logo
NHI regulations face opposition from Western Cape Government amid digital service expansion

NHI regulations face opposition from Western Cape Government amid digital service expansion

IOL Newsa day ago

Premier Alan Winde highlights the role of innovation and data-driven solutions in strengthening service delivery for vulnerable communities in the Western Cape.
Image: Armand Hough/Independent Newspapers.
The Western Cape Cabinet has reaffirmed its opposition to the draft regulations of the National Health Insurance (NHI) Act, warning that the proposed governance arrangements threaten to destabilize the provincial health system.
'The provisions of the act, in its current form, undermine the aim of universal healthcare, particularly in the Western Cape,' said Premier Alan Winde.
The Cabinet maintains that the regulations are premature, invalid, and would have a 'significant and detrimental impact on all provinces and service delivery.'
The province's objections mirror long-standing concerns raised during public participation, which the national Department of Health has allegedly failed to address.
In contrast to its resistance on the NHI front, the provincial government is moving forward with key innovations in social services.
Cabinet approved the expansion of the Social Work Integrated Management System (SWIMS) application across government departments.
Launched in April 2024 and already used by over 1,000 social workers, the SWIMS app digitises social service case files and significantly reduces paperwork.
Premier Winde described the system as transformative.
'Across our departments, we must explore ways to improve services. Our embrace of innovation, technology, and reliance on data and evidence strengthens our ability to boost service delivery, in the case of expanding SWIMS, to the most vulnerable in our province.'
Western Cape Minister for Social Development, Jaco Londt, echoed the sentiment, emphasising the app's reach in rural areas.
'If SWIMS is utilised by other social service professionals in government and the NGO space, not only will staff benefit, but it will strengthen our case monitoring systems, we want to mitigate the risk of cases slipping through the cracks.'
Video Player is loading.
Play Video
Play
Unmute
Current Time
0:00
/
Duration
-:-
Loaded :
0%
Stream Type LIVE
Seek to live, currently behind live
LIVE
Remaining Time
-
0:00
This is a modal window.
Beginning of dialog window. Escape will cancel and close the window.
Text Color White Black Red Green Blue Yellow Magenta Cyan
Transparency Opaque Semi-Transparent Background Color Black White Red Green Blue Yellow Magenta Cyan
Transparency Opaque Semi-Transparent Transparent Window Color Black White Red Green Blue Yellow Magenta Cyan
Transparency Transparent Semi-Transparent Opaque
Font Size 50% 75% 100% 125% 150% 175% 200% 300% 400% Text Edge Style None Raised Depressed Uniform Dropshadow Font Family Proportional Sans-Serif Monospace Sans-Serif Proportional Serif Monospace Serif Casual Script Small Caps
Reset
restore all settings to the default values Done
Close Modal Dialog
End of dialog window.
Advertisement
Next
Stay
Close ✕
Ad Loading
In a further move to modernise public service delivery, Cabinet noted the implementation of a new Provincial Roads Delivery Model at the district level. The new model, developed by the Department of Infrastructure, is based on a comprehensive five-year review and aims to speed up and improve infrastructure projects across the province.
Cabinet also approved the Growth for Jobs (G4J) 2025–2030 Implementation Plan, the next step in a strategic roadmap to stimulate economic growth.
'The G4J strategy is constantly evolving, requiring us to regularly revisit its key priority areas,' Premier Winde said.
He acknowledged the volatility of global markets but expressed confidence in the province's ability to adapt and grow.
Celebrating the success of the 2025 Premier's Cycle Tour, Winde thanked partners and provincial teams who helped deliver more than 300 bicycles to schools and neighbourhood watch groups in rural areas.
'The tour is a tangible demonstration of the 'power of the pedals' and the importance of partnerships,' he said, highlighting how bicycles can foster connectivity, promote road safety, and unlock economic opportunity.
Finally, Premier Winde called for nominations for the 2025 Service Excellence Awards (SEA), which honour Western Cape Government staff who go above and beyond in their roles.
'Our staff are at the heart of our government's commitment to work as hard as we can every day for the residents of this province,' said Winde.
The ceremony is scheduled for September 2025, and nominations close on June 30,2025.
IOL News Get your news on the go, click
here to join the IOL News WhatsApp channel.

