Safe and quality healthcare for all.
We act independently, impartially, fairly and fearlessly on behalf of the people of South Africa in guiding, monitoring and enforcing health care safety and quality standards in health establishments.
Our values are informed by the South African Constitution: “Human dignity, accountability, transparency and integrity.”
The OHSC has been created by the National Health Amendment Act of 2013 and, in terms of section 78 of the Act, the objects of the Office are to protect and promote the health and safety of users of health services by:
- Monitoring and enforcing compliance by health establishments with norms and standards prescribed by the Minister of Health in relation to the national health system.
- Ensuring consideration, investigation and disposal of complaints relating to non-compliance with prescribed norms and standards for health establishments in a procedurally fair, economical and expeditious manner.
The term health establishment refers to both public and private healthcare services and facilities (see formal definition below). It includes hospitals and primary healthcare clinics and extends to emergency medical services, hospices, private medical practices and institutions offering frail care.
The functions of the OHSC are set out in Section 29 of the Act which states that the Office must:
- Advise the Minister of Health on determining norms and standards that are to be prescribed for the national health system and on the review of such norms and standards.
- Inspect and certify health establishments as compliant or non-compliant with prescribed norms and standards or, where appropriate, withdraw such certification.
- Investigate complaints relating to breaches of prescribed norms and standards.
- Monitor indicators of risk to develop an early warning system related to serious breaches of norms and standards and report breaches to the Minister without delay.
- Make recommendations for intervention by national, provincial or municipal health departments or by individual health establishments to ensure compliance with prescribed norms and standards.
- Publish information relating to prescribed norms and standards through the media and, where appropriate, to specific communities
- Recommend to the Minister quality assurance and management systems for the national health system.
The Act states that the Office may also:
- Issue guidelines to help health establishments implement the prescribed norms and standards.
- Request or collect any information on prescribed norms and standards from health establishments and health service users.
- Liaise with and exchange information with other regulatory authorities on matters of common interest and specific complaints or investigations.
- Negotiate co-operative agreements with any regulatory authority in order to co-ordinate and harmonise their work where their jurisdictions are closely related.
The OHSC is listed as a national public entity in terms of the Public Finance Management Act.
In terms of the National Health Act:
The national health system is the South African system that comprises both public and private sector entities that are concerned with the financing, provision or delivery of health services.
A health establishment is a public or private institution, facility, building or place, or part thereof, that is operated or designed to provide in-patient or out-patient treatment, diagnostic or therapeutic interventions, nursing, rehabilitative, palliative, convalescent, preventive or other health services.
Main Areas of Work
The work of OHSC is structured around the following four key areas:
1. Compliance Inspectorate, Certification and Enforcement: This programme manages the inspection of health establishments to assess compliance with national health systems, norms and standards, certify health establishments as compliant or non-compliant with prescribed norms and standards and take enforcement action against non-compliant health establishments. This process will also consider information from the Complaints Centre and reports of the Early Warning System.
2. Health Standard Design, Analysis and Support: It provides a high-level technical, analytical and educational support to the mandate of the Office in relation to the research, development and analysis of norms and standards; and support, capacity building and establishment of communication networks with stakeholders.
3. Complaints management and Office of the Health Ombud: It aims to consider, investigate and dispose of complaints relating to non-compliance with prescribed norms and standards in a procedurally fair, economical and expeditious manner.
4. Corporate Services: it aims to provide the financial, human resources, IT and administrative support necessary for the OHSC to deliver on its mandate and comply with all relevant legislative requirements.
Early Warning System Indicators
The OHSC has its roots in the National Health Act of 2003 which recognised the need to foster good quality health services and made provision for an “Office of Standards Compliance” to be created within the Department of Health (DOH). It also provided for inspectorates of health establishments to be established in all provinces.
The Act envisaged that the office set up within the DOH would play a dual role: it would advise on how to improve quality of care as well monitoring and reporting on non-compliance with health standards. This office was established as a cluster of DOH in 2008 and played an active role in driving quality assurance systems in the public health sector.
This cluster also co-ordinated the development of a comprehensive set of National Core Standards for Health Establishments (NCS). The process involved extensive consultation and piloting of the NCS before they were finally adopted by the National Health Council as policy, applicable in all provinces. Detailed tools for measuring compliance with the NCS were subsequently developed and health establishments began to self-evaluate using these tools.
