EC Health MEC’s ‘bold steps’ welcomed, but concerns raised

05 Mar 2025 | Staff Writer

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The Public Servants Association (PSA) says while it acknowledged what it called “the bold steps” announced by Eastern Cape Health MEC Ntandokazi Capa, it had some concerns.

Capa recently unveiled the provincial department’s plan to upgrade and restructure health facilities across the province.

The PSA said it understood that the goal of improving health care services – especially in remote and underprivileged areas – is a commendable effort aimed at better meeting the evolving medical needs of the population.

The union, however, stressed the importance of ensuring that these changes were implemented with due consideration for the province’s healthcare workforce and communities that depend on these vital services.

It also said it is particularly concerned about possible implications for staffing, job security, and working conditions.

MEC Capa had emphasised the need for a more efficient and streamlined approach, citing resource constraints and the need to provide services for an aging population as well as addressing the growing burden of non-communicable diseases and trauma-related injuries.

In a statement, the PSA said: “Whilst this is an important shift, the PSA urges the Department [of Health] to balance efficiency with equity, ensuring that the most vulnerable communities are not disadvantaged in the process.

“As the MEC pointed out, the proposed changes will not be a "one-size-fits-all" approach.

“The PSA echoes this sentiment and believes that tailored solutions must be developed through comprehensive and meaningful consultations with all relevant stakeholders, including healthcare workers, unions, and local communities.

“The PSA strongly advocates for a transparent and inclusive process where all voices are heard, and their concerns are properly addressed.”

The union also called for clarity on the implementation timeline of these changes.

“The MEC indicated that the consultation process may take up to five years. Whilst the PSA understands the need for thorough consultation, the union urges the Department to ensure that this process does not unnecessarily delay much-needed improvements in healthcare delivery.”