Hpcsa Annual Report 2012 2013

2013
2012
ANNUAL REPORT
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2013 ANNUAL REPORT
01
MISSION

Quality healthcare standards for all
VISION

The HPCSAs vision is to enhance the quality of health by developing strategic policy frameworks for effective
co-ordination and guidance of our Professional Boards in:
Setting healthcare standards for training and discipline in the professionals registered with the HPCSA;
Ensuring on-going professional competence; and
Fostering compliance with those standards.
The Health Professions Council of South Africa (HPCSA) is a statutory body established under the Health Professions
Act 56 of 1974 is mandated to regulate the health professions in the Republic of South Africa in aspects pertaining
to registration, education and training (including the setting of healthcare standards for training), ethics and ethical
behaviour, ensuring continuing professional development and fostering compliance with healthcare standards.
CONTENTS
SECTion onE: Presidents Report 05
SECTion Two: Registrars Report 11
SECTion THREE: Executive overview 17
CPD, Registrations And Records 17
Financial Services 23
Human Resources and Labour Relations 24
information Technology 26
Legal Services And ombudsman 28
Public Relations And Service Delivery 30
Professional Boards 32
Support Services 34
SECTion FoUR: Professional Boards overview 38
Professional Board For Dental Therapy And oral Hygiene 39
Professional Board For Dietetics And nutrition 43
Professional Board For Emergency Care 47
Professional Board For Environmental Health Practitioners 49
Medical And Dental Professions Board 52
Professional Board For Medical Technology 55
Professional Board for occupational Therapy, Medical orthotics and Prosthetics And Arts Therapy 59
Professional Board optometry And Dispensing opticians 61
Professional Board of Physiotherapy, Podiatry And Biokinetics 65
Professional Board For Psychology 67
Professional Board For Radiography And Clinical Technology 73
Professional Board For Speech Language And Hearing Professions 77
SECTion FivE: Corporate overview 83
SECTion Six: Management and Administration 87
SECTion SEvEn: Financial overview 90
2013 ANNUAL REPORT
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SECTion onE: PRESiDEnTS REPoRT
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SECTION ONE
South Africa has a dynamic, vibrant health sector
which presents constant change and opportunities
for its health professionals. The country is moving
steadily to overhaul its health system to deliver quality
health care to all citizens efciently and in a caring
environment. At the start of the 20th century, William
Jennings Bryant wrote that Destiny is no matter of
chance, it is a matter of choice. It is not a thing to be
waited for, it is a thing to be achieved.
Universal coverage through a National Health
Insurance system, which makes provision for quality
control, infrastructure upgrading and access to
healthcare for all, is part of the destiny we seek to
achieve as health professionals.
The mandate of the Health Professions Council of
South Africa is to protect the public and to guide the
professions. In protecting the public and guiding South
Africas health care professions, I recall the quote by
Douglas Adams, that to give real service you must
add something which cannot be bought or measured
with money, and that is sincerity and integrity. At
the end of the day, we are accountable to ourselves
and those we serve, and our success needs to be
measured by what we do, in addition to what we say.
Over this past year, the HPCSA moved decisively in
a number of areas, and with integrity acknowledged
when such actions proved to be too hasty in our
desire to serve.
HUMAN RIGHTS, ETHICS AND PROFESSIONAL PRACTICE
The HPCSAs Human Rights, Ethics and Professional
Practice Committee provides guidance, and sets
policies and rules on appropriate professional and
ethical behaviour for practitioners registered with
Council. To execute its mandate effectively, this year
the Committee represented Council at a number of
international and local conferences.
In December 2012, South Africa hosted the second
of four World Medical Association (WMA) Expert
Conferences on the revision of the Declaration of
Helsinki. This document outlines ethical principles for
research involving humans, and the meeting in Cape
Town aimed to draw an African perspective on this.
Following the conference, the Committee
recommended to Council that developments around
the revised declaration required vigilant monitoring
as they could have implications for research in
developing countries, including South Africa.
Developing a national e-health programme can
contribute to reaching health and development goals,
and be a crucial tool for achieving universal health
coverage. Harnessing information and communication
technologies for health requires planning at national
level, and the Committee represented the HPCSA at
the e-Health Strategy Toolkit conference to assist the
country to launch electronic health services.
The toolkit was developed by World Health
Organisation (WHO) and the International
Telecommunication Union (ITU).
In addition to advising the HPCSA and the Minister
of Health, the Committee will assist in developing
guidelines for practitioners wanting to become
involved in eHealth, mHealth and mobile health
application. The Committee continues to maintain
contact with the various Department of Health
structures regarding its e-Health strategy.
Prof. Mochichi Samuel Mokgokong
President, HPCSA
SECTION ONE 2013 ANNUAL REPORT
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Stem cell therapy lacks guidelines in South Africa,
which makes it difcult to enforce any compliance
standards. The Committee has initiated contact with
representatives of the Medicines Control Council
(MCC) as the authority in this area to request its Task
Teams to conduct the necessary inspections, and
enable the HPCSA to accompany the team during the
inspections in a supportive role.
Work continued on reviewing and updating the Ethical
Booklets, and the Committee has revisited the Core
Curriculum for Ethics, Human Rights and Medical
Law, launched in 2008, to determine progress on the
implementation of the curriculum.
PROFESSIONAL CONDUCT
During the current reporting period, the HPCSAs Legal
Department received a total of 2 997 complaints, of
which it referred 403 to the ofce of the Ombudsman
and opened 117 as police les involving unregistered
individuals. Having received 2 687 complaints in the
previous nancial year, this constituted an increase of
310 cases. The number of nalised matters has risen
by over 30% since 2011/12, from 189 cases to 248.
The majority of matters settled at disciplinary level
were admission of guilt nes, while 51 practitioners
were suspended from practicing. Nearly 20% (49)
of the complaints related to fraud and theft, followed
by insufcient care/treatment and mismanagement
of patients (41) and overcharging or charging for
services not rendered (30).
IMPAIRED PRACTITIONERS
The HPCSAs Health Committee is a non-punitive,
supportive body that focuses on regulating and
advising impaired practitioners and students who
suffer from mental or physical conditions, abuse or are
dependent on chemical substances that affect their
competence, attitude, judgement or performance.
It currently manages 311 practitioners, an increase of
25 cases over the 2011/2012 reporting period. This
can be attributed to an apparent increased awareness
among health sector employers and colleagues of
the Health Committees role, resulting in more cases
relating to alcohol and substance abuse, physical
problems and mental illness being reported.
In the review period, the Health Committee held six
meetings in Johannesburg, Pretoria, Durban, Port
Elizabeth and Cape Town respectively. During road
shows and interviews with practitioners in different
provinces it also became apparent that some of those
interviewed believed the Health Committees role was
punitive towards reported practitioners.
Following the Health Committees recognition in
stressing its supportive role towards practitioners
experiencing difculties that could hamper their career
progress, its Secretariat met with the Councils Public
Relations Department to consider providing more
information to the public. The HPCSAs website was
subsequently updated with the Health Committees
current policy information and upgraded to allow
easier access to its information.
CORPORATE GOVERNANCE
Corporate governance embodies processes and
systems through which entities such as the HPCSA are
held to account. We continue to uphold governance
principles as required by the King III report in executing
our mandate. During the period under review, Council
developed a ve-year strategic plan that it submitted
to the Minister of Health in accordance with the Health
Professions Act.
Other significant actions included implementing a
risk management strategy which includes measures
to prevent fraud. The Councils Audit Committee,
which is chaired by an independent external
person, was satisfied at the acceptable manner in
which risks have been managed. However, despite
our strong financial management, sound internal
controls and risk management, Council received a
qualified audit opinion.
This was due to insufcient appropriate audit evidence
for restatement of reserves; the completeness of
revenue could not be veried; account receivable
balance could not be veried, and provisions for
employee leave pay could not be conrmed.
My personal conviction and the integrity of this noble
institution to uphold good governance demands
that we rectify this issue by applying interventions
to improve our processes and enhance our skills
and competencies. I am committed to restoring the
condence of our health professionals and the public,
and to ensuring that we do not again receive a
qualied audit.
I am pleased to refer you to the annual nancial
statements for the period 2012/13 where you can
view the Auditors opinion as contained in this annual
report.
In concluding my report for the 2012/13 nancial
year, I wish to extend a special word of thanks to the
Honourable Minister of Health, Dr Aaron Motsoaledi,
for his continuous support of the HPCSA. In the words of
Benjamin Franklin, who noted that well done is better
than well said, I am grateful for the professionalism
and dedication of the HPCSA Management and
the members of Council, and thank them for their
commitment in the HPCSA over the year.
CHALLENGES
In spite of the achievements stated in this report the
Health Professions Council of South Africa continues to
experience challenges in the following areas:
The Enterprise Resource Solution
The organisation has been faced with huge IT related
problems emanating from the procurement of the
Oracle system. The organisation is currently working
tirelessly to address all problems associated with the
implementation of the Enterprise Resource Solution.
Tariff Determination
Unavailability of Tariff Guidelines continues to pose
challenges on adjudication of complaints relating to
overcharging. The Medical and Dental Professions
Board has currently embarked on a process of
determining tariffs for purposes of adjudication in
terms of Section 53 (3) (d) of the Health Professions
Act of South Africa.
Qualified Audit opinion
As stated in this report, the organisation received a
qualied audit opinion and the following have been
cited as major contributors and management has
been tasked to develop and action plan aimed at
addressing these areas of concern:
Incorrect generation of invoices
Unidentied revenue
Non-compliance with rules and regulations
Inaccurate leave provision
_________________________________________
HPCSA President
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SECTION ONE
SECTION ONE 2013 ANNUAL REPORT
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2013 ANNUAL REPORT
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2013 ANNUAL REPORT
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SECTion Two: REGiSTRARS REPoRT
It always seems impossible until it is done
Nelson Mandela
In the challenging year that we have gone through
at the HPCSA this statement can only encourage and
motivate staff to strive for excellence. Through their
efforts and the direction of our President and the
Council we have been able to serve the practitioners
and protect the public.
ENHANCING ADMINISTRATIVE SYSTEMS AND PROCESSES
Due to the numerous work activities of the 12 Professional
Boards and the Council, the administrative systems and
processes are sometimes under severe pressure. Despite that,
during the year under review the HPCSA held 210 planned
and extra-ordinary meetings as well as 32 workshops.
Some of the HPCSA activities for the review period
included the following:
Boards evaluated and accredited 83 clinical training
and professional practice facilities as well as 56
education and training providers that complied with
minimum standards for effective education and training.
2 150 health professionals were examined during
32 examination sessions to determine if they met the
standards required for registration with the Council.
Of these, 1 699 were graduates from South African
providers, while around 452 candidates were
foreign qualied health professionals.
The Councils Registrations Division dealt with
applications and requests from 28 971 practitioners.
In addition, 12 419 students and 832 foreign
qualied practitioners were registered, while 401
extensions on restricted registrations were provided.
One of the innovations of the Council to ensure that
newly qualied practitioners are registered timeously
was the off-site registration, which was piloted at the
Universities of Limpopo and Johannesburg in 2012.
Its success has assisted the Administration to spread
this to other universities and training facilities for
2013 by working with facility administrators.
To ensure that the Council and Professional Boards
are able to carry out their function of guiding the
professionals and protect the public, it is important
that registered professionals pay their annual fees by
March of every year. Failure to comply with this led
to the suspension of almost 10 000 individuals from
its Register in November 2012.
HPCSA received a spate of complaints relating to
the abuse of activities regarding multiple choice
questionnaires that need to be completed before
accruing Continuing Educational Units (CEUs).
After auditing the complaints, a media statement
was issued in March 2013 to alert and remind
practitioners about the importance of continually
updating their professional knowledge and skills.
CPD providers were also warned about any type of
misleading advertising that could manipulate CPD
programmes and compromise their processes.
Ethical Issues
The Committee on Undesirable Business Practices
(UDBP) had to assess and deal with a lot of issues
to ensure that practitioners work within the ethical
rules of the Council. These included corporate
employment of health practitioners, of note also was
the increase in applications for mobile radiology units.
This Committees mandate is to look at the business
model in relation to the Councils ethical rules.
The Councils ethical and regulatory framework does
not permit corporates to employ health professionals
registered with the Council. A media statement in this
regard was issued. Businessess were then advised to enter
Dr Buyiswa Mjamba-Matshoba
HPCSA Registrar and Chief Executive Ofcer
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SECTION TWO
into service level agreements with health professionals
instead of contracts. Three applications submitted to
the Committee requesting approval to employ Medical
Practitioners in the mining sector were not approved as
they failed to comply with the application requirements.
The Committee received applications from medical
practitioners requesting approval to hold shares in
new business ventures. Those that failed had omitted
certain information needed to make a decision such
as shareholder details and lease contract information
aimed at avoiding Health Practitioners partnering
with non-registered individuals, perverse incentives
and unlawful sharing of premises.
Participation in national Policy Development
The HPCSA is a member of the statutory body of
Healthcare Councils and participates by giving input
where requested. Within this reporting period inputs
were requested in relation to areas of collaboration
with the Ofce of Health Standards and Compliance,
also the Council is represented in the Disease coding
of the National Department of Health.
The Education, Training and Quality Assurance
(ETQA), which is a Committee of Council, is assisting
SAQA in developing standards and a register for
this cadre of health professionals as requested by the
Department of Health.
The Council also participated in the eTechnology
strategy workshop to look at ethical issues.
Highlights from Professional Boards
During the reporting period, the 12 Professional Boards
had to review their education and training standards
to align with several signicant developments in
higher education and healthcare delivery platforms.
These included:
The publication of the Higher Education
Qualication Sub-Framework;
Approval of new qualifcations;
SAQA Certifcate of Acknowledgement 2012-2017.
international Participation
Apart from local policy development, Council
representatives also participated in several key
international congresses where they gained valuable
insights into signicant global trends in the regulatory
sphere. These included the 16th Annual Conference of
the Association of Medical Councils of Africa (AMCOA),
the 10th International Conference of the International
Association of Medical Regulatory Authorities (IAMRA), the
joint meeting of the Coalition for Physician Enhancement
(CPE), the International Physicians Assessment Coalition
(IPAC) and the 101st Federal of States Medical Boards
(FSMB) Annual Meeting.
Stakeholder Engagement
To effectively communicate, we must realise that we
are all different in the way we perceive the world and
use this understanding as a guide to our communication
with others. Tony Robbins
Communicating and engaging with our stakeholders
is vital to foster transparency, respectful leadership
and competent governance. One of the ways in which
the HPCSA achieved this was through its outreach
endeavours in the form of road shows, which started
in October 2012.
The events, skilfully organised by staff in the Councils
Public Relations Department, continue to be hugely
successful, with demand for attendance far exceeding
the capacity of all the venues. Targeting 3190
practitioners, the 2012 events were held countrywide
in Pretoria, Johannesburg, Potchefstroom, Nelspruit,
Cape Town and George.
The road shows focused on improving personal
communication with practitioners by educating and
updating them on numerous pertinent Council issues.
These included the importance of registration with the
HPSCA as well as relevant ethical rules and regulations.
All Boards were represented where each
Board had its own stands to allow for face-to-
face interaction with practitioners and respond to
queries. All the events featured exhibition areas
where representatives from associations such
as the Medical Protection Society (MPS) and the
Board of Healthcare Funders (BHF) provided
guidance and useful information to the attendees.
More than 1 750 delegate survey forms were
collected during the road shows, providing insight
into how practitioners perceive the HPCSA and
SECTION TWO 2013 ANNUAL REPORT
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2013 ANNUAL REPORT
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SECTION TWO
indicating their preferred methods of communication.
Following numerous requests for representation in
the other provinces, namely Limpopo, Eastern Cape,
Kwa-Zulu Natal, Free State and Northern Cape, the
HPCSA committed to holding these in 2013.
In April 2012, the HPCSA sought to provide
clarity on a ruling by the Competition Commission
regarding its application to seek exemption of certain
ethical rules of conduct considered in conflict with
the Competition Act. These pertained specifically to
issues around advertising and marketing, behaviour
as well as corporate ownership and structure.
The Competitions Commission rejected the Councils
exemption application reasoning in respect of
various issues (Rules 5, 7, 8A,10, 8(4), 3(2), 18,
23 and 23A), but reserved the right to assess the
rules on a case-by-case basis should the application
of the rules effect anti-competitive behaviour. After
consultation with the Competitions Commission,
some amendments were applied to Ethical Rules 1
and 4. All the rules are available on the HPCSA
website. Following the ruling, the HPCSA stated its
intention to continue enforcing its mandate and that
it will continue to prosecute complaints where acts
contravene the ethical rules.
in Memoriam
We bid a sad farewell to one of the Councils
employees, Mr Shadrack Monareng, a Registrations
Official who passed away in March. We remember
him for his innovative ideas and friendly demeanour.
As I conclude this message, I would like to thank
the management and staff of the HPCSA for always
striving to do their best in ensuring that we perform
as per our vision of an Effective, Efficient and
Economical Administration.
As the Council, we remain committed to delivering
the highest quality of service to you. It is therefore
with pride that we present this 2012/13 annual
report to the Honourable Minister of Health, Dr
Aaron Motsoaledi, our healthcare practitioners and
the South African public.
________________________________
Dr Buyiswa Mjamba-Matshoba
HPCSA Chief Executive Ofcer and Registrar
SECTION TWO 2013 ANNUAL REPORT
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2013 ANNUAL REPORT
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2013 ANNUAL REPORT
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SECTion THREE: ExECUTivE ovERviEw
CPD, REGISTRATIONS AND RECORDS
Strategic objectives
The Department of Continuing Professional
Development (CPD), Registrations and Records
provides an efcient process of registration, record
and document management and enforcing CPD
regulations and guidelines.
Continuing Professional Development
The Departments CPD Division communicated the issue
of enforcing the non-compliant process to all Professional
Boards. The department also published articles in the
Bulletin and in Board newsletters to inform practitioners of
the impact of non-compliance with continuing professional
development. In addition, the division posted details of the
CPD process on the HPCSA website.
Practitioners who are still non-compliant after several
extensions and re-audits, and who still failed to submit
their CPD portfolios will, for the rst time, be suspended
from the register on instruction of the Professional
Boards. The CPD section received conrmation from
two Professional Boards (Environmental Health and
Physiotherapy, Podiatry and Biokinetics) to suspend the
names of the practitioners who were non-compliant with
CPD requirements. The council communicated with the
non-compliant practitioners through several platforms
in order to minimise the suspension of non-compliant
practitioners. Those who submitted portfolios but were
still found to be non-compliant with the CPD requirements
after extensions were placed under supervision.
Suspended practitioners will have to apply for
restoration of their names to the registers, according
to the Health Professions Act. Once they have proof
of compliance with the CPD requirements, these
practitioners will have to follow the same procedure
and pay the restoration fee (as prescribed in the
Restoration Regulations and Guidelines) if they have
been off the register for more than two years.
Practitioners placed in the supervised practice category
will have to apply to be placed in independent
practice upon receipt of a compliant portfolio.
Registrations
This divisions responsibility is to ensure that it registers
all qualifying healthcare professionals that fall under the
ambit of the HPCSA. Hence this division has to ensure
that all compliant applications are registered within 21
working days of submitting a compliant application. It is
also responsible of issuing annual practicing cards to all
practitioners that renew their annual registrations.
During the period, the division received a total of 15 797
compliant registrations and registered 12 419 students.
Registrations also attended to various applications and
requests from 28 971 practitioners through the Client
Contact Centre. In addition, it registered a total of
832 foreign qualied practitioners and provided 401
extensions on restricted registrations for the same period.
To improve and make registration an accessible process
the registration division embarked on a new registration
process. This entailed visits to two universities where
compliant applications of qualied students was done
and these were taken for nalisation back to the HPCSA
ofces and registration certicates and letters were
delivered to the university during a follow-up visit. A total
of 376 qualied students were registered and this resulted
in fewer qualied students having to come to the Council
to register.
Ms. Barbara van Stade
General Manager
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2013 ANNUAL REPORT
17
SECTION THREE
SECTION THREE 2013 ANNUAL REPORT
18
ToTAL no oF ACTivE REGiSTRATionS - EnD DECEMBER 2007 - 2012
Professional Board Register Register Name 2007 2008 2009 2010 2011 2012
Dental Therapy And
Oral Hygiene
DA Dental Assistant 375 2,185 2,050 2,133 2,431 2,890
OH Oral Hygienist 953 935 962 959 992 1,039
SDA Supplementary Dental Assistant 1,470 40 43 21 0 0
TT Dental Therapist 438 471 461 480 505 546
Dental Therapy And Oral Hygiene Total 3,236 3,631 3,516 3,593 3,928 4,475
Dietetics and Nutrition DT Dietician 1,795 1,704 1,865 2,128 2,296 2,484
NT Nutritionist 25 48 62 117 146
Dietetics and Nutrition Total 1,795 1,729 1,913 2,190 2,413 2,630
Environmental Health
Ofcers
FI Food Inspector 16 16 11 11 11 11
HI Environmental Health Ofcer 2,602 2,461 2,477 2,748 2,985 3,187
HIA Environmental Health Assistants 56 60
Environmental Health Ofcers Total 2,618 2,477 2,488 2,759 3,052 3,258
Emergency Care ANA Ambulance Emergency Assistant 5,533 5,844 6,374 6,751 7,335 7,789
ANT Paramedic 1,185 1,205 1,284 1,361 1,438 1,544
BAA Basic Ambulance Assistant 34,628 38,700 43,040 47,876 50,394 51,530
ECA Emergency Care Assistant 2 0 1 0 0 0
ECP Emergency Care Practitioner 11 38 70 109 149 190
ECT Emergency Care Technicians 84 293 332 539
OECO Operational Emergency Care
Orderly
472 515 541 549 531 546
Emergency Care Total 41,831 46,302 51,394 56,939 60,179 62,138
Medical And Dental
Professions Board
AN Anaesthetists Assistant 4 4 4 4 3 2
BE Biomedical Engineer 2 2 1 1 1 1
CA Clinical Associates 5 8 11 56 163
DP Dentist 5,047 4,884 5,015 5,296 5,423 5,650
GC /
GR
Genetic Counsellor 16 15 22 21 22 22
GCIN /
GRIN
Intern Genetic Counsellor 2 3 9 9
HA Health Assistant 7 4 3 3 2 2
IN Medical Intern 3,760 3,643 3,006 3,619 3,862 3,338
KB Clinical Biochemist 17 17 16 14 13 12
MP Medical Practitioner 34,449 33,529 33,800 36,633 37,289 38,742
MS /
MW
Medical Scientist 509 525 582 589 592 607
MSIN /
MWIN
Intern Medical Scientist 15 66 104 132 153
PH Medical Physicist 86 94 100 109 113 127
PHIN Intern Medical Physicist 7 15 15 12
SMW Supplementary Medical Scientist 5 4 4 4 4 4
Medical And Dental Professions Board Total 43,902 42,741 42,636 46,426 47,536 48,844
Medical Technology CT Cyto-Technician 2 1 1 1 1 1
GT Medical Technician 1,271 1,367 1,576 1,855 2,195 2,611
LA Laboratory Assistant 49 133 236
MT Medical Technologist 5,048 5,151 5,311 5,383 5,552 5,761
MTIN Medical Technology Intern 1 1 57 146 321
SLA Supplementary Laboratory
Assistant
177 36 33 273 274
SGT Supplementary Medical
Technician
36 35 216 307 32 31
Medical Technology Total 6,357 6,732 7,141 7,685 8,332 9,235
Occupational
Therapy And Medical
Orthotics/Prosthetics
AOS Asst Med Orth Prost &
Leatherworker
8 6 8 10 9 10
AT Arts Therapist 51 38 43 56 65
OB Orthopaedic Footwear
Technician
52 53 49 43 54 54
OS Medical Orthotist And Prosthetist 342 353 371 381 408 420
OSA Orthopaedic Technical Assistant 40 38 56 65 87 89
OSIN Intern Medical Orthotists And
Prosthetists
27 43 69
OT Occupational Therapist 3,159 2,946 3,156 3,490 3,668 3,946
OTB Occupational Therapy Assistant 519 452 408 410 351 219
OTE Single-Medium Therapist
(Occupational Therapy)
45 4 3 5 0 0
OTT Occupational Therapy
Technician
37 89 146 197 280 420
SOS Supplementary Medical
Orthotist And Prosthetist
2 2 1 1 2 2
SOT Supplementary Occupational
Therapist
2 0 0 0 0 0
Occupational Therapy And Medical Orthotics/Prosthetics Total 4,206 3,994 4,236 4,672 4,958 5,294
Optometry And
Dispensing Opticians
OD Dispensing Optician 127 123 124 132 128 136
OP Optometrist 2,733 2,915 3,023 3,083 3,168 3,337
OR Orthoptist 17 16 15 15 13 12
SOD Supplementary Optical
Dispenser
7 5 5 4 4 4
SOP Supplementary Optometrist 13 14 13 11 11 11
Optometry And Dispensing Opticians Total 2,897 3,073 3,180 3,245 3,324 3,500
Physiotherapy, Podiatry
And Biokinetics
BK Biokineticist 823 844 902 911 1,021 1,137
BKIN Intern Biokineticist 34
CH Podiatrist 217 216 222 224 231 237
MA Masseur 5 3 3 3 3 3
PT Physiotherapist 5,240 5,081 5,261 5,773 5,954 6,328
PTA Physiotherapy Assistant 249 263 281 265 272 264
PTT Physiotherapy Technician 8 1 8 8 11 9
RM Remedial Gymnast 2 2 2 2 2 2
SCH Supplementary Podiatrist 5 4 4 4 3 3
SPT Supplementary Physiotherapist 4 4 4 4 4 4
Physiotherapy, Podiatry And Biokinetics Total 6,553 6,418 6,687 7,194 7,501 8,021
Psychology PM Psycho-Technician 70 61 49 42 38 33
PMT Psychometrist 1,902 1,836 1,830 1,829 1,869 1,937
PRC Registered Counsellor 345 459 647 849 1,150 1,413
PS Psychologist 6,391 6,532 6,684 6,914 7,073 7,437
PSIN Intern Psychologist 981 747 671 804 763 849
Psychology Total 9,689 9,635 9,881 10,438 10,893 11,669
2013 ANNUAL REPORT
19
SECTION THREE
20
Radiography And
Clinical Technology
DR Radiographer 5,624 5,561 5,800 6,208 6,500 6,868
EE Electro-Encephalographic
Technician
32 28 27 32 37 40
KT Clinical Technologist 769 809 858 924 968 1,047
RLT Radiation Technologist 20 16 1 1 1 1
RSDR Restricted Supp Diag
Radiographer
9 9 15 16 15 14
SDR Supplementary Diagnostic
Radiographer
285 290 6 6 6 7
SEE Suppl Electro-Enceph Technician 0 0 290 276 278 259
SKT Supplementary Clinical
Technologist
7 6 6 5 4 4
SRLT Supplementary Radiation
Technologist
0 0 0 0 0 0
Radiography And Clinical Technology Total 6,746 6,719 7,003 7,468 7,809 8,240
Speech, Language And
Hearing Professions
AM Audiometrician 7 6 6 5 5 5
AU Audiologist 122 134 165 214 235 273
GAK Hearing Aid Acoustician 106 109 104 105 107 113
SAU Supplementary Audiologist 1 1 1 1 1 1
SGAK Supplementary Hearing Aid
Acoustician
5 5 5 5 5 4
SGG Community Speech And
Hearing Workers
29 21 20 21 22 21
SGK Speech And Hearing
Correctionist
6 6 6 6 6 6
SSTA Supplementary Speech Therapist
And Audiologist
1 1 1 1 1 1
ST Speech Therapist 244 320 381 465 527 632
STA Speech Therapist And
Audiologist
1,441 1,222 1,296 1,388 1,426 1,451
STB Speech Therapy Assistant 5 4 4 4 5 3
Speech, Language And Hearing Professions Total 1,967 1,829 1,989 2,215 2,340 2,510
Grand Total 131,797 135,280 142,064 154,824 162,265 169,814
ToTAL no oF ACTivE STUDEnT REGiSTRATionS - EnD DECEMBER 2007 - 2012
Dental Therapy And
Oral Hygiene
DA S Student Dental Assistants 683 886 1,073 1,243 1,348 1,634
OH S Student Oral Hygienists 273 250 201 265 315 356
TT S Student Dental Therapists 153 141 143 149 161 196
Dental Therapy And Oral Hygiene Total 1,109 1,277 1,417 1,657 1,824 2,186
Dietetics and Nutrition DT S Student Dietitians 1,068 1,108 1,027 1,230 1,279 1,358
NT S Student Nutritionist 0 0 109 155 186 187
Dietetics and Nutrition Total 1,068 1,108 1,136 1,385 1,465 1,545
Ofcers
HI S Student Environmental Health
Ofcers
2,012 2,003 1,799 1,962 2,047 2,178
Environmental Health Ofcers Total 2,012 2,003 1,799 1,962 2,047 2,178
Emergency Care ANTS Student Paramedics 269 362 451 549 557 519
ECPS Student Emergency Care
Practitioner
0 39 96 141 240 391
ECTS Student Emergency Care
Technician
0 335 252 416 682 648
Emergency Care Total 269 736 799 1,106 1,479 1,558
Medical And Dental
Professions Board
CA S Student Clinical Associates 0 55 77 207 325 394
DP S Student Dentists 1,337 1,323 1,258 1,380 1,298 1,319
GC S/
GR S
Student Genetic Counsellors 11 11 10 10 10 11
IN S Student Interns 948 830 612 973 922 1,157
MP S Medical Students 7,042 7,026 7,641 8,838 9,408 10,009
MS S/
MW S
Student Medical Scientists 311 270 254 365 461 531
PH S Student Medical Physicist 43 38 35 35 37 44
VS Visiting Students 2,106 2,654 79 579 1,312 825
Medical And Dental Professions Board Total 11,798 12,207 9,966 12,387 13,773 14,290
Medical Technology GT S Student Medical Technicians 1,533 1,655 1,810 2,297 2,449 2,374
LA S Student Laboratory Assistant 0 183 421 538 643 656
MT S Student Medical Technologists 2,462 2,556 2,925 3,367 3,624 3,734
Medical Technology Total 3,995 4,394 5,156 6,202 6,716 6,764
Occupational
Therapy And Medical
Orthotics/Prosthetics
AOSS Student Asst Med Orth Prost &
Leatherworkers
1 0 0 0 0 0
AT S Art Therapy Student (Deleted) 2 1 1 1 1 7
OS S Student Medical Orthotists And
Prosthetists
160 143 100 124 133 134
OT S Student Occupational Therapists 1,451 1,525 1,498 1,735 1,829 1,936
OTBS Student Occupational Therapy
Assistant
62 54 54 85 73 74
OTES Art Therapy Students 8 13 11 21 21 21
Occupational Therapy And Medical Orthotics/Prosthetics Total 1,684 1,736 1,664 1,966 2,057 2,172
Optometry And
Dispensing Opticians
OD S Student Dispensing Opticians 207 245 256 294 318 348
OP S Student Optometrists 967 836 721 793 738 853
Optometry And Dispensing Opticians Total 1,174 1,081 977 1,087 1,056 1,201
And Biokinetics
BK S Student Biokineticists 399 364 344 475 481 531
CH S Student Podiatrists 119 152 177 205 193 267
PT S Student Physiotherapists 1,651 1,651 1,571 1,873 1,980 2,054
PTAS Student Physiotherapy Assistants 3 3 2 2 2 2
Physiotherapy, Podiatry And Biokinetics Total 2,172 2,170 2,094 2,555 2,656 2,854
Psychology PS S Student Psychologists 790 673 583 867 928 992
Psychology Total 790 673 583 867 928 992
2013 ANNUAL REPORT
21
SECTION THREE
Radiography And
Clinical Technology
DR S Student Radiographers 1,355 1,506 1,346 1,561 1,695 1,907
EE S Student Electro-Encephalograph-
ic Technicians
17 24 26 36 40 46
KT S Student Clinical Technologists 465 433 400 467 493 525
RLTS Student Radiation Technologists 9 8 6 6 6 6
SDRS Student Supplementary Diagnos-
tic Radiographers
102 102 93 93 93 93
Radiography And Clinical Technology Total 1,948 2,073 1,871 2,163 2,327 2,577
Speech, Language And
Hearing Professions
AU S Student Audiologists 78 94 144 224 293 349
GAKS Student Hearing Aid Acousti-
cians
8 10 10 17 20 26
ST S Student Speech Therapists And
Audiologists
248 277 326 386 483 553
STAS Student Speech Therapists And
Audiologists
484 480 389 392 360 371
Speech, Language And Hearing Professions Total 818 861 869 1,019 1,156 1,299
Grand Total 28,837 30,319 28,331 34,356 37,484 39,616
22
Growth statistics of other services rendered/
certicates issued during the three years period
1 April 2010 to 31 March 2013
Services rendered April
2010
March
2011
April
2011-
March
2012
April 2012
March 2013
Issued Certicate Of Status 1401 3162 3894
Issued Certied Extract 1101 1605 1667
Issued Intern Duty Certicate 99 679 689
Verication of Credentials 264 526 1389
Grand Total 2874 5972 7639
Non-Compliant applications 2010
/2011
2011
/2012
2012
/2013
8632 9079 9237
Challenges experienced by the registration division emanate from non-
compliant applications for registration/restoration that are received
from health practitioners who do not respond to correspondence
regarding their a non-compliant applications.
All information of scanned and stored les is being sent
to the Records Division in DVD format. The offsite storage
company has also provided the Records Supervisor with a
Datastor system. This is less time-consuming as it enables
the supervisor to do a direct search for a le without going
through each DVD. Councils space problem makes it
impossible to scan documents.
This therefore, places more pressure on the Records Division
to keep additional manual records of information it receives.
During the review period, ofcials in the Records Division
handled and nalised a total of 14 474 requests for
change of addresses and contact details from practitioners.
Records
The Records Division reported that it was progressing well with
the back scanning of all practitioners hard copy les. By the end
of March 2013, it still needed to do quality assurance on the
registers of Diagnostic Radiography and Medical Practitioners.
Should anyone require a le for information, the
offsite storage company provides electronic copies of
the le provided it has already scanned and stored.
In cases where les have not yet been scanned, the hard copy le is
retrieved and sent to Council for perusal.
2013 ANNUAL REPORT
23
SECTION THREE
FINANCIAL SERVICES
The role of the Financial Services Department is to ensure
that Council maintains satisfactory accounting records,
and that Annual Financial Statements and any other
related information are prepared and audited on an
annual basis, as well as maintaining a proper system of
internal controls, which will provide reasonable assurance
regarding the achievements of Council objectives.
overview
The year under review was not easy. The system challenges
that plagued the activities of Council in previous years
remained an issue. The nancial system is congured for
cash-based accounting. The accounting policy for revenue
recognition was also on a cash basis and not accrual basis
as required by accounting standards. The accounting basis
was amended to the accrual basis in line with accounting
standards. In order to comply with accounting standards,
signicant adjustments had to be made based on a number
of assumptions and an analysis of the general ledger.
These adjustments were material and had an impact on the
audit opinion. Not making these adjustments would also
have had an impact on the audit opinion with regard to
compliance with accounting standards.
Audit opinion
The audit opinion expressed is qualied on opening
balances, completeness of revenue and related VAT, trade
receivables and the leave provision. All these matters with
the exception of the leave provision, relates to the revenue
and receipt cycle. Without exception, these matters relate
to the setup and conguration of the supporting system.
Financial Results
Revenue for the year was R170.4 million (2012: R147.7
million) and the net surplus was R24.6 million
(2012: R29.1 million, restated from R38.7 million). The
cash position of the Council is sound with R 310.2 million,
(2012: R262.1 million) in cash, and cash equivalents on
hand at the end of the nancial year.
Systems and Controls
The nature of the system issues is of such magnitude that
there are only two options and these are:
1. Reimplementation of the current system with specications
that are compliant with accounting standards, and meet
managements information requirements.
2. Implementing a less complex system that complies with
all Councils needs with a lower total cost ownership.
Increase in Annual Fees
As a statutory body, the HPCSA is not subsidised by
government, and to meet its mandate of protecting the
public and guiding the professions, it is reliant on fees and
nes paid by practitioners. For the year 2012/2013,
the Councils annual fee increases were limited to ination
with a few exceptions, where it was even less. Annual fee
increases are based on the strategic objectives of Council
for each particular year, of which administration expenses
are based on a percentage allocation per Board.
Percentage allocation is based on the income generated
per Board, which is informed by the number of practitioners
and the amount they are paying per Board. Annual fees
are used to cover the costs of administering the professions
under the ambit of Council in terms of registration,
maintaining standards of education and training, as well
as ensuring fair standards of professional practice.
Conclusion
The challenges are serious and will not be easy to overcome
due to their nature and complexity. Management is
committed to make the difcult and fundamental changes
required to enable Council to fulll its mandate.
Mr. Gert Theron
Chief Financial Ofcer
24
HUMAn RESoURCES AnD LABoUR RELATionS
overview
The Human Resource Departments overall strategic
objective is to attract, retain and develop its human
resources to continuously improve and contribute to
organisational efficiency and effectiveness, thereby
supporting the HPCSAs capacity to deliver world-
class service.
During the period under review and with the guidance
of its Registrar, the HPCSA conducted among others,
an assessment of its organisational reconstruction and
salary restructuring processes.
Staff Profile
A prole of the total workforce as at 31 March 2013
is summarised below in terms of race; gender; and
job level.
Mr. Mertz Aucamp
Senior Manager
Occupational Levels
Male Female
Foreign
Nationals
Total
African Coloured Indian White African Coloured Indian White Male Female
Top management 1 0 1 1 1 0 0 0 4
Senior management 3 0 0 1 0 0 0 2 6
Professionally qualied and
experienced specialists and
mid-management
9 0 1 2 3 1 0 3 19
Skilled technical and
academically qualied
workers, junior management,
supervisors, foremen and
superintendents
21 2 0 0 21 2 3 6 55
Semi-skilled and discretionary
decision making
27 4 3 0 61 10 3 9 117
Unskilled and dened
decision making
3 0 0 0 2 0 0 0 5
TOTAL PERMANENT 64 6 5 4 88 13 6 20 206
Temporary employees 0 0 0 0 0 0 0 0
GRAND TOTAL 64 6 5 4 88 13 6 20 206
Two employees are disabled; one male African and one white female.
2013 ANNUAL REPORT
25
SECTION THREE
Recruitment
nUMBER oF vACAnT PoSiTionS FRoM APRiL
2012 TO MARCH 2013
Filled Work in
Progress
Total
Vacancies 43 12 55
External
Appointments
Internal - Promotions Total
33 10 43
African Indian Coloured White Total
37 2 3 1 43
Male Female Total
22 21 43
Training and Development
In compliance with the mandate of the Skills
Development Act 97 of 1998, the Workplace
Skills Plan and Implementation Report (WSPIR) was
submitted before the due date of 30 June 2012.
80% of the staff received training at the cost of
R771 027.26, from the budget totalling
R 900 000.00
Bursaries were offered to 28 employees to
the mutual benet of both the HPCSA and the
individual, through self-development and service to
the organisation.
Labour Relations
Summary of the Labour Relations matters for the period
under review.
MISCONDUCTS
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20 2 10 0 1 3
(1 pending)
Grievances
12 Grievances were lodged. Six have been nalised
and six are still pending.
Bargaining Forum
The Bargaining Forum was established as a result
of the Recognition Agreement signed between
organised labour (NEHAWU) and the HPCSA.
The constitution of the Bargaining Forum was
approved and implemented.
15 meetings of the Bargaining Forum were held to
discuss matters of mutual interest.
Leave and Personnel Records Management
With the introduction and adoption of the Oracle
computer business system by the HPCSA, the
effectiveness and efficiency of the human resource
practices was expected to improve, including the
capturing, storing, manipulation and retrieval of
data. Challenges relating to the configuration of the
system contributed to poor management of leave
and employee personal records. As a result of the
afore-mentioned challenges relating to the leave
and employee records management, we resorted
to manual management of leave and employee
records. The consequence of this manual approach,
with its human errors, was a contribution to the
receipt of a qualified audit report for the period
under review.
Pension and Provident Fund
As a strategy to reduce costs related to a stand-
alone administration of the HPCSA Pension and
Provident Fund, the Trustee Board members resolved
to move the funds to an umbrella administration so
as to share costs with other smaller funds.
Apportionment of surplus pension funds to members
is a work-in-progress.
HR PROJECTS
In line with our policy to compensate our employees
market related salaries, we embarked on the
benchmarking process to compare our employees
salaries with other related organisations. This process
was in progress at the time of reporting.
The HPCSA also initiated an Organisation Design
process to align its organisational structures with
its mandate. The process was in progress at the
time of reporting.
26
INFORMATION TECHNOLOGY
The Information Technology (IT) Department is a support
arm and business enabler of the HPCSA. It focuses its
efforts on improving the Councils IT infrastructure to
make sure it is on par with latest technology trends
and is always operational to meet its mandate and
business needs.
Achievements and Highlights
During the review period, the IT Department noted the
following highlights and achievements:
network infrastructure Upgrades and installations:
Upgrading of the core network switch;
Installation of network cables in the Mail room and
Road Accident Fund ofces to provide new staff with
network access in line with the Councils expansion;
Implementation of a wireless network in both Council
buildings to improve accessibility to information;
Replacement of the old 7912 Cisco Phones with
the 7942 Cisco IP Phones to improve the telephony
infrastructure and provide for organisational growth;
Upgrading of all the Councils old PC operating
systems to the Windows 7 operating system.
Replacement of older computers that was not
compatible with the new software, with new
computers.
Server upgrades
The IT Department upgraded the Councils SQL
server to a new operating system and software to
cater for new telephony data requirements and as
part of the Phase 1 Intranet development.
To address the problem of space challenges on
the Councils file server, the Department procured
a new server with a file storage capacity of seven
terabytes (7 TB), and installed it with the latest
operating system.
The Department encountered numerous
challenges resulting in domain user accounts
being locked out. This occurred because the
domain server was no longer reliable as it was
running on an old operating system. The officials
in the IT department solved this by upgrading the
operation system and reconfiguring the whole
organisations domain user accounts.
In addition, it has upgraded its backup to the
latest server operating system to ensure that
business systems are kept up to date.
oracle Support
The IT Department enhanced the Oracle ERS and
ensured its continuous use within the HPCSA.
The following was achieved utilising the system:
Successfully running debit orders; erasures, and
receipt write-offs;
Developing and deploying more nance reports
on the nance module; and
Adding three new registers on the system.
Developments
During the period under review, the IT Department
successfully developed the exam results system.
Mr. Stanford Mphahlele
Acting Senior Manager
2013 ANNUAL REPORT
27
SECTION THREE
Challenges
Oracle Enterprise Resource System (ERS)
Storage limitations
One of Councils requirements with the
implementation of the ERS system was to go green
by reducing paper usage across the organisation.
With this in mind, the IT Department implemented
a document management system to scan all
practitioners information-storing electronic les
instead of having to keep les and make copies
of all its clients. This introduced a new challenge,
namely, storing and archiving all practitioners
les and profession-related information on the
HPCSA server. In the new nancial year, IT will be
upgrading storage on its servers.
Backup facilities
Support
During the review period, the IT department made
sure that the ERS was running without support from
Oracle or any consultancy house.
Capacity
The HPCSAs IT department needs to be capacitated
in order to meet the Councils growth strategy.
CALCULATED FINANCIAL VALUE OF IT
ConTRiBUTion (DiRECT AnD inDiRECT
ConTRiBUTion)
IT Item Total Saving
Savings for not using Consultants on ERS R1 Million
Sales Registers Generated R101 527.11
Total R1,101,527.11