However, even as the Office within the department was taking shape and generating national standards, broader health policy evolved and it became clear that there was a need for an independent body to certify health establishments in both the public and private sectors. This was especially relevant in the light of the 2011 decision to introduce a system of national health insurance over the course of the next 14 years and create a national health insurance fund which would purchase services only from certified healthcare providers.
The internal office became the springboard for the creation of this independent regulator, the Office of Health Standards Compliance (OHSC). Drawing on international best practice and insights from various regulatory bodies in South Africa, the office assisted in the drafting of the relevant legislation and developed a business case for the envisaged OHSC.
In addition, a national inspectorate of health establishments was set up within the DOH in 2011. The intention was that members of the inspectorate would transfer to the OHSC once the legislative process had been concluded and the OHSC had been created as a public entity.
A dedicated training course was developed for inspectors, and senior members of the team had opportunity to undergo additional training at the Care Quality Commission in the United Kingdom.
From 2012 to March 2015, the inspectorate conducted over 1 000 inspections of clinics, health centres, hospitals and district health offices as part of their preparation and training. While relevant health establishments participated voluntarily in this process and the DOH lacked the authority to certify compliant establishments, the progress was extremely valuable because it:
- Provided an indication of the overall level of performance of health establishments in the public health system in relation to NCS.
- Produced extremely useful information on the adequacy of the NCS for measuring quality of care. This knowledge is being applied in the drafting of the first regulations on norms and standards.
- Gave health establishments a foretaste of the inspection process and how this could be used constructively to guide quality improvement.
The above developments ensured that, when the National Health Amendment Act was promulgated in 2013, giving birth to the OHSC, there was fairly widespread understanding in the healthcare sector of the concept of certification against prescribed standards.
The OHSC functions under control of a Board appointed by the Minister of Health in terms of the National Health Amendment Act of 2013.
The Board is the accounting authority of the Office and is responsible for determining the policy of the OHSC and undertaking strategic planning for the functions of the Office.
The Act specifies that the Board should consist of seven to twelve members. Most members are selected on the basis of specific expertise and experience in various areas of healthcare, the law, finance and economics, the private and public healthcare systems, and quality assurance. One member represents organised labour and one is a representative of civil society organisations.
The Minister makes the final selection of members from individuals nominated by institutions of higher learning, civil society organisations, trade unions and other organisations in response to adverts in the Government Gazette and national press.
The Chief Executive Officer and the Chief Financial Officer of the OHSC are ex officio members of the Board.
Chairperson: Dr Molefe Kenoshi
Vice – Chairperson: Ms Oaitse Audrey Montshiwa
Ms Oaitse Audrey Montshiwa was born on the 15 April 1956, into a family of nine which includes her parents. Her parents ran a successful family businesses in Warrenton and Ganyesa. She attended St. Paul High School in Taung and stayed at the Boarding house along with other students from various backgrounds and from all across South Africa.
She obtained Her Diploma in General Nursing and Midwifery at St. Konrads Hospital (Taung). She then persued her Bachelor’s Degree in Nursing at the then University of Bophutatswana and majored in Community Health, Nursing Administration and Sociology. She obtained her B. Curr Honours at UNISA.
She has worked in Paediatrics, Maternity, Mobile clinics and School Health Services under the then Bophuthatswana Government. She was also involved in Clinical teaching and Class teaching at St. Konrads (Training Community Hospital). This was over a span of 23 years. She has also worked in the Private Health Sector namely: Milpark and Sandton Medi-clinic Hospital and has 4 years working experience in England, working as a Staff Nurse (Registered Nurse).
She is now employed by St. Joseph’s Care and Support Trust as a Director at Bronkhorstspruit since 2012 and currently a Deputy Chairperson on the Board of the Office of Health Standards Compliance – Pretoria.
Professor Mohambry Nadesan (Morgan) Chetty
Qualifications: MBChB (Natal), M Fam Med (Natal), FCFP (SA), MPH (USA), DTM&H (Wits), DOH (Wits), DHSM (Natal), PhD honoris Causa (NMU)
Prof Chetty is a registered Specialist Family Physician. He serves as Deputy Chairman of SAMCC.