Orange background

Try Our AI Features

Explore what Daily8 AI can do for you:

Comments

No comments yet...

Related Articles

New law: Protecting South Africans from tobacco is no foreign agenda
New law: Protecting South Africans from tobacco is no foreign agenda

Mail & Guardian

time10 hours ago

  • Mail & Guardian

New law: Protecting South Africans from tobacco is no foreign agenda

Vaping among young people has reached an all-time high, The passage of the Tobacco Products and Electronic Delivery Systems Control Bill is a decisive moment for public health in South Africa. Yet, as we edge closer to enacting life-saving legislation, a familiar narrative has emerged, one that is designed to sow confusion and delay progress. Accusations suggesting that the drafting of this legislation is influenced by foreign NGOs are not only baseless but strategically designed to detract from the real issue at hand: protecting our people, especially youth, from the harmful effects of tobacco. South Africa ratified the World Health Organisation's Framework Convention on Tobacco Control in 2005. The treaty obliges its signatories to adopt stringent public health measures and safeguard them from interference by the tobacco industry. These obligations include consulting technical experts, researchers and civil society organisations to develop sound, evidence-based policies. This is not foreign meddling; it is the global standard for formulating robust tobacco control legislation. The department of health led the drafting of the Tobacco Products and Electronic Delivery Systems Control Bill, working through established channels. Stakeholders across sectors as well as the broader public have weighed in, and parliament will review every aspect of the bill before its passage. The narrative that South Africa is ceding its policymaking to external agendas is nothing more than an industry-led distraction. It is designed to confuse, politicise and derail a procedurally sound process that aligns with our constitutional and international commitments. For decades, the tobacco industry has relied on diversion tactics, questioning the integrity of organisations and individuals who are advocating for public health reforms. South Africa is merely the latest chapter in this global playbook. But make no mistake, this bill is neither a foreign imposition nor the product of external pressure. It is the culmination of years of evidence-based recommendations and domestic public input, aligned with South Africa's sovereign obligations under the Framework Convention on Tobacco Control. The tobacco industry thrives not only on selling products that harm health but also on derailing policies that could save lives. Around the world, the industry has wielded its significant resources to manufacture doubt, discredit public health advocates and shift attention away from the substance of legislation — all to pave the way to profit from deadly tobacco and nicotine products, which include cigarettes, heated tobacco products and electronic cigarettes. Whether in Pakistan, the Philippines or South Africa, the playbook remains the same: scatter unfounded accusations of foreign interference, ignite nationalist sentiments and bury meaningful discourse on protecting lives beneath conspiracy theories. The industry will use any tactic, including mischaracterising the policy process, to try to stop legislation that has an impact on its business. South Africa is witnessing this tactic up close. Shifting the conversation away from the bill's purpose, the industry claims that the government's policymaking is compromised by external influence, even threatening litigation to challenge the legislation. Specifically, it is targeting the Campaign for Tobacco-Free Kids which, together with other experts, provided technical guidance during discussions on the bill. But this is what's not being said. The campaign consultant involved is a South African citizen, a former director in the department of health, and someone with decades of experience in public health at both national and global levels. She is not a 'foreign operative' but a lifelong servant to the health of this country. The real purpose of the Tobacco Products and Electronic Delivery Systems Control Bill is to curb the harm caused by tobacco and nicotine products, particularly among the youth. Young people in South Africa are under siege; they're targeted by an industry that relies on addiction to sustain its multibillion-dollar business model. Emerging nicotine products like e-cigarettes and heated tobacco are marketed with flavours, slick designs and celebrity endorsements that glamourise use while increasing dependence. According to the Global Adult Tobacco Survey of 2021, 29.4% of adults in South Africa use tobacco