28
Adv. Tshepo Boikanyo
General Manager
Dr. Abdul Barday
Ombudsman
LEGAL SERviCES AnD oMBUDSMAn
The role of the Legal Services Department is to
effectively implement a system for investigation
and prosecution of complaints, to provide legal
services to Council, the Boards and Administration
and to enforce compliance with ethical rules and
applicable legislation.
overview
A total of 2 997 complaints were received during the
period under review. Of these, 403 were referred to
the ofce of the Ombudsman and 117 opened as
Police les (unregistered people).
The number of complaints received in the previous
nancial year was 2 687, which constituted an increase
of 310 cases.
2010/2011 2011/2012 2012/2013
2 903 2 687 2 997
Preliminary investigations
The Committees of Preliminary Inquiry held 28 meetings
at which 1 827 matters were considered. 734 cases
were nalised. There were 201 ndings of Guilt
in terms of Regulations 4(9), while 199 cases were
referred to the Professional Conduct Committee. 693
matters were deferred for further investigations.
The breakdown of matters considered by the
Committee of Preliminary Inquiry is as follows:
Board No. of
Meetings
No.
Cases
2012/
2013
No.
Cases
2011/
2012
Medical and Dental 13 1 548 1 432
Emergency Care 01 17 17
Dietetics and Nutrition 01 06 06
Psychology 03 65 127
and Biokinetics
03 72 36
Dental Therapy and Oral
Hygiene
01 45 -
Speech Language and
Hearing
- - -
2013 ANNUAL REPORT
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SECTION THREE
Medical Technology - - -
Environmental Health 01 20 -
Radiography and Clinical
Technology
02 21 05
Occupational Therapy,
Medical Orthotics/
Prosthetics and Arts
Therapy
01 14 21
Optometry and Dispensing
Opticians
02 50 52
Professional Conduct
A total of 248 cases were nalised by the Legal
Advisors. There are 338 matters outstanding, of which
51 are backlog matters.
MATTERS FINALISED AT INQUIRY, ADMISSION
oF GUiLT FinE oR PRELiM PER BoARD : 1 APRiL
2012 TO 31 MARCH 2013
Board Totals
Medical and Dental 184
Dental Therapy and Oral Hygiene 04
Dietetics 01
Medical Technology 0
Occupational Therapy, Medical Orthotics and
Prosthetics
02
Optometry and Dispensing Opticians 22
Physiotherapy, Podiatry and Biokinetics 07
Psychology 20
Speech, Language and Hearing 1
Emergency Care 1
Radiography and Clinical Technology 6
Environmental Health 0
TOTALS 248
The penalties imposed were as follows:
Verdict No. of
Matters
2010/
2011
No. of
Matters
2011/
2012
No. of
Matters
2012/
2013
Erasures 6 3 2
Suspensions 27 18 64
Admission of guilt nes
and noted at Prelim
28 60 134
Fines 67 81 12
Caution and Reprimand 14 9 20
Postponed/Defence
objections upheld
3 1 1
Acquittals 30 15 15
TOTAL 172 189 248
A total amount of R1 001 500.00 was collected in
penalties. There were 15 acquittals for the period.
Road Accident Fund
A total of 22 Appeal Tribunal meetings were held, 466
matters were dealt with and 377 cases were nalised.
office of the ombudsman
The Ombudsmans Ofce addresses among others,
complaints of miscommunication against Health
Practitioners and determines its nature and validity in
terms of the Health Professions Act, Act 56 of 1974.
We render a service of mediation and endeavour to
resolve matters amicably if possible.
This Ofce has been in force for the last eight years. A
total of 496 matters relating to miscommunication and
tariff charges were formally referred to the Ombudsmans
Ofce in the last year, which excludes telephonic
complaints resolved by the Ombudsman on a daily basis.
Matters concerning tariff charges relates to practitioners
charging more than the medical aid or reference price
list (RPL) rates. More than 90% of complaints lodged are
against Medical Practitioners (Doctors and Dentists).
Other complaints dealt with by the Ombudsman include
bad attitudes and rudeness displayed in providing medical
care, suspicious medical certicates, poor communication,
practitioners refusing to provide patients with medical and
MMF1 forms, unprofessionalism between colleagues and
complaints against Pathologists. Many complaints are
sorted out informally on a daily basis, which prevents a
formal complaint being laid. These informal cases may
amount to more than formal cases referred to the Ofce.
CoMPLAinTS RECEivED By THE oMBUDSMAn oFFiCE
Category 2010 /
2011
2011 /
2012
2012 /
2013
Fees / Accounts 184 246 233
Medical Reports 41 56 44
RAF forms 9 5 16
Bad Attitude 29 54 59
Suspicious Med Certicates 6 12 17
Bad Communication 35 50 71
Non-response from Practitioners 40 39 36
TOTAL 343 462 496
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PUBLiC RELATionS AnD SERviCE DELivERy
The Public Relations and Service Delivery Department
is committed to enhancing the image of Council
through proactive reputation management, a change
in mindset driving service delivery excellence, and
communication initiatives that support the strategic
objectives of the organisation.
overview
The Department enjoyed an eventful year in terms of
elevating the profile of the HPCSA externally and in
developing structures and mechanisms that will see
the HPCSA becoming more customer conscious and
service delivery-orientated in future.
Engagement with stakeholders
A second radio awareness campaign to educate the
public on their rights and responsibilities as patients,
as well as information on how to lodge a complaint
against a practitioner, should their rights have been
breached, was aired on 11 radio stations around the
country, reaching 5 835 000 of SAs adult population.
To further increase stakeholder engagement, the
Council launched its first ever practitioner road
shows, with six events in four provinces reaching
over 3 400 healthcare practitioners.
The road shows sought to guide practitioners on
ethics, medical law, undesirable business practices
and the role of the HPCSA in guiding practitioners.
These road shows were bolstered by the twelve
Professional Boards practitioner engagement
events across the country, as well as student road
shows reaching 962 healthcare students at eight
tertiary training institutions. The new publication
of the Guidelines for Good Practice in Healthcare
Professions was positively received by practitioners,
and a number of reprints were necessary to deal with
the overwhelming demand. A new electronic newsletter
distributed to over 90 000 Healthcare Practitioners on
a monthly basis was added to the Councils stable
of communications, which includes Board newsletters
and an annual Bulletin magazine. A survey conducted
revealed an increase in the perception of the Council
as a guiding regulator, improved customer centricity,
and improved practitioner communication across
multiple platforms, with 90% of audit respondents
nding the new monthly newsletter informative.
Focus on Customer Service
In an endeavor to improve the organisations
customer centricity and ensure a high standard of
service delivery throughout the HPCSA, a number
of key projects were undertaken during the year.
Customer Service training was attended by 41%
of staff.
A peak period annual fee project was
implemented, which included earlier annual
fee notification to practitioners from December,
notification via post, email and sms, as well as
the Client Call Centre printing practising cards.
This project reduced the last-minute rush to pay
annual fees by 1 April and ensured Administration
was able to manage customer queries over the
months more effectively.
A data cleanup campaign was initiated to
verify contact details for the Councils 180 000
practitioners. Notifications were sent in all HPCSA
correspondences, a mailer to all associations was
undertaken, and the Call Centre contact pattern
Ms. Bertha Peters-Scheepers
Senior Manager
2013 ANNUAL REPORT
31
SECTION THREE
was amended to ensure verification of contact
details on all calls to the HPCSA.
A customer service officer continued to deal with
escalated service delivery complaints totalling
6176 during the year.
The HPCSA website remained an excellent
source of information during 2012/3.
The installation of Google analytics provided
valuable information on website user numbers
and their browsing preferences. Consequently
daily website updates and online newsfeeds as
well as Board-specific information contributed to
a user-friendly experience.
The Client Call Centre is a critical contact
point for HPCSA clients. Our research indicates
that clients are increasingly making use of this
service, either via telephone or email. Some
142 464 calls were received for the 2012/13
period, while 26 784 Info emails were received.
Daily coaching sessions with agents, weekly
knowledge training and assessments, as well as
quality assurance on calls have contributed to a
knowledgeable service offering.
Proactive reputational management
Positioning the Councils brand and reputational
management were the core focus for media
initiatives, which utilised print, radio and electronic
mediums as well as targeting community media to
generate R73,570 069.04 worth of Advertising
Value Equivalent (AVE). For the period in review, 18
media releases were issued, 859 radio interviews
were conducted, 1847 print articles appeared,
130 community media interviews were conducted
and 780 electronic media inserts on HPCSA news
were publicised.
Two press briefings were held during the year,
including the continuation of the high-profile Dr
Wouter Basson inquiry and the Medical and Dental
Professions Boards announcement of its intention
to determine new guidelines tariffs for medical and
dental services.
Media coverage ranged from reminding practitioners
about their ethical responsibility to treat patients in
an emergency situation, to clarifying the facts after
some controversial comments regarding the high-
protein low-carbohydrates debate. It also included
the Council clarifying a ruling by the Competition
Commission on various aspects, including
advertising, marketing and touting that directly
impacts on practitioners and the daily running of
their practices.
In addition, the final call for registration of Family
Medicine Physicians under the Grandfather clause
and the registration of Student Dental Assistants were
also published widely, so too, the celebration of
World Oral Health and the importance thereof. The
impact of Designated Service Provider and Preferred
Provider Network contracts was also publicised,
including the Councils concern over the potential
exploitation Healthcare Practitioners could face by
entering into these agreements.
In addition, the media release on the required
unbundling of corporate structures have non-
registered practitioners involved in the ownership
of healthcare practices was a talking point in
the trade media. Some healthcare practices had
to unbundle their corporate structures to ensure
compliance with legislation.
32
PRoFESSionAL BoARDS
The main function of the HPCSAs Professional Boards
Department is to provide administrative support to
the 12 Professional Boards under the auspices of the
HPCSA that regulate the professions which fall within
the ambit of the specic Boards.
The overall strategic objectives of Professional Boards
for the review period were to:
Educate all members, committees and staff of
Professional Boards on their roles, responsibilities
and expectations;
Raise awareness of the roles and responsibilities
of the HPCSA with the public and professionals;
Promote dialogue and align strategies with
national imperatives, the public and professionals;
Formulate HPCSA submissions on all new health-
related initiatives;
Enhance effective internal/external mechanisms
of communication;
Ensure up-to-date policies, guidelines and
regulations in line with applicable legislative
mandates and national health initiatives;
Ensure minimum educational standards of the
professions under the ambit of the Professional
Boards;
Ensure ongoing professional competence.
Boards primarily use meetings including stakeholder
engagements, for the execution of their functions and
in compliance with their mandate to protect the public
and guide the professions.
A total of 191 planned and extra-ordinary meetings
and 32 workshops were held during the reporting
year. This was to ensure that the education and
training standards of the professions under the ambit
of the Professional Boards were aligned with the
changing education environment and legislation
and international best practices to safeguard the
registration of safe and competent health practitioners.
In the past year, Boards were faced with a need
to respond to some major developments that took
place in higher education and healthcare delivery
platforms. In this regard, it is noteworthy to mention
the publication of the Higher Education Qualication
Sub-Framework and the needs of South Africa for
the increased production of health professionals.
The Boards evaluate and accredit education and
training institutions to ensure that they meet the minimum
education and training standards, as determined by
the Boards for the registration of competent, safe and
ethical Health Practitioners.
During the review period, the Boards were responsible
for the evaluation and accreditation of 56 education
and training providers as well as 83 clinical training
and professional practice facilities.
Over 2 150 applicants sat for the examination during
the reporting period, of which the Boards organised a
total of 32 examination sessions.
Approximately 452 candidates were foreign qualied
health professionals, while around 1 699 were graduates
from South African providers.
Dr. Bheki Mbele
General Manager
2013 ANNUAL REPORT
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SECTION THREE
Scopes of Practices
The scopes of practice outline professional acts that
health practitioners are permitted to perform, based
on the competencies they acquired through education
and training.
The following Boards reviewed their scopes of practice:
Professional Board for Dental Therapy and Oral Hygiene;
Professional Board for Occupational Therapy, Orthotics
and Prosthetics and Arts Therapy;
Professional Board for Psychology; and;
Professional Board for Physiotherapy, Podiatry
and Biokinetics.
Processes to develop new scopes of practice for
Clinical Associates and Environmental Health
Assistants are also underway.
Raise awareness of the roles and responsibilities of the
HPCSA with the public and professionals
The Professional Boards Department was part of the
team that took part in road shows to raise awareness
of the roles and responsibilities of the HPCSA with
professionals. A total of 3 400 professionals attended
the road shows and 1 737 visited the professional
stalls to learn more about the roles of their Boards.
34
SUPPORT SERVICES
During 2012/2013, the Departments efforts were
guided by the following key strategic objectives:
To provide a facilities management system by way of
maintaining Councils assets and ensuring the upkeep
of buildings;
To efciently manage the internal and external mail
service; and
To reproduce the bulk of Councils documents,
including agendas and minutes for all committees and
subcommittees, as well as for the Professional Boards.
overview
Apart from managing its key objectives, the Department
continued its supportive role to other services.
These included co-ordinating the venue and tea
services, rendering stationery supplies and providing
administrative support to the Tender Committee.
During this period, Council resolved to increase
membership of the Tender Committee from three to
five members, with one member having to be an
external person with expertise in the field.
The Committee subsequently appointed two new
members, namely one HPCSA member and one
external member.
Appointment of new Service Providers
During the period under review, the HPCSA Tender
Committee held three meetings relating to services
required for the Finance, Legal and Support Services
Departments. The Tender Committee published and
adjudicated invitations for the following services:
External audit services
Internal audit services
Professional legal services
Upgrade of surveillance systems
Transcription services
Venues
Security services
The contracts of several service providers are due
to end during the year and Council will exercise its
option to either terminate or extend their contract
periods for an additional year.
Upgrading
During the period under review, the Support Services
Department managed to complete several maintenance
projects. Some of the areas requiring revamp during
this period were the:
Much-needed installation of recording and audio
systems in the Council chamber as well as the
replacement and upgrade of the system in the
Metroden board room, where the HPCSA holds
most of its disciplinary hearings. (The Metroden
equipment had not been upgraded since the
building was purchased in April 2003);
Installation of an automated sliding door at the
main entrance;
Revamping of the CEOs office, which was last
renovated in 2005.
The Metrodenpark flat (vacated by tenant) was
renovated to accommodate additional staff
members;
Mrs. Olivia Fisher
Support Services Ofcer
Revamp of one of the oors in the main building,
which included painting and re-carpeting;
Upgrading of the Mail ofce to streamline functions
and make provision for additional staff by tting it
with smaller work stations.
other Key activities and achievements
Since the HPCSA could face the challenge of a
space needs shortage as a growing organization, the
Department made a proposal to Council to secure the
erf adjoining Metroden by purchasing the property.
The proposal was made with a view to Councils
future expansion and to plan such development at a
pace acceptable to its nancial capability. When the
property was placed on auction in 2009, the Council
approved its purchase to facilitate further growth.
One of the major highlights of the year was when Council
approved the recommendation by the HPCSA Property
Committee (established in December 2012), to proceed
with the development of the purchased property.
This entailed consolidating it with the existing HPCSA
building as well as revamping the present buildingS to
accommodate the need for more ofce space. Council
agreed that since the existing HPCSA buildings were
well built with an attractive design, it would be
benecial to connect the buildings by an overhead
pedestrian link bridge.
This would establish the HPCSA complex as a Pretoria
landmark and with its proximity to the Union Buildings,
enhance its status as a prestigious location.
Focus for the next financial year
Due to the HPCSAs continually growing staff
complement and the increase in practitioner registers,
it currently remains challenged by a shortage of ofce
space for staff and clients, especially during peak
periods. It maintains the buildings in good condition
as an interim measure and converts ofces into open
ofce plan areas where possible.
To date, provisional approval has been given to
Councils application to rezone and consolidate the
two properties.
In the coming year, the department will focus on the
following important issues:
Applying for rights for the overhead link bridge;
Calling for proposals for a project manager to
define spatial planning requirements for the new
building.
2013 ANNUAL REPORT
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SECTION THREE
36
2013 ANNUAL REPORT
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2013 ANNUAL REPORT
38
SECTion FoUR: PRoFESSionAL BoARDS ovERviEw
STRATEGiC oBJECTivES
At its strategic planning session the Board reviewed
its strategic objectives for alignment with those of
the HPCSA. The Board did this while mindful of its
primary mandate to protect the public and guide the
profession.
After a highly successful meeting, the Board, assisted
by a facilitator, was able to measure the extent to
which it had achieved its set goals over the past year.
The Board expressed its pleasure at being able to
meet many of its goals while still working within the
framework of the strategic objectives.
The Board reviewed its strategic plan, aligning it with
national imperatives and new developments within
the education environment. Stakeholder participation
in policy issues as well as matters of education and
training, was a key focus area of the Boards strategic
planning session.
This was particularly relevant to encourage the
implementation of the revised qualication for Dental
Therapy, Oral Hygiene and Dental Assisting at all
Universities and Universities of Technology.
The aim of the revised qualication is to address the
human resource shortfall in the dental fraternity in order
to relieve South Africas disease burden, as reported
in the National Health Insurance (NHI) policy and the
National Human Resources Strategy for Health (HRH).
The Board also compiled a risk management plan in
order to identify and manage risks.
OVERVIEW
With the Board experiencing a busy and eventful past
year, it was pleasing to note that the energy of its
newly appointed members was denitely benecial in
dealing with its work overload. The Board focused
primarily on orientating and aligning activities with its
strategic objectives. Since matters around education,
training and policy development are pivotal to the
Boards functioning, it was the Boards key focus area
during the past year.
Stakeholder Meetings
The Board held meetings regarding education, training
and policy development with the following stakeholders:
South African Committee of Health Sciences Deans
(SACOHSD): 5 March 2013
The Board met with SACOHSD to discuss the
implementation of the revised Dental Therapy
programme, increase of student intakes in the
Dental Therapy, Oral Hygiene and Dental Assisting
Programmes as well as the implementation of
education and training programmes for Dental
Therapists by Universities not currently offering the
programme.
SACOHSD stated that it acknowledged the role of
Dental Therapists and Oral Hygienists in the oral
healthcare teams. It strongly recommended frank
collaboration and consultation with all stakeholders
to develop a National Strategy on oral and dental
health provision and the associated education,
training and research.
SACOHSD undertook to request universities
to consider increasing the numbers of students
trained, and to encourage all universities to set up
training programmes.
The Board determined that the teach-out date for
the old Dental Therapy programme would be the
end of 2019.
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2013 ANNUAL REPORT
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SECTION FOUR
Ms. Vidyah Amrit
Chairperson
SECTION FOUR 2013 ANNUAL REPORT
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South African Technology Network (SATN):
12 February 2013
The Board met with representatives of the South
African Technology Network (SATN) to discuss the
increase of student intakes in the Dental Assisting
programmes.
The parties also discussed the possible
implementation of education and training
programmes for Dental Therapists and Oral
Hygienists by the Universities of Technology.
The aim of this initiative is to address the oral
health needs of the South African public and
to comply with the National Human Resources
Strategy for Health regarding the number of
professionals required in the oral health fraternity
and in relation to the NHI.
Office of the Minister of Health
The Board tabled the following issues for discussion in
a position paper:
Human resources requirements for South Africa
relating to Dental Therapy, Oral Hygiene and
Dental Assisting;
The limited number of students trained in Dental
Therapy, Oral Hygiene and Dental Assisting
programmes at universities;
Provision of funds to ll vacant provincial posts and
inadequate allocation of posts in some provinces.
Presentations
During the review period, the Board participated in a
Stakeholder meeting for Dental Assistants in Gauteng;
a Stakeholder meeting for Registered Practitioners
in Port Elizabeth and the Cape Dental Show (May
2012), attended by Dentists, Dental Therapists,
Oral Hygienists and Dental Assistants where the
Chairperson of the Board presented.
Regulations
The Minister of Health published regulations relating
to the registration of independent practice by Oral
Hygienists in the Government Gazette on 30 March
2012 for public comment for a three-month period.
The Board will consider comments received from the
National Department of Health prior to submitting the
regulations to the Minister for promulgation.
oral Hygienist vacancy Filled
The Board is pleased to report that it has appointed
Ms. Natasha Swart to ll the Oral Hygienist vacancy
on the Board.
FINANCIAL MATTERS
The Board approved its 2013/14 budget and resolved
to increase annual fees by 3% and the registration
fee by 6% for all the professional categories under its
ambit. The annual fees are payable each year in April.
Practitioners are responsible to ensure they pay their
fees timeously to avoid suspension from the register.
The current annual fees are:
Oral Hygienists and Dental Therapists: R1 532, 00
Dental Assistants: R 638, 00
DETERMINING AND MAINTAINING STANDARDS
OF PROFESSIONAL PRACTICE AND CONDUCT
The Board views the issues around professional
conduct in a very serious light. It places a great deal
of emphasis on professional integrity and ethics,
particularly around the issues of scope of practice.
It is important for members to be aware that a large
number of cases that the Boards Committee of
Preliminary Inquiry centre deals with relates to fraudulent
practice in terms of medical aid claims as well as some
issues of practising outside the scopes of practice.
During the year, the Boards Committee of Preliminary
Inquiry had two meetings, which resulted in a
decreased case backlog that had accumulated since
the Boards inception. A total of four cases for this
Board were nalised at Inquiry level.
DETERMINING AND UPHOLDING THE STANDARDS
OF EDUCATION AND TRAINING
Setting Minimum Standards
The Board has established a Task Team to:
Review the education and training programmes
of the professions under its ambit to align this
with the Higher Education Qualifications Sub-
Framework (HEQSF) and to also provide for
articulation between programmes;
Develop post-qualification programmes;
Review and align the scopes of practice with
the revised qualifications and also review the
Boards ethical rules in line with the revised
scopes of practice;
Develop draft criteria for the accreditation of
clinical sites and guidelines for clinical practice;
Develop a draft education and training
programme to address the requirement for a mid-
level Health Worker.
ACCREDITATION OF EDUCATIONAL INSTITUTION
In line with its legislative mandate of setting
minimum standards in education and training,
and through its strategic objective of upholding
and maintaining the standard of education and
training, the Board conducts an evaluation
of the teaching programmes offered at the
Universities and Universities of Technology for
all three programmes.
It recently completed a cycle of evaluations
for Dental Assisting Programmes at the Cape
Peninsula University of Technology, Central
University of Technology, Free State, Durban
University of Technology and Tshwane University
of Technology.
KEEPING ACCURATE REGISTERS
Registration and Board Examination
The Grandfather Clause for registration of Dental
Assistants (i.e. persons with ve years or more
experience as Dental Assistants) closed on 31 August
2012 and that for Student Dental Assistants, (i.e.
persons with less than 5 years experience) on 30
September 2012.
The Dental Assisting profession has been regulated
since 2005 and HPCSA registration is a prerequisite
to work as a Dental Assistant.
Practitioners who work as Dental Assistants without
being registered as either a Student Dental Assistant
or Dental Assistant are contravening the Health
Professions Act, 1974 (Act 56 of 1974).
Practitioners are therefore, not permitted to work
as Dental Assistants without being registered as
such, unless they have proof of being registered as
students for the formal Dental Assisting programme at
an accredited education institution, or hold a valid
qualication from such an institution.
2013 ANNUAL REPORT
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SECTION FOUR
42
The Board urges Dental Assistants in possession of
the formal Dental Assisting qualication from an
accredited education institution, but not yet registered
with the HPCSA, to register immediately as they are
working illegally as Dental Assistants.
The Board also urges those currently registered as
Student Dental Assistants under the Grandfather
Clause to write the Board examination so they can
register as Dental Assistants.
The Board points out that while it still has to determine
a phase-out date of the examination, it is not an
ongoing process and individuals cannot remain
on a student register infinitely. Those that have not
availed themselves of this opportunity will have to
enrol for the formal Dental Assisting programme at
an accredited education institution when the Board
examination is phased out.
The Board is pleased with the examination process
of its third Board examination in August 2012,
reporting good exam results and positive feedback
from candidates about the examination. Of the 77
candidates that wrote the exam, 67 passed, while
there were 10 failures.
QUALITY CONTROL
The Board has to ensure and monitor quality assurance
processes of institutions that train the professionals
which fall under the ambit of the Board. The Board
has successfully revised the templates that institutions
use to submit their annual reports.
These reports include information on the number
of students at intake and exit, attrition rates, pass/
failure rates, demographics, movement into other
programmes and even the changes that occur within
accredited programmes.
This information is then presented at the Board meeting.
If necessary, templates are restructured to maximise
their value to the Board as a monitoring tool of the
accredited programme in between evaluation visits.
The Board requires that institutions provide explanations
or answers if there are major changes in trends, or if it
detects any discrepancies from one report to another
in any area reported on.
2013 ANNUAL REPORT
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STRATEGiC oBJECTivES AnD BoARD
STRUCTURES
overview and Status on Strategic objectives 2010 2015
During the period under review, the Professional
Board aligned its strategic objectives to incorporate
the strategic plans of the HPCSA and the National
Department of Health. The Board has summarised
this integration as follows:
Vision
A trustworthy, credible, transparent and accountable
Board that serves the interests of the profession and
of the public.
Mission
To protect and serve the public and guide the
profession. The above is given practical effect
through ensuring excellence of dietetics and nutrition
service delivery and thereby protecting the South
African public by:
Maintaining and enhancing quality of practice;
Safeguarding the integrity of Dietetics and
Nutrition professionals registered with the Board;
Promoting the nutritional health of all South
Africans;
Being a Board that is willing and able to be
efficient in its support and service delivery;
Communicating effectively to all stakeholders.
The Boards revised strategic plan was in line with the
following:
1. The Boards mandate in terms of the Amendment
Act;
2. The Strategic Plan of Council (2010 2015);
3. The Department of Healths (DOH) current
10-point Plan;
4. The Delivery agreement for outcome 2: A long
and healthy life for all South Africans (DOH);
5. The draft National Plan for human resources for
the health for South Africa.
Boards Strategic objectives
1. To optimise the Boards efficiency in ensuring it
fulfils its regulatory role and responsibilities;
2. To ensure standards of education, training and
professional practice of Nutritionists;
2.1. To implement the register for Nutritionists;
2.2. To develop the register for Assistant Nutritionists.
3. To ensure standards of education, training and
professional practice of Dieticians;
3.1. To perform functions of the Standards
Generating Body (SGB);
3.2. To revise the scope of the profession of Dietetics;
3.3. To investigate specialisation in Dietetics;
3.4. To enforce regulatory/ethical requirements;
3.5. To address requests for registration of members
of the SA Association for Nutritional Therapy
(SAANT).
4. To review and implement an effective
communication strategy;
5. To contribute towards an effective CPD system
and manage non-compliance;
6. To enhance the professional and ethical
practice of practitioners;
7. To address the registration of Food Service
Managers.
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SECTION FOUR
Prof. Edelweiss Wentzel-Viljoen
Chairperson
44
Appointment of Board Members
On 2 September 2011, the Minister of Health issued
a Notice of Nominations for members to be appointed
to the Professional Board (as per Government Gazette
No 697 of 2 September 2011).
Nominations for two Dieticians and one Nutritionist
were specifically invited from persons registered
in terms of the Professional Board for Dietetics and
Nutrition.
Prof. E C Swart, Mr. A Rasekhala and Ms. K Morris
were appointed to fill the Board vacancies and Prof.
A Dannhauser went on retirement and was replaced
by Prof. G Hanekom as the Higher Education of
South Africa representative.
PROMOTING THE HEALTH OF THE NATION
Communication
The Board issued its newsletter in August 2012 to
improve communication with registered professionals
and students. The newsletter covered various issues
relating to registration, regulatory requirements
for professionals (e.g. registration requirements),
payment of annual fees, voluntary erasure and
indemnity cover for practitioners.
Scope overlaps Dietetics and nutrition
The Professional Board appointed a task team to
determine the extent of overlaps in the scopes of
practice for the Dietetic and Nutrition professions.
ALiGnMEnT oF THE BoARDS STRATEGiC PRioRiTiES wiTH nDoH AnD HPCSA STRATEGiC oBJECTivES
HPCSA National Department Of Health Dietetics and Nutrition Board
I. Create an environment for
professional Boards to be
proactive, effective and
compliant
A. Provide strategic leadership and
create social compact for better
health outcomes
1. Optimise the Boards efciency to ensure it
fulls its regulatory role and responsibilities
B. Implementation of National Health
Insurance (NHI)
II. Ensure quality health
services to the public
and guidance to the
professionals
C. Improve the quality of health services 2. Ensure standards of education, training and
professional practice of Dieticians
3. Enforce regulatory/ethical requirements
4. Ensure standards of education, training and
professional practice of Nutritionists
5. Perform SGB functions
6. Enhance the professional and ethical practice
of practitioners
7. Contribute towards an effective CPD system
and management of non-compliance
D. Overhaul the healthcare system and
improve its management
III. Ensure effective, efcient,
economical and
accountable administration
IV. Ensure effective,
efficient and economical
governance in
accordance with current
best practice
E. Improve human resources planning,
development and management
8. Develop the register for Assistant Nutritionists
9. Address requests for registration
members of the SA Association for Nutritional
Therapy (SAANT)
10. Implement the register for Nutritionists
11. Revise the scope of the profession of Dietetics
12. Address the registration of Food Service
Managers
F. Revitalise physical infrastructure
G. Accelerate implementation of the HIV
and AIDS strategic plan and increase
focus on TB and other communicable
diseases
V. Optimise synergies between
Council, government and
other stakeholders through
constructive dialogue
H. Mass mobilisation for the better
health for the population
13. Review and implement an effective
communication strategy
14. Report on training research task team
community service
15. Investigate specialisation in Dietetics
I. Review drug policy
J. Strengthen research and development
2013 ANNUAL REPORT
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Following this exercise, the Board resolved to conduct a
situation analysis that is in the process of being nalised.
Meetings
The Board conducted seven meetings during the
review period:
Professional Board meetings 9 May 2012 and
25 September 2012
Education Committee meetings 26 July 2012
and 28 February 2013
Nutrition Examinations 29 and 31 January
2013
HOD, Provincial Clinical Nutrition Managers
meeting 27 February 2013
Performance Assessment Handbook
Following a recommendation from the Health
Committee, Committee of Preliminary Inquiry or
Professional Conduct Committee, the Board adapted its
Performance Assessment Guideline handbook, which
provides for the assessment of professionals. The Board
approved the revised version in September 2011.