Prof Chetty is the Chairman of the IPA Foundation of SA and Chairman of Kwa Zulu Natal Doctors Healthcare Coalition.
He serves as visiting Professor to the Department of Health Sciences, Durban University of Technology.
He was awarded the Fellowship of Family Physicians by the College of Medicine of SA – 2013 – FCFP(SA).
He has been awarded a PhD from the Nelson Mandela University in South Africa.
Prof Chetty was awarded the Fullbright – Humphrey scholarship to the USA in 1993 – 1994. He completed his MPH in the USA.
He has written two books on Managed Care and is a speaker at National and International Conferences on a regular basis and writes for the Medical Chronicle.
Prof Chetty was appointed on the NHI Technical Task Team [GP Contracting] in South Africa. He is now on the Board of OHSC (Office of the Health Standards Compliance) – appointed by the Minister of Health, Dr Aaron Motsoaledi.
Prof Chetty has been the recipient of a number of awards for leadership in Healthcare.
Amongst these awards are the Titanium Award by the BHF for Leadership in Healthcare and the Discovery Health Life Time Achievement Award for work on Quality of care.
Prof Chetty was elected onto the International Academy of Quality and Safety (IAQS) and as an ISQua EXPERT.
2018 – Appointed Interim Chairman of African Health Federation – South Africa.
Mr Kariem Hoosain
Miss Ritta Msibi
Dr Maria Peenze
Dr Lindiwe Simelane
Prof Usuf Chikte
Dr Manyeke Sengwana
Prof. Khaya Mfenyana
SATD, BSc (Fort Hare), MB ChB (Natal), M Prax Med (Medunsa),
MA in Educational Administration (Michigan State University, USA), FCFP (SA)
Prof Khaya Mfenyana was born in a rural village of Macibini originally under Lady Frere, but now under Enoch Mgijima Local Municipality, Chris Hani District Municipality, in the North-Eastern part of the Eastern Cape Province of South Africa. He did his primary education at Macibini and then proceeded to do his Secondary and High School Education at Lovedale High School from 1958 to 1962. He did a teacher’s diploma, followed by a B.Sc degree at Fort Hare between 1965 and 1970. He did MB ChB at the University of Natal, which he completed in 1977, and a Masters Degree in Family Medicine at Medunsa from 1980 to 1984. He was awarded a Fellowship by the W.K. Kellogg Foundation to do a Masters Degree in Adult & Continuing Education at Michigan State University in the USA from 1994 – 1996. He was further awarded a Fellowship of the College of Family Physicians of South Africa (FCFP) by peer review in 2009.
Prof Mfenyana worked as a Medical Practitioner in the former Transkei at Mthatha, Mount Frere and Cala from 1978 – 1986 and then at Medunsa and Ga Rankuwa Hospital as a Senior Lecturer and Principal Medical Officer from 1987 – 1988. He then was appointed as the 1st Professor and Head of Department of Family Medicine at the then University of Transkei (now Walter Sisulu University) and Mthatha Hospital Complex from 1989 – 2005. Prof Mfenyana has championed community-based education and social accountability at this institution and this has made Walter Sisulu University be the first medical school in South Africa to introduce a curriculum that embraces problem-based learning and community-based education as the main learning strategies from 1st to final year. Prof Mfenyana became the Acting Vice-Chancellor & Principal of the former University of Transkei (Unitra) from May to September 2002, Deputy Vice-Chancellor of the former Unitra at the beginning of 2005 and then served as Interim Vice-Principal of Walter Sisulu University from July 2005 to December 2007. He was then appointed as the 1st Substantive Executive Dean of the Faculty of Health Sciences at Walter Sisulu University in January 2008 to August 2012, when he was requested by the Administrator of this university to assist in the Office of the Vice-Chancellor, while not neglecting the Faculty of Health Sciences especially on Professional, Provincial, National and International Health Issues. Prof Mfenyana was further appointed as Interim Vice-Chancellor as from the 1st February 2014 to 31 July 2016 to deal with the transitional period of establishing a New Council, followed by a substantive Vice-Chancellor and Principal of Walter Sisulu University in the Post Administrator Period.
