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The Healthcare Sector
BY Carole Veitch
South Africa
29 March 2019
R 14 400.00 (ZAR)  
estimated $ 1 021.21 (USD) *
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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.


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.


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