During the review period, the Board did not conduct
any performance assessments.
DETERMINING AND UPHOLDING STANDARDS OF
EDUCATION AND TRAINING
Evaluation of Education and Training Facilities
The Board conducted evaluations on the training
offered at four institutions and found these institutions
compliant.
Examination for the registration of nutritionists
Grandfather Clause
The Board conducted an examination for four
Nutritionist candidates on 29 and 31 January 2013.
All candidates failed the examinations and due to the
cost of administering these examinations, the Board
resolved not to conduct any further examinations and
to request universities to allow compliant applicants
to write the final-year Nutrition examination.
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NEW DEVELOPMENTS
Register for Food Service Managers
Following a consultation with registered practitioners
and professional association representatives, the
Professional Board resolved there were no sufficient
grounds to approve the establishment of a register for
Food Service Managers.
FinAnCiAL AnD BUDGETARy MATTERS
Financial Statements
According to the Boards financial statements
ending March 2013, it functioned well within its
budget provision and incurred no overspending
during this period.
Approval of 2012 2013 budget and increased annual
and registration fees
Council resolved to increase the annual fees for
2012 for the registers of Dietitians and Nutritionists
by 5% as reflected below:
Abbrev Register 2012 2013
DT Dietitians R1 226.00 R1 312.00
S DT Supplementary Dietitians R1 226.00 R1 312.00
NT Nutritionists R1 226.00 R1 312.00
S NT Supplementary Nutritionists R1 226.00 R1 312.00
During the 2012/2013 reporting year, the Professional
Board for Emergency Care has tirelessly pursued the
promotion of specic strategic areas. These are the
regulation of education and training standards, professional
practice, registration compliance, stakeholder participation
and emergency care research.
In December 2012, The Executive Committee reviewed its
operational plan and aligned it with the Boards strategic
plan, taking into consideration national imperatives as they
relate to emergency care. This strengthens the focus on the
primary mandate to protect the public particularly those
made vulnerable by illness or emergencies and to guide
the Emergency Care profession.
OVERVIEW
The Boards main thrust for 2012/2013 was:
To optimise administrative efciency, monitoring and
quality assurance of education and training of the
providers that fall within the ambit of the Board;
To promote Continuing Professional Development
(CPD) compliance.
The Board and the HPCSAs Public Relations Department
held several media briengs to advise members of the
public about their rights and caution practitioners against
any criminal, unprofessional and unethical conduct.
Regarding the latter, the Board was acting on complaints
relating to inappropriate patient care, submission of
ctitious claims, practising outside the scope of practice,
taking photographs at accident scenes and distributing
them via social media, as well as strike action by
Emergency Care providers. The Board continues to
regard communication with its stakeholders as a priority.
In this regard, the HPCSAs Public Relations Department
introduced several additional communication strategies
which complemented the Boards initiatives.
These included the introduction of an e-Bulletin, Council-led
stakeholder meetings and the annual Bulletin magazine.
Stakeholder Meetings
In keeping with its plan to meet with stakeholders, the
Board met with stakeholders in the Northern Cape,
Kwa Zulu-Natal, Limpopo Province and Mpumalanga
during 2012.
In the main, the Board has had the opportunity to provide
clarity on various issues including the appointment of
members onto the Board, membership fees, registration
and CPD matters. It plans to host at least three CPD-
accredited provincial stakeholder meetings in 2013.
Based on the feedback received from the attendees,
these stakeholder meetings are proving to be extremely
benecial in improving the perceptions of the Board
and the HPCSA as a whole, providing a much-needed
platform for face-to-face engagement.
These meetings will continue to be mutually benecial
and will contribute to a better understanding of the
functions of the Board and HPCSA as well as the
realities affecting EMS operations.
DETERMINING AND MAINTAINING STANDARDS OF
PROFESSIONAL PRACTICE AND CONDUCT
Historically, the patient prole, in addition to limited access
to healthcare services led to rapid expansion of the South
African Emergency Medical Services (EMS) system and
professional practice.
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Mr. Raveen Naidoo
Chairperson
This resulted in a simultaneous adjustment to the clinical
scope of practice of EMS providers. Furthermore,
many EMS practices have been historically inherited or
adapted from the in-hospital environment.
EMS provision has since evolved from supervised
scope of practice by Medical Ofcers, to the current
hybrid system, which ranges from supervised practice
to independent practice. The Board is in the process of
ensuring that current guidelines/protocols for Emergency
Care providers are reviewed. The aim of this review is to
ensure that protocols for Emergency Care Providers are
patient centred, evidence based and relevant in terms of
the South African context.
1. In terms of Section 16 of the Health Professions Act,
1974 (Act 56 of 1974), no person, educational
institution or training facility, may offer or provide any
education or training having as its object to qualify
any person for the practising of any health profession
to which the provisions of the Act apply...unless such
training has been accredited by the Professional
Board concerned as being appropriate education
and training for such purposes.
2. During 2012, The Board acted on complaints
lodged against practitioners and training providers
by conducting several inspections countrywide.
It managed with urgency, matters relating to
unapproved training and several illegal providers
including an EMS provider posing and practising
as a Medical Practitioner. Furthermore, the Board
conducted several scheduled re-inspection visits to
various education and training providers across
the country.
3. A signicant challenge that persists, is the existing
and onerous consideration of all applications for
accreditation of training programmes that fall outside
the Higher Education Qualication Sub-Framework
(HEQSF).
4. In terms of the Higher Education Act, 1997 (Act
101 of 1997), it is a legislative requirement for all
education and training providers to be registered with
the Department of Higher Education and Training,
failing which, is a contravention of the Act.
5. The Boards painstaking endeavours to professionalise
are predicated on the prerequisite alignment of training
programmes to the Higher Education Qualication
Sub-Framework (HEQSF). To this end, there is ongoing
engagement with the National Department of Health,
the Department of Higher Education and Training as
well as education and training providers.
6. The Board is committed to the re-alignment of emergency
care education and training to the revised HEQSF
approved by the Minister of Higher Education and
Training in December 2012 and the resultant closure
of the applicable registers. The regulations relating to
the closure of registers will be implemented once the
Minister of Health promulgates the relevant regulations.
7. The most pertinent change in the revised HEQSF is
the provision of a two-year; 240- credit Diploma
qualication (NQF level 6). As a result of this, the
Board will align the Emergency Care Technician
(ECT) programme accordingly.
8. Continuing Professional Development (CPD) compliance
audits conducted during 2012 revealed, yet again,
low compliance especially among Basic Ambulance
Assistants. The Board will continue to encourage
compliance and to promote more accessible, affordable
opportunities for CPD by accredited education and
training providers. Furthermore, the Board will provide
CPD-accredited events from 2013 onwards.
For the period in review, 67 332 Emergency Care
Practitioners were on the register. The Board remains
concerned with the high number of erasures mainly
due to the non-payment of annual registration fees.
This applies especially to the BAA category, where
there were more than 5 750 erasures in 2012 alone.
Of equal concern, is that South Emergency Medical
Services currently employs approximately 16 000
Emergency Care providers, a gure that includes the
private sector and one that is not expected to expand
beyond 20 000 according to the Human Resources
for Health 2030 Plan. Clearly there is a massive
oversupply of Emergency Care providers available
within the country. Regardless of all the challenges
faced, the Board will strive with earnest to ensure
that the Emergency Care profession is responsive and
aligned with the current legislation and other national
imperatives within South Africa.
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2013 ANNUAL REPORT
49
SECTION FOUR
GoALS AnD STRATEGiC oBJECTivES
GOAL STRATEGIC OBJECTIVES
1. Ensure registration
of all practising
Practitioners (EHP)
according to the Health
Professions Act.
1.1 Monitor compliance of
EHP with legislative
requirements to practise.
2. Facilitate well trained
and competent EHPs.
1.1 Establish registration system
for EHAs;
1.2 Review the registration
system for EHPs;
1.3 Monitor education and
training standards.
3. Enhance the position
of the Environmental
Health profession
within the healthcare
delivery system.
1.1 Interact with the National,
Provincial and Local
government on plans and
strategies for Environmental
Health services;
1.2 Interact with stakeholders
and Government
departments;
1.3 Have constant and effective
communication with
stakeholders.
4. Enhance CPD in
Environmental Health.
1.1 Implement the HPCSAs
Continuing Professional
Development (CPD) system;
1.2 Promote research and
development.
OVERVIEW
vision:
Visible Board leading the Environmental Health
profession towards excellence.
Mission:
The Board has an obligation to protect the interests of
the public through effective and efcient activities by:
Enhancing the quality of Environmental Health by
developing strategy and policy frameworks related
to promotional and preventative interventions;
Monitoring the quality of training against set
standards;
Promoting the principle of excellent professional practice
by ensuring ongoing professional competence;
Ensuring effective communication with members
and other role players.
The Board summarises its key achievements during the
review period as follows:
The Board continued to successfully interact with
relevant stakeholders in building relations towards
improving delivery of Environmental Health services
in the country.
In addition, it continued to monitor and give support
to educational and training institutions offering
Environmental Health programmes, conducted
evaluations and accredited programmes that met
its minimum requirements.
The Board held the main celebrations for World
Environmental Health Day in Queenstown, where
the Board Chairperson did presentations. More
than 500 practitioners attended the event.
Communications and Stakeholder Relations
The Professional Board places a high value on its
interactions with stakeholders and practitioners.
The Board undertook the following to enhance
communications and stakeholder relations:
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Chairperson
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More than 200 practitioners attended the Boards
Stakeholder meeting, held in Mthatha In October
2012, which addressed matters pertaining to the
functioning of the Board.
The Board held productive interactive meetings with
various employers (National Department of Health
as well as with the Metropolitan municipalities
of Ekurhuleni, Cape Town and Nelson Mandela
Bay). These meetings addressed critical issues
such as placement of graduates for community
service; the importance of registering students and
practitioners; adherence to legislative requirements
including CPD and explaining the HPCSAs role
and mandate.
The Board and its Secretariat participated in
practitioner road shows. These events, organised
by the HPCSAs Public Relations and Service
Delivery Department, provided opportunities for
both practitioners and Board members to interact
with each other and deal with various queries.
The Board publ ished the second issue of its
newsl etter in December 2012.
OF PROFESSIONAL PRACTISE AND CONDUCT
Scope of Practice
The Board developed the scope of practice for
Environmental Health Assistants (EHAs). After the
HPCSA approved the draft regulations, they were
sent to the Department of Health (DoH) for processing
and were subsequently published in March 2012
for public comment. Comments received by the DoH
will be forwarded to the Board for consideration and
recommendation.
During the review period, 53 Environmental Health
Assistants took Board assessments and were registered.
The Board extended the cut-off date for applications
until a qualication for EHAs is in place or has been
introduced by education and training institutions.
Disciplinary issues
The Board did not have to deal with any disciplinary
cases during the review period.
Continuing Professional Development (CPD)
The Board strictly monitors provision of activities for
continuing professional development to ensure that
accredited activities and programmes are appropriate
and relevant to develop and benet its practitioners.
As ethics is a critical CPD component, the Board
regularly encouraged its accredited service providers
to improve CPD quality and standards and increase
their offerings in ethics.
new Qualifications
The Board nalised and approved the development
of a new professional degree for Environmental
Health Practitioners in consultation with education and
training institutions. It shared the qualication with
institutions to guide the development of their own four-
year professional degree.
The new degree/curriculum will allow graduates to
become competent Environmental Health Practitioners,
Environmental Specialists and researchers. It will
enable practitioners to improve the health of the
community and environment and be able to contribute
to sustainable development.
In addition, it will equip them with the ability to
evaluate the effectiveness and efciency of control
measures in order to make necessary improvements.
The Board, through its Education Committee, is
exploring the possibility of introducing programmes
in specialised elds. This will enable Environmental
Health Practitioners (EHPs) to specialise in different
areas within environmental health.
Quality Control
The Board continued to monitor and give support
to education and training institutions offering
environmental health programmes. This ensures that
graduates are competent to work independently in
offering quality services to their communities.
Training
The rst tertiary institution to commit to offering a bridging
course for EHPs to be trained as Environmental
Management Inspectors (EMIs) was Durban University
of Technology. Other institutions followed, with an
undertaking to introduce the course in 2013.
The Board fully supports this training and urges the
profession to support these additional responsibilities
in pursuit of addressing environmental challenges.
Review of Regulations, new and Amended Registers
The Board amended the Regulations relating
to the registration of additional qualications
by Environmental Health Practitioners. The draft
amendment was sent to the DoH for publication for
public comment on 15 November 2010, published
for comments on 30 March 2012, and is awaiting
promulgation.
The Board also revised the Regulations dening the
scope of the profession for Environmental Health
Practitioners, to incorporate scope of practice for
EHAs. The draft amendment was sent to the DoH for
processing on 13 May 2011, published for comments
15 May 2012, and is awaiting promulgation.
Approval of the budget for 2012/13 and increase in
annual fees for 2013
The Board approved the Boards revised budget and
increased the annual fees for all the registers under its
ambit as follows:
HI Environmental Health
Practitioner
R914.00 R1 046.00
FI Food Inspector R112.00 R129.00
HIA Environmental Health
Assistant
R524.00
2013 ANNUAL REPORT
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The Medical and Dental Professions Board (MDB)
is responsible for regulating Medical Practitioners,
Dentists, Medical Scientists and Clinical Associates.
The Boards main functions are:
To determine and ensure maintenance of standards
for professional practice and professional conduct;
To determine and ensure upholding of standards for
education and training;
To grant certication to students and to compliant
practitioners to practise professions;
To register, where applicable, graduates for
internship;
To register, where applicable, graduates for
community service;
To develop policy and formulate regulations and
rules of conduct for professional practice.
The MDB fullls its functions through the establishment
of the following Committees and sub-committees:
i. Executive Committee
ii. Education and Registration Committee
iii. Committee for Medical Science
iv. Sub-Committee for Internship
v. Sub-Committee for Undergraduate
Education and Training
vi. Sub-Committee for Examinations (Medical)
vii. Sub-Committee for Examinations (Dental)
viii. Sub-Committee for Postgraduate Education
and Training (Medical)
ix. Sub-Committee for Postgraduate Education
and Training (Dental)
x. Sub-Committee for Standard Setting
The HPCSA website features details on the membership
of these committees.
Registration
The Boards mandate is to ensure that all practitioners
who are registered with the HPCSA and are allowed to
practise medicine, dentistry, medical science, including
Clinical Associates, are medically qualied in terms of
the academic standards determined by the HPCSA,
competent to practise in the medical professions.
The Board reviewed its policy on the restoration of
names pertaining to Clinical Associates, Medical and
Dental Practitioners as well as Medical Scientists,
Medical Physicists and Genetic Counsellors.
The revision was aimed at providing clear guidance
on how to determine the period of supervised practice
and to indicate that supervised practice is restricted to
the public service.
The Board also reviewed its restoration guidelines
for Medical Scientists. These now state that
Medical Scientists, Medical Physicists and Genetic
Counsellors be granted a maximum period of two
years under supervision after the restoration of their
names to the Register.
Board Examinations
The MDB conducts different types of examinations
to assess and ensure that health professionals are
t for registration with the HPCSA. Following an
extensive reection on its examination arrangements
for foreign qualied Dentists, the Board reviewed the
organisational structure of this examination to increase
efciency and improve overall administration.
Dr. Letticia Moja
Chairperson
2013 ANNUAL REPORT
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SECTION FOUR
In addition, the MDB started a process of re-assessing
its system that classies the equivalence of foreign
education and training with South African training.
The system thus determines whether foreign qualied
health professionals are placed into either the
examination or non-examination track.
Education and Training
During the reporting period, the Board developed the
draft scope of practice for Clinical Associates and
continues to rene it.
Another Board review process entailed the current
standards for education and training of Specialists
in Dentistry. One of the innovations the MDB is
considering for this specialty is the introduction of a
single exit examination.
The Board evaluated and accredited more than 30
education and training facilities that complied with
minimum standards for effective education and training.
Registration of Family Medicine Specialists
(Family Medicine)
During the inception of the Grandfather Clause in
2007 in respect of Family Medicine Practitioners
who trained during a dispensation where the specialty
was not yet promulgated for inclusion in the HPCSA
register the date of expiry was set for 17 August
2012 for a ve year term. On 17 August 2012,
all submitted applications for registration as Family
Medicine were dealt with.
Furthermore, the Postgraduate Education and Training
(Medical) sub-committee resolved that all applications
for registration that were submitted after the closing
date will not be considered. Those involved will have
to sit for the specialist examination, as provided for
by the HPCSA regulations.
PROPOSED TARIFF GUIDELINES
The Tarrif Committee is mandated by the Health
Professions Act to determine the Tariff Guidelines that will
serve a number of purposes. One of these is to assist the
Board to adjudicate the complaints of over-charging of
patients by practitioners.
After numerous engagements with various stakeholders
and concerns raised in terms of process, the economic
basis and general fairness issues, the Medical and
Dental Board (including Medical Science), resolved
the process of determining tariff guidelines to review.
As a result, new project plans were developed and
the timelines for nalising and publishing new Tariff
Guidelines have been set for a later stage.
The new developments regarding these tariffs will be
communicated ofcially to all stakeholders, once the
Board has nalised and approved them.
The Board has conducted a series of consultative
sessions with stakeholders such as the Department of
Health, Foreign Workforce Management Programme,
the African Health Placements, etc, to try and streamline
processes and create better communication between
the parties involved with registration of practitioners in
various categories.
STRATEGIC PLAN
During its rst meeting of 2012, the Board resolved
that all its Sub-committees should be involved in
supporting the strategic objectives of the Board.
As a result, each of its Sub-committees was requested
to provide inputs to improve on service delivery.
The MDBs Education Registration Committee will now
consolidate inputs from various Sub-committees and
make nal recommendations to the Board for approval.
INDEMNITY COVER
A meeting was held recently between various Professional
Boards and other stakeholders to review the approach
to dealing with concept of Indemnity Cover for Medical
Practitioners. Presentations were made from research
ndings with regards to international practices, and the
following issues were highlighted as mandatory before
any policy is developed:
Review of current legislation, including some
aspects of the Health Professions Act;
Accreditation of Insurers by HPCSA;
Determination of sufcient Indemnity Cover in the context
of potential health risks involved in medical procedures,
especially high risk ones such as Anaesthesia.
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Specic recommendations were made for the various
Boards to discuss in the subcommittee structures, and
make recommendations to Council.
SHORTAGE OF INTERN POSTS
A meeting between the HPCSA and the National
Department of Health was arranged to address the
challenges of shortage of intern posts within the
healthcare system. A recommendation was made that
a Joint Task Team between the NDoH and HPCSA
should be established to deal with these challenges.
ambit as follows:
Abbrev Registers 2012 2013
AN Anaesthetist Assistant R189.00 R216.00
BE Biomedical Engineer R662.00 R755.00
KB Clinical Biochemist R360.00 R410.00
DP Dentist R1 156.00 R1 318.00
DP Dentist (Specialist) R1 179.00 R1 343.00
GC Genetic Counsellor R662.00 R755.00
HA Health Assistant R189.00 R216.00
PH Medical Physicist R662.00 R755.00
MP Medical Practitioner R1 156.00 R1 318.00
MP Medical Practitioner
(Specialist)
R1 179.00 R1 343.00
MS Medical Scientist R662.00 R755.00
MW Medical Biological
Scientist
R662.00 R755.00
SMW Supplementary Medical
Scientist
R662.00 R755.00
CA Clinical Associate R491.00 R559.00
IN Medical Intern R500.00 R530.00
2013 ANNUAL REPORT
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SECTION FOUR
STRATEGiC oBJECTivES AnD BoARD ACTiviTiES
The Board dened the following seven strategic
objectives for its term from 2010 until 2015:
1. To develop and maintain a professional practice
framework
The Board realised this objective by establishing a
professional practice framework, appropriate to the
South African context and benchmarked against
best practices. The Board reviewed the current
scopes of the professions to ensure relevance.
2. To develop standards of education and training
The Board realised this objective by instituting a needs-
driven education and training approach. The aim of
the approach is to guide and inform the curriculum
development processes by institutions responsible for
training and education of students and professionals.
This process is important for the successful implementation
of education and training programmes.
3. To maintain, enhance and monitor standards of
education and training
This ensures that clinical facilities and Higher
Educational Institutions comply with standards of
education and training.
This objective also determines the demand (numbers)
for practitioners in the profession and aligns
entrance requirements to the profession through
communication with educational institutions.
4. To enhance the professional and ethical practice of
practitioners
The objective was to protect the scope of the
profession and to address the overlap of scopes.
The Board therefore believed it was important to
establish a baseline for professional practice by
practitioners. This baseline would enable it to play
its monitoring and regulatory roles effectively and
ensure that competent and ethical practitioners are
registered.
5. To develop and implement an effective
To improve the image of the Board and improve
effective communication with all stakeholders,
resulting in well informed stakeholders.
The Board realised this objective by continuously
communicating with practitioners through its annual
newsletter and the HPCSA bulletin.
6. To optimise the efciency of the Board in
ensuring the fullling of its regulatory role and
responsibilities
This objective focused on:
Maintaining the highest standards of functioning at
Board level;
Changing the negative image of the Board/
Council;
Improving administrative service delivery;
Aligning the Boards ETQA functions;
Formalising strategic alliances and relationships
with stakeholders e.g. South African National
Accreditation System (SANAS), Society for Medical
Laboratory Technologists of South Africa (SMLTSA)
and Health and Welfare Sector Education and
Training Authority (HWSETA).
Ensuring the Boards nancial stability.
7. To implement the professional qualication BHSc
in Medical Laboratory Science
This objective entails ensuring the effective
implementation of the new professional
qualication, as well as developing a system to
phase out the National Diploma in Biomedical
Technology and provide for career laddering.
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KEY PROJECTS
During the review period, a key project that was
highlighted for the attention of the Board and
Administration entailed the training and registration of
BSc graduates as Medical Technologists.
One of the strategic objectives the Board identied for
the Education Committee was the implementation of
the BHSc in Medical Laboratory Science. It therefore
held a meeting in July 2011 at the Cape Peninsula
University of Technology (CPUT) to discuss articulation
options into the professional degree, as well as
principles for Recognition for Prior Learning (RPL).
The South African Qualications Authoritys (SAQA)
Deputy Director of Research also attended the meeting,
where she did a presentation on the RPL principles.
The Workshop participants recommended that:
The RPL access process from a National Diploma
to the BHSc Medical Laboratory Science would
be via the assessment of individual portfolios of
evidence;
The proposals on the different options for articulation
would be submitted to the Board for consideration
and a matrix would be drawn up;
The proposals for the different options/cases for
articulation to the BHSc professional qualication
were submitted to SMLTSAs Executive and were
presented at the Laboratory Medicine Congress
(LMC) in August/September 2011.
The proposals were tabled at the LMC and evoked
a generally positive response from the profession.
OVERVIEW
During its meeting in 2011, the Board considered
its strategic objectives for the period 2010 2015
and added the following three risk factors to the
strategic plan:
1. Managing of risks related to the integrity of the
Board Examination conducted by the SMLTSA
MOU and examination-related issues
The Board raised concerns about the examination
results for Medical Technologists and Medical
Technicians that were conducted by SMLTSA.
The conversion course for Medical Technologists
at CPUT resulted in lowering the pass rate statistics
for Medical Technology students. The Board
reported that the setting of examination papers
presented challenges and that the standards set
were also questionable.
2. Strengthening the evaluation process for facilities
The Professional Board concluded the process of
appointing evaluators to conduct the evaluation
of facilities. The following criteria applied to the
evaluator appointment process:
An evaluator should be qualifed and registered
within that particular category;
The applicant should have at least fve years post-
registration experience in a particular category;
An evaluator should be knowledgeable in the
particular eld and involvement in training would
be an advantage.
3. Students working unsupervised at laboratories
Following an article in the Boards ofcial newsletter
MEDIC TEC News regarding scopes of practice
and the conditions for training students requiring
direct supervision the Board added the following
issues to its strategic objectives:
The importance of proper action on non-compliance
and transgressions by professionals;
The issuing of a media release on the issue of
transgression of scopes;
The Board resolved to deal with concerns raised
regarding inadequate supervision of students at
laboratories during its evaluation of laboratories.
Memorandum of Understanding HPCSA and SMLTSA
The Board signed an ofcial Memorandum of
Understanding (MOU) with the professional association,
SMLTSA regarding the conducting of Board examinations.
It is in the process of nalising a service level agreement
(SLA) with SMLTSA to operationalise the memorandum.
The Boards ofcial newsletter, MEDIC TEC News is
one of the vehicles it uses to improve communication
with stakeholders. The most recent issue was published
in August 2012.
2013 ANNUAL REPORT
57
SECTION FOUR
national Laboratory Congress
In 2012 the Board requested a presentation slot at the
next National Laboratory Congress (LMC) held in July
2013. The aim was to do a presentation or hold a
discussion session to improve the Boards visibility and
enhance communication.
overlap between the scopes of Medical Science and
Medical Technology
During a meeting between the Professional Board
for Medical Technology and the Medical Science
Committee, attendees discussed the overlap of scopes
between the Medical Technology and Medical
Science professions. The Board envisages that the
continuous engagement between the two professions
will assist in alleviating the perceived conict between
these practitioners.
Establishment of a Register for Forensic officers
The Board held several meetings after receiving a
request from the Durban University of Technology and
Kwa Zulu-Natal (KZN) Provincial Health Authority to
consider developing a course for the Forensic Ofcers
Board. During the meetings, it was agreed to establish
a register for Clinical Pathology Forensic Technicians.
The Board will nalise this process once it has concluded
the necessary consultations with relevant stakeholders.
Meetings
During the period under review, the Board conducted
the following meetings:
Professional Board meetings 27 August 2012
and 7 March 2013
Education Committee meetings 11 May 2012,
21 and 22 November 2012
Use of a Professional Title
It was proposed that the Board make it ofcial to use a
professional title that would enhance both the Boards
status and that of professionals. The Board approved
the recommendation for use of professional titles by
professionals registered under its auspices.
The professional title consists of the parts registration
category + (HPCSA) + discipline registered.
Where one or more additional disciplines have been
registered, the practitioner may use all of them in the
title e.g. MT (HPCSA) CP, SM, SCH
Medical Technologists MT
MT (HPCSA) CP CP Clinical Pathology
MT (HPCSA) SM SM Microbiology Special
MT (HPCSA) SH SH Haematology Special
MT (HPCSA) SCH SCH Chemical Pathology Special
MT (HPCSA) SI SI Immunology
MT (HPCSA) SCG SCG Cytogenetics
MT (HPCSA) SHG SHG Human Genetics
MT (HPCSA) SHP SHP Histopathology
MT (HPCSA) SCY SCY Cytology
MT (HPCSA) SV SV Virology
MT (HPCSA) SBT SBT Blood Transfusion
Medical Laboratory Scientist (MLS)
MLS (HPCSA) CP CP Clinical Pathology
MLS (HPCSA) SM SM Microbiology Special
MLS (HPCSA) SH SH Haematology Special
MLS (HPCSA) SCH SCH Chemical Pathology Special
MLS (HPCSA) SI SI Immunology
MLS (HPCSA) SCG SCG Cytogenetics
MLS (HPCSA) SHG SHG Human Genetics
MLS (HPCSA) SHP SHP Histopathology
MLS (HPCSA) SCY SCY Cytology
MLS (HPCSA) SV SV Virology
MLS (HPCSA) SBT SBT Blood Transfusion
Medical Technicians GT
GT (HPCSA) CP CP Clinical Pathology
GT (HPCSA) SM SM Microbiology Special
GT (HPCSA) SH SH Haematology Special
GT (HPCSA) SCH SCH Chemical Pathology Special
GT (HPCSA) SI SI Immunology
GT (HPCSA) SHP SHP Histopathology
CT (HPCSA) SCY
*Registration is CT for
Cytotechnician
SCY Cytology
GT (HPCSA) SV SV Virology
GT (HPCSA) STB STB TB
GT (HPCSA) SPH
*registration number is
erroneously titled MT-
PHA possible change
to GTPH
SPH Phlebotomy
GT (HPCSA)SBT SBT Blood Transfusion
Laboratory Assistants LA
LA (HPCSA) CP CP Clinical Pathology/Media
LA (HPCSA) HPCY AP/
HPCY
HistoCyto
LA (HPCSA) BT BT Blood Transfusion
58
DETERMINING AND UPHOLDING OF STANDARDS
OF EDUCATION AND TRAINING
Update on the implementation of Professional Degree
(BHSc Medical Laboratory Science)
CPUT implemented the professional degree in 2011
and had an intake of 68 new rst-year students.
The course is progressing well and the rst graduates are
expected to conclude their studies by the end of 2014.
KEEPING OF ACCURATE REGISTERS
Regulations for the registration of new categories of
Medical Technicians
Regulations for the registration of new categories of
Medical Technicians in the categories of Immunology,
Mycobacteriology (TB) and Virology have been
promulgated.
Bachelor of Health Science, Medical Laboratory Science
(BHSc Medical Laboratory Science)
The Board endorsed the recommendations of the
Education Committee in March 2012. Based on input
from the General Manager, Professional Boards, it was
resolved that it be recommended to Council that the
regulations for the registration of Medical Laboratory
Scientists be compiled to include the qualication
BHSc Medical Laboratory Science, at Cape Peninsula
University of Technology for registration as Medical
Laboratory Scientists.
The Boards nancial statements for the period ending
February 2012 conrmed its functioning within the
budget provisions with no overspending in any of the
cost areas.
Approval of 2013/2014 budget and increase in annual fees
Council approved an increase in annual fees for the
registers under the ambit of the Board by 10% with
effect from 2012. The Board increased registration
and other fees payable to Council by 6% with effect
from 1 April 2012.
MT Medical Technologists R992.00 R1 052.00
S-GT
Supplementary Medical
Technicians
R696.00 R738.00
GT Medical Technicians R435.00 R462.00
S-LA
Supplementary
Laboratory Assistants
R435.00 R435.00
LA Laboratory Assistants R435.00 R435.00
2013 ANNUAL REPORT
59
The Professional Board is actively dealing with its
strategic objectives and those of Council as previously
determined. Through interaction with stakeholders at a
number of forums, the Board was able to communicate
with stakeholders regarding its initiatives and activities.
The Board views effective communication with relevant
stakeholders as a critical initiative to ensure alignment
with its vision, mission and objectives and those of the
HPCSA. The Board participated in countrywide road
shows arranged by the HPCSAs Department of Public
Relations and Service Delivery. This initiative not only
enlightened practitioners regarding the important
role of the Professional Board and the HPCSA, but
also raised some awareness of the difculties and
obstacles practitioners face.
OVERVIEW
Ethical Mandate
One of the Boards core functions is the protection of the
public through maintaining an ethical framework and
taking disciplinary action in the case of practitioners who
fail to adhere to ethical principles. It is still in the process
of revising the scope of the professions of Occupational
Therapy, Medical Orthotics and Prosthetics; these overlap
with professions within the ambit of other professional
boards such as Physiotherapy, Optometry and Biokinetics.
Communication with Stakeholders
The Board regards communication with education and
training institutions as well as practitioners regarding
professional matters as of the utmost importance. During
a formal meeting held in August every year it agreed
to maintain regular interaction with stakeholders via its
newsletter and as part of discussions with educational
institutions, associations and societies.
Minimum Standards for the Training of occupational Therapy
Technicians
The Professional Board previously reported on the two-
year Occupational Therapy Technicians qualication,
which it developed over many years in consultation with
relevant stakeholders. Following the recent publication
of the Higher Education Qualications Sub-framework
(HEQSF), the Board is now in a position to interact with
educational institutions regarding the introduction of two-
year qualications for Occupational Therapy Technicians.
This will assist the Board and the Minister of Health in their
attempts to accommodate the needs of the NDoH regarding
service delivery at primary health facilities, particularly in
underserved communities.
DISCIPLINARY ISSUES
The Board deals with very few unprofessional conduct
cases. However, matters that are reported to the Board
are handled by the Committee of Preliminary Inquiry,
which then nalises them in terms of the relevant
provisions in the Regulations.
Revision of the Scope of the Profession
As indicated above, the Board embarked on a process to
revise the scope of the Occupational Therapy profession.
In addition, it proceeded to review the scope of practice of
Occupational Therapy, Medical Orthotics and Prosthetics
as well as the other professions within its ambit.
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SECTION FOUR
Prof. Alfred Ramukumba
Chairperson
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Procedure for the Evaluation of occupational Therapy Education
and Training
As part of its quality assurance function, the Board adds
relevant information to its existing policies on an ongoing
basis. Task teams have made some progress with the
initiative to improve the Boards quality assurance mandate
and efciency by incorporating important aspects and
information in the guidelines.
DETERMINING AND UPHOLDING EDUCATION AND
TRAINING STANDARDS
Regular Evaluation of Education and Training
The Board met its objective to maintain high education and
training standards by scheduling and undertaking evaluation
visits at several education and training institutions throughout
South Africa. The Board appointed evaluators to conduct
institutional evaluation visits on the basis of the minimum
standards and the newly developed evaluation guidelines.
Board interventions to Reduce Examination-related Risks
A Task Team appointed by the Boards Education
Committee has made some progress in the revision of
examination processes and policies. The purpose of this
exercise is to improve the standard and outcomes of
examinations. Despite inadequate capacity and limited
resources, the Board remains committed to safeguarding
the integrity of examinations conducted within its ambit.
Revision of the procedures relating to the restoration of names
to the register
The Board has revised the process relating to the restoration
of names of practitioners whose names have been erased
from the register. This information was published on the
HPCSAs website.
A clearly outlined process now exists for practitioners
returning from abroad or those wishing to re-enter
the profession.
Maintenance of Accurate Registers
Apart from ensuring that only appropriately qualied
practitioners are registered within the respective
professions, the Board also has to ensure that foreign
qualied practitioners are registered in terms of the relevant
legislation and the latest policies of both the Board and the
Department of Health.
Approval of the budget for 2012/13 and increase in annual
fees for 2013
ambit as follows:
OT Occupational Therapist R1 115.00 R1 229.00
OS Medical Orthotist and
Prosthetist
R1 115.00 R1 229.00
SOT Supplementary
Occupational Therapist
R1 115.00 R1 229.00
SOS Supplementary
Medical Orthotist and
Prosthetist
R1 115.00 R1 229.00
OB Orthopaedic Footwear
Technician
R361.00 R399.00
OTT Occupational Therapy
Technician
R361.00 R399.00
OAS Assistant Medical
Orthotist and
Prosthetist, and
Leatherworkers
R361.00 R399.00
OTB Occupational Therapy
Assistant
R351.00 R386.00
AT Arts Therapist R1 115.00 R1 299.00
OSA Orthopaedic Technical
Assistant
R361.00 R399.00
2013 ANNUAL REPORT
61
GoALS AnD STRATEGiC oBJECTivES
GOAL STRATEGIC OBJECTIVE
1. To facilitate the
establishment of a
sustainable eye care
service delivery system.
1.1 Extend access of comprehensive
eye care services within the
public health system.
2. To ensure that Eye Care
Practitioners practice
ethically within the scope
of professional practice
with the appropriate
clinical skills to meet
the public and private
sectors eye care needs.
2.1 Enable registered Eye Care
Professionals to practice with
appropriate skills to meet public
eye care challenges;
2.2 Foster compliance with the
HPCSA ethical framework;
2.3 Ensure the creation of a new image
for the discipline as a health
profession that is appropriately
skilled for efcient and effective
service delivery within a
multidisciplinary healthcare team;
2.4 Create and strengthen strategic
partnerships with relevant
stakeholders.
3. To establish and maintain
standards for education
and training in order to
achieve locally relevant,
internationally competitive
quality education for the
respective professions.
1.1 Review and enhance current
quality standards within
1.2 Appraise professional practice
for quality standards for the
respective eye care professions;
1.3 Constant and effective
communication with relevant
education sector stakeholders.
OVERVIEW
vision:
An effective regulator of quality, accessible, eye care
services for all
Mission:
To establish and implement a regulatory framework
and policies for:
Eye care service delivery
Professional norms and standards
Education and training
The Board summarises its key achievements during the
year as follows:
The Board and its structures successfully held nine
meetings between April 2012 and March 2013.
It developed a strategic plan for the term of ofce
and reviewed the progress made during one of its
meetings, describing progress as satisfactory.
The Boards criteria for the random equipment
audits which it approved in March 2010
will be used as a supervisory, monitoring and
evaluation tool. The tool will aim to promote quality
standards of clinical practice for the respective Eye
Care Professions.
The Board made further improvements to the
criteria with the help of a pilot audit conducted in
December 2012. It is in the process of drafting
relevant legislation in this regard with the assistance
of the HPCSAs Legal Department.
The Board has updated and posted the lists
of minimum equipment required to practise
the profession in each clinical category (e.g.
Paediatrics, Contact Lenses) on the HPCSA website.
In addition, it developed minimum clinical
standards in each eld and posted the information
on the website.
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SECTION FOUR
Ms. Vanessa Moodley
Chairperson
62
The Board expects practitioners to ensure that
they have the minimum appropriate equipment
required to provide quality eye care services in
their practices at all times.
The Board has suspended its processes
regarding the National Board exam.
The Education and Training Qualications
Assurance Standing Committee (ETQA) is nalising
framework and examination guidelines, which all
professional Boards will utilise in future.
In addition, the Board nalised its evaluation
guidelines for accreditation, and also concluded
a series of evaluation visits for accreditation at all
ve institutions that offer Optometry and Dispensing
Opticianry. The Board continued to provide these
institutions with the required support and monitoring.
The Board successfully addressed the challenges
faced by the profession regarding the rescheduling
of uorescein by engaging the National Department
of Health (NDoH) and the Medicines Control Council
(MCC).
During the review period, the Board had three
resignations and replaced two members. It has one
outstanding appointment, and has co-opted one
member from the Dispensing Optician profession to
strengthen its Education Committee.
Communications and Stakeholder Relations
The Board publishes a newsletter at least once annually
to inform practitioners of the developments within their
professions in regard to the Boards mandate.
Numerous complaints regarding mobile optometric
practices offering substandard, unprofessional and
unethical services to the public prompted the Board
to release media statements on this topic.
It held ad hoc meetings with relevant stakeholders
(HoDs and DoH) to address matters of common interest
pertaining to eye care service delivery, as well as one
meeting with Gauteng practitioners. The HPCSAs
Public Relations department has started assisting the
Board with a public awareness campaign.
The matter of introducing community service is still
with the Department of Health. The Board has enlisted
the help of the Registrars ofce to continue engaging
with the DoH to have community service for graduates
extended to Optometry and Dispensing Opticians.
The Board regards the introduction of community
service as a critical element in addressing the provision
of eye care services within the public sector.
The Board considered the amendment of the
regulations defining the scope of the profession of
Optometry in relation to Contact Lens Practice and
Vision Therapy and gave its feedback to the Councils
Legal Department for further processing.
The regulation amendments were originally published
for public comment on 15 September 2010 and
comments were received on 17 May 2011.
The Board is amending the scope of the profession
to regulate the increasing scope infringements by
unregistered persons in the sale of contact lenses
directly to the public and in conducting Vision Therapy
on children. It awaits NDoH nalisation.
During a university stakeholder meeting, the Board
engaged with Heads of the Departments of Optometry
and Dispensing Opticianry to address students on
ethical responsibilities and the consequences of rule
violation. Assisted by the HPCSAs PR and Service
Delivery Department, the Board reminded students of
their responsibility as registered Health Professionals
to comply with the HPCSAs ethical rules and that they
could be charged if they failed to comply.
The Board nalised its guidelines for practice audits