He has served in many committees in and outside the university. He has been a Council Member of the College of Family Practice within the Colleges of Medicine in South Africa, the Vice President of the South African Academy of Family Practice, the President of the World Organization of Family Doctors (Wonca) for Africa Region, a Member of the Wonca World Executive and an Inspector for the accreditation of hospitals for Internship Training in South Africa on behalf of the Health Professions Council of South Africa (HPCSA). He has been a Trustee of the Health Systems Trust up to June 2013. He has served as a Council Member of the Health Professions Council of South Africa (HPCSA) and within the HPCSA, he was a member of the Education and Registration Committee, a member of the Professional Conduct Review Committee and a member of the Sub-Committee for Undergraduate Education and Training, a committee he served from 1997 to 2015. He then served the HPCSA for a second term from 2015 and this time he was elected as the Chair of the Professional Conduct Review Committee and Chair of the Education Training and Quality Assurance Committee. Prof Mfenyana was one of few people who were involved in the development of the accreditation guidelines for Undergraduate Medical Education and Training in South Africa in 1997 and has been involved as a panel member in accreditation visits of all the medical schools in South Africa except his own since 2001 when the process of accreditation of medical schools started. He was also involved in the development and accreditation of Clinical Associate Programmes in South Africa, a programme that was first pioneered at Walter Sisulu University in 2008 under his Deanship. Prof Mfenyana has been invited by the Health Professions Council of Namibia to be one of two external inspectors of the School of Medicine of the University of Namibia from the beginning of the inspection process. To date, there have been four inspections that started in 2013 to 2017 with the possibility of a fifth in 2021. Prof Mfenyana has been involved in all of these inspections so far.
Prof Mfenyana was one of the founder members of Hospice Association of Transkei in 1992 and has been Chair of this organization from 1992 to January 2017. Prof Mfenyana has been Chair of Sabona Sonke Foundation, previously known as Fred Hollows Foundation of South Africa from 2007 to 2017. Prof Mfenyana was a member of the South African Medical Research Council (MRC) as from 2013 to 2016 and was also serving as a member of the Audit, Risk and IT Committee of the MRC. Prof Mfenyana has been appointed as a member of the Interim Traditional Health Practitioners Council from 2014 to 2018. Prof Mfenyana was invited by the Academy of Science of South Africa (ASSAf) in January 2014 to serve as a panel member for the consensus study on Reconceptualising education and training of an appropriate health workforce for the improved health of the nation. This work resulted in a publication in March 2018 that is entitled: Reconceptualising Health Professions Education in South Africa.
In 2011, Prof Mfenyana served as a member of the Ministerial Task Team that was appointed by the Minister of Health to advise on processes for establishing District Clinical Specialist Teams as part of re-engineering of the primary health care system in South Africa. He was further appointed by the Minister of Higher Education and Training in 2012 as a member of the Joint Technical Task Team to advise on processes for separating the Medunsa Campus from the University of Limpopo and establishing a New University incorporating the Medunsa Campus, now known as the Sefako Makgatho University. Prof Mfenyana was part of the screening committee for the Discovery Foundation Awards in 2011/2012 and was awarded a Discovery Foundation Rural Fellowship Distinguished Visitor Award in July 2017. In 2019, Prof Mfenyana was invited by the Council on Higher Education (CHE) to be an External Expert to provide and/or assist the CHE with the functions, tasks and activities related to Institutional Audits including redrafting the Framework and Manual for Institutional Quality Audits. The agreement was signed on 12 February 2019. In September 2019, Prof Mfenyana was co-opted to the Education Technical Working Group (TWG), a sub-group of the Ministerial Advisory Committee (MAC) on Antimicrobial Resistance (AMR). In February 2020, Prof Mfenyana was appointed by the Minister of Health to be a Board Member of the Office of Health Standards Compliance (OHSC) for three years.
Prof Mfenyana has published in peer-reviewed journals in South Africa and abroad. He has also contributed a chapter in the 1st, 2nd, 3rd and 4th editions of the Handbook of Family Medicine in South Africa. The 4th edition was published in 2017. He has also presented many papers at Conferences in South Africa and abroad. Prof Mfenyana’s current research interest is in Community Engagement and Engaged Universities. He is married and has four (4) children but one died in February 2009.
