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HEALT HMAN PRIVAT E PRACT ICE REVIEW: August 2018 August 2018 A summary of breaking news and general information regarding healthcare in the public and private sector, published in the media. 1. Food for Thought 2. News on Government 3. Special News 4. Financial News 5. Pharmaceutical News 6. General News 7. News on Medical Schemes & Circulars 8. Special Notices Food for Thought Rocky start for National Health Insurance Tender Programme The first tenders for the National Health Insurance Scheme (NHI) have been issued, but only three medical scheme administrators pitched for the compulsory information session. According to the Sunday newspaper Rapport, experts are critical of the tender specifications for five priority programmes announced by Health Minister Aaron Motsoaledi when he published the NHI Bill for public comment. In one tender, the government wants a private company to contract oncology radiation services for more than 9,000 priority backlog patients at four state hospitals in KZN and Gauteng. In another, the successful company will take over the government’s school health programme for which the government has identified children in need of medical services such as optometry and dentistry. Health economist Alex van den Heever says the aim of the NHI is to do the procurement, but the government is now contracting procurement entities to sub-contract services. “Why can’t the government simply implement and manage the programmes? Why do we then have to create a NHI?” Read the Summaries of National Health Insurance Bill, Medical Scheme Amendment Bill, Health Market Inquiry findings and recommendations in the attached document. International experts highlight ‘significant weakness’ in SA Tobacco Bill In a last-minute submission on the SA Tobacco Bill, international academics argue that the Bill does not sufficiently differentiate between nicotine products of widely differing risk to health. A 'significant weakness' is that it also does not embrace the definition of ‘tobacco control’ used by the World Health Organization (WHO), including ‘harm reduction’. The submission, titled Comments on the Draft Control of Tobacco and Electronic Delivery Systems Bill 2018, is by Professors David B Abrams and Raymond S Niaura (NYU College of Global Public Health, New York University); Clive D Bates, director of Counterfactual, a consulting and advocacy practice; and David T Sweanor, adjunct professor of law and chair of the advisory board of the Centre for Health Law, Policy and Ethics at the University of Ottawa. AgriSA, the Food and Allied Workers Union and the South African Spaza and Tuckshop Association say the new tobacco bill would ‘devastate SA’s agriculture and township businesses'. Health Minister Aaron Motsoaledi released the Control of Tobacco Products and Electronic Delivery Systems Bill for public comment on 9 May, 2018. The three-month period for submissions closed on 9 August. News on Government More than 20 000 Gauteng patients harmed at state hospitals since 2016 Gauteng Health MEC Gwen Ramokgopa has confirmed that more than 20 000 patients have been harmed due to negligence in the space of two-and-a-half years at state hospitals in Gauteng. There have been 20 417 of these incidents in the province from 2016 to date. Chris Hani Baragwanath Hospital is the most dangerous hospital for patients in Gauteng, with 4 320 recorded incidents. Cases were mostly related to 'allegations of negligence, incompetence of staff members, human error, secondment of patients and system failure'. Incidents recorded at other academic hospitals included: Steve Biko Hospital (1789), George Mukhari Hospital (1 574) and Charlotte Maxeke Johannesburg Hospital (1262). Heidelberg Hospital had the lowest number of incidents at 42. Ramokgopa said that action taken after such incidents involved disciplining staff, referral to the police, and referrals to the Health Professions Council and the SA Nursing Council. How many doctors and nurses will lose their licenses over #LifeEsidimeni? Half of the top officials responsible for the Life Esidimeni tragedy still have not been reported to their professional associations, according to information from the South African Nursing Council (SANC). Health ombud Malegapuru Makgoba and former deputy chief justice Dikgang Moseneke — who presided over the arbitration — recommended that the top nurses and doctors embroiled in the deadly scandal be brought before either SANC or the HPCSA. The Gauteng DoH only reported Barney Selebano, the former head of the department and also a medical doctor, to the HPCSA in December 2017 — more than 10 months after Makgoba’s initial recommendation. He has yet to sit in front of a preliminary committee of inquiry, which investigates cases of alleged misconduct and is still able to practice pending the outcome of his case. Meanwhile the South African Society of Psychiatrists (SASOP) has undertaken a campaign to encourage health professionals to expose abuse. SASOP has partnered with the rural health action project to assist in the training of its members, who include psychiatrists, occupational therapists, nurses and psychologists. Clinics close and medicine runs out in the North West Mafikeng Provincial Hospital is running on skeleton staff and two clinics in the North West province have closed their doors because of a lack of security, reported Mail & Guardian on 10 August. Moreover, a failure to pay service providers has left many other health facilities without security and in short supply of drugs. Some health workers are refusing to work