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Annual Report. Presentation by Adv. Boyce Mkhize Registrar and CEO to Parliamentary Portfolio Committee: Health 19 October 2004. Structure of Presentation. HPCSA and its Mandate Structure and Current Leadership Staff Structure and Equity Profile Key Strategic Focus Areas:

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Annual Report

Presentation by

Adv. Boyce Mkhize

Registrar and CEO


Parliamentary Portfolio Committee: Health

19 October 2004

structure of presentation
Structure of Presentation
  • HPCSA and its Mandate
  • Structure and Current Leadership
  • Staff Structure and Equity Profile
  • Key Strategic Focus Areas:
    • Registration
    • Professional Conduct
    • Continuing Professional Development
    • Finances
  • Broader Challenges
founded for public protection
Founded for Public Protection


Quality healthcare standards for all


To enhance the quality of health by developing strategic policy frameworks for effective co-ordination and guidance of the professional boards in:

  • Setting health care standards for training and discipline in the professions registered with Council
  • Ensuring on-going professional competence; and
  • Fostering compliance with those standards
founded for public protection4
Founded for Public Protection
  • Statutory body established in terms of the Health Professions Act (Act No.56 of 1974)
  • HPCSA has 12 Professional Boards operating under its auspices
  • The Professional Boards control the professions within their ambit under the overarching coordination and guidance of the HPCSA
founded for public protection5
Founded for Public Protection
  • To ensure quality of life for all South Africans by:
    • Promoting the health of South African population
    • Determining and upholding standards of education & training
    • Determining and maintaining standards of professional practice and conduct
    • Advising Minister of Health on matters

pertaining to Act

functions of professional boards
Functions of Professional Boards
  • Operate as Standards Generating Body (SGB), developing education and training outcomes
  • Develop professional practice framework
  • Develop national strategy and action plans re. training, supervision and career path development (including Internship)
  • Evaluate registration applications
  • Exercise Education, Training and Quality Assurance (ETQA) functions on behalf of HPCSA
functions of professional boards7
Functions of Professional Boards
  • Evaluate education and training courses and academic facilities
  • Recognise courses for registration and additional qualifications purposes
  • Develop policy documents and issue rulings to guide professions
  • Conduct prelim & professional conduct inquiries
  • Formulate regulations and rules of conduct and professional practice
  • Assess non-compliant applications for registration, including foreign applications

HPCSA Structure


52 Members

Executive Committee

10 Members

Management Committee

4 Members

Finance & Investment




Human Rights and

Ethics Committee





Professional Conduct

Review Committee

Committee on Undesirable

Business Practices

12 Professional Boards

Occupational Therapy &

Medical Orthotics


Dental Therapy

& Oral Hygiene

Environmental Health


Speech, Language &

Hearing Professions

Optometry & Dispensing


Physiotherapy, Podiatry

& Biokinetics

Radiography & Clinical


Medical Technology

Medical & Dental



Emergency Care Personnel

HPCSA Administration

composition of hpcsa
Composition of HPCSA
  • 25 Persons designated by Professional Boards

(At least one per Professional Board, the rest proportional to the number of registered practitioners within each Professional Board)

  • 1 Person employed by Dept of Health, appointed by Minister
  • 1 Person employed by Dept of Education, appointed by Minister
  • 9 Registered persons appointed by Minister of Health
  • 1 Person employed by SA Military Health Services, appointed by Minister of Defense
  • 3 Persons appointed by the Committee of University Principals (SAUVCA)
  • 2 Persons appointed by the Committee of Technikon Principals
  • 9 Public representatives who are not registered with Council (one for each province), appointed by the MEC’s responsible for Health in each province
  • 1 Person versed in Law, appointed by Minister of Health
  • 52 Total
transformation hpcsa
Transformation : HPCSA

Demographic Profile

  • First elections according to new requirements took place end 2003
  • Council now reflects 63% of individuals from historically disadvantaged communities and a much significant representation of women
  • Comparator previous term: 54% Black vs 46% White
transformation hpcsa11
Transformation : HPCSA

Old New

MDB 27%/62% 60%/40%

DTB 33%/67% 60%/40%

EMC 35%/65% 55%/45%

Psy 43%/56% 63%/27%

Optom 28%/61% 46%/63%

MedTech 38%/61% 70%/30%

transformation hpcsa12
Transformation HPCSA

Governance Issues

  • Charter for Councillors---covenanting to good professional and ethical behaviour of Councillors
  • Financial Policies and new procurement procedures
  • Audit & Risk Management Committee; Finance and Investment Committee, HR and Remuneration Committee---Governance Structures
  • Annual report & independent auditors
current leadership
Current Leadership