Professor Craig Househam
Professor Craig Househam is a graduate of the University of Cape Town having completed both under and post-graduate study at this university. He is a specialist paediatrician and holds an honorary professorship from the University of the Free State where he headed the Department of Paediatrics and Child Health until January 1995.
Thereafter he became the Head of the Free State Health Department in February 1995 a post which he held until 2001. In 2002, he was appointed as Head of the Western Cape Department of Health, a post which he held until his retirement on 31st March 2015. During his term of office, health services in the Western Cape underwent significant restructuring with the implementation of Healthcare 2010 by the Western Cape Government. As Head of Health in the Free State and the Western Cape Professor Househam served on various national and provincial bodies and management structures.
Since his retirement, Professor Househam has been contracted by Advanced Health and Deloitte South Africa on a consultant basis, presented a management masterclass and undertaken various other private sector consultant briefs. Professor Househam has served on a national ministerial task team related to hospital performance from 2015 to 2017, and from December 2017 to April 2018, was a member of the intervention task team appointed to assist the management of the Gauteng Department of Health. Professor Househam currently also serves on the boards of the South African Health Products Regulatory Authority and St Luke’s Hospice.
Dr. Siphiwe Mndaweni
Chief Executive Officer
She holds a BA Degree in Biology from Knox College, Illinois, USA; Masters in Medical Science Microbiology from Medunsa; MBCHB from Medunsa; Management Development Course for Healthcare Professionals from both Wits Business School and Duke University; Post Graduate Diploma in Health Systems Management and Executive Leadership from University of Pretoria.
Dr Mndaweni’s career and leadership journey is imbued and manifest itself in a number of entities she worked for. Her previous roles and positions include amongst others, Deputy Director-General: District Health Services, KwaZulu-Natal, Department of Health, Chief Director: Strategic Health Programmes, KwaZulu-Natal Department of Health; Chief of Party, URC USAID TB Programme and Deputy Chief of Party of the Right To Care EQUIP Programme.
Her professional accomplishments include amongst others, notable management of the overall implementation of the HIV, TB, Child and Maternal Health Programmes in KwaZulu-Natal Provincial Department of Health. She also brings over a wealth of experience from public health policy and program implementation from several African countries she supported.
Dr. Mndaweni’s commendable knowledge in public healthcare will contribute towards the OHSC accomplishing its mandate in ensuring quality and safety in both public and private healthcare establishments in South Africa.
Executive Manager: Compliance Inspectorate
Mr Julius Mapatha
Chief Financial Officer and Executive Manager: Corporate Services
Mr Julius Mapatha has over twenty-one (21) years working experience. During his working life he has occupied various technical and leadership positions covering the areas of finance, accounting, human resource and general management. This experience has been acquired in various sectors covering mining, FMCGs, NGOs, trade and investment promotion.
Ms Winnifred “Winnie” Moleko
Executive Manager: Health Standards Design, Analysis and Support
Advocate Makhwedi Makgopa-Madisa
Director: Certification and Enforcement
Advocate Makgopa-Madisa is a qualified legal professional. She posses an LLB Degree from the University of Limpopo, LLM Degree (Corporate Law) from the University of Pretoria and a Certificate in Public Finance Management for Non-Financial Managers from University of Pretoria. She commenced her career as a Legal Intern for the Department of Agriculture and was later employed on contractual basis by the Department of the Correctional Services – Legal Services Division. When the contract expired she served as a Legal Administrative Officer for the Department of Public Works and moved to the Department of Trade and Industry as an Assistant Director: Contract Compliance. Before she joined the Office of Health Standards Compliance in March 2016, she was a Legal Administrative Officer in the National Department of Health
Mr Ricardo Mahlakanya
Director: Communications and Stakeholder Relations
Ricardo Mahlakanya is a qualified communications and media relations professional with a B-Tech Degree from Tshwane University of Technology. Over the years, he worked for a number of government and parastatals in areas such as communications, media relations, campaigns and stakeholder relations just to name but a few. He is currently pursuing his Honours Degree in Communications with University of South Africa.