in the absence of security guards after contracted security companies recently withdrew their services. The North West DoH admits that suppliers have stopped to provide it with medicine and equipment until they have been paid. Private Bill for terminally ill COPE MP Deidre Carter and Dignity SA have launched a campaign to help doctors realise the treatment directives of their terminally ill patients without fear of prosecution. The National Health Amendment Bill 2018 will set out the scope of advanced healthcare directives, provide a mechanism for resolving disputes related to these legal instruments, and clarify whether they may be overridden by a medical practitioner or family member. The bill also seeks to clarify whether people acting on these directives are immune from criminal and civil prosecution. Young doctors get no help The Junior Doctors’ Association of SA’s (JUDASA) Telegram chat group for young doctors hoping to apply for placement next year has been flooded by healthcare professionals who fear they may be unemployed by January, since registrations closed on 7 August. However, the DoH claimed the problem has been rectified. State lawyers 'rob' SA According to a report in Sunday Times (12 August) government has discovered one of the biggest scams in SA history involving medical malpractice lawsuits. Government is investigating collusion between people suing government hospitals for malpractice and state attorneys who either settle cases that have no merit or defend the cases so badly that they invariably lose. Justice Minister Michael Masutha and Health Minister Aaron Motsoaledi confirmed that the scams are so entrenched that the state has lost between R60-bn and R100-bn since 2013 in fraudulent malpractice claims. "Kingpins' in the scam are understood to have been identified by government. The report also suggests that government previously lacked the 'political will' to deal with the problem. Financial News Cipla South Africa grows footprint Cipla Medpro South Africa, wholly owned subsidiary of Cipla Limited India, has announced plans to acquire a 100% stake in Mirren (Pty) Limited. Mirren is a SA over-the-counter (OTC) pharmaceutical manufacturer and distributor, which has been in operation for 35 years. The transaction is subject to the approval by the Competition Commission of South Africa. Aspen’s ‘strategy ambiguity’ in the spotlight In the past five years, Aspen Pharmacare has been on an aggressive growth strategy, which has put it on the global map as a force to be reckoned with. However, Rayhaan Joosub, deputy CEO of investment company Sentio Capital Management, wrote in Business Times (12 August) that, despite its exponential growth, there were a few red flags around Aspen. With a market capitalisation of R131-bn, it operates in about 50 countries and supplies more than 150 countries. It is the world’s ninth-largest producer of generics. The main issue for Joosub was that Aspen has a high level of intangibles on its balance sheet, an unclear acquisition strategy and a lack of focus on whether its main business is still generic medication or whether it is shifting into specialist categories. Special News NHI should take heed of HMI recommendations, says SAPPF While private doctors appear to be generally supportive of the Health Market Inquiry’s recommendations, concerns are mounting that implementation of the draft National Health Insurance (NHI) Bill and the Medical Schemes Amendment (MSA) Bill in their current states could be potentially disastrous to the country’s whole healthcare system. Some of the main concerns pertain to the perception created in the two Bills that NHI could be the panacea for fixing the broken public sector, the lack of clarity on the funding and cost of an NHI, the massive reorganisation of existing resources that will be required to fulfill the promise of access to affordable healthcare services for all through the pooling of state and private money into a single fund, contracting and payment arrangements with private providers and many more. SAPPF CEO, Dr Chris Archer says while the HMI’s recommendations are based on a diagnostic approach that required the collection and analysis of real data to reach conclusions, this process was totally lacking in the drafting of the NHI Bill. Government should have waited for the HMI Report and consider its findings and recommendations in the drafting of both the NHI and MSA Bills, says Dr Archer. To read more, click on the button below Button Pharmaceutical News Race to find money for breast cancer drug Provinces are scrambling to find resources to fund Roche’s breast cancer drug Trastuzumab after the DoH approved a policy to provide it without securing additional funding. Provinces that are providing Trastuzumab are having to reprioritise their budgets, in effect taking the money from other projects. The policy was launched in August 2017 by Health Minister Aaron Motsoaledi and provinces were expected to start providing Trastuzumab to state-sector patients in January. However, the programme has got off to a slow start. Trastuzumab has been available in the private sector under the name Herceptin since 2008, but was only added to the state’s essential medicines list in June 2017 because “it was simply too expensive”. EU’s drug regulator’s staff quits ahead of Brexit A third of the employees at the EU’s drug regulator are expected to quit as the regulator leaves Britain because of Brexit, prompting the agency to temporarily scale back operations to focus on essential public-health activities. Employees who aren’t relocating to Amsterdam with the