and obtained approval from Council. It successfully
conducted a pilot audit and is in the process of
developing the relevant legislative framework.
2013 ANNUAL REPORT
63
SECTION FOUR
Disciplinary issues
The majority of disciplinary cases during the review
period dealt with medical scheme fraud, illegal mobile
practices and practice name challenges.
Matters served before
Committee of Preliminary Inquiry 77
Finalised 34
Inquiry 10
Deferred 26
Inquiry with Fine 07
Consultation 07
With an effective system in place to monitor CPD
programmes, the Board encouraged its CPD providers
to offer good quality activities, including Ethics.
The Board supported the HPCSAs CPD Committees
recommendation to suspend practitioners that failed to
comply with CPD requirements. It once again encouraged
practitioners to ensure they remained on the register and
kept abreast by complying with these requirements.
NEW QUALIFICATIONS
During the past year, the Board did not consider
any new qualications. It did, however, encourage
education and training institutions to develop and
offer post graduate programmes in the recognised
specialist elds to ensure that the standards of
practice are aligned to international best practice.
It also urged them to consider introducing Dispensing
Opticianry to address the countrys needs.
It continues to appraise and consider the introduction
of a new degree qualication in Optometry at Cape
Town University of Technology (CPUT).
QUALITY CONTROL
Key interventions and observations on quality control at
educational institutions included the following:
The Board nalised the guidelines for evaluation
of institutions and conducted a guidelines training
workshop for potential evaluators.
64
It used the guidelines during evaluations conducted
in March 2013 at all ve institutions offering
Optometry and Optical Dispensing. The Board
continued to provide relevant support to the
institutions, while monitoring their progress in
implementing various improvement plans.
The institutions had the opportunity to comment on
the factual correctness of evaluation reports before
the Board took nal decisions on them.
The Board was concerned by anecdotal reports
received from students and practitioners
regarding NGOs operating in the eld that were
not meeting the minimum clinical standards, which
involved students in some of their activities.
The Board expects all practitioners, including those
providing a service to NGOs, to adhere to a
minimum clinical standard.
It therefore engaged with Transnets Phelophepa train
project and universities using the facility as well as other
external NGO-run sites to conduct clinical training for
students. The purpose was to assist students needing
to comply with all the Boards minimum requirements
as they are registered with the HPCSA.
The Standards Generating Body (SGB) reviewed
and updated the exit level outcomes.
During the review period the Board did not create any
new or amended registers.
It used the newsletter to again encourage Optometrists
who qualied with diagnostic privileges to apply for
recognition of such privileges.
Approval of the budget for 2012/13 and increase in annual
fees for 2013
ambit as follows:
OP Optometrist R13 12.00 R1 475.00
OD Dispensing Optician R1 312.00 R1 475.00
SOD Supplementary
Dispensing Optician
R1 312.00 R1 475.00
SOP Supplementary
Optometrist
R1 312.00 R1 475.00
OR Orthoptist R254.00 R285.00
2013 ANNUAL REPORT
65
In alignment with the national imperatives of the
Minister of Health and the National Department of
Health, the Professional Board is still in the process
of managing strategic initiatives developed during a
formal strategic review. During the nancial year, the
Board embarked on a further communication strategy
by arranging meetings with outside stakeholders.
This not only aims to keep stakeholders informed of
the Boards activities, but also to enlighten them on
its quality assurance, ethical responsibility as well as
other initiatives.
OVERVIEW
Ethical Mandate
The Board constantly monitors the ethical framework
and implications of activities on practitioners and the
public. These issues include the protection of the public
through the development of fair principles relating to
ethical behaviour and conduct, rst-line practitioner
status and the role of practitioners within the healthcare
domain. By reviewing, monitor and guiding the
professions on an ongoing basis, the Board attempts
to full its statutory obligation in protecting the public.
CPD Activities and Practitioner Compliance
The Board concluded its latest audit relating
to Continuing Professional Development (CPD)
compliance. Although a large number of practitioners
met CPD-related stipulations, it is clear that the
Board and Council still have a long way to go to
convince practitioners of the importance of continuing
professional development and to encourage them to
meet the requirements.
Communication with Stakeholders
Stakeholders from education and training institutions,
professional associations and societies were again
involved in professional matters and issues of mutual
interest during a formal meeting held annually in August.
Matters discussed at this meeting included the perceived
transgression of scope of profession, recognition of
qualications, ethics and quality assurance through the
evaluation of education and training institutions. The Board
participated in additional communications by discussing
relevant matters with the Department of Education, Council
on Higher Education, the Department of Health and other
stakeholders.
Minimum Standards for the Training of Physiotherapy Technicians
With the approval of the Higher Education
Qualifications Sub Framework early in 2013, the
Board will hopefully be in a position to recognise
240-credit exit-level qualifications to be offered by
educational institutions in the near future. This will
facilitate the training of Physiotherapy Technicians
to offer the long-awaited qualification for mid-level
health workers. This qualification will enable the
Minister of Health to provide appropriate service
delivery, especially in underserved communities.
Revision of the Minimum Standards Relating to Podiatry
The Standards Generating Bodys (SGB) Task Team
for Podiatry previously concluded its revision of
minimum standards for Podiatry. The aim of the
revision was to ensure the qualification is aligned
with the latest course content and stipulations of the
Higher Education Qualifications Framework (HEQF).
Provision for the nomenclature to be used for the
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SECTION FOUR
Prof. Nomathemba Taukobong
Chairperson
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newly developed qualification is still under review
and will hopefully be concluded in the near future.
Prescribing of Medicines by Podiatrists
The Board is still in the process of nalising
documentation relating to Podiatrists prescribing
medicines. It is hoped that matters delaying the
process will be addressed in the near future. The
Board is following a similar process to provide for the
prescribing of medicines by Physiotherapists.
DISCIPLINARY ISSUES
The Boards Committee of Preliminary Inquiry dealt
with reported complaints against Physiotherapists,
Podiatrists and Biokineticists during the review period
as part of its disciplinary process in protecting the
interests of the public.
Revision of the Evaluation and Accreditation Guidelines
In maintaining standards of professional practice,
the Board previously embarked on implementing the
revised outcomes relating to the respective professions.
It has also revised and implemented evaluation
guidelines for the respective professions within its
ambit. This action forms part of a Board initiative to
incorporate important aspects aimed at improving
the processes relating to quality assurance within the
respective professions.
Scope of the Profession
During the review period, the Task Team met on several
occasions to try and clarify the scopes of the relevant
professions functioning within the ambit of the Board
and the matter is currently receiving further attention.
(The Board previously appointed the Task Team to
investigate the scopes of the respective professions
functioning within its ambit.)
The matter is currently being further dealt with as part of
the medical devices initiative where the use of medical
devices across several professions is being investigated.
Board interventions to Reduce Examination-related Risks
A task team appointed by the Boards Education
Committee made substantial progress in reviewing
its examination guidelines. This initiative aims to
address possible deciencies, streamline examination
processes and address risks in dealing with
examinations that the Board has identied.
Restoration of names of Practitioners
The Board concluded its policy relating to the restoration
of names of practitioners to the register. The policy
focuses on ensuring that practitioners whose names
were erased from the register for a period, meet the
minimum standards relating to adequate education and
training prior to being restored to independent practice.
Correctly Captured Registration information
The Board is committed to ensure that registration
information is correctly recorded within the registration
system and that processes and procedures are aligned
with best practice principles applied internationally.
In cases where it identies deciencies due to factors
such as the introduction of the newly developed Oracle
Enterprise Resource Solution system matters are reported
with a view to addressing perceived shortcomings.
ambit as follows:
PT Physiotherapist R893.00 R1 041.00
CH Podiatrist R893.00 R1 041.00
BK Biokineticist R893.00 R1 041.00
SPT Supplementary
Physiotherapist
R893.00 R1 041.00
SCH Supplementary Podiatrist R893.00 R1 041.00
PTA Physiotherapy Assistant R323.00 R377.00
PTT Physiotherapy Technician R323.00 R462.00
MA Masseur R351.00 R410.00
RM Remedial Gymnast R323.00 R377.00
SBK Supplementary Biokineticist R1 041.00
2013 ANNUAL REPORT
67
SECTION FOUR
The Professional Board for Psychology developed
its strategic initiatives for the ve-year period during
2011 and aligned its strategic plan with the HPCSA
strategy. In October 2012, the Board considered its
updated strategic plan with a view to identifying key
objectives for implementation during 2013. It raised
the following important issues for inclusion in terms of
the objectives already identied in the strategic plan:
Challenges in terms of policies and the application
thereof;
Human resources development issues such as
Registered Counsellors and Community Health
Workers;
Communication issues and stakeholder interactions;
The need to bring psychological services to the
community as part of the 2012 International
Congress of Psychologys Serving Humanity
theme;
The need to develop guideline tariffs for the
profession; and
The creation of a document management system in
terms of naming and storing documents to ensure
consistency.
The Board resolved to identify the following issues
as key objectives for implementation in 2013,
and referred them to the Education Committee to
address the Board structures in consultation with the
Accreditation and Quality Assurance Committee:
Registration of foreign qualied practitioners;
Internship requirements and programmes;
Licence to practise;
Human Resource Development in relation to
Registered Counsellors, Mid-Level Health Workers
(Mental Health Assistants) and the provision of posts
in the public sector.
The Executive Committee was required to deal with
the communication strategy in terms of stakeholder
meetings and interaction, communication options and
dissemination of information.
The Board further resolved to regard the issue of
guideline tariffs as a priority for the Board, but decided
to defer the matter until the process had been mapped
to avoid litigation.
GEnERAL FUnCTioninG oF THE BoARD
Filling of vacant Positions
In June 2012, the Minister of Health appointed
individuals to ll the Boards four vacant positions, which
had been vacant since the inauguration of the new
Board in 2010. The newly appointed members attended
the Board meeting in October 2012, where they were
co-opted to the different Committees as follows:
Prof. KM Milner Education Committee;
Mrs. TM Graham Examinations Committee;
Mr. CA Petersen Psychometrics and Examinations
Committees;
Prof. RE Swart Education and Accreditation and
Quality Assurance Committees.
An orientation session will be held for these members
in 2013.
Performance Survey Tool
Chairpersons of the different Committees were in the
process of submitting their reports to the Executive
Committee, in line with a previous Board resolution
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Chairperson
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aimed at tracking track progress on activities. The Board
assessed its performance according to the completed
Performance Survey Tool during its Board meeting in
October 2012. While the Board performed well in all
areas, it resolved that the Executive Committee should
develop a proper implementation plan for the Board
in order to ensure compliance.
COMMUNICATION
international Congress of Psychology (iCP 2012) Cape
Town 22-27 July 2012
The 30th International Congress of Psychology, which
took place in Cape Town from 22-27 July 2012, was
held in Africa for the rst time. Organised around the
theme Psychology Serving Humanity, the congress
highlighted how psychology translated its science
and practice into the knowledge, skills and tools
that were able to underpin the human condition.
Following an earlier request by the Board, the event
organisers allocated a 2 -hour discussion slot during
the conference on 26 July, which resulted in several
fruitful discussions. The Board used this opportunity to
engage with congress participants and stakeholders
on the following issues:
Overview of the Board and its mandates;
Scope of the profession and scope of practice
including issues relating to Registered Counsellors;
Managing ethics in the profession;
Education and training issues, including internship
and the accreditation framework;
Board Examinations current status and future plans;
Test Classication current status and future plans.
The international Test Commission Conference
3 5 July 2012
The International Test Commission Conference (ITC 2012)
was held from 3-5 July 2012 at The Royal Tropical Institute
(Koniklijk Institute van de Tropen).
The main theme of the conference was Modern Advances
in Assessment: Testing and Digital Technology, Policies and
Guidelines. The knowledge gained will certainly help the
Psychometrics Committee in its current endeavours to draft
guidelines relating to the development, control and use
of psychological tests; the re-classication of tests and
publishing the list of classied tests.
Board newsletter
The Board compiled an informative newsletter featuring
articles by members and the HPCSA administration.
It was issued electronically in June 2012, while hard
copies were distributed at the ICP 2012 in Cape
Town. The newsletter focused on general issues of
relevance such as the role of Registered Counsellors,
the approval process of internship programmes and
administrative arrangements. It included contact
details to facilitate communication with the HPCSAs
Administration. The Board intends publishing another
newsletter electronically in 2013.
Stakeholder meeting invites input on scope documents
The Board invited representatives of educational
institutions, professional associations/societies and
interest groups to attend its stakeholder meeting on 21
August 2012. The primary purpose of the consultation
session was to facilitate feedback and input on
regulations relating to the scope of practice and
scope of the profession. A total of 130 representatives
attended the session.
After being divided into 12 groups, the stakeholders
participated in facilitated feedback sessions.
Attendees were requested to provide further input on
the scope documents.
After considering the extensive input in September
2012, the Boards Executive Committee recommended
establishing a smaller working group to deal with
this complex issue as it would not be possible to
incorporate all the proposals. It was however, deemed
important to maintain procedural and substantial
fairness. The Board resolved to establish the legal
framework, while the profession would dene the
details in terms of education and training as well as
professional practice.
Meetings for the Task Team commenced in October
2012 and its mandate was determined as follows:
I. To dene the framework for the changes to the
scope;
II. To research best practices (in line with international
standards);
III. To dene the need and motivation for the changes
to the scope;
IV. To contextualise scope of practice versus scope of
profession;
V. To study current and previous input and use of
terminology in the documentation (intermediary,
psycho-legal and forensic);
VI. To incorporate input from members and provide
rationale;
VII. To provide for Grandfather Clauses in terms of
Forensic and Neuropsychology;
VIII. To ensure this is all done in line with the national
needs in terms of HR resources, NHI and other
legislative frameworks;
IX. To dene and delineate the process and map the
way forward.
The Professional Board intends to communicate
regularly with practitioners, professional associations,
education and training providers and other relevant
stakeholders about its activities towards fullling its
mandates. The stakeholder meetings are one of the
ways to engage with this important group.
PROMOTION OF THE HEALTH OF THE NATION
Attendance of the national Health Summit (12-13 April
2012) and the national Mental Health Action Plan
(2013-2020)
Board Chairperson, Professor T Sodi attended
the National Health Summit held in April 2012.
The National Mental Health Action Plan (2013-2020)
was updated, highlighting the eight key objectives
as recommended by the Interim Ministerial Advisory
Committee. The Ekurhuleni Declaration on Mental
Health was issued on the basis of the National Mental
Health Summit on 12-13 April 2013.
The plan, which had to be read with the World Health
Action Plan and key issues to change the mental
health gap between access, demand and supply as
well as equity, had to be addressed. As an important
role player in the mental health of the South African
community; the Professional Board will be updated
on the progress in implementing the National Mental
Health Action Plan.
DETERMINING AND MAINTAINING OF STANDARDS
OF EDUCATION, TRAINING AND PRACTICE
Standards for the different Psychology Programmes
In line with the objective of improving education
and related guidelines and processes, the Education
Committee held a workshop in February 2011
to review the Standards Generating Body (SGB)
documents for the Masters qualications. The Board
approved the documents in principle and will align
them with additional changes that will be made to the
scope documents. It will then submit the documents to
Council and the ETQA Committee for consideration.
Review of Education, Training and Practice requirements
for Registered Counsellors
In April 2012, the Boards Education Committee
dened a need to review the education, training
and scope for Registered Counsellors. To this end, it
appointed a Task Team comprising experts in this eld.
Evaluation and accreditation of higher educational
institutions and internship sites
One of the Boards primary functions is to determine
and uphold standards of education and training.
This is being done via the system of evaluation and
accreditation of education and training against a set
of criteria and guidelines.
DETERMINING AND UPHOLDING OF STANDARDS
Amendments to the scope of practice and the scope of
the profession of Psychology
The Board approved the proposed revisions in principle
to the regulations relating to the scope of practice for
Psychology, and regulations dening the scope of the
profession of Psychology in April 2012. After it had
requested members to provide nal input, the Board
developed a workow diagram to dene details
about the stakeholders interaction, which formed part
of the consultation process. An appointed task team
recommended to the Boards Executive Committee
that a comprehensive research project be undertaken
on the status of the psychology profession to include
2013 ANNUAL REPORT
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SECTION FOUR
practitioners and institutions. The Task Team Chairperson
was mandated to investigate different options and consult
with other data analysts. This process is still ongoing.
Development of Professional pool for Conduct matters
In order to build capacity, the Executive Committee
resolved in September 2012 to invite senior
professionals to avail themselves as experts in their
eld to provide expert opinions to the Committee of
Preliminary Inquiry. In addition, it resolved to invite
more professionals for inclusion on the panel to assist
the Board during conduct inquiries.
In October 2012, the Board approved the Psychology
Association of South Africas (PsySSA) application for
Accreditor status for CPD purposes, with effect from
1 May 2012. After having previously approved
two other accreditors, the Board gave approval to
the following institutions to assume accreditation
responsibility for its CPD activities:
The University of Pretoria
University of the Free State
The Psychology Association of South Africa
(PsySSA)
As part of the Boards quality control of CPD activities,
it considered annual reports from accreditors.
It expressed concern on the reports submitted as a large
portion of the CPD activities were medically focused.
In addition, the reports did not provide details of the
presenters, their qualications and registration status.
In Februar y 2013, the Education Committee
resolved to develop a template for reports by
accreditors, to make provision for other details
such as registration categories, target groups etc.
It resolved to invite institutions to become accreditors
of CPD activities in order to increase the pool and
the Board would arrange an orientation session
thereafter. The Education Committee has provided
guidelines for CPD activities to accreditors in terms
of accrediting Ser vice Providers. These also ensure
that activities outside the scope of a practice of a
professional are not accredited.
non-compliance to CPD requirements
In October 2012, the Board considered a list
of practitioners that were non-compliant to CPD
requirements. It resolved to request the CPD
Department to verify whether these practitioners were
indeed failing to comply. In February 2013, the
Boards Executive Committee resolved to submit a nal
list of practitioners being non-compliant to the CPD
requirements during the Board meeting in April 2013.
The purpose of submission would to action the process
of suspension in terms of the Act.
The Board alerted CPD accreditors to the issue of
non-qualied and non-registered persons such as
Play Therapists wishing to work within the scope of
Psychology. It pointed out that this would contravene
the scope of the profession of Psychology and would
constitute a criminal offence.
KEEPING OF ACCURATE REGISTERS
Regulations relating to the registration of student
Psychometrists and student Registered Counsellors
Regulations relating to the registration of Psychometrists
were gazetted on 14 November 2012 in terms of
Government Notice No. R 941. The Regulations
relating to the registration of Registered Counsellors
were gazetted on 9 October 2012 in terms of
Government Notice No. R 827.
The Board established registers for student Registered
Counsellors and student Psychometrists based on the
regulations. It then advised all education and training
institutions offering training for Registered Counsellors
about the requirement of registration of student Registered
Counsellors with effect from 1 January 2013.
national Board Examinations
As part of the Boards mandate to ensure that
qualied and competent persons be registered it
conducted three Board examinations annually to fulll
standards of education and training and professional
practice. The purpose of Board examinations was to
measure the capacity of graduates, foreign qualied
practitioners and practitioners applying for restoration
to enter the profession for community service,
supervised practice and independent practice.
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It conducted examinations as follows:
June
2012
Category Number of
Candidates Wrote
Number of
Candidates Passed
PSYCHOLOGY ALL CATEGORIES
Clinical Psychology
Counselling Psychology
Educational Psychology
Industrial Psychology
Research Psychology
138
56
10
16
43
13
48
6
10
29
1
Registered Counsellors 135 121
Psychometrists Independent Practice 80 41
Psychometrists Supervised Practice 12 5
Total 365 261
Oct
2012
Category Number of
Candidates Wrote
Number of
Candidates Passed
Clinical Psychology
Research Psychology
17v1
38
23
49
46
15
34
20
42
23
10
Registered Counsellors
125 107
Psychometrists Independent Practice
110 86
Psychometrists Supervised Practice
10 6
Total
416 328
Feb
2013
Category Number of
Candidates Wrote
Number of
Candidates Passed
Clinical Psychology
Research Psychology
125
29
18
9
61
8
29
17
8
43
4
Registered Counsellors
203 184
Psychometrists Independent Practice
88 41
Psychometrists Supervised Practice
2 1
Total
418 327
GRAND TOTAL 1199
MATTERS PERTAINING TO PSYCHOMETRIC TESTING
Task Team to review models for the classification of
Psychometric tests
In 2012, the Psychometrics Committee agreed to consider
alternative options for the review and classication of tests.
In March 2013, the Psychometrics Committee resolved to
amend guidelines for the model used in three categories,
in which the reviewing of psychometric tests is conducted.
This now includes tests older than 10 years, tests less than
10 years old and the most recent approved tests.
The Board based its guideline form for test evaluations on
the European Federation of Psychologists Associations
(EFPA) form. It decided to await the promulgation of the
new regulations before commencing with the review of
Psychometric tests in terms of the three categories.
2013 ANNUAL REPORT
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SECTION FOUR
List of Psychometric Tests for Publication
Members of the Psychometrics Committee are in the
process of nalising the new list of Psychometric tests for
publication, as the list of Classied Psychological Tests.
List of tests to be used by Registered Counsellors
In March 2013, the Psychometrics Committee
resolved to group the new list of tests to be used by
Registered Counsellors into constructs. Registered
Counsellors should only use Psychological tests that
are appropriate to the context of their work.
Training of Test Evaluators
At a meeting in March 2013, the Psychometrics
Committee resolved that once it had nalised the
new regulations for Psychometric Test classication
and forms, it would provide updated training to the
evaluators. The Administration has developed a draft
training plan which is due for implementation in 2013.
FinAnCiAL AnD BUDGETARy iSSUES
Budget Process
The Boards Executive Committee considered the draft
budget for 2013/2014 at its meeting held in August
2012. It increased annual fees for 2013 by 5% for
Psychologists and 6% for all other categories under the
ambit of the Board.
PS Psychologists R1 511.00 R1 587.00
PMT Psychometrists R771.00 R817.00
PM Psychotechnicians R637.00 R675.00
PSIN Intern Psychologists R507.00 R537.00
PRC Registered Counsellors R771.00 R817.00
It also increased other fees payable to Council by
6% in terms of registration, certied extracts and
certicates of status as from 1 April 2013.
The Board functioned well within its budget provision
with no overspending on the 2012/2013 budget.
NEW DEVELOPMENTS
Approval of new categories neuropsychology and
Forensic Psychology
Following consultations, the Executive Committee
resolved at its meeting in February 2013 to recognise
Neuropsychology and Forensic Psychology as
separate registration categories for psychologists.
The addition of these two categories is in line with
international standards and will enhance service
delivery to the population. Provision will also be made
in the draft Regulations for the Grandfather Clause
process in terms of Section 33(2) of the Act.
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The Board determined the following primary goals
for its term of office:
i. To develop and maintain an effective
The Board realised this objective by ensuring
effective communication and collaboration with
stakeholders such as educational institutions,
professionals, professional associations and
other Boards. The Board further engaged with
organisations like the Council for Higher Education
(CHE), professional associations such as the
Radiological Society of South Africa( RSSA), the
Society for Radiographers of South Africa and the
Radiation Control Directorate of the Department of
Health. The aim was also to improve accessibility
and communication with the Board and the
HPCSA Administration. The Board maintained this
strategy for the duration of the review period.
ii. To provide guidance to the professions to promote
competent, empowered professionals
The Board realised this objective by ensuring:
Continuous policy development, implementation
and review;
The development and maintenance of standards
for education, training and service provision/
delivery;
The review scopes of the professions under the
ambit of the Board;
Investigating the issue of role extension in
Radiography and Clinical Technology;
Ensuring that education and training institutions
and service providers are accredited against set
guidelines;
The conducting of examinations for foreign
qualified professionals in order to determine their
registerability; and
Contributing to the development and
implementation of the CPD program me and
enforcing measures for non-compliance.
iii. To ensure adherence to standards, regulations
and requirements
The Board would monitor its mechanisms while
enhancing professional and ethical practice
and service delivery to achieve this objective.
In carrying out its activities, the Board maintained
sound financial management.
MEETINGS
During the period under review, the Board conducted
the following meetings:
Examination for Foreign Qualified Radiographers
17 and 18 May 2012
Professional Board meetings 25 May 2012 and
9 November 2012;
Education Committee meetings 7 September
2012 and 8 March 2013;
Executive Committee meeting 15 September
2012;
RCT HOD Education Committee meeting 24
May 2012;
RCT Day Celebrations in Polokwane 8 November
2012;
Joint Task Team 2 October 2012;
EEG Technician Examinations August 2012;
Examination for Foreign Qualified Radiographers
24 February 2013;
Evaluator Training 7 March 2013;
Education Committee meeting 8 March 2013.
2013 ANNUAL REPORT
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SECTION FOUR
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Chairperson
Communication with stakeholders
The Board issues its ofcial annual newsletter, RCT News
in order to improve communication with stakeholders.
During the review period, the newsletter was published in
November 2012.
Another communication strategy adopted by the
Board was to conduct open or stakeholder meetings at
different provinces each year. These events enhanced
the Boards visibility and improved communication
in general. The Board held two meetings with
stakeholders on 24 May 2013 in Johannesburg and
8 November 2013 in Bloemfontein. The meeting was
linked to the RCT Day celebrations.
RCT DAy Celebrations 8 november 2012
The Boards open stakeholder meeting was held in
Bloemfontein on 8 November 2012 to celebrate RCT
Day. The event, with its theme Know your scope of
practice was well attended, with practitioners welcoming
the opportunity to interact with the Board. Attendees also
made several recommendations on how the HPCSA can
improve service delivery to the professions.
Role Extension injection of contrast media and
interpretation of radiographs
Role extension for Radiographers has been a point of
discussion from as far back as 2006. The discussions
have been continuing up to the point where the
Board has embarked on informal research to gather
more information on the subject.
It is envisaged that the findings of the study will
provide some guidance on the revision of the scope
of the Radiography profession. In September 2011,
a meeting was held with the combined Heads
of Department representatives from educational
institutions offering training in Radiography and
Clinical Technology and the Education Committee.
It was resolved that a Task Team should be
established to look at the need for role extension
and role expansion in the Radiography and Clinical
Technology professions.
The need to extend the roles and responsibilities
of Radiographers and Clinical Technologist were
identified. The Professional Board as the custodian of
the professions had to be sensitive to the professions
and their development needs and the needs of the
healthcare communities in South Africa.
The professional acts of Radiographers and Clinical
Technologists are referred to as the scope of practice.
This is based on what they were educated, trained
and deemed to be competent in.
The challenge was that over years, the practitioners
had to act on the demands of the communities
especially in rural areas and private Radiology
practices. For example, the shortage of Radiologists
in state healthcare clinic facilities created a need
for Radiographers to provide some interpretation of
radiographic images.
The other challenge related to the injection of contrast
media by radiographers. Some Radiologists have
indicated that they want radiographers to be allowed
to inject contrast agents. The responsibility of contrast
injecting has always been the scope and responsibility
of the Radiologist. The other challenge related to
the role of radiographers in Forensic Radiography.
The different provincial governments have different
structures and needs for Forensic Radiography.
A survey conducted by SORSA reported that 27% of
the respondents were injecting contrast media as part
of their responsibilities. Twenty-two percent received
some kind of in-house training. The Committee on
Role Extension/Advancement acknowledged that
this survey implies that Radiographers are practicing
outside of their scope of practice, and without having
properly approved and accredited training.
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Examinations for foreign qualified professionals
All foreign qualied professionals are required to
pass the Board examination prior to registering with
the HPCSA. This is in order to protect the public and
ensure that only competent professionals are registered.
The Board conducted examinations for foreign qualied
Radiographers on 17 and 18 May 2012, where
eight out of ten candidates who sat for the examination
passed; in another examination on 24 February 2013,
seven out of nine candidates passed.
Guidelines for the evaluation and accreditation of
educational institutions and clinical training facilities
The Education Committee of the Board reviewed
the guidelines used to evaluate clinical training
facilities. The revised guidelines were approved by
the Board early in 2013.
The Education Committee further adapted the
evaluation guidelines for educational facilities to be
in line with the HPCSAs generic guidelines. These
revised guidelines are used to evaluate and accredit
educational programmes.
The revised guidelines will be utilised in the pilot
evaluations planned to take place before the end of
2013.
The Board resolved to approve the recommendations
made by the Councils CPD Committee relating
to the suspension of practitioners who were non-
compliant to CPD requirements. The Board is of
the view that suspending practitioners who are not
compliant, will contribute significantly to ensuring
that practitioners undergo continuous development
in their respective professions
Budget performance
The Boards financial statements ending March
2013 confirmed that it was functioning well within its
budget provision with no overspending.
2013 ANNUAL REPORT
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SECTION FOUR
76
The Board approved its revised budget and increased
the annual fees for all the registers under its ambit as
follows:
DR Radiographers R838.00 R905.00
KTG Graduate Clinical
Technologists
R838.00 R905.00
KT Clinical Technologists R838.00 R905.00
SKT Supplementary Clinical
Technologists
R838.00 R905.00
KTA Assistant Clinical
Technologists
R277.77 R330.00
SDR Supplementary Diagnostic
Radiographers
R277.77 R330.00
RSDR Restricted Supplementary
Diagnostic Radiographers
R27777 R330.00
EE Electro-Encephalographic
Technicians
R277.77 R330.00
SEE Supplementary Electro-
Encephalographic
Technicians
R277.77 R330.00
RLT Radiation Laboratory
Technologists
R478.08 R568.00
SRLT Supplementary Radiation
Laboratory Technologists
R478.08 R568.00
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2013 ANNUAL REPORT
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The goals and strategic objectives of this Board are
as follows:
1. Ensure provision/
production of quality
trained Speech
Language Therapists,
Audiologists and
Hearing Aid
Acousticians.
1.1. To establish a generic
framework of assessment
criteria associated with
exit level outcomes for
Speech Therapists (ST) and
Audiologists in line with
international benchmarks;
1.2. To establish a generic
framework of core
competencies for Hearing
Aid Acousticians in line with
international benchmarks;
1.3. To guide and inform curriculum
development processes of
higher education institutions;
1.4. To ensure that training
institutions adhere to the
Boards core competencies,
regulations and training
frameworks.
2. Ensure quality standards
for professional practice.
2.1. To facilitate continued
professional competence;
2.2. To implement additional
2.3. To implement Newborn
Hearing Screening in line with
best practice for South Africa;
2.4. To address the professions
specic needs in providing
services in a multi-lingual and
multi-cultural society;
2.5. To transform the demographic
prole of the professions to
reect that of the country.
3. Scopes of Practice. To clarify profession-specic
practice.
4. Protection, maintenance
of dignity and integrity
of the public and
practitioners.
4.1. To establish up-to-date and relevant
rules of behavior and conduct;
4.2. To improve practitioner knowledge
on ethics, human rights and
professional practice;
4.3. To establish open and transparent
processes to restore publics
condence in the system.
5. Effective communication
with all stakeholders.
5.1. To improve communication
between the Board and all
of its stakeholders, including
Practitioners, educational
institutions, public, other
Boards, professional
associations, the Department
of Health (DOH) and the
Department of Education
(DOE).
6. Maintain oversight of
registration of Speech,
Language and Hearing
(SLH) professionals.
To protect the public.
7. Effective and efcient
Board processes.
To establish mechanisms for
enhancing Board effectiveness and
efciency.
8. Improve communication
and swallowing health
of the public.
8.1. To improve access to SLH
services, including rural and
underserviced areas;
8.2 To improve awareness of SLH
services in all sectors.
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Prof. Shajila Singh
Chairperson
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OVERVIEW
The Board has summarised its key achievements during
the period from 1 April 2012 to 31 March 2013 as follows:
The Board and its structures held six meetings
during this period. At one of these meetings, the
Board reviewed its strategic plan for the term of
office and the progress made in its implementation.
The Board is satisfied that it is making good
progress in implementing its objectives.
The Board provided successful support to
education and training institutions in particular,
the University of Limpopo in its drive to review
and develop a new curriculum. It will continue
to support and monitor the quality assurance of
education and training at all institutions offering
Speech-Language and Hearing programmes.
The reviewed rules relating to the registration of
additional qualications by Speech Therapists and
Audiologists were promulgated in April 2012, while
the regulations dening the scope of the profession
of Audiology were promulgated in August 2012.
Other regulations and rules under review include
regulations defining the scope of practice of
Speech Language Therapy. These are with the
Department of Health and the Board awaits their
promulgation.
The Board has engaged relevant stakeholders to
prepare for the introduction of the mid-level worker
cadre within the Speech-Language and Hearing
professions.
In addition, it has developed draft service delivery
packages at different levels.
This refers to actions regarding stakeholder relations and
how the Board communicates with others, such as:
Newsletters;
Interactions with stakeholders (i.e. inter-university
meetings and engaging with professional associations);
Release of media statements with the assistance of the
Public Relations and Service Delivery department;
The Board strives for effective communication and
engagement with its relevant stakeholders like
practitioners, universities and different government
departments e.g Department of Health, Department
of Basic Education;
The Board was represented at different stakeholder
consultative meetings, for example at HoD Interuniversity,
meetings of professional Associations etc.
Media Statements
These media releases cautioned the public about the
illegal sale of hearing aids and to avoid purchasing
unprescribed amplifiers and use them as hearing aids
as it could result in permanent hearing damage.
Scope of Practice
Regulations and rules under review finalised:
1. Rules relating to the registration of additional
qualifications by Speech Therapists and
Audiologists (promulgated into law in April 2012);
2. The regulations defining the scope of practice for
Audiologists (promulgated in August 2012);
3. Regulations relating to qualications for registration
by Speech Therapists and Audiologists and Hearing
Aid Acousticians. Promulgated in August 2011.
The Board is still waiting for the following to be finalised:
1. Regulations defining the scope for Speech
Language Therapists;
2. Regulations relating to the minimum requirements
of undergraduate curricula and professional
examination in Audiology;
3. Regulations relating to the minimum requirements
of undergraduate curricula and professional
examination in Speech Language Therapy;
4. Regulations relating to the registration of Audiology
Students; and
5. Regulations relating to the registration of Speech-
Language Therapy Students.
The Board developed guidelines for supervised practice
to ensure that registered and competent practitioners
attend to the public. These provide guidance for
supervisors of individuals that aim to return as Board-
registered practitioners after their erasure from the
register for a period of less than ve years.
2013 ANNUAL REPORT
79
SECTION FOUR
The Board has, in a joint effort with the National
Forum for Speech Language and Hearing professions
and the Universities, developed packages of care
at different levels of service, which were nalised in
March 2013.
In ensuring that the public is attended to by registered and
competent practitioners, the Board developed guidelines
for supervised practice to guide those intending to be
back on the register after being erased for a period
under ve years and also to guide their supervisors.
The guidelines clarify the different roles and responsibilities
and further guide the supervisor in writing the report at
the end of the supervised practice period.
With the intention to introduce the Speech Language
Therapy and Audiology mid-level worker cadres in
response to the request by the National Department of
Health, the Board has to develop and clearly dene the
scope of practice for the anticipated cadres who will
work under supervision. It has started by determining
packages of care at different levels of service delivery.
Disciplinary issues
During the reporting period, the Boards Preliminary
Committee dealt with 18 disciplinary matters, broken
down as follows:
The Preliminary committee nalised 12 matters,
accepted 10 explanations and applied Regulation
4(9) to two cases. In addition, the Committee deferred
four matters and referred two erroneously presented
matters to other committees.
The Board appointed accreditors and accredited
service providers. Furthermore, it considered the
annual reports submitted by accreditors and service
providers to ensure they offered quality CPD activities.
The Board again encouraged its CPD service
providers to include additional activities relating
to ethics, medical law and human rights. (Visit the
HPCSA website to view the list of accreditors and
service providers).
new Qualifications
The Boards Education Committee considered and
approved one new application for the introduction of
a Speech Therapy programme at Fort Hare University.
The programme is due for possible implementation in
2015. University of Free State is in the process of
preparing a curriculum for submission to the Board.
QUALITY CONTROL
Key observations, patterns and interventions on quality
control at educational institutions
The Board nalised its evaluation guidelines for the
accreditation of education and training institutions
offering Speech Language and Hearing Programmes.
In addition, it provided successful training to potential
evaluators on the evaluation guidelines. These training
workshops were held on 31 January 2013 (for the
University of Pretoria, University of Limpopo and Wits)
and on 15 February 2013 (for the University of Cape
Town and Stellenbosch University). UKZN training still
needs to be arranged.
During the reporting period, the Board evaluated
and accredited two universities for ve years.
It plans to undertake evaluations of three other
institutions in the next nancial year.
The Board conducts these evaluations for accreditation
in line with its objective of ensuring that training
institutions adhere to the Boards core competencies,
regulations and training frameworks.
A key Board activity involves continuous monitoring
and providing relevant support to institutions where
necessary, to ensure their compliance with minimum
set standards of training.
TRAINING
Review: Regulations and new/amended registers
During the review period, the Board had no new or
amended registers.
RULES AnD REGULATionS UnDER REviEw ARE:
1
Regulations relating
to the minimum
requirements of
undergraduate curricula
and professional
examination in
Audiology.
Approved by Council on
2 March 2011 and submitted to the
Department of Health (DoH) on
20 June 2011. Published for
comments in May 2012 and in
March 2013, the NDoH reported
that it would forward the received
comments to the Board for
consideration. Thereafter, the Board
will make recommendations for
promulgation.
2
to the registration of
Audiology students.
On 2 February 2012, it resubmitted
the regulations to the Council
Secretariat for consideration by Exco
of Council, with the latter resolving
to approve onward to Council.
Following Council approval, it
submitted draft regulations to the
National Department of Health
(NDoH) in August 2012 for
promulgation. The Board is currently
awaiting NDoH nalisation.
3
to the registration of
Speech-Language
Therapy students.
Published for comments in May
2012 in March 2013, the NDoH
reported that it had received no
comments. The Board will therefore
recommend promulgation.
4
Regulations relating to the
minimum requirements
of the undergraduate
curricula and professional
examination in Speech,
Language and Therapy.
Approved by Council on 2 March
2011 and submitted to DoH on
20 June 2011. Published for
comments in May 2012 in March
2013, the NDoH reported that it had
received no comments.

