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- Low gross domestic product (GDP) growth rate,
coupled with high levels of unemployment and low
business confidence
- Ongoing political and policy uncertainty in South Africa
- Volatile exchange rates impact the cost of medical
equipment and medical consumables
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- Consistent delivery of excellent quality care to our
patients
- Focus on increasing cost efficiency
- Broadening our product offering
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- An ageing infrastructure with inadequate maintenance,
resulting in supply challenges for both electricity
and water
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- Ensure we have adequate sustainability strategies
to mitigate any potential impacts on our business
- Focus on reducing our water and electricity
consumption
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Changes to regulations around the training of nurses
- Changes to legislation required that nursing education
be positioned in the higher education band
- A national policy for nursing education and training has
been developed, which calls for a uniform framework in
terms of which matriculants can pursue nursing
qualifications at certificate, diploma or bachelor’s
degree levels
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- We have been registered as a Higher Education
Institution since 2008 and have been accredited to offer
the diploma and certificate programmes in three of our
seven learning centres to date
- The limited numbers approved per intake for the private
sector is a challenge and we continue to engage with
concerned parties
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Government regulation NHI and HMI
- For more information on the Health Market Inquiry (HMI)
and National Health Insurance (NHI) refer to the Chairman's review
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- Limited growth in medically insured lives
- Shortages of specialised skills, combined with
competition for skilled employees
- Increased pressure on healthcare funders and private
insurers
- Consolidation of funders leading to heightened
negotiating power
- Changing demands in reimbursement practices
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- Ensure innovative service delivery
- Improve clinical quality, clinical outcomes and cost
efficiency
- Optimise our facilities and utilisation
- Secure network deals
- Expand our focus across the healthcare continuum
- Continue to innovate our pricing models
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- The provincial Department of Health (DOH) approves
bed licences for both present and future facilities
- The efficiency of the application process, as well as the
inconsistent application of the regulations by different
provinces, remains a challenge and could impact our
growth rate, as well as our capital expenditure levels
- Annual inspections and changes to legislation and
compliance requirements may require changes to our
facilities, which will entail unintended costs
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- Engage with various provincial DOHs to understand
their concerns and try to address them where possible
- Amend growth strategy, where necessary, to address
changes to bed licence allocation
- Ensure facility compliance to licence regulations across
the different provinces
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- In accordance with the Health Professions Council of
South Africa (HPCSA) regulations, doctors and other
health professionals are independent practitioners
within our hospitals, which effectively prohibits their
employment by Life Healthcare
- An exception was granted in July 2017, which allows
medical doctors to be employed in our intensive care
units (ICUs), maternity wards and accident and
emergency units, subject to specific conditions
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- Be a preferred healthcare provider by partnering with
doctors to provide patients with efficient, quality care
- Focus on increasing preferred network deals
- Provision of excellent nursing
- Offering relevant, world-class facilities and equipment,
along with a range of clinical services, to ensure optimal
treatment
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