European Medicines Agency (EMA) have already started to leave. European drugs watchdog warns about tainted heart medication The European Medicines Agency (EMA) estimates there could be one extra case of cancer for every 5 000 patients taking a common blood pressure and heart drug manufactured in bulk by a Chinese company that has been found to contain an impurity. The alarm over Valsartan was first raised in July, prompting a global recall of affected pills. The agency believes the problem probably dates back to changes in manufacturing processes at Zhejiang Huahai Pharmaceutical in 2012. SA's first biosimilar oncology drug authorised for use Cipla, in collaboration with Teva Pharmaceutical Industries Ltd, has announced the launch of the country's first biosimilar for the oncology and haematology markets. Filgrastim Teva, manufactured by Teva and distributed in South Africa by Cipla, paves the way for more affordable treatments to aid in the fight against cancer, according to Paul Miller, CEO of Cipla SA. A biosimilar is highly similar to the original biologic reference product in terms of quality, safety and efficacy. “For every 1% drop in the price of these life-saving medicines, the number of patients gaining access to them increase by 1%. General News Health Science dean’s suicide spotlights SA workplace stress The suicide of Prof Bongani Mayosi – a cardiologist‚ researcher‚ and dean of health sciences at the University of Cape Town (UCT) – has been attributed to the pressure he had to endure from abusive protesting students who occupied his office for two weeks in 2016. It again spotlighted the enormous stress under which South African medical academics and practitioners work, with two recent studies showing high levels of burnout. Mayosi’s suicide has prompted the South African Medical Association (SAMA) to set up a support structure to address the underlying problems of a heavy workload and long hours that lead to doctors suffering from stress and depression. Britain to opt-out organ donation scheme to save lives Britain plans to increase the number of organ donors by changing the rules of consent and presuming that people have agreed to transplants unless they have specifically opted out. In Wales, a system of presumed consent is in operation and Scotland has a system for donation opt- out. Around 6 000 people in Britain are on the transplant waiting list. More than 400 died while waiting for a transplant last year. News on Medical Aids Medical aid customer satisfaction slides Medical Scheme seems to be ‘a slush fund’ for curator According to the latest index by Consulta, a business strategy consulting company, the average of the SA Customer Satisfaction Index for medical schemes dropped from 74.2 in 2017 to 72.7 in 2018. Bonitas’ score declined from 73.1 to 70.2 and Discovery Health also reported a decline from 74.8 to 73.1 over the year. Medihelp was the only open scheme in this year’s benchmark to see an improved score. Overall, South Africans are increasingly frustrated by rising premiums and shrinking benefits, as well as a feeling of lower value for money in comparison with other financial service products. The 13 dismissed trustees of a medical aid scheme for unionised municipal workers, Samwumed, are contesting the curatorship order on the scheme, while some of its members have also raised concerns over the provisional curator’s suspension of four of its senior employees. This follows the cancellation of key contracts that are being investigated by the Council for Medical Schemes. Allegations are that Duduza Khosana, provisional curator of Cape Town- headquartered Samwumed, which covers more than 80 000 lives, is paying herself R240 000 a month and incurring expenses of R200 000 a month. Circulars:Council for Medical Schemes The following Circulars were published by the CMS in August 2018. Visit www.medicalschemes.co.za for more info. 32 of 2018 Annual Statutory Returns development for the 2018 fiinancial year 33 of 2018 Guidance on benefit changes and contribution increases for 2019 34 of 2018 Clarity regarding the Netcare 911 ruling 35 of 2018 Postponement of the Advanced Broker Training Programme in Port Elizabeth, to 31 August 2018 36 of 2018 Auditor approvals 37 of 2018 Quarterly Statutory Returns Submission for 2018 Special Notices Psychiatry Practice: Locum Position Available A Locum position is available at a Psychiatry Practice in the Strand, near Cape Town, from October 2018 to the end of March 2019. Contact Practice Administration at: [email protected] To advertise in Private Practice Review contact Maretha Conradie: [email protected]. HealthView and Private Practice Review provide news and opinion articles as a service to our members to enhance their understanding of the health care industry. The information contained in these publications is published without warranties of any kind, either express or implied. HealthView and Private Practice Review are published solely for informational purposes and should not to be construed as advice or recommendations. Individuals should take into account their own unique and specific circumstances in acting on any news or articles published. Often these articles originate from sources outside our organization that are reported in the national press. Consequently, any information, trademarks, service marks, product names or named features are assumed to be the property of their respective owners, and are used solely for informative purposes in our publications. There is furthermore no implied endorsement of any of the products, goods or services mentioned in our publications.