The Board will therefore recommend
promulgation of the regulations.
5 Rules relating to the
registration of additional
qualications by
Speech Therapists and
Audiologists.
The Rules were promulgated into law
in April 2012.
6
Regulations dening the
scope of the profession
of Speech-Language
Therapy.
Council approved the regulations on
2 March 2011 and submitted them
to the DoH on 15 June 2011.
The Board awaits NDoH nalisation.
7
Regulations dening the
scope of the profession
of Audiology.
These regulations were promulgated
into law in August 2012.
ambit as follows:
STA Speech Therapist and
Audiologist
R1 081.00 R1 215.00
SSTA Supplementary Speech
Therapist and Audiologist
R1 081.00 R1 215.00
AU Audiologist R1 081.00 R1 215.00
SAU Supplementary
Audiologist
R1 081.00 R1 215.00
GAK Hearing Aid Acoustician R1 081.00 R1 215.00
SGAK Supplementary Hearing
Aid Acoustician
R1 081.00 R1 215.00
SGG Community Speech and
Hearing Worker
R374.00 R420.00
SGK Speech and Hearing
Correctionist
R374.00 R420.00
AM Audiometrician R374.00 R420.00
STB Speech Therapy Assistant R338.00 R380.00
ST Speech Therapist R1 081.00 R1 215.00
80
2013 ANNUAL REPORT
81
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2013 ANNUAL REPORT
82
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SECTion FivE: CoRPoRATE ovERviEw
t
2013 ANNUAL REPORT
83
The HPCSA is committed to and abides by, the
principles of good governance. The HPCSA has
adhered to statutory duties and responsibilities
imposed by the Health Professions Act, Companies
Act and Public Finance Management Act, whenever
these are applicable. It is also guided on best
practices by international developments as well
as the King reports on Corporate Governance for
South Africa (King II 2002 and King III 2009)
and the Protocol on Corporate Governance in the
Public Sector 2002.
In adopting the best practice governance
requirements, the HPCSA has over the years
successfully implemented and reported on
governance principles, in line with the above-
mentioned legislative framework and, more
particularly, section 13 of the HPCSA Act 56 of
1974, as amended.
During the financial year, the HPCSA continued
to identify areas of improvement or ways in which
its governance practices could be streamlined to
ensure compliance with the obligations placed on
the organisation by King III, especially in terms of
IT governance.
The HPCSA subscribes to a governance system
whereby ethics and integrity set the standards for
compliance. Thus it constantly reviews and adapts
its structures and processes to facilitate ethical
leadership and sustainability.
The Council recognises its responsibility to conduct
its affairs with fiscal prudence, transparency,
accountability, fairness and social responsibility,
thereby safeguarding the interests of all its
stakeholders. We believe that our endorsement
of the Code of Corporate Governance instills
confidence in our legislative mandate of protecting
the public and guiding the professions. The HPCSA
is fully committed to the core values of integrity;
impartiality; effectiveness; respect; accountability
and responsibility.
C
O
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P
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R
A
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E

O
V
E
R
V
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E
W
SECTION FIVE
Adv. Tshepo Boikanyo
Acting Chief Operating Ofcer
SECTION FIVE 2013 ANNUAL REPORT
84
2013 ANNUAL REPORT
85
2013 ANNUAL REPORT
86
SECTion Six: MAnAGEMEnT AnD ADMiniSTRATion
During the year under review, the Health Professions
Council of South Africa met three times.
In terms of Regulation 10 (1) (a) 2 of the Regulations
relating to the establishment, objects, functions and
powers of the HPCSA, the Council may from time to
time establish committees to assist in the execution of
its responsibilities.
The table reects Committees utilised by the Council.
During the year under review, apart from the members,
the Registrar and Executive Management also attended
and participated actively in the meetings of Council
and its Committees.
Attendance by members at Council and Committee
meetings were as follows:
C
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c
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l
C
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Delegation Title Initials Surname 3 2 4 4 4 4 4
President Prof M. S. M. Mokgokong 3/3 2/2 4/4
Vice President and Psychology Board Prof T. Sodi 3/3 2/2 4/4 4/4
P
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s
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B
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s
Dental Therapy and Oral Hygiene Ms V. Amrit 3/3
Dietetics and Nutrition Prof E. Wentzel-Viljoen 3/3
Emergency Care Mr C.V. Lambert 3/3
Emergency Care Mr A. I. Molotana 3/3
Emergency Care Mr R. Naidoo 3/3 4/4 4/4
Environmental Health Practitioners Mr J. Chaka 3/3
Medical and Dental Professions Board Prof U. M. E. Chikte 3/3 3/4 4/4
Medical and Dental Professions Board Dr T. K. S. Letlape 3/3 2/2 3/4 1/4 3/4
Medical Technology Ms R. Bridgemohan 3/3
Occupational Therapy, Medical
Orthotics, Prosthetics and Arts Therapy
Prof T. A. Ramukumba 3/3
Optometry and Dispensing Opticians Ms V. R. Moodley 3/3
Physiotherapy, Podiatry and Biokinetics Prof N. P. Taukobong 3/3
Radiography and Clinical Technology Ms R. M. Kekana 3/3
Speech, Language and Hearing
Professions
Prof S. Singh 3/3 2/2 4/4
Ms M. M. Isaacs 3/3 3/4 4/4
Mr K. P. Legodu 3/3 4/4 4/4
Mr M. D. Mhlanga 3/3 2/4
Mr R. L. Mjethu 3/3
Mr M. W. Mkhombo 3/3
Rev G. Moerane 3/3
Ms T. S. Mtshali 3/3
Mr D. N. Serenyane 3/3 2/4 4/4 3/4
Dr T. M. Sibeko 3/3
Higher Education South Africa Prof N. Gwele 3/3 1/4
Higher Education South Africa Prof K Mfenyana 3/3
Higher Education South Africa Prof L. M. Moja 3/3 3/4 4/4
Person from the South African Military
Health Service
Vacant Vacant
Person in the employment of the Department
of Education
Vacant Vacant
Person in the employment of the Department
of Health
Dr A.T. Lekalakala 3/3 3/4
Person Versed in Law Mr S. Ramasala 3/3 3/4 2/4
2013 ANNUAL REPORT
87
SECTION SIX
SECTION SIX 2013 ANNUAL REPORT
88
In accordance with the relevant terms of reference,
persons who are not members of Council have been
co-opted to serve on the Council Committees.
Attendance of the co-opted members of the Committees
was as follows:
A
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Delegation Title Initials Surname 4 4 5 2 3 4 4
Co-opted to Health Committee Prof G Lindegger 4/5
Co-opted to Health Committee Prof M Matoane 1/5
Co-opted to Health Committee
Prof S Rataemane 4/5
Co-opted to Health Committee Prof D White 5/5
Co-opted to Human Rights, Ethics and
Professional Practice Committee
Prof A Dhai 4/4
Co-opted to Human Rights, Ethics and
Professional Practice Committee
Prof D McQuoid-Mason 3/4
Co-opted to Tender Committee Ms C Hugo 4/4 4/4
External Member to Tender Committee Ms I. Nzotta 2/4 2/4
External Member to Audit and Risk
Management Committee
Adv S. *Gugwini-Peter 1/4
Ms B. *Shongwe 1/4
Ms N. *Siwahla-
Madiba
4/4
DHET Representative Ms E.L. Van Staden 2/3
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eDental Therapy and Oral Hygiene Mrs M.J. Ferreira 2/2
Emergency Care Mr M Botha 1/2
Environmental Health Practitioners Dr S Mukhola 1/2
Medical and Dental DR T Fish 2/2
Medical Technology Ms J Hind 2/2
Occupational Therapy, Medical
Orthotics /Prosthetics and Arts Therapy
Prof L van Niekerk 2/2
Optometry and Optical Dispensing Ms P von Poser 2/2
Physiotherapy, Podiatry and Biokinetics Dr E.C. Janse Van Vuuren 2/2
Psychology Prof G Pretorius 1/2
Radiography and Clinical Technology Ms J.A. Motto 0/2
Speech, Language and Hearing Dr E.C. De Koker 2/2
National Accreditors Forum Prof ME Parker 2/2
* Adv S Gugwini-Peter appointed to Audit and Risk Management Committee on 20 December 2012
* Ms B Shongwe appointed to Audit and Risk Management Committee on 20 December 2012
* Ms N Siwahla-Madibas term ended on 31st March 2013
2013 ANNUAL REPORT
89
GENERAL INFORMATION
Country of incorporation and domicile South Africa
nature of business and principal activities Health Professions Regulator
Council members Prof MS Mokgokong
Prof T Sodi
Prof E Wentzel-Viljoen, Prof S Singh
Ms V Amrit, Dr AT Lekalakala
Mr R Naidoo, Ms TS Mtshali
Mr AI Molotana, Ms MM Isaacs
Mr C Lambert, Mr DN Serenyane
Mr J Chaka, Mr RL Mjethu
Dr TKS Letlape, Mr KP Legodu
Prof UME Chikte, Rev G Moerane
Mr S Ramasala, Mr MW Mkhombo
Ms R Bridgemohan, Dr TM Sibeko
Prof TA Ramukumba, MD Mhlanga
Ms VR Moodley, Prof N Gwele
Prof NP Taukobong, Dr LM Moja
Ms RM Kekana, Prof K Mfenyana
Registered offce 553 Madiba Street
Cnr Hamilton and Madiba Street
Arcadia
0001
Postal address PO Box 205
Pretoria
0001
Bankers ABSA Bank Limited
Auditors OMA Chartered Accountants Incorporated
Chartered Accountants (S.A.)
Registered Auditors
Secretary Mr Ntsikelelo Sipeka
Level of assurance Health Professions Act no. 56 of 1974
Preparer The annual nancial statements were internally compiled by
Mr GA Theron
Health Professions Council of South Africa
Annual Financial Statements for the year ended March 31, 2013
OMA Chartered Accountants Incorporated
Chartered Accountants (S.A.)
Registered Auditors
Published October 15, 2013
2013 ANNUAL REPORT
90
The reports and statements set out below comprise the annual fnancial statements presented to the
Health Professions Council of South Africa:
SECTion Six: Audit Report 85
Councillors Responsibilities and Approval 87
Councillors Report 88
Statement of Financial Position 90
Statement of Comprehensive income 91
Statement of Changes in Equity 92
Statement of Cash Flows 93
Accounting Policies 94
notes to the Annual Financial Statements 101
The following supplementary information does not form part of the
annual fnancial statements and is unaudited:
Detailed income Statement 113
SECTion SEvEn: FinAnCiAL ovERviEw
2013 ANNUAL REPORT SECTION SEVEN
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REPORT OF THE INDEPENDENT AUDITORS TO THE
MEMBERS oF THE HEALTH PRoFESSionS CoUnCiL oF
SOUTH AFRICA
We have audited the accompanying financial statements
of the Health Professions Council of South Africa.
These comprise the statement of financial position as at
31 March 2013 and the statement of comprehensive
income, statement of changes in equity and statement of
cash flows for the year then ended. In addition, it includes
a summary of significant accounting policies and other
explanatory information and the Councillors report, as set
out on pages 87 to 114.
Councillors Responsibility for the Financial Statements
The Councillors are responsible for the preparation and fair
presentation of these financial statements in accordance
with international financial reporting standards, and
requirements of the Health Professions Act 56 of 1974,
and such internal control as the Councillors determine is
necessary to enable the preparation of financial statements
that are free from material misstatement, whether due to
fraud or error.
Auditors Responsibility
Our responsibility is to express an opinion on these
financial statements based on our audit. We conducted
our audit in accordance with International Standards on
Auditing. Those standards require that we comply with
ethical requirements and plan and perform the audit to
obtain reasonable assurance about whether the financial
statements are free from material misstatement.
An audit involves performing procedures to obtain audit
evidence about the amounts and disclosures in the
financial statements.
The procedures selected depend on the auditors
judgment, including the assessment of the risks of material
misstatement of the financial statements, whether due to
fraud or error. In making those risk assessments, the auditor
considers internal control relevant to the entitys preparation
and fair presentation of the financial statements in order
to design audit procedures that are appropriate in the
circumstances, but not for the purpose of expressing an
opinion on the effectiveness of the entitys internal control.
An audit also includes evaluating the appropriateness
of accounting policies used and the reasonableness of
accounting estimates made by management, as well as
evaluating the overall presentation of the nancial statements.
We believe that the audit evidence we have obtained
is sufficient and appropriate to provide a basis for our
qualified audit opinion.
BASiS FoR QUALiFiED oPinion
Misstatement of opening Balances
We were unable to obtain sufficient appropriate audit
evidence for the restatement of reserves to the value of
R 11 559 062 as described in note 22 to the financial
statements. The restatement was made in order to rectify
a prior year misstatement.
The Councils available records did not permit the
application of alternative auditing procedures regarding
the restatements mentioned above. Consequently, we
did not obtain sufficient appropriate audit evidence to
satisfy ourselves as to the reasonableness of the above
adjustments to opening balances.
Completeness of Revenue and Related vAT
Revenue may not be complete as income was accounted for
on a cash basis and not in compliance with IAS 18, which
requires income to be recognised on an accrual basis.
Due to the lack of internal controls and audit trails including
member reconciliations, we were unable to determine a
reliable estimation for the misstatement in the financial
statements. This impacts on the VAT balance disclosed in
the financial statements.
Trade Receivables
We were unable to confirm the balance of accounts
receivable due to inadequate audit trails and significant
system errors noted.
The Councils records and lack of audit trails did not
permit the application of alternative auditing procedures
regarding accounts receivable. Consequently, we did
not obtain sufficient appropriate audit evidence to satisfy
ourselves as to the balance of accounts receivable.