Prof. Nicky Padayachee


Prof. Letticia Moja

Vice President

Adv. Boyce Mkhize


administration structure
Administration Structure


Adv. Boyce Mkhize



Senior Manager:

Legal Services

Adv. Tshepo Boikanyo

Senior Manager:

Professional Boards

Johann Coetzer

Senior Manager: CPD,

Registration & Records

Barbara van Stade

Senior Manager:


Nathaniel Seleka

Manager: Information


Walter Maphosa

Manager: PR and

Service Delivery

Anina Steele

Manger: Support


Anton Swanepoel

Manager: Human


Nthabiseng Mphuthi

registration with hpcsa
Registration with HPCSA
  • Registration with HPCSA is a legislative requirement and precondition for the practice of any profession registrable in terms of the Act
  • Performance of professional acts for reward without such registration attracts criminal sanctions
registration statistics
Registration - Statistics

As at 31 March 2004: 105 441 practitioners

  • Dental Therapy & Oral Hygiene 1311
  • Dietetics 1511
  • Environmental Health Practitioners 2536
  • Emergency Care Practitioners 26726
  • Medical & Dental 36995
  • Medical Technology 5921
  • Occupational Therapy & Medical Orthotics/Prosthetics 3604
  • Optometry & Dispensing Opticians 2509
  • Physiotherapy, Podiatry & Biokinetics 5630
  • Psychology 7724
  • Radiography & Clinical Technology 5974
  • Speech, Language & Hearing Professions 1709
registration challenges
Registration - Challenges


  • More than 8000 erased due to non-payment of annual fees
  • Tracking of practitioners-- challenge

Foreign Qualified Practitioners

  • Policy framework being revised to streamline and harmonize with National Health Department policy eg. No private practice registration except for RSA citizens
professional conduct statistics
Professional Conduct - Statistics
  • Received 1341 complaints previous year – increase of 27 %
  • Unable to finalise new cases and backlog of old cases:
    • Increased Legal Services’ in-house capacity
    • Outsourced 108 old cases to external legal firms – 23 cases have been finalised in 3 months; 33 hearing dates
professional conduct statistics21
Professional Conduct - Statistics
  • As at 31 March 2004 finalised 203 professional conduct cases (14 per month)
  • Conviction rate: 86 %
  • 54 % of guilty verdicts in Dishonesty/Criminality category
  • 22 % of guilty verdicts in Practice Issues
  • 19 % of guilty verdicts in Treatment
  • 5 % of guilty verdicts in Personal Behaviour
  • As at 30 September 2004 finalised 132 cases (22 per month)
professional conduct challenges
Professional Conduct - Challenges
  • System of Peer Review creates perception of professional and not public protection
  • Perceptions about light/inconsistent sentences
  • Professional Conduct Review Committee to Council level to monitor processes and issue guidelines
  • This Committee is developing guidelines to improve consistency and tightening of sentences
  • Creating ombudsperson to facilate processing of minor complaints & drafting charge sheets
professional conduct challenges23
Professional Conduct - Challenges
  • Introducing categorisation of complaints
  • Empowering Committees of Preliminary Inquiry to finalise “lesser” complaints
  • Council proposing inclusion of community representatives on Professional Conduct Committees
  • Initiatives can only be realised through revision of the Act
continuing professional development
Continuing Professional Development
  • Council Committee appointed to re-configure current CPD system
  • Current system is time based, practitioners earn points for related (or non-related) CPD activities
  • Proposed system is outcome based, practitioners earn units only for related, measurable outcomes
sustaining the hpcsa
Sustaining the HPCSA
  • Favourable Audit Opinion
  • Generated about R63 million Gross Revenue compared to R45million previous year
  • Net surplus from Operations – R402 980
  • Provisions for post-retirement medical benefits, leave and legal services costs
  • Revised HR benefits and conditions
broader challenges
Broader Challenges
  • Over-exerting power of private health care establishments over practitioners
  • Disintegrated regulatory processes between HPCSA and other structures like Council for Medical Schemes
  • Interference by Medical Aid Schemes on practitioners’ autonomy/ independence
broader challenges27
Broader Challenges
  • Barriers to quality health-care access manifested through inadequate infrastructure, equipment and capacity [ Council sometimes forced to withdraw internship status for certain internship sites]
  • Barriers to education and training opportunities in health-care---stringent admission criteria which are sometimes indirectly discriminatory—notion of independence of institutions needs review in this regard
hpcsa contact details
HPCSA Contact Details
  • Physical Address:

553 Vermeulen Street, Arcadia, (Cnr Vermeulen & Hamilton Streets)

  • Postal Address:

P O Box 205, Pretoria, 0001

  • Telephone : (012) 338 9300/01 Fax: (012) 328 5120
  • Website:
  • E-mail: