Some patients prefer floor to beds, claims Gauteng health MEC Nkomo-Ralehoko

by Rachel Morgan News Editor

Gauteng Health MEC Nomantu Nkomo-Ralehoko has disputed reports of widespread overcrowding in provincial hospitals, stating that some patients actually prefer to sleep on the floor.

Addressing Claims of Overcrowding

In a recent interview, Nkomo-Ralehoko asserted that her department is actively managing the situation. She stated, “The problem is big, but we are managing it as the department of health.” She further claimed she has not personally observed patients sleeping on the floor, noting that the department is currently purchasing and distributing beds, even to clinics.

The MEC reported distributing 250 beds in Vereeniging. She acknowledged that some facilities are small, but emphasized the existence of a referral system to redirect patients to hospitals with available beds. For example, ambulances headed to Chris Hani Baragwanath Academic Hospital (“Bara”) are diverted if beds are unavailable there.

Did You Know? The Gauteng Department of Health has a system in place to track bed availability daily, utilizing a dashboard on the 15th floor.

Nkomo-Ralehoko also described instances where patients have actively chosen to sleep on the floor, even when offered alternatives. She cited examples of pregnant women and an elderly patient who declined a wheelchair despite being in pain.

Restrictions on Media Access

The MEC accused journalists of contributing to a negative narrative regarding hospital conditions and announced her decision to prohibit journalists from taking photographs within hospitals. She argued that media coverage often relies on assumptions rather than accurate representation.

Nkomo-Ralehoko defended her department’s efforts, stating that renovations are underway at most of the province’s 37 hospitals, with fewer than 10 requiring significant refurbishment. She also acknowledged the need for increased funding, noting that the current equitable share grant is “less than R2bn” for infrastructure projects.

Expert Insight: The MEC’s decision to restrict media access raises concerns about transparency and accountability. While she cites a desire to avoid misrepresentation, limiting independent observation could hinder public scrutiny of healthcare services.

She highlighted improvements in clinics, including the consistent presence of doctors, and expressed frustration that these changes are not widely recognized by residents of Gauteng.

Frequently Asked Questions

Are hospitals in Gauteng overcrowded?

According to the MEC, the department is managing the situation, and she disputes claims of widespread overcrowding, stating some patients prefer to sleep on the floor.

What is being done to address bed shortages?

The department is purchasing and distributing beds, including to clinics, and utilizing a referral system to divert patients to hospitals with available capacity.

Why is the MEC restricting media access to hospitals?

Nkomo-Ralehoko believes journalists often create assumptions and take photos that misrepresent the situation, leading to a negative narrative.

Given the differing accounts of hospital conditions and the MEC’s concerns about media representation, how can a more accurate and transparent picture of healthcare access in Gauteng be established?

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