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Southern Africa external environment

MACRO-ECONOMIC TRENDS IMPACTING OUR BUSINESS

Low growth and high unemployment
  • Contraction in gross domestic product (GDP) growth rate
  • Constrained consumer and capital spending
  • Increased debt threatening South Africa’s future economic prospects
  • Constrained government finances
  • Increased levels of unemployment
  • Volatile exchange rates
Infrastructure challenges
  • Electricity and water supply challenges
Complex regulatory landscape
  • Introduction of new regulations due to COVID-19
  • The one-year transition period from 1 July 2020 to comply with POPIA
  • Uncertainty around the impact of the NHI Bill and Medical Schemes Amendment Bill
Industry challenges
  • No growth in insured lives
  • Shortages of specialised skills
  • Funder pressure to reduce costs
Bed licences
  • 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
Doctor relationships
  • 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
  • Shortage of specialists
  • Tariff pressures require standardised formulary compliance
COVID-19 outbreak
  • Shortage of nurses and frontline healthcare professionals
  • Uncertainty around the timing of the COVID-19 peak
  • Changes to how healthcare is delivered, with increased focus on technology and virtual care
  • Lockdown restrictions imposed by the government
  • Adequate PPE
  • Reduction in elective cases
  • Economic impact
  • Government support

HOW WE ARE RESPONDING

  • Providing consistent and excellent quality care to patients
  • Improving cost efficiencies
  • Developing and introducing new value-based products
  • Reducing our reliance on grid electricity
  • Implementing adequate sustainability strategies
  • Completing internal audits to ensure compliance with relevant laws and regulation
  • Established a compliance function to drive adherence to governance and regulatory compliance
  • Proactively monitoring and responding to changes in our regulatory universe
  • Engaging with regulatory bodies to provide input for any new proposed legislation
  • Future-proofing the business against regulatory changes
  • Implementing innovative service delivery
  • Enhancing clinical quality outcomes
  • Developing value-based products
  • Expanding our services across the healthcare continuum
  • Continued training and skills development initiatives
  • Focusing growth into non-acute areas
  • Engaging with provincial DOHs
  • Amending our growth strategy, taking into account the potential future impacts of COVID-19
  • Ensuring facility compliance to licence regulations across the different provinces
  • Leveraging our reputation to build a portfolio of excellent specialists
  • Partnering with doctors to provide cost-effective and quality care
  • Increasing preferred network deals
  • Offering relevant, world-class facilities and equipment
  • Implementing COVID-19-specific measures and protocols
  • Adopting guidelines issued by the DOH, NICD and the WHO
  • Ensuring adequate PPE for employees and doctors
  • Increasing ventilator capacity
  • Implementing a dynamic forecasting model for logistical, capacity and employee planning

Refer to our response to COVID-19.