INTEGRATED REPORT 2019


What we do

Southern Africa

In southern Africa, we strive to improve the lives of people through high-quality, cost-effective care offered through our hospital and healthcare services divisions.

HOSPITAL DIVISION

The hospital division primarily serves the private market, and comprises the acute hospitals and complementary services.

ACUTE HOSPITALS

Life Healthcare’s acute hospitals are located in the metropolitan areas
in seven of South Africa’s nine provinces, as well as in Botswana.

Our hospital facilities comprise technologically advanced, multidisciplinary hospitals offering specialised medical disciplines, community hospitals, same-day surgical centres and dedicated niche facilities. Furthermore, we offer intensive care units (ICUs), high-care units, operating theatres, emergency units, maternity units, cardiac units and paediatric units.

Approximately 3 800 specialist and healthcare professionals (2018: 2 985), as well as various other healthcare professionals, support the delivery of effective and compassionate care through these state-of-the-art facilities.

 

Facilities 49 (2018: 50)

 

Theatre cases 316 179 (2018: 318 761)

 

Beds 8 225 (2018: 8 224)

 

Births 30 489 (2018: 30 097)

 

Admissions 587 843 (2018: 589 603)

 

Cathlab cases 15 638 (2018: 14 189)

COMPLEMENTARY SERVICES

Life Healthcare provides specialised healthcare facilities that offer both inpatient and outpatient services, including acute rehabilitation, mental healthcare, renal dialysis and oncology. Our specialised care model promotes continuity of care and uniquely positions Life Healthcare to provide comprehensive therapeutic interventions for chronically ill patients.

ACUTE REHABILITATION

When people suffer disabling or traumatic brain injuries, they need assistance and a place where acute physical and cognitive rehabilitation can take place. Given how challenging the rehabilitation journey can be, Life Rehabilitation provides specialised care to patients recovering from head injuries, traumatic brain injuries or spinal trauma, severe orthopaedic injuries, stroke or nerve-related illnesses, amputation or joint replacement, over and above other disabling injuries or conditions. We focus on patient care which, in turn, will restore quality of life for patients and their families.

 

Life Rehabilitation uses the Functional Assessment Measure (FAM) for cognitive, behavioural, communication and community functioning, which provides insight on patients with brain injuries. We measure the clinical outcomes of each patient and track their overall progress to benchmark the performance of rehabilitation units and denote clear patient outcomes. In this way, we can support patients’ families and provide in-depth detail to healthcare funders during the rehabilitation process.

 

Life Rehabilitation is International Standards Organisation (ISO) 9001:2008 certified, and also the sole licence holder for the Functional Independence MeasureTM (FIMTM) in South Africa, which allows us to evaluate the functional status of patients during their rehabilitation process.

Facilities 7 (2018: 7)

Beds 319 (2018: 319)

MENTAL HEALTH

Life Mental Health offers multi-disciplinary mental healthcare services to both adults and adolescents, including liaison and general psychiatry, treatment for substance dependence and compulsion anxiety, mental wellness care for work-related stress, bereavement and adjustment disorders, as well as support for diet-related mental illness. Selected facilities also offer a neuro-geriatric wellness programme.

 

Our facilities, designed for transitionary care, provide a dedicated tranquil and therapeutic environment for voluntary, assisted and involuntary patients. We also operate theatres with full anaesthetic capability for electroconvulsive therapy.

 

Facilities 9 (2018:8)

Beds 592 (2018: 512)

HEALTHCARE SERVICES DIVISION

Healthcare services relate to specialised care offered by Life Esidimeni; and occupational health and employee wellness services offered by Life Employee Health Solutions.

LIFE ESIDIMENI

Our Life Esidimeni care centres partner with South African provincial health and social development departments to provide long-term chronic mental healthcare, frail care rehabilitation, step-down care, correctional services, primary healthcare and

  substance abuse recovery programmes to patients in the most vulnerable segment of South Africa. These services are offered on contract, which are awarded through the National Treasury tender processes.  

Facilities 10 (2018: 10)

Beds 3 119 (2018: 3 119)

LIFE EMPLOYEE HEALTH SOLUTIONS

Life Employee Health Solutions (Life EHS) is an integrated service offering providing wellness, occupational and primary healthcare services to a range of corporate and institutional clients.

  Occupational health services provide contracted on-site occupational and primary healthcare services to large employer groups in the commercial, industrial, mining and state-owned sectors, and specialises in the development, implementation and delivery of comprehensive employee health strategies.

Occupational
health clinics
310 (2018: 301)

Employees
cared for
210 589 (2018: 211 086)

 

Life EHS is a leading provider of outcomes-based employee wellness programmes, encouraging and supporting healthy and balanced living in employees, improving their well-being while promoting maximum productivity for employers. Employee wellness services are provided to companies and institutions across the public and private sectors.