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Page 1: Food for Thought National Health Insurance Tender Programmedocs.mymembership.co.za/docmanager/419ae5a4-f8c7... · National Health Insurance Tender Programme The first tenders for

HEALTHMANPRIVATEPRACTICEREVIEW:August2018

August2018Asummaryofbreakingnewsandgeneralinformationregarding

healthcareinthepublicandprivatesector,publishedinthemedia.

1.FoodforThought2.NewsonGovernment3.SpecialNews4.FinancialNews5.PharmaceuticalNews6.GeneralNews7.NewsonMedicalSchemes&Circulars8.SpecialNotices

FoodforThought

RockystartforNationalHealthInsuranceTenderProgrammeThefirsttendersfortheNationalHealthInsuranceScheme(NHI)havebeenissued,butonlythreemedicalschemeadministratorspitchedforthecompulsoryinformationsession.AccordingtotheSundaynewspaperRapport,expertsarecriticalofthetenderspecificationsforfivepriorityprogrammesannouncedbyHealthMinisterAaronMotsoalediwhenhepublishedtheNHIBillforpubliccomment.

Inonetender,thegovernmentwantsaprivatecompanytocontractoncologyradiationservicesformorethan9,000prioritybacklogpatientsatfourstatehospitalsinKZNandGauteng.Inanother,thesuccessfulcompanywilltakeoverthegovernment’sschoolhealthprogrammeforwhichthegovernmenthasidentifiedchildreninneedofmedicalservicessuchasoptometryanddentistry.HealtheconomistAlexvandenHeeversaystheaimof theNHIistodotheprocurement,butthegovernmentisnowcontractingprocuremententitiestosub-contractservices.“Whycan’tthegovernmentsimplyimplementand

managetheprogrammes?WhydowethenhavetocreateaNHI?”

ReadtheSummariesofNationalHealthInsuranceBill,MedicalSchemeAmendmentBill,HealthMarketInquiryfindingsand

recommendationsintheattacheddocument.

Internationalexpertshighlight‘significantweakness’inSATobaccoBillInalast-minutesubmissionontheSATobaccoBill,internationalacademicsarguethattheBilldoesnotsufficientlydifferentiatebetweennicotineproductsofwidelydifferingrisktohealth.A'signif icantweakness'isthatit

alsodoesnotembracethedef initionof ‘tobaccocontrol’usedbytheWorldHealthOrganization(WHO),including‘harmreduction’.

Thesubmission,titledCommentsontheDraftControlofTobaccoandElectronicDeliverySystemsBill2018,isbyProfessorsDavidBAbramsandRaymondSNiaura(NYUCollegeofGlobalPublicHealth,NewYorkUniversity);CliveDBates,directorofCounterfactual,aconsultingandadvocacypractice;

andDavidTSweanor,adjunctprofessoroflawandchairoftheadvisoryboardoftheCentreforHealthLaw,PolicyandEthicsattheUniversityofOttawa.

AgriSA,theFoodandAlliedWorkersUnionandtheSouthAfricanSpazaandTuckshopAssociationsaythenewtobaccobillwould‘devastateSA’sagricultureandtownshipbusinesses'.HealthMinisterAaronMotsoaledireleasedtheControlofTobaccoProductsandElectronicDeliverySystemsBillforpubliccommenton9May,2018.Thethree-monthperiodforsubmissionsclosedon9August.

NewsonGovernment

Morethan20000Gautengpatientsharmedatstatehospitalssince2016

GautengHealthMECGwenRamokgopahasconfirmedthatmorethan20000patientshavebeenharmedduetonegligenceinthespaceoftwo-and-a-halfyearsatstatehospitalsinGauteng.

Therehavebeen20417oftheseincidentsintheprovincefrom2016todate.ChrisHaniBaragwanathHospitalisthemostdangeroushospitalforpatientsinGauteng,with4320recordedincidents.

Casesweremostlyrelatedto'allegationsofnegligence,incompetenceofstaffmembers,humanerror,secondmentofpatientsandsystemfailure'.

Incidentsrecordedatotheracademichospitalsincluded:SteveBikoHospital(1789),GeorgeMukhariHospital(1574)andCharlotteMaxekeJohannesburgHospital(1262).

HeidelbergHospitalhadthelowestnumberofincidentsat42.

Ramokgopasaidthatactiontakenaftersuchincidentsinvolveddiscipliningstaff,referraltothepolice,andreferralstotheHealthProfessionsCouncilandtheSANursingCouncil.

Howmanydoctorsandnurseswilllosetheirlicensesover#LifeEsidimeni?

HalfofthetopofficialsresponsiblefortheLifeEsidimenitragedystillhavenotbeenreportedtotheirprofessionalassociations,accordingtoinformationfromtheSouthAfricanNursingCouncil(SANC).HealthombudMalegapuruMakgobaandformerdeputychiefjusticeDikgangMoseneke—whopresidedoverthearbitration—recommendedthatthetopnursesanddoctorsembroiledinthedeadlyscandalbebroughtbeforeeitherSANCortheHPCSA.TheGautengDoHonlyreportedBarneySelebano,theformerheadofthedepartmentandalsoamedicaldoctor,totheHPCSAinDecember2017—morethan10monthsafterMakgoba’sinitialrecommendation.Hehasyettositinfrontofapreliminarycommitteeofinquiry,whichinvestigatescasesofallegedmisconductandisstillabletopracticependingtheoutcomeofhiscase.

MeanwhiletheSouthAfricanSocietyofPsychiatrists(SASOP)hasundertakenacampaigntoencouragehealthprofessionalstoexposeabuse.SASOPhaspartneredwiththeruralhealthactionprojecttoassistinthetrainingofitsmembers,whoincludepsychiatrists,occupationaltherapists,nursesandpsychologists.

ClinicscloseandmedicinerunsoutintheNorthWest

MafikengProvincialHospitalisrunningonskeletonstaffandtwoclinicsintheNorthWestprovincehaveclosedtheirdoorsbecauseofalackofsecurity,reportedMail&Guardianon10August.Moreover,afailuretopayserviceprovidershasleftmanyotherhealthfacilitieswithoutsecurityandinshortsupplyofdrugs.Somehealthworkersarerefusingtoworkintheabsenceofsecurityguardsaftercontractedsecuritycompaniesrecentlywithdrewtheirservices.TheNorthWestDoHadmitsthatsuppliershavestoppedtoprovideitwithmedicineandequipmentuntiltheyhavebeenpaid.

