Gauteng Health Department Races to Spend R511 Million on Outsourced Cancer Treatment

Addressing Backlogs and Improving Access to Cancer Care in Gauteng Through Private Partnerships

In a major push to address the extensive cancer treatment backlog, the Gauteng Health Department is moving swiftly to outsource radiotherapy services, directing R260 million to private healthcare providers over the next two years. This allocation comes as part of the Gauteng Department of Health’s urgent strategy to spend a total of R511 million aimed at alleviating cancer treatment delays for thousands of patients.

Tackling Backlogs in Cancer Treatment

Gauteng Health spokesperson Motalatale Modiba highlighted that the outsourcing initiative specifically targets critical cancer cases. Currently, prostate cancer patients face a daunting average wait of 300 days, while breast cancer patients wait around 120 days. This delay has been a significant concern, with over 2,652 patients waiting for essential radiation therapy across the province’s hospitals, including Charlotte Maxeke Johannesburg Academic Hospital and Steve Biko Academic Hospital.

“The department has completed the process of outsourcing radiotherapy services to private healthcare providers,” Modiba said, noting that this arrangement is designed to ensure a seamless transfer and management of patients between public and private facilities. The final service level agreement is nearing completion, with treatments expected to begin shortly.

Overcoming Barriers to Effective Cancer Care

The outsourcing move was prompted by a legislative inquiry revealing that Gauteng Health failed to utilize R511 million earmarked for urgent cancer cases since April last year. Health and Wellness MEC Nomantu Nkomo-Ralehoko recently conceded this fact during a response to the Democratic Alliance in the Gauteng legislature, underscoring the department’s challenges in managing budget allocations for critical care.

To address these issues, the department has not only sought private partnerships but has also upgraded essential medical equipment and bolstered human resources within oncology. The department’s oncology centers are actively recruiting radiotherapists, aiming to fill 29 vacancies at Charlotte Maxeke Hospital, with several candidates having already been interviewed.

Improving Cancer Treatment Accessibility in Gauteng

The Gauteng Department of Health’s commitment to reducing cancer treatment waiting times is crucial for improving patient outcomes. Modiba explained that the system for patient flow has been carefully structured to avoid unnecessary delays, ensuring effective management across public and private facilities.

In the past, Gauteng’s health system has faced significant challenges, from underspending to issues in patient safety and attacks on ambulance crews. This proactive step toward outsourcing cancer treatment demonstrates a shift towards addressing these long-standing problems with more urgency.

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