Ms Matshidiso Montsho
Director: Compliance Inspectorate – Routine
Matshidiso Montsho acquired a Masters in Business Administration through Regent business school and a B Cur qualification in nursing. She is also qualified in trauma and orthopaedic nursing. She worked at various management positions at Netcare Hospitals. Her last role was as Executive manager at Clinix Health Group as well as director for Clinix Health Academy before joining Office of Health Standards Compliance.
Mr Monnatau Tlholoe
Director: Complaints Centre and Assessment
Monnatau Moses Tlholoe is Director of Complaints Centre and Assessment. He has 20 years of experience in the Public Service Health Sector, including management experience in Nursing Services Management and General Hospital Management. He holds a Bachelor’s Degree in Health Administration and Education and a Masters of Business Administration (MBA) degree. He also holds numerous management certificates. Among his notable achievements is his role in the implementation of the National Core standards in Primary Health Care health establishments in Dr Kenneth Kaunda District, North West and he participated in the Inspection Team for private health establishments in the same district. He has a passion for service delivery and staff development. He believes every organisational success depends on leadership capacity and development.
Dr Grace Labadarios
Director: Health Standards Development
Dr Grace Labadarios graduated from the University of Stellenbosch in 1992 with an MBChB following which she returned to the UK, her place of birth. She obtained the Diploma of the Royal College of Obstetricians and Gynaecologists (DRCOG) in 1996, the Certificate of the Joint Committee on Postgraduate Training for General Practice (JCPTGP) in 1999 and became a Member of the Royal College of General Practitioners (MRCGP) in March 2010. She joined COHSASA in 2011 as the GP Accreditation Programme Coordinator and was responsible for all standards development from July 2013 until September 2015. She joined the Office of Health Standards Compliance in October 2015 as the Director of Health Standards Research, Design and Development.
Mr Jonas Phoshoko
Director: Finance and Supply Chain Management
Mr. Jonas Lesetja Phoshoko is a Master of Business Leadership (MBL) from the School of Business Leadership of UNISA and a BCom (Accounting) graduate from the University of Limpopo (former University of the North). He has over ten (10) years experience and has occupied various management positions in the field of finance and accounting. Major part of his management experience was acquired in public sector, mainly is public entities.
Mr Jay Tulsee
Director: Information Technology and Document Management
Jay Tulsee joined OHSC in October 2014 as the CIO/Director of ICT. Tulsee has 25 years of health care IT experience. Prior to joining OHSC, Tulsee held a variety of senior positions in IT with several Health organisations. Tulsee holds a diploma in medical technology, information technology and a master’s degree in business management.
Mr Phillip Moholola
Director: Human Resources and Administration
Mr P Moholola joined the Office of the Health Standards Compliance in December 2014. He holds B Admin Honours degree, specialising in human resources management, from the University of the North (now Limpopo University). He is currently in the process of completing an MBA qualification with Tshwane University of Technology. He has extensive experience in all areas of human resources management, including ten years at senior management level.
Director: Governance, Strategy and Board Secretariat
Ms Helen Phetoane
Senior Investigator: Healthcare Complaints
Senior Investigator: Legal Issues: Complaints
Director: Systems and Data Analysis
The Minister of Heath has appointed Professor Malegapuru William Makgoba as the first Health Ombud since 1 June 2016.
The Office of Health Ombud is an independent body established in terms of the National Health Amendment Act of 2013 and is located within the OHSC and responsible to consider, investigate and dispose complaints from the public related to breaches of norms and standards of both public or private healthcare establishments. The Office also ensures that the healthcare users complaint is heard, investigated and redressed in a fair, economical and expeditious manner. The National Health Amendment Act of 2013 specifies that:
- The Health Ombud must operate fairly and deal with complaints swiftly.
- The Health Ombud must report his findings and recommendations to the person who laid the complaint and the health establishment concerned.
- The Health Ombud must make a recommendation for action at the end of every investigation and the CEO of the OHSC must ensure that this recommendation is carried out.
- The Act directs the Health Ombud to perform his functions “in good faith and without fear, favour, bias or prejudice”.
The Act also provides the Health Ombud (and OHSC staff assisting the Ombud) with powers to facilitate thorough investigation. These include:
- Obtaining affidavits or statements from relevant individuals.
- Directing any person to appear before him or her and questioning this person.
- Requiring any person to produce evidence or documentation.