SECTION SEVEN 2013 ANNUAL REPORT
92
Provisions
We were unable to confirm the balance of Provisions
for leave pay at R4 345 499, due to the fact that no
proper leave records were maintained by the Council.
The Councils records did not permit the application of
alternative auditing procedures regarding Provisions for
leave pay. Consequently, we did not obtain sufficient
appropriate audit evidence to satisfy ourselves as to the
balance of leave pay provisions.
Qualified opinion
In our opinion, except for the possible effects of the matters
described in the Basis for qualified opinion paragraphs,
the financial statements present fairly, in all material
respects, the financial position of the Health Professions
Council of South Africa as at 31 March 2013 and its
financial performance and cash flows for the year then
ended, in accordance with International Financial reporting
Standards and the requirements of the Health Professions
Act 56 of 1974.

_________________________________
O.M.A Chartered Accountants Incorporated
Registered Accountants and Auditors
Per: Osman Moosa CA (S.A.)
Pretoria
15 October 2013
93
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The Registrar is required in terms of the HPCSA Act 56
of 1974 to maintain adequate accounting records and
is responsible for the content and integrity of the annual
nancial statements and related nancial information
included in this report.
It is her responsibility to ensure that the annual nancial
statements fairly present the state of affairs of the Council as
at the end of the nancial year and the results of its operations
and cash ows for the period then ended, in conformance
with international nancial reporting standards.
The external auditors were engaged to express an
independent opinion on the annual financial statements. The
annual financial statements were prepared in accordance
with international financial reporting standards and are
based upon appropriate accounting policies consistently
applied and supported by reasonable and prudent
judgements and estimates.
The Registrar acknowledges that she is ultimately
responsible for the system of internal financial control
established by the Council and places considerable
importance on maintaining a strong control environment.
To enable the Registrar to meet these responsibilities, she
sets standards for internal control aimed at reducing the
risk of error or loss in a cost effective manner.
The standards include the proper delegation of
responsibilities within a clearly dened framework, effective
accounting procedures and adequate segregation of duties
to ensure an acceptable level of risk.
These controls are monitored throughout the Council and
all employees are required to maintain the highest ethical
standards in ensuring the Councils business is conducted in a
manner that in all reasonable circumstances is above reproach.
The focus of risk management in the Council is on identifying,
assessing, managing and monitoring all known forms of
risk across the Council. While operating risk cannot be
fully eliminated, the Council endeavours to minimise it by
ensuring that appropriate infrastructure, controls, systems
and ethical behaviour are applied and managed within
predetermined procedures and constraints.
The Registrar is of the opinion, based on the information
and explanations given by management, that the system
of internal control provides reasonable assurance that the
nancial records may be relied on for the preparation of
the annual nancial statements with the exception of the
areas as disclosed in the external auditors report. Steps are
taken to improve the system of internal control. Any system of
internal nancial control can provide only reasonable, and
not absolute, assurance against material misstatement or loss.
The Registrar has reviewed the companys cash ow
forecast for the year to March 31, 2014 and, in the light
of this review and the current nancial position, is satised
that the Council has or has access to adequate resources to
continue in operational existence for the foreseeable future.
The external auditors are responsible for independently
reviewing and reporting on the companys annual nancial
statements. The annual nancial statements have been
examined by the companys external auditors.
The annual nancial statements set out on pages 90 to 114,
which have been prepared on the going concern basis,
were approved by the Council on October 15, 2013 and
were signed on its behalf by:
_____________________________
Prof MS Mokgokong
President, HPCSA
94
CoUnCiLLoRS REPoRT
The Council members submitted their report for the year ended March 31, 2013.
The Council submitted its report on the activities of the organisation for the year ended March 31, 2013.
1. REviEw oF ACTiviTiES
Main business and operations
The Health Professions Council of South Africa is a non prot-making statutory body governed by the Health Pro-
fessions Act, 1974. The objectives of the Council (as contained in the Act) may be summarised as follows:

1) To promote the health of the population;
2) Determine standards of professional education and training; and
3) Set and maintain excellent standards of ethical and professional practice.
The operating results and state of affairs of the company are fully set out in the attached annual nancial
statements and do not in our opinion, require any further comment.
Net surplus of the Council was R 24,709,097 (2012: R 29,958,329).
2. EvEnTS AFTER THE REPoRTinG PERioD
The acting Chief Executive Ofcer was suspended with effect from 7 October 2011.

The matter went to the CCMA and Council in the nancial year under review and it was ordered to reinstate the
acting Chief Executive Ofcer in the position of Chief Operations Ofcer.

The matter went to the Labour Court for review subsequent to year- end.
Should Council not succeed, it will either have to reinstate or compensate the acting Chief Executive Ofcer.

Also refer to notes 24 and 25.
3. ACCoUnTinG PoLiCiES
South African GAAP was withdrawn from 1 December 2012. The Health Professions Council elected to present
its nancial statements according to International Financial Reporting Standards (IFRS).

Revenue
The accounting policy for revenue recognition was the cash basis. This policy was changed to the accrual basis
in line with GAAP/IFRS.
The policy to recognise unidentied credit balances that are older than one year was retained for the following reasons:

1) IAS 1 Presentation of Financial Statements requires consistent presentation unless change is justied by a
change in circumstances or a requirement of a new IFRS.
95
2) The ERP system was set up on a cash basis and because of the nature of the balances (unidentied
receipts), there is no feasible way to determine how to account for the balances. The system setup was not
changed and is unlikely to be changed in the foreseeable future.

This policy deviates from IAS 1 Presentation of Financial Statements and the impact of such deviation could not
be disclosed for the following reasons:

1) Receipts cannot be traced to debtors.
2) Cash is received from practitioners that are not yet registered (debtors account not yet created) because
there are still compliance issues. These receipts can only be identied and allocated once the registration
is complete. It will only be resolved with signicant system and process changes.
The impact on the results of the company in adopting the above policies is reected in note 22 to the annual
nancial statements.
4. SECRETARy
The Secretary of the Council is Mr Ntsikelelo Sipeka of:
Business address 553 Madiba Street
Cnr Hamilton and Madiba Street
Arcadia
0001
Postal address PO Box 205
Pretoria
0001
5. AUDiToRS
OMA Chartered Accountants Incorporated will continue in ofce.
CoUnCiLLoRS REPoRT (ConTinUED)
96
STATEMENT OF FINANCIAL POSITION
AS AT 31 MARCH 2013
Note(s) 2013
R
2012
R
Assets
Non-current assets
Property, plant and equipment 3 13,255,787 13,305,347
Intangible assets 4 1 3,675,705
Other nancial assets 5 757,050 532,406
14,012,838 17,513,458
Current Assets
Trade and other receivables 6 6,021,082 3,103,202
Cash and cash equivalents 7 310,260,992 262,117,002
316,282,074 265,220,204
Total Assets 330,294,912 282,733,662
Equity and Liabilities
Equity
Reserves 514,184 289,540
Retained surplus 175,674,002 150,964,905
176,188,186 151,254,445
Liabilities
Current liabilities
Trade and other payables 10 11,602,850 13,023,562
Income received in advance 8 117,147,144 106,863,668
Provisions 9 25,356,732 11,591,987
154,106,726 131,479,217
Total Equity and Liabilities 330,294,912 282,733,662
97
Note(s) 2013
R
2012
R
Revenue 11 170,399,779 147,726,255
Other income 3,695,736 1,919,228
Operating expenses (163,459,951) (130,927,487)
Operating surplus 12 10,635,564 18,717,996
Investment revenue 13 14,073,533 11,240,333
Surplus for the year 24,709,097 29,958,329
Other comprehensive income:
Available-for-sale nancial assets adjustments 224,644 111,429
Transfer from reserves - (921,892)
Other comprehensive income (loss) for the year net of taxation 18 224,644 (810,463)
Total comprehensive surplus for the year 24,933,741 29,147,866
STATEMENT OF COMPREHENSIVE INCOME
AS AT 31 MARCH 2013
98
Revaluation
reserve
Fair value
adjustment
assets-
available-for-
sale reserve Total reserves
Retained
surplus Total equity
Opening balance as previously reported 921,892 178,111 1,100,003 132,565,638 133,665,641
Adjustments
Prior year adjustments
-

-

-

(11,559,062)