Employee
wellness clinics
81 (2018: 80)

Employees
cared for
383 082 (2018: 367 670)

RENAL DIALYSIS

Life Renal Dialysis serves patients in renal failure who require outpatient-based chronic renal dialysis, home-based peritoneal dialysis and acute renal dialysis in hospital.

   

Facilities 26 (2018: 26)

Stations 329 (2018: 318)

ONCOLOGY

Our Life oncology centres offer technologically advanced diagnostic and interventional services supporting comprehensive cancer management. Our significant investment in technologies place our oncology centres at the forefront of advanced treatments in surgical, medical, gynaecological and radiation oncology.

 

Our holistic care model focuses on extensive patient counselling and support, including chemotherapy, surgery and radiotherapy (comprising brachytherapy and stereotactic radiotherapy). Furthermore, our linear accelerators and treatment planning software provides targeted, accurate and effective treatment for a variety of cancers.

 

Facilities 5 (2018: 5)

For more information on our southern African performance, refer to Our geographic presence.

International

Alliance Medical primarily offers diagnostic and molecular imaging services across the UK and Europe, while the Poland-based Scanmed provides private healthcare and medical services in 41 locations across 23 cities.

ALLIANCE MEDICAL   OUR PRINCIPAL OFFERINGS

Alliance Medical is western Europe’s leading independent provider of diagnostic imaging services. We combine service excellence and innovative imaging technologies to improve patient care, and support public and private healthcare organisations with their imaging requirements. We work collaboratively with clinicians, healthcare organisations and academic institutions to provide high-quality and cost-effective imaging for our customers and better services for our patients.

    Total locations served        
Geographical segment 2019     2018   Principal service offerings
UK                
  Diagnostic imaging static sites 33     33   MRI   PET-CT
  PET-CT national contract sites 36     34   CT   Radiopharmacy
  Mobiles 44     45        
  Cyclotrons 4     4        
Italy                
  Owned clinics 34     34   MRI   Mammogram
  Static sites 8     9   CT   Mammotomosynthesis
  Cyclotron 1     1   PET-CT   Lab
              Radiopharmacy   Physiotherapy
              X-ray   Cone beam
              OPT   Ultrasound
                  Dexa
Ireland                
  Operating sites 27     23   MRI    
              CT    
              PET-CT    
Spain                
  Operating sites 11     11   MRI   PET-CT
              CT    
              X-ray    
Northern Europe                
  Relocatable buildings 3     3   MRI   Radiopharmacy
  Mobiles 15     19   CT   Product development
  Cyclotrons 4     4   PET-CT    
 

Magnetic resonance imaging (MRI) scanners, operated in clinics, static hospital installations, as well as mobile scanners with a focus on outpatient procedures.

Computerised tomography (CT) scanners, which are offered in clinics, static hospital installations and mobile scanners.

By employing mobile and fixed location scanners throughout Europe, Alliance Medical’s molecular imaging services provide positron emission tomography-computerised tomography (PET-CT) scans to public health services and independent organisations. Our services include manufacturing of certain radiopharmaceuticals for use in PET-CT scanning applications.

Radiopharmacy activities, during which we manufacture radioactive chemicals used in molecular imaging procedures. Radioisotopes are usually manufactured in a cyclotron – a type of particle accelerator.

Life Molecular Imaging (LMI) is a research and development company dedicated to the development and global commercialisation of innovative molecular imaging agents for use in PET-CT diagnostics. Operating out of its laboratories and offices in Berlin, Germany, LMI has developed a pipeline of novel imaging agents addressing major unmet clinical needs in neurological, oncological, and cardiovascular diseases. LMI’s first registered molecular imaging tracer, Neuraceq (florbetaben F18) is a globally approved and commercialised product for assisting in the diagnosis of Alzheimer’s disease.

     
SCANMED   OUR PRINCIPAL OFFERINGS

Scanmed offers co-ordinated healthcare for private and institutional patients through public and private financing and has been offering broad-spectrum healthcare in Poland for nearly 15 years, including major cities such as Kraków, Warsaw, Wroclaw, Poznan, Gdansk, and Lublin.

  2019   2018  
Facilities 41   40  
Cardiac units 12   12  
Beds 579   624  
1 The number of registered beds declined as a result of new regulations introduced from January 2019 by the Ministry of Health in Poland that required an increase in the number of nurses per bed (resulting in deregistration of beds across the industry), as well as renovation of Blachownia Hospital where one ward was temporarily closed.

For more information on our southern African performance, refer to Overview of our international portfolio international.

 

We offer a wide range of medical services to our patients – from primary care and outpatient specialist care, to hospital care and rehabilitation, including cardiology, orthopaedics, paediatrics, dermatology, gynaecology, obstetrics, and diagnostics. We are therefore well positioned to offer holistic care and quality service to our patients.

We provide access to comprehensive treatment methods, excellent medical equipment and experienced specialists who collaborate to ensure our patients recover rapidly. Through this commitment to safety and quality, we have consistently increased our patient numbers, with more than 350 000 individual patients and nearly 40 000 corporate clients selecting Scanmed as their preferred medical services provider.