The Healthcare Sector in South Africa 2019
Price
R 1 900.00(ZAR) estimated $ 120.93 (USD)*
Report Coverage
This report covers the public and private sector healthcare sector, including the size and state of the sector and factors influencing its success in areas such as controlling disease, improving mortality rates and training and retaining skilled professionals. The report includes comprehensive profiles of 26 entities including national departments, blood services, hospital groups, emergency services and pathology laboratories. These major hospital groups such as Mediclinic, Life Healthcare and Netcare, which last year exited the UK. Emergency services such as ER24 and Gardmed are profiled, as are pathology labs such as Lancet and Ampath.
The Healthcare Sector
South Africa’s two-tiered healthcare sector is supported by more than 252,650 registered practitioners providing essential services through 7,90 public healthcare facilities and 524 private healthcare facilities. Expenditure on human health activities and services exceeded R400bn in the 2017/18 financial year, with private healthcare accounting for approximately R213bn of total spend. With an allocation of 12.3% of the total budget, health expenditure represents the third largest item of consolidated state expenditure, but the public healthcare system continues to decline.
Developments
The healthcare sector is poised for significant change with the proposed introduction of National Health Insurance which seeks to provide all South Africans with access to quality healthcare. The prohibitive cost of private sector continues to come under the scrutiny of the Competition Commission’s on-going health market inquiry. Other concerns relating to private healthcare include an apparent lack of accountability; over-servicing; the maldistribution of facilities and service providers; and the payment of incentives.
Table of Contents
| PAGE | ||
|---|---|---|
| 1. | INTRODUCTION | 1 |
| 2. | DESCRIPTION OF THE INDUSTRY | 1 |
| 2.1. | Value Chain | 4 |
| 2.2. | Geographic Position | 5 |
| 3. | SIZE OF THE INDUSTRY | 7 |
| 4. | STATE OF THE INDUSTRY | 11 |
| 4.1. | Local | 11 |
| 4.1.1. | Corporate Actions | 22 |
| 4.1.2. | Regulations | 24 |
| 4.1.3. | Enterprise Development and Socio-Economic Development Initiatives | 28 |
| 4.2. | Continental | 29 |
| 4.3. | International | 31 |
| 5. | INFLUENCING FACTORS | 34 |
| 5.1. | Government Interventions | 34 |
| 5.2. | Economic Environment | 35 |
| 5.3. | Input Costs | 36 |
| 5.4. | Technology, Research and Development (R&D) and Innovation | 37 |
| 5.5. | Labour Resources | 41 |
| 5.6. | Cyclicality | 46 |
| 5.7. | Civil Society | 46 |
| 5.8. | Environmental Concerns | 47 |
| 6. | COMPETITION | 49 |
| 6.1. | Barriers to Entry | 51 |
| 7. | SWOT ANALYSIS | 52 |
| 8. | OUTLOOK | 53 |
| 9. | INDUSTRY ASSOCIATIONS AND OTHER ENTITIES | 53 |
| 10. | REFERENCES | 58 |
| 10.1. | Publications | 58 |
| 10.2. | Websites | 58 |
| APPENDIX 1 - SUMMARY OF NOTABLE PLAYERS | 61 | |
| Government Hospitals | 61 | |
| Private Hospitals | 61 | |
| Medical and Dental Practices | 66 | |
| Optical | 67 | |
| Blood Banks | 67 | |
| Pathology Practices | 68 | |
| Ambulance Services 93199b | 69 | |
| COMPANY PROFILES – GOVERNMENT AND PRIVATE HOSPITALS | 71 | |
| ADVANCED HEALTH LTD | 71 | |
| BUSAMED (PTY) LTD | 75 | |
| CLINIX HEALTH GROUP (PTY) LTD | 78 | |
| LENMED INVESTMENTS LTD | 81 | |
| LIFE HEALTHCARE GROUP (PTY) LTD | 85 | |
| MEDICLINIC INTERNATIONAL PLC | 93 | |
| NATIONAL DEPARTMENT OF HEALTH | 97 | |
| NATIONAL HOSPITAL NETWORK | 113 | |
| NETCARE LTD | 122 | |
| COMPANY PROFILES – MEDICAL AND DENTAL PRACTICES | 127 | |
| KAELO PRIMECURE (PTY) LTD | 127 | |
| MEDICROSS HEALTHCARE GROUP (PTY) LTD | 129 | |
| METROPOLITAN HEALTH RISK MANAGEMENT (PTY) LTD | 133 | |
| NOVAHEALTH (PTY) LTD | 135 | |
| COMPANY PROFILES – OPTICAL | 136 | |
| MELLINS I STYLE OPTOMETRISTS INC | 136 | |
| MOFFATT INC | 139 | |
| SPEC SAVERS SOUTH AFRICA (PTY) LTD | 141 | |
| TORGA OPTICAL (PTY) LTD | 143 | |
| COMPANY PROFILES – BLOOD BANKS | 148 | |
| SOUTH AFRICAN NATIONAL BLOOD SERVICE | 148 | |
| WESTERN CAPE BLOOD SERVICE | 151 | |
| COMPANY PROFILES – PATHOLOGY PRACTICES | 154 | |
| AMPATH TRUST | 154 | |
| BIO ANALYTICAL RESEARCH CORPORATION SOUTH AFRICA (PTY) LTD | 157 | |
| DIETRICH VOIGT MIA (PTY) LTD | 160 | |
| LANCET LABORATORIES (PTY) LTD | 164 | |
| NATIONAL HEALTH LABORATORY SERVICE | 167 | |
| COMPANY PROFILES – AMBULANCE SERVICES | 171 | |
| ER24 EMS (PTY) LTD | 171 | |
| GARDMED AMBULANCE SERVICE TRUST | 176 | |
| NETCARE LTD | 179 |