(11,559,062)
Balance at 1 April, 2011 as restated 921,892 178,111 1,100,003 121,006,576 122,106,579
Surplus for the year - - - 29,958,329 29,958,329
Other comprehensive income (921,892) 111,429 (810,463) - (810,463)
Total comprehensive surplus for the year (921,892) 111,429 (810,463) 29,958,329 29,147,866
Balance at 1 April, 2012 - 289,540 289,540 150,964,905 151,254,445
Surplus for the year - - - 24,709,097 24,709,097
Other comprehensive income - 224,644 224,644 - 224,644
Total comprehensive surplus for the year - 224,644 224,644 24,709,097 24,933,741
Balance at 31 March, 2013 - 514,184 514,184 175,674,002 176,188,186
Note(s) 18 18 18
STATEMENT OF CHANGES IN EQUITY
AS AT 31 MARCH 2013
99
Note(s) 2013
R
2012
R
Cash ows from operating activities
Cash receipts from customers 145,402,061 146,402,381
Cash paid to suppliers and employees (109,722,885) (94,976,817)
Cash generated from operations 19 35,679,176 51,425,564
Interest income 14,054,010 11,203,034
Dividends received 19,523 37,299
Net cash from operating activities 49,752,709 62,665,897
Cash ows from investing activities
Purchase of property, plant and equipment 3 (1,581,301) (1,476,861)
Sale of property, plant and equipment 3 4,066 (106,288)
Net movement in nancial assets (31,484) 789,433
Prot on disposal - 987
Net cash from investing activities (1,608,719) (792,729)
Total cash movement for the year 48,143,990 61,873,168
Cash at the beginning of the year 262,117,002 200,243,834
Total cash at end of the year 7 310,260,992 262,117,002
STATEMENT OF CASH FLOWS
AS AT 31 MARCH 2013
100
1. PRESEnTATion oF AnnUAL FinAnCiAL STATEMEnTS
The annual nancial statements have been prepared in accordance with international nancial
reporting standards and the Health Professions Act of 1974. The annual nancial statements have
been prepared on the historical cost basis, and incorporate the principal accounting policies set out
below. They are presented in South African Rands.
These accounting policies are consistent with the previous period unless otherwise stated.
1.1 SiGniFiCAnT JUDGEMEnTS AnD SoURCES oF ESTiMATion UnCERTAinTy
In preparing the annual nancial statements, management is required to make estimates and assumptions that
affect the amounts represented in the annual nancial statements and related disclosures. Use of available
information and the application of judgement is inherent in the formation of estimates. Actual results in the
future could differ from these estimates, which may be material to the annual nancial statements.
Trade receivables, held to maturity investments and loans and receivables
The Council assesses its trade receivables, held to maturity investments and loans and receivables for
impairment at the end of each reporting period. In determining whether an impairment loss should
be recorded in prot or loss, the company makes judgements as to whether there is observable data
indicating a measurable decrease in the estimated future cash ows from a nancial asset.
The impairment for trade receivables, held to maturity investments and loans and receivables are calculated on a
portfolio basis, based on historical loss ratios, adjusted for national and industry-specic economic conditions and
other indicators present at the reporting date that correlate with defaults on the portfolio. These annual loss ratios
are applied to loan balances in the portfolio and scaled to the estimated loss emergence period.
Available-for-sale nancial assets
The company follows the guidance of IAS 39 to determine when an available-for-sale nancial asset
is impaired. This determination requires signicant judgment. In making this judgment, the company
evaluates, among other factors, the duration and extent to which the fair value of an investment is less than
its cost; and the nancial health of and near-term business outlook for the investee, including factors such
as industry and sector performance, changes in technology and operational and nancing cash ow.
Fair value estimation
The fair value of nancial instruments traded in active markets (such as trading and available-for-sale
securities) is based on quoted market prices at the end of the reporting period. The quoted market price
used for nancial assets held by the Council is the current bid price.
Impairment testing
The recoverable amounts of cash-generating units and individual assets have been determined based
on the higher of value-in-use calculations and fair values less costs to sell. These calculations require the
use of estimates and assumptions.
ACCOUNTING POLICIES
101
The company reviews and tests the carrying value of assets when events or changes in circumstances suggest that the
carrying amount may not be recoverable. Assets are grouped at the lowest level for which identiable cash ows are
largely independent of cash ows of other assets and liabilities. If there are indications that impairment may have occurred,
estimates are prepared of expected future cash ows for each group of assets. Expected future cash ows used to
determine the value in use of goodwill and tangible assets are inherently uncertain and could materially change over time.
Provisions
Provisions were raised and management determined an estimate based on the information available. Additional
disclosure of these estimates of provisions are included in note 9 Provisions.
1.2 PRoPERTy, PLAnT AnD EQUiPMEnT
The cost of an item of property, plant and equipment is recognised as an asset when:
it is probable that future economic benefts associated with the item will fow to Council; and
the cost of the item can be measured reliably.
Property, plant and equipment is initially measured at cost except for the Presidential Badge, which is recorded at
value. Assets acquired at a cost less than R1000 are expensed during the year of purchase.
Costs include costs incurred initially to acquire or construct an item of property, plant and equipment.
When parts of an item of property, plant and equipment have different useful lives, they are accounted for as
separate components of property, plant and equipment and depreciate accordingly.
Gains and losses on disposal of an item of property, plant and equipment are determined by comparing the
proceeds from the disposal with the carrying amount of property, plant and equipment and are recognised in
prot and loss. When revalued property, plant and equipment are sold, the amounts included in the revaluation
surplus reserve are transferred to accumulated surplus.
Subsequent costs are included in the assets carrying amount only when it is probable that future economic benet
associated with the items will ow to the company and the cost of the item can be reliably measured. All other
repairs and maintenance costs are recognised in prot and loss as incurred.
Property, plant and equipment are depreciated on the straight line basis over their expected useful lives to their
estimated residual value.
Property, plant and equipment is carried at cost less accumulated depreciation and any impairment losses.
The useful lives of items of property, plant and equipment have been assessed as follows:
Item Average useful life
Land Indenite
Buildings 20 years
Furniture and xtures 10 years
Ofce equipment and lifts 5 years
IT equipment 3 years
Works of art 10 years
ACCoUnTinG PoLiCiES (ConTinUED)
102
The residual value, useful life and depreciation method of each asset are reviewed at the end of each
reporting period. If the expectations differ from previous estimates, the change is accounted for as a
change in accounting estimate.
The depreciation charge for each period is recognised in prot or loss unless it is included in the
carrying amount of another asset.
The gain or loss arising from the de-recognition of an item of property, plant and equipment is included
in prot or loss when the item is de-recognised. The gain or loss arising from the de-recognition of
an item of property, plant and equipment is determined as the difference between the net disposal
proceeds, if any, and the carrying amount of the item.
1.3 inTAnGiBLE ASSETS
An intangible asset is recognised when:
it is probable that the expected future economic benefts that are attributable to the asset will
ow to the entity; and
the cost of the asset can be measured reliably.
Intangible assets are initially recognised at cost.
Intangible assets are carried at cost less any accumulated amortisation and any impairment losses.
The amortisation period and the amortisation method for intangible assets are reviewed every period-end.
Internally generated brands, mastheads, publishing titles, customer lists and items similar in substance
are not recognised as intangible assets.
Amortisation is provided to write down the intangible assets, on a straight line basis, to their residual
values as follows:
Item Useful life
Computer software 12
1.4 FinAnCiAL inSTRUMEnTS
Classication
The company classies nancial assets and nancial liabilities into the following categories:
Held-to-maturity investment
Loans and receivables
Available-for-sale fnancial assets
Classication depends on the purpose for which the nancial instruments were obtained / incurred and
takes place at initial recognition.
103
Initial recognition and measurement
Financial instruments are recognised initially when Council becomes a party to the contractual provisions of the
instruments.
Financial instruments are measured initially at fair value, except for equity investments for which a fair value is not
determinable. These are measured at cost and are classied as available-for-sale nancial assets.
For nancial instruments that are not at fair value through prot or loss, transaction costs are included in the initial
measurement of the instrument.
Subsequent measurement
Dividend income is recognised in prot or loss as part of other income when Councils right to receive payment
is established.
Loans and receivables are subsequently measured at amortised cost, using the effective interest method, less
accumulated impairment losses.
Held-to-maturity investments are subsequently measured at amortised cost, using the effective interest method, less
accumulated impairment losses.
Available-for-sale nancial assets are subsequently measured at fair value. This excludes equity investments for
which a fair value is not determinable, and which are measured at cost, less accumulated impairment losses.
Gains and losses arising from changes in fair value are recognised in other comprehensive income and accumulated
in equity until the asset is disposed of or determined to be impaired. Interest on available-for-sale nancial assets
calculated using the effective interest method is recognised in prot or loss as part of other income. Dividends
received on available-for-sale equity instruments are recognised in prot or loss as part of other income when the
companys right to receive payment is established.
De-recognition
Financial assets are de-recognised when the rights to receive cash ows from the investments have expired or have
been transferred and the Council has transferred substantially all risks and rewards of ownership.
Fair value determination
The fair values of quoted investments are based on current bid prices.
Impairment of nancial assets
At each reporting date the Council assesses all nancial assets, other than those at fair value through prot or loss, to
determine whether there is objective evidence that a nancial asset or group of nancial assets has been impaired.
For amounts due to the Council, signicant nancial difculties of the debtor, probability that the debtor will enter
bankruptcy and default of payments are all considered indicators of impairment.
104
In the case of equity securities classied as available-for-sale, a signicant or prolonged decline
in the fair value of the security below its cost is considered an indicator of impairment. If any such
evidence exists for available-for-sale nancial assets, the cumulative loss measured as the difference
between the acquisition cost and current fair value, less any impairment loss on that nancial asset
previously recognised in prot or loss is removed from equity as a reclassication adjustment to other
comprehensive income and recognised in prot or loss.
Impairment losses are recognised in prot or loss.
Impairment losses are reversed when an increase in the nancial assets recoverable amount can be
related objectively to an event occurring after the impairment was recognised. This is subject to the
restriction that the carrying amount of the nancial asset at the date that the impairment is reversed
shall not exceed what the carrying amount would have been had the impairment not been recognised.
Reversals of impairment losses are recognised in prot or loss except for equity investments classied
as available-for-sale.
Impairment losses are also not subsequently reversed for available-for-sale equity investments which are
held at cost because fair value was not determinable.
Where nancial assets are impaired through use of an allowance account, the amount of the loss is
recognised in prot or loss within operating expenses. When such assets are written off, the write-off is
made against the relevant allowance account. Subsequent recoveries of amounts previously written off
are credited against operating expenses.
Trade and other receivables
Trade receivables are measured at initial recognition at fair value, and are subsequently measured
at amortised cost using the effective interest rate method. Appropriate allowances for estimated
irrecoverable amounts are recognised in prot or loss when there is objective evidence that the asset is
impaired. Signicant nancial difculties of the debtor, probability that the debtor will enter bankruptcy
or nancial reorganisation, and default or delinquency in payments (more than 90 days overdue), are
considered indicators that the trade receivable is impaired. The allowance recognised is measured as
the difference between the assets carrying amount and the present value of estimated future cash ows.
The carrying amount of the asset is reduced through the use of an allowance account, and the
amount of the loss is recognised in prot or loss within operating expenses. When a trade receivable
is uncollectable, it is written off against the allowance account for trade receivables. Subsequent
recoveries of amounts previously written off are recognised in the prot and loss.
Trade and other receivables are classied as loans and receivables.
Trade and other payables
Trade payables are initially measured at fair value, and are subsequently measured at amortised cost,
using the effective interest rate method.
105
Cash and cash equivalents
Cash and cash equivalents comprise cash on hand and demand deposits, and other short-term highly liquid
investments that are readily convertible to a known amount of cash and are subject to an insignicant risk of
changes in value. These are initially and subsequently recorded at fair value.
Held to maturity
These nancial assets are initially measured at fair value plus direct transaction costs.
At subsequent reporting dates these are measured at amortised cost using the effective interest rate method, less
any impairment loss recognised to reect irrecoverable amounts. An impairment loss is recognised in prot or
loss when there is objective evidence that the asset is impaired. It is measured as the difference between the
investments carrying amount and the present value of estimated future cash ows discounted at the effective interest
rate computed at initial recognition. Impairment losses are reversed in subsequent periods when an increase in
the investments recoverable amount can be related objectively to an event occurring after the impairment was
recognised, subject to the restriction that the carrying amount of the investment at the date the impairment is
reversed shall not exceed what the amortised cost would have been had the impairment not been recognised.
Financial assets that the company has the positive intention and ability to hold to maturity, are classied as held to maturity.
1.5 iMPAiRMEnT oF ASSETS
The company assesses at each end of the reporting period whether there is any indication that an asset may be
impaired. If any such indication exists, the company estimates the recoverable amount of the asset.
Irrespective of whether there is any indication of impairment, the company also:
tests intangible assets.
If there is any indication that an asset may be impaired, the recoverable amount is estimated for the individual
asset. If it is not possible to estimate the recoverable amount of the individual asset, the recoverable amount of the
cash-generating unit to which the asset belongs is determined.
The recoverable amount of an asset or a cash generating unit is the higher of its fair value less costs to sell and
its value in use. If the recoverable amount of an asset is less than its carrying amount, the carrying amount of the
asset is reduced to its recoverable amount. That reduction is an impairment loss.
An impairment loss of assets carried at cost less any accumulated depreciation or amortisation is recognised
immediately in prot or loss.
An entity assesses at each reporting date whether there is any indication that an impairment loss recognised in
prior periods for assets other than goodwill may no longer exist or may have decreased. If any such indication
exists, the recoverable amounts of those assets are estimated.
The increased carrying amount of an asset other than goodwill attributable to a reversal of an impairment loss
does not exceed the carrying amount that would have been determined had no impairment loss been recognised
for the asset in prior periods.
106
A reversal of an impairment loss of assets carried at cost less accumulated depreciation or amortisation
other than goodwill is recognised immediately in prot or loss. Any reversal of an impairment loss of a
revalued asset is treated as a revaluation increase.
1.6 PRoviSionS AnD ConTinGEnCiES
Provisions are recognised when:
the company has a present obligation as a result of a past event;
it is probable that an outfow of resources embodying economic benefts will be required to
settle the obligation; and
a reliable estimate can be made of the obligation.
The amount of a provision is the present value of the expenditure expected to be required to settle the obligation.
Where some or all of the expenditure required to settle a provision is expected to be reimbursed by another
party, the reimbursement shall be recognised when, and only when, it is virtually certain that reimbursement
will be received if the entity settles the obligation. The reimbursement shall be treated as a separate asset.
The amount recognised for the reimbursement shall not exceed the amount of the provision.
Provisions are not recognised for future operating losses.
If an entity has a contract that is onerous, the present obligation under the contract shall be recognised and
measured as a provision.
Contingent assets and contingent liabilities are not recognised.
1.7 REvEnUE
Revenue from the sale of goods is recognised when all the following conditions have been satised:
the company has transferred to the buyer the signifcant risks and rewards of ownership of the goods;
the company retains neither continuing managerial involvement to the degree usually associated
with ownership, nor effective control over the goods sold;
the amount of revenue can be measured reliably;
it is probable that the economic benefts associated with the transaction will fow to Council, and
the costs incurred or to be incurred in respect of the transaction can be measured reliably.
Revenue is measured at the fair value of the consideration received or receivable and represents the amounts
receivable for goods and services provided in the normal course of business, net of trade discounts and
volume rebates, and value added tax.
Interest is recognised, in prot or loss, using the effective interest rate method.
Dividends are recognised, in prot or loss, when the companys right to receive payment has been established.
Unidentied credit balances that are older than one year and cannot be traced to the individual members
are recognised as revenue.
107
2. nEw STAnDARDS AnD inTERPRETATionS
2.1 STAnDARDS AnD inTERPRETATionS noT yET EFFECTivE
Council has chosen not to adopt the following standards and interpretations, which have been published and are
mandatory for accounting periods beginning on or after April 01, 2013 or later periods:
Standard/ Interpretation:
Effective date:
Years beginning
on or after
Expected
impact:
IFRS 9 Financial Instruments January 01, 2015 None
IFRS 10 Consolidated Financial Statements January 01, 2013 None
IAS 27 Separate Financial Statements January 01, 2013 None
IFRS 11 Joint Arrangements January 01, 2013 None
IFRS 12 Disclosure of Interests in Other Entities January 01, 2013 None
IFRS 13 Fair Value Measurement January 01, 2013 None
IAS 19 Employee Benefts Revised January 01, 2013 None
Disclosures Offsetting Financial Assets and Financial Liabilities
(Amendments to IFRS 7)
January 01, 2013 None
Offsetting Financial Assets and Financial Liabilities (Amendments
to IAS 32)
Government Loans (Amendment to IFRS 1) January 01, 2013 None
IFRS 1 Annual Improvements for 2009 2011 cycle January 01, 2013 None
IAS 1 Annual Improvements for 2009 2011 cycle January 01, 2013 None
Consolidated Financial Statements, Joint Arrangements and
Disclosures of Interests in Other Entities: Transition Guidance.
NOTES TO THE ANNUAL FINANCIAL STATEMENTS
AS AT 31 MARCH 2013
108
noTES To THE AnnUAL FinAnCiAL STATEMEnTS (ConTinUED)
AS AT 31 MARCH 2013
3. PRoPERTy, PLAnT AnD EQUiPMEnT
2013 2012
Cost /
Valuation
Accumulated
depreciation
Carrying
value
Cost /
Valuation
Accumulated
depreciation
Carrying
value
Land 3,545,008 - 3,545,008 3,545,008 - 3,545,008
Buildings 7,767,091 (1,602,132) 6,164,959 7,767,091 (1,446,790) 6,320,301
Furniture and xtures 3,573,977 (2,548,221) 1,025,756 3,479,510 (2,309,079) 1,170,431
Ofce equipment 4,822,692 (3,518,415) 1,304,277 3,983,150 (3,107,055) 876,095
IT equipment 9,566,517 (8,351,323) 1,215,194 8,976,231 (7,584,118) 1,392,113
Works of art 99,882 (99,290) 592 99,882 (98,484) 1,398
Presidential badge 1 - 1 1 - 1
Total 29,375,168 (16,119,381) 13,255,787 27,850,873 (14,545,526) 13,305,347
Reconciliation of property, plant and equipment 2013
Opening
balance Additions Disposals Depreciation Total
Land 3,545,008 - - - 3,545,008
Buildings 6,320,301 - - (155,342) 6,164,959
Furniture and xtures 1,170,431 94,467 - (239,142) 1,025,756
Ofce equipment 876,095 839,542 - (411,360) 1,304,277
IT equipment 1,392,113 647,292 (4,570) (819,641) 1,215,194
Works of art 1,398 - - (806) 592
Presidential badge 1 - - - 1
13,305,347 1,581,301 (4,570) (1,626,291) 13,255,787
Reconciliation of property, plant and equipment 2012
Opening
balance Additions Disposals Depreciation Total
Land 3,545,008 - - - 3,545,008
Buildings 6,475,643 - - (155,342) 6,320,301
Furniture and ttings 1,267,619 214,747 - 311,935) 1,170,431
Ofce equipment 1,077,420 167,574 - (368,899) 876,095
IT equipment 1,271,060 1,094,540 (4,279) (969,208) 1,392,113
Works of art 2,749 - - (1,351) 1,398
Presidential badge 1 - - - 1
13,639,500 1,476,861 (4,279) (1,806,735) 13,305,347
109
4. inTAnGiBLE ASSETS
2013 2012
Cost /
Valuation
Accumulated
depreciation
Carrying
value
Cost /
Valuation
Accumulated
depreciation
Carrying
value
Computer software Oracle 7,657,718 7,657,717) 1 7,657,718 (3,982,013) 3,675,705
Reconciliation of intangible assets 2013
Opening
balance Amortisation
Impairment
loss Total
Computer software Oracle 3,675,705 (459,463) (3,216,241) 1
Reconciliation of intangible assets 2012
Opening
balance Amortisation Total
Computer software Oracle 4,135,168 (459,463) 3,675,705
5. oTHER FinAnCiAL ASSETS
Available-for-sale
Listed Shares 16046 Sanlam Shares
Free shares allocated to Council during
Sanlams demutualisation process
757,050 532,406
Non-current assets
Available-for-sale 757,050 532,406
6. TRADE AnD oTHER RECEivABLES
Trade receivables 4,156,777 2,598,451
Advances to Council members, managers
and employees
78,807 105,880
Prepayments 385,156 325,937
Deposits 75,180 72,934
African Medical Council of
Association (AMCOA)
147,673 -
RAF Debtors 1,177,489 -
6,021,082 3,103,202
AS AT 31 MARCH 2013
110
7. CASH AnD CASH EQUivALEnTS
Cash and cash equivalents consist of:
Cash on hand 3,500 3,500
Bank balances 46,203,976 40,366,785
Short-term deposits 264,053,516 221,746,717
310,260,992 262,117,002
Cash and cash equivalents pledged as collateral
Guarantee to SA Post Ofce Limited 1,000,000 1,000,000
No expiry date and no special conditions
apply

Limited Cession of ABSA Bank Ltd xed
deposit for R500,000 (2064961351)

Limited Cession of ABSA Bank Ltd xed
deposit for R500,000 (2064951992)
8. inCoME RECEivED in ADvAnCE
Unapplied receipts 110,348,953 92,925,007
Unidentied receipts 6,798,191 13,938,661
117,147,144 106,863,668
Unapplied receipts

Represents receipts in advance from members for their next years membership fees. These receipts are allocated
when bulk billing is done in the next nancial year.

Unidentied receipts

Represents receipts from members who cannot be identied at this stage. These members normally claim these
receipts when their fees remain unpaid and they receive reminders.

Included in this amount is also practitioners who paid, but are not yet registered. Receipts can only be applied
once registration is complete.
AS AT 31 MARCH 2013
111
9. PRoviSionS
Reconciliation of provisions 2013
Opening
balance Additions
Utilised
during the
year Total
ERP Licence fees - 7,000,000 - 7,000,000
Disciplinary matters 6,609,000 4,525,139 (2,737,639) 8,396,500
MDB Reserves 1,200,000 530,000 - 1,730,000
Provision for implementation of salary
benchmarking
- 3,602,279 - 3,602,279
Provisions for accrued leave 3,516,253 2,160,518 (1,331,272) 4,345,499
Provision for 13th cheque payment 266,734 15,720 - 282,454
11,591,987 17,833,656 (4,068,911) 25,356,732
Reconciliation of provisions 2012
Opening
balance Additions
Utilised
during the
year
Reversed
during the
year Total
Disciplinary matters 4,756,837 6,609,000 (4,756,837) - 6,609,000
MDB Reserves 950,000 1,200,000 (950,000) - 1,200,000
Provisions for client refunds 160,592 - - (160,592) -
Provisions for policy matters 10,000 - (10,000) - -
Provisions for accrued leave 2,689,339 3,516,253 (2,689,339) - 3,516,253
Provisions for 13th cheque payments 185,873 266,734 (185,873) - 266,734
Provisions for restorations 7,853,702 - - (7,853,702) -
16,606,343 11,591,987 (8,592,049) (8,014,294) 11,591,987
ERP licence fees

A compliance audit was done by the software service provider, and the service provider indicated that Council does not
comply with its licensing requirements. Management is disputing the audit methodology and amount of the license fees due.
Provision for disciplinary matters
Provision for professional conduct expenses for cases that have commenced during the current year and which will be
concluded in future years.

AS AT 31 MARCH 2013
112
AS AT 31 MARCH 2013
MDB reserves

Provision for perverse incentive investigations and inspections for cases that commenced during the current
year and will be concluded in future years.
Provision for implementation of salary benchmarking

In terms of HR policies salary, benchmarking should be done every three years. The benchmarking results were
due for implementation on 1 April 2012. The process was not yet nalised at year end and the implementation
will be backdated to 1 April 2012.
10. TRADE AnD oTHER PAyABLES
Trade payables 2,842,335 1,221,070
VAT 3,596,969 4,119,870
Other payables (32,015) 384,585
Accruals and other payables 5,195,561 7,298,037
11,602,850 13,023,562
11. REvEnUE
Annual fees Current year 145,588,093 124,847,352
Registration Fees 17,642,24 16,108,896
Annual fees Prior year 3,627,332 3,064,761
Fees from penalties imposed 1,235,650 758,126
Unidentied receipts recognised 2,306,461 2,947,120
170,399,779 147,726,255
12. oPERATinG SURPLUS
Operating surplus for the year is stated after accounting for the following:
Operating lease charges
Equipment
Rental Machines 748,470 62,485
Loss on sale of property, plant
and equipment
504 110,567
Impairment on intangible assets 3,216,241 -
Impairment on other nancial assets 31,484 -
Amortisation on intangible assets 459,463 459,463
Depreciation on property, plant
and equipment
1,626,291 1,806,735
Employee costs 81,062,648 68,922,147
113
13. invESTMEnT REvEnUE
Dividend revenue
Listed nancial assets Local 19,523 37,299
Interest revenue
Short term deposits 14,054,010 11,203,034
14,073,533 11,240,333
14. iMPAiRMEnT oF ASSETS
Material impairment losses
(recognised) reversed
Accreditation debtors
Take on balances from migration from
previous ERP system
31,484 -
Intangible assets
Computer software
Basic software functionality is not available
to the extent that it has an adverse impact
on the operations of Council.
An independent assessment was done in
November 2012, which indicated high risk
areas that will either have to be corrected,
or re-implemented to meet the basic business
requirements of Council.
3,216,242 -
Total impairment losses
(recognised) reversed
3,247,726 -
Value in use
The following key assumptions were made when the recoverable amount was determined:

1) The fair value less cost to sell is R Nil since there is no active market for this type of intangible asset;
2) Value in use projections should be related to the asset in its current condition. The asset cannot be used for
what it was designed for in its current state, and the value in use is therefore also R Nil.
15. TAxATion
No provision has been made for tax as the Council is exempt from normal tax.
16. AUDiToRS REMUnERATion
Fees
640,026 1,152,540
AS AT 31 MARCH 2013
114
17. oPERATinG LEASE
Copier equipment contractual
amounts
Next year 850,998 748,470
Next 2 - 5 years 894,002 1,744,500
1,745,000 2,492,970
Fixed-term lease agreements for 36 months with the option to extend for an indenite period, subject to the right
of either party to terminate the agreement upon not less than 30 days written notice.
18. oTHER CoMPREHEnSivE inCoME
Components of other comprehensive income 2013
Gross Tax Net
adjustments
Gains and losses arising during the year 246,536 - 246,536
Reclassication adjustments for
available-for-sale nancial assets
(21,892) - (21,892)
224,644 - 224,644
Components of other comprehensive income 2012
Gross Tax Net
adjustments
Gains and losses arising during the year
89,537 - 89,537
Reclassication adjustments for
available-for-sale nancial assets
21,892 - 21,892
111,429 - 111,429
Movements on revaluation
Transfer to retained income (921,892) - (921,892)
Total (810,463) - (810,463)
AS AT 31 MARCH 2013
115
19. CASH GEnERATED FRoM oPERATionS
Surplus for the year 24,709,097 29,958,329
Adjustments for:
Depreciation and amortisation 2,085,754 2,266,198
Loss on sale of assets 504 110,567
Dividends received (19,523) (37,299)
Interest received (14,054,010) (11,203,034)
Impairment loss 3,247,725 -
Movements in provisions 13,764,745 (5,014,356)
Other non-cash items - (1,690,418)
Changes in working capital:
Trade and other receivables (2,917,880) (1,323,874)
Trade and other payables (1,420,712) 8,743,445
Income received in advance 10,283,476 29,616,006
35,679,176 51,425,564
20. RELATED PARTiES
Relationships
President of Council Prof MS Mokgokong
Related party balances
Amounts included in Trade receivable
(Trade Payable) regarding related parties
Prof MS Mokgokong 2,760 -
Related party transactions
Recoverable amounts
Prof MS Mokgokong 2,760 -
Council/Professional Board member fees
Member fees 4,875,223 5,654,268
Preparation fees 1,053,150 1,128,890
Subsistence expenses 2,149,789 1,915,563
AS AT 31 MARCH 2013
116
AS AT 31 MARCH 2013
21. CoUnCiLLoRS EMoLUMEnTS
Executive Councillors for managerial services
2013 Salaries
Pension
fund and
contribution
Medical aid
contribution Total
Registrar 1,302,317 73,115 26,210 1,401,642
2012 Salaries
Pension
fund and
contribution
Medical aid
contribution
Total
Emoluments:
Registrar

Registrar 3,164,377 110,236 58,061 3,332,674
non-executive Councillors for services rendered as Councillors
2013
Presidents
allowance Total
Prof MS Mokgokong 65,777 65,777
2012
Presidents
allowance Total
Prof MS Mokgokong 64,434 64,434
22. PRioR PERioD ERRoRS
UIF obligation

SARS instructed ABSA bank to deduct UIF to the amount of R287,191 in March 2005 for an unpaid obligation.
This amount was carried as a reconciling item in the UIF control account. The matter was investigated and it
became apparent that there were some unallocated payments (no payment references). The amount was applied
to outstanding balances for periods between 2002 and 2010. The opening balances for the 2012 nancial
year was adjusted as required by IAS 8 Accounting policies, Changes in accounting estimates and Errors.
The correction of the error(s) resulted in the following adjustment:

Retained income R287,191
Trade and other payables (R287,191)
117
Accrual accounting

The accounting policy of the HPCSA was to recognise revenue on a cash basis. Receipts that were
unapplied to a debtor invoice was not credited to revenue, but was rather credited to a deferred
income account. This resulted in an understatement of revenue and an overstatement of deferred
income. In an attempt to correct deferred income a portion was credited to provisions for restorations.

The accounting policy was corrected to revenue recognition on the accrual basis in line with the requirements of
International Financial Reporting Standards. This resulted in the adjustment to correct revenue and to account for Output
VAT on revenue recognised.
The correction of the error(s) results in adjustments as follows:
Statement of Financial Position
Unearned revenue - (6,155,428)
VAT Output liability - (3,815,558)
Unapplied receipts - 31,069,545
Provision for restorations - 8,086,909
Provision for client refunds - 185,000
Unearned revenue - 8,888,900
Unidentied receipts adjustment account - (11,693,038)
Unapplied receipts adjustment account - (15,007,269)
Opening retained earnings - (11,559,062)
23. CoMPARATivE FiGURES
Certain comparative gures have been reclassied.
The effects of the reclassication are as follows:
Prot or Loss
Meetings - Council Committees, Boards and Legal - (8,772,865)
Employee costs - (146,021)
Legal expenses - 8,918,886
24. UnAUTHoRiSED, iRREGULAR AnD FRUiTLESS AnD wASTEFUL ExPEnDiTURE
Irregular expenditure
Legal fees Labour relations cases 238,564 -
Internal audit fees 847,865 -
1,086,429 -
Legal fees
Council policies and procedures were not followed with the appointment and payment of the attorneys. (Refer note 25)

Internal audit fees

Tender policies and procedures were not followed with the appointment of the internal auditors.
AS AT 31 MARCH 2013
118
25. ConTinGEnT LiABiLiTiES
Matter regarding acting Chief Executive Ofcer

The acting Chief Executive Ofcer was suspended with effect from 7 October 2011.

The matter went to the CCMA. The case was lost and Council was ordered to reinstate the acting Chief
Executive Ofcer in the position of Chief Operations Ofcer that was held prior to suspension and termination
of services by Council.

The matter was taken to the Labour Court for review.

Should Council not succeed, it will either have to reinstate or compensate the acting Chief Executive Ofcer.
This could result in a material obligation.

Matter regarding General Manager: Legal

The General Manager: Legal and now Chief Operations Ofcer has entered into a dispute with Council.

The Commission for Conciliation, Mediation and Arbitration (CCMA) ruled in favour of the ofcial. This decision
was also taken to the Labour Court for review.

AS AT 31 MARCH 2013
119
Note(s) 2013
R
2012
R
Revenue
Annual fees Current year 145,588,093 124,847,352
Fees from penalties imposed 1,235,650 758,126
Registration fees 17,642,243 16,108,896
Annual fees Prior year 3,627,332 3,064,761
Unidentied receipts recognised 2,306,461 2,947,120
11 170,399,779 147,726,255
Other income
RAF management fees 2,728,020 -
Prot on sale of assets 42,131 987
Stale cheques written off - 593
Rental income 210,430 -
Tender fees 15,186 7,544
Sundry revenue 490,416 367,245
Discount received - 429
Bad debts recovered - 1,156,271
Advertisement revenue (Bulletin) 116,587 287,365
Register sales 92,966 98,794
Dividend revenue 13 19,523 37,299
Interest received 13 14,054,010 11,203,034
17,769,269 13,159,561
Expenses (Refer to page 27) (163,459,951) (130,927,487)
Prot for the year 24,709,097 29,958,329
Total comprehensive income for the year 24,933,741 29,147,866
DETAILED INCOME STATEMENT
120
DETAiLED inCoME STATEMEnT (ConTinUED)
Operating expenses
AMCOA conference 117,261 166,658
Air conditioning expenses 191,453 127,005
Auditors remuneration 16 640,026 1,152,540
Bad debts increase/decrease
in provision
311,440 (1,624,037)
Bank charges 1,764,925 2,032,251
Cleaning 516,610 534,040
Consulting and professional fees 724,622 443,994
Council, Professional Board and
Committee meetings
23,777,909 24,842,880
Depreciation, amortisation and impairments 5,333,479 2,266,198
Employee costs 81,062,648 68,922,147
Equipment and furniture less than R1000 32,356 18,378
IT expenses 8,973,877 3,291,196
Insurance 550,449 447,965
Internal Audit fees 847,865 104,948
International conferences 957,124 268,381
Lease rentals on operating lease 748,470 62,485
Legal expenses 14,920,513 9,068,254
Library costs 3,795 4,956
Loss on disposal of assets 504 110,567
Other expenses - 709
Postage 3,540,786 2,308,205
Printing and stationery 3,376,268 2,533,511
Public relations and promotions 4,426,887 1,675,392
Repairs and maintenance 1,103,742 1,237,943
Security 688,417 625,528
Strategic projects 677,687 1,466,841
Subscriptions 237,822 171,355
Suspensions 5,180,843 6,155,428
Telephone and fax 1,033,763 1,065,514
Tender administrative costs 59,293 31,694
Utilities 1,659,117 1,414,561
163,459,951 130,927,487
Note(s) 2013
R
2012
R
121
NOTES
122
NOTES
123
2011
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c
i
p
l
i
n
e

i
n

t
h
e

p
r
o
f
e
s
s
i
o
n
a
l
s

r
e
g
i
s
t
e
r
e
d

w
i
t
h

t
h
e
H
P
C
S
A
;

E
n
s
u
r
i
n
g

o
n
-
g
o
i
n
g

p
r
o
f
e
s
s
i
o
n
a
l

c
o
m
p
e
t
e
n
c
e
;

a
n
d
F
o
s
t
e
r
i
n
g

c
o
m
p
l
i
a
n
c
e

w
i
t
h

t
h
o
s
e

s
t
a
n
d
a
r
d
s
.
M
i
s
s
i
o
n

Q
u
a
l
i
t
y

h
e
a
l
t
h
c
a
r
e

s
t
a
n
d
a
r
d
s

f
o
r

a
l
l
.

Hpcsa Annual Report 2012 2013

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