lists in Gauteng because the 90-day limit had passed. Their lives could have been saved if the department had speedily concluded a contract with private hospitals last year.”

Letsoalo said the committee found central hospitals are stretched beyond capacity and are under pressure to provide cancer treatment and overall healthcare services.

“Oncology services at the central hospitals extend not only beyond the province but also across national borders, offering highly specialised care that is difficult to replicate at tertiary and district hospitals, which often lack essential surgical, diagnostic and pathological capabilities. Consequently, the hospitals face a high volume of referrals from other provinces, such as North West, Limpopo, and Mpumalanga, further straining an already overburdened system.

“The allocation of beds becomes increasingly complex as they accommodate patients from outside Gauteng, who are likely to require inpatient care based on clinical treatment guidelines, particularly due to their proximity to the hospitals.

“ The backlog is exacerbated by the significant number of foreign nationals seeking cancer treatment and other healthcare services in the facilities.”

Letsoalo said more than R700m is owed to Charlotte Maxeke Academic Hospital, while at Steve Biko Academic, the bill stands at more than R400m for the treatment of foreigners.

He said the committee was encouraged to see Dr George Mukhari Hospital is advancing plans to construct an additional oncology facility. 

“We remain committed to supporting Gauteng’s healthcare system and will continue working with the department of health to tackle the challenges. Our goal is to enhance oncology services, ensuring all patients receive the high-quality care they deserve, despite the complexities involved in providing such specialised treatment.” 

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