PrivateBillforterminallyill

COPEMPDeidreCarterandDignitySAhavelaunchedacampaigntohelpdoctorsrealisethetreatmentdirectivesoftheirterminallyillpatientswithoutfearofprosecution.TheNationalHealthAmendmentBill2018willsetoutthescopeofadvancedhealthcaredirectives,provideamechanismforresolvingdisputesrelatedtotheselegalinstruments,andclarifywhethertheymaybeoverriddenbyamedicalpractitionerorfamilymember.Thebillalsoseekstoclarifywhetherpeopleactingonthesedirectivesareimmunefromcriminalandcivilprosecution.

YoungdoctorsgetnohelpTheJuniorDoctors’AssociationofSA’s(JUDASA)TelegramchatgroupforyoungdoctorshopingtoapplyforplacementnextyearhasbeenfloodedbyhealthcareprofessionalswhofeartheymaybeunemployedbyJanuary,sinceregistrationsclosedon7August.However,theDoHclaimedtheproblemhasbeenrectified.

Statelawyers'rob'SA

AccordingtoareportinSundayTimes(12August)governmenthasdiscoveredoneofthebiggestscamsinSAhistoryinvolvingmedicalmalpracticelawsuits.

Governmentisinvestigatingcollusionbetweenpeoplesuinggovernmenthospitalsformalpracticeandstateattorneyswhoeithersettlecasesthathavenomeritordefendthecasessobadlythattheyinvariablylose.

JusticeMinisterMichaelMasuthaandHealthMinisterAaronMotsoalediconfirmedthatthescamsaresoentrenchedthatthestatehaslostbetweenR60-bnandR100-bnsince2013infraudulentmalpracticeclaims.

"Kingpins'inthescamareunderstoodtohavebeenidentifiedbygovernment.Thereportalsosuggeststhatgovernmentpreviouslylackedthe'politicalwill'todealwiththeproblem.

FinancialNews

CiplaSouthAfricagrowsfootprint

CiplaMedproSouthAfrica,whollyownedsubsidiaryofCiplaLimitedIndia,hasannouncedplanstoacquirea100%stakeinMirren(Pty)Limited.

MirrenisaSAover-the-counter(OTC)pharmaceuticalmanufactureranddistributor,whichhasbeeninoperationfor35years.ThetransactionissubjecttotheapprovalbytheCompetitionCommissionofSouthAfrica.

Aspen’s‘strategyambiguity’inthespotlight

Inthepastfiveyears,AspenPharmacarehasbeenonanaggressivegrowthstrategy,whichhasputitontheglobalmapasaforcetobereckonedwith.However,RayhaanJoosub,deputyCEOofinvestmentcompanySentioCapitalManagement,wroteinBusinessTimes(12August)that,despiteitsexponentialgrowth,therewereafewredflagsaroundAspen.WithamarketcapitalisationofR131-bn,itoperatesinabout50countriesandsuppliesmorethan150countries.Itistheworld’sninth-largestproducerofgenerics.ThemainissueforJoosubwasthatAspenhasahighlevelofintangiblesonitsbalancesheet,anunclearacquisitionstrategyandalackoffocusonwhetheritsmainbusinessisstillgenericmedicationorwhetheritisshiftingintospecialistcategories.

SpecialNews

NHIshouldtakeheedofHMIrecommendations,saysSAPPF

WhileprivatedoctorsappeartobegenerallysupportiveoftheHealthMarketInquiry’srecommendations,concernsaremountingthatimplementationofthedraftNationalHealthInsurance(NHI)BillandtheMedicalSchemesAmendment(MSA)Billintheircurrentstatescouldbepotentiallydisastroustothecountry’swholehealthcaresystem.

