Eastern Cape healthcare on the brink as overtime payments frozen across the province

Issued by Jane Cowley MPL – DA Shadow MEC for Health
31 Jan 2025 in Press Statements

A damning circular released earlier this week, freezing all overtime payments until April, will most likely cripple the Eastern Cape’s public healthcare system. Doctors, nurses, and emergency staff, who have been holding the system together, are now forced to pay the price for government mismanagement.

This reckless decision threatens the livelihoods of thousands of dedicated professionals and places countless patients at risk, as exhausted and demoralised staff face impossible working conditions.

The Eastern Cape’s healthcare workers are the backbone of a struggling system. They work tirelessly beyond their contracted hours to ensure that patients receive critical care. They are the first to arrive and the last to leave, often sacrificing their well-being to keep our hospitals and clinics functioning. Yet, instead of being recognised for their service, they are now being asked to bear the brunt of the province’s financial mismanagement.

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The chaos at Dora Nginza Hospital over the past two weeks is a harrowing preview of what lies ahead if this crisis is not urgently addressed. Nurses, driven to desperation over unpaid overtime, walked off the job, leaving patients to fend for themselves, mopping floors and tending to their care in a facility meant to heal, not abandon them.

Operating theatres were shuttered, ambulances were blocked from entering or leaving, and overwhelmed doctors were forced to step into the roles of nurses to keep critical services running. The situation escalated to the point where heavily armed police had to forcibly cut through locked hospital gates, a disturbing scene that should never unfold at a place of healing. This is not just a protest but a symptom of a collapsing system.

If the government does not take immediate action, this pandemonium will spread across the province’s hospitals, with devastating consequences.

This crisis does not result from unforeseen circumstances or an unexpected budget shortfall. It is a direct consequence of years of mismanagement and misplaced priorities. The Department admits in the circular that it is drowning in over R5.375 billion in accruals, primarily due to medico-legal claims.

The infuriating irony is that by cutting funds to frontline staff rather than non-essential expenditures, they are creating an environment that will open them to even more medico-legal claims, exacerbating the cycle.

This decision is reckless and dangerous. It will lead to mass resignations, burnout, and increased patient risk.

We cannot allow the Eastern Cape government to continue its pattern of crisis management at the expense of those who serve our communities.

I have written to the Premier, Oscar Mabuyane, to call for the immediate prioritisation of frontline workers and ensure they receive their hard-earned wages without delay.

It is also vital that a proper, urgent review be done to determine where costs can be cut, to ensure that the core business of saving lives is not jeopardised.

I will also again write to the Minister of Health, Dr Aaron Motsoaledi, to request that the provincial department be placed under administration until it can actually manage its finances, pay in staff, and save lives in the province.

Our healthcare workers are already working under unbearable conditions. A government that neglects its healthcare workers and abandons its patients is a government that has failed in its most fundamental duty—to serve and protect its people.

The DA will continue to fight financial mismanagement and corruption, for the right to fair working conditions, and, most importantly, for the right of every patient in this province to receive safe, quality care.