While the Western Cape Government does not support national government’s National Health Insurance (NHI) model in its current format, the Province’s approach is that the Western Cape is able to make a significant contribution to develop the best ultimate model.
The strengthening of public health services in the Eden district in preparation for national government’s proposed phased implementation of NHI is on track. The Eden District has an estimated population of approximately 575 000 people, of which 89% are uninsured. The district is divided into six sub districts, each headed by a medical manager.
The clinical services that the district provides are covered through:
All the above health services role players meet every three months to plan and implement integrated care.
During the past year 14 NHI activities were undertaken, with the following outcomes:
In the past year:
Position of the Western Cape Government on the NHI pilot project
While the Western Cape Government is participating in the Eden NHI pilot, this does not indicate unqualified support for the as yet not formally tabled policy document for NHI.
There are ten pilots in the country that are "piloting" various options and we are implementing the pilot in the den district. There is no final model. The reason for the Western Cape participation is the belief that the province can contribute to the development of the best ultimate model.
The Western Cape Government policy is one of "Universal Health Care for All", which is supported by the World Health Organisation, but through a model of a functioning health system at provincial level without the centralising of all funding and management through the National Department.
All that is currently being undertaken by Western Cape Government through the support of the NHI pilot project is to strengthen health services in the Eden District and to provide the country with viable models of health care that have worked and will continue to provide quality patient-centred health care services.