SomeofthemainconcernspertaintotheperceptioncreatedinthetwoBillsthatNHIcouldbethepanaceaforfixingthebrokenpublicsector,thelackofclarityonthefundingandcostofanNHI,themassivereorganisationofexistingresourcesthatwillberequiredtofulfillthepromiseofaccesstoaffordablehealthcareservicesforallthroughthepoolingofstateandprivatemoneyintoasinglefund,contractingandpaymentarrangementswithprivateprovidersandmanymore.

SAPPFCEO,DrChrisArchersayswhiletheHMI’srecommendationsarebasedonadiagnosticapproachthatrequiredthecollectionandanalysisofrealdatatoreachconclusions,thisprocesswastotallylackinginthedraftingoftheNHIBill.

GovernmentshouldhavewaitedfortheHMIReportandconsideritsf indingsandrecommendationsinthedraf tingof boththeNHIandMSA

Bills,saysDrArcher.

Toreadmore,clickonthebuttonbelow

Button

PharmaceuticalNews

Racetofindmoneyforbreastcancerdrug

ProvincesarescramblingtofindresourcestofundRoche’sbreastcancerdrugTrastuzumabaftertheDoHapprovedapolicytoprovideitwithoutsecuringadditionalfunding.

ProvincesthatareprovidingTrastuzumabarehavingtoreprioritisetheirbudgets,ineffecttakingthemoneyfromotherprojects.

ThepolicywaslaunchedinAugust2017byHealthMinisterAaronMotsoalediandprovinceswereexpectedtostartprovidingTrastuzumabtostate-sectorpatientsinJanuary.However,theprogrammehasgotofftoaslowstart.

TrastuzumabhasbeenavailableintheprivatesectorunderthenameHerceptinsince2008,butwasonlyaddedtothestate’sessentialmedicineslistinJune2017because“itwassimplytooexpensive”.

EU’sdrugregulator’sstaffquitsaheadofBrexit

AthirdoftheemployeesattheEU’sdrugregulatorareexpectedtoquitastheregulatorleavesBritainbecauseofBrexit,promptingtheagencytotemporarilyscalebackoperationstofocusonessentialpublic-healthactivities.Employeeswhoaren’trelocatingtoAmsterdamwiththeEuropeanMedicinesAgency(EMA)havealreadystartedtoleave.

EuropeandrugswatchdogwarnsabouttaintedheartmedicationTheEuropeanMedicinesAgency(EMA)estimatestherecouldbeoneextracaseofcancerforevery5000patientstakingacommonbloodpressureandheartdrugmanufacturedinbulkbyaChinesecompanythathasbeenfoundtocontainanimpurity.ThealarmoverValsartanwasfirstraisedinJuly,promptingaglobalrecallofaffectedpills.TheagencybelievestheproblemprobablydatesbacktochangesinmanufacturingprocessesatZhejiangHuahaiPharmaceuticalin2012.

SA'sfirstbiosimilaroncologydrugauthorisedforuse

Cipla,incollaborationwithTevaPharmaceuticalIndustriesLtd,hasannouncedthelaunchofthecountry'sfirstbiosimilarfortheoncologyandhaematologymarkets.

FilgrastimTeva,manufacturedbyTevaanddistributedinSouthAfricabyCipla,pavesthewayformoreaffordabletreatmentstoaidinthefightagainstcancer,accordingtoPaulMiller,CEOofCiplaSA.

Abiosimilarishighlysimilartotheoriginalbiologicreferenceproductintermsofquality,safetyandefficacy.“Forevery1%dropinthepriceoftheselife-savingmedicines,thenumberofpatientsgainingaccesstothemincreaseby1%.

GeneralNews

HealthSciencedean’ssuicidespotlightsSAworkplacestressThesuicideofProfBonganiMayosi–acardiologist‚researcher‚anddeanofhealthsciencesattheUniversityofCapeTown(UCT)–hasbeenattributedtothepressurehehadtoendurefromabusiveprotestingstudentswhooccupiedhisofficefortwoweeksin2016.

ItagainspotlightedtheenormousstressunderwhichSouthAfricanmedicalacademicsandpractitionerswork,withtworecentstudiesshowinghighlevelsofburnout.

Mayosi’ssuicidehaspromptedtheSouthAfricanMedicalAssociation(SAMA)tosetupasupportstructuretoaddresstheunderlyingproblemsofaheavyworkloadandlonghoursthatleadtodoctorssufferingfromstressanddepression.

Britaintoopt-outorgandonationschemetosavelives

Britainplanstoincreasethenumberoforgandonorsbychangingtherulesofconsentandpresumingthatpeoplehaveagreedtotransplantsunlesstheyhavespecificallyoptedout.InWales,asystemofpresumedconsentisinoperationandScotlandhasasystemfordonationopt-out.Around6000peopleinBritainareonthetransplantwaitinglist.Morethan400diedwhilewaitingforatransplantlastyear.

NewsonMedicalAids

Medicalaidcustomersatisfactionslides

MedicalSchemeseemstobe‘aslushfund’forcurator

AccordingtothelatestindexbyConsulta,abusinessstrategyconsultingcompany,theaverageoftheSACustomerSatisfactionIndexformedicalschemesdroppedfrom74.2in2017to72.7in2018.

Bonitas’scoredeclinedfrom73.1to70.2andDiscoveryHealthalsoreportedadeclinefrom74.8to73.1overtheyear.Medihelpwastheonlyopenschemeinthisyear’sbenchmarktoseeanimprovedscore.

Overall,SouthAfricansareincreasinglyfrustratedbyrisingpremiumsandshrinkingbenefits,aswellasafeelingoflowervalueformoneyincomparisonwithotherfinancialserviceproducts.

The13dismissedtrusteesofamedicalaidschemeforunionisedmunicipalworkers,Samwumed,arecontestingthecuratorshiporderonthescheme,whilesomeofitsmembershavealsoraisedconcernsovertheprovisionalcurator’ssuspensionoffourofitssenioremployees.

ThisfollowsthecancellationofkeycontractsthatarebeinginvestigatedbytheCouncilforMedicalSchemes.

AllegationsarethatDuduzaKhosana,provisionalcuratorofCapeTown-headquarteredSamwumed,whichcoversmorethan80000lives,ispayingherselfR240000amonthandincurringexpensesofR200000amonth.

Circulars:CouncilforMedicalSchemesThefollowingCircularswerepublishedbytheCMSinAugust2018.

Visit www.medicalschemes.co.zaformoreinfo.

32of2018AnnualStatutoryReturnsdevelopmentforthe2018fiinancialyear

33of2018Guidanceonbenefitchangesandcontributionincreasesfor2019

34of2018ClarityregardingtheNetcare911ruling

35of2018PostponementoftheAdvancedBrokerTrainingProgrammeinPortElizabeth,to31August201836of2018Auditorapprovals

37of2018QuarterlyStatutoryReturnsSubmissionfor2018

SpecialNotices

PsychiatryPractice:LocumPositionAvailableALocumposit ionisavailableataPsychiatryPract iceintheStrand,near

CapeTown,fromOctober2018totheendofMarch2019.ContactPract iceAdministrat ionat:[email protected]

ToadvertiseinPrivatePracticeReviewcontactMarethaConradie:[email protected].

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andPrivatePracticeReviewarepublishedsolelyforinformationalpurposesandshouldnottobe

construedasadviceorrecommendations.Individualsshouldtakeintoaccounttheirownuniqueand

specificcircumstancesinactingonanynewsorarticlespublished.Oftenthesearticlesoriginatefrom

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propertyoftheirrespectiveowners,andareusedsolelyforinformativepurposesinourpublications.

Thereisfurthermorenoimpliedendorsementofanyoftheproducts,goodsorservicesmentionedin

ourpublications.

https://medbriefafrica.co.za/nhi-should-take-heed-of-hmi-recommendations-sappf/

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Private Practice Review November 201 7docs.mymembership.co.za/docmanager/419ae5a4-f8c7-11d4-9fb7-0… · in the November issue of #/LEHUW\ policy bulletin. “However, it still does

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