products, smoked and non-smoked. A new national survey conducted for the African Centre for Tobacco Industry Monitoring and Policy Research, based at the University of Pretoria, shows that this had increased significantly, to 36.8% in 2024. Tobacco smoking, specifically, has hit a high of 33.9% or 14.9 million, a prevalence level last seen in 1993. Use of novel tobacco products like e-cigarettes, heated tobacco products and oral nicotine pouches among young people aged 16 to 34 has risen to 13.5% or 2.6 million young people. This burden translates to thousands of preventable deaths and a strained healthcare system. The new bill takes critical steps forward by proposing a comprehensive ban on smoking in public spaces, mandating standardised packaging, curbing advertising and prohibiting sales to children, as well as regulating unregulated novel products that didn't exist when the legislation was passed. Ironically, while lobbyists accuse public health advocates of being controlled by foreign entities, the tobacco industry itself is dominated by multinational corporations like British American Tobacco, Philip Morris International and Japan Tobacco. These profit-driven conglomerates, which operate in South Africa, are the real foreign entities that are prioritising shareholder returns over the health of the general population. Their financial interests lie in keeping South Africa addicted, not free from tobacco harm. Time is critical when it comes to public health policymaking. Any delay in passing the bill equates to more lives being lost and more young South Africans becoming hooked on harmful products. By politicising public health discussions, the tobacco industry and its allies aim to manipulate timelines and erode momentum. Since the first publication of the bill in 2018 up to 2024, the total number of smokers has increased from 9.5 million to 14.9 million and vaping among young people has reached an all-time high. At its core, this issue is simple — as South Africans, do we want to prioritise the profits of multinational tobacco companies or the health of our people? The delay tactics and conspiracy theories detract from the real questions we must ask our policymakers and ourselves as a nation. How do we safeguard future generations from the harm caused by tobacco? How do we align our policies with science and evidence? How do we ensure that multinational corporations cannot exploit our youth for profit? The bill before parliament reflects a long-standing public health mandate, shaped by years of domestic input and aligned with our international obligations. Smoking-related illnesses claim about 40 000 South African lives annually. This bill offers a way forward and is a chance to break cycles of addiction, disease and suffering. The time for decisive action has arrived. It is incumbent upon all of us to reject tactics that perpetuate harm and support measures that secure the well-being of our nation. The science is settled. The need is urgent. The delay is political. Choosing health is not only the right thing to do; it is the only thing to do. Professor Lekan Ayo-Yusuf is the head of the School of Health Systems and Public Health at the University of Pretoria, director of the National Council Against Smoking and director of the Africa Centre for Tobacco Industry Monitoring and Policy Research.

Ahead of World No Tobacco Day, NCAS calls for tighter restrictions on accessibility of nicotine products
Ahead of World No Tobacco Day, NCAS calls for tighter restrictions on accessibility of nicotine products

Eyewitness News

timea day ago

  • Eyewitness News

Ahead of World No Tobacco Day, NCAS calls for tighter restrictions on accessibility of nicotine products

CAPE TOWN - Ahead of World No Tobacco Day, the Department of Health is calling on South Africans to consider becoming an organ donor. The latest statistics from the National Council Against Smoking show that 25,000 South Africans die from tobacco-related diseases every year. And non-smokers aren't spared risk - they're at risk of developing smoking-related illnesses by being around those who do smoke. Spokesperson for the National Council Against Smoking (NCAS), Ingrid Bame, said that there should be tighter restrictions on the accessibility of nicotine products. "We should also remember that tobacco products contain nicotine, which is the addictive chemical in the product which leaves users dependent and addicted to their preferred tobacco product. Due to the addictive cycle of chasing the dopamine effects, smokers are prone to mood swings, increased anxiety and depression and an overall life that displays something that is unhealthy." Bame added that the advertising of nicotine products at grocery checkout counters should be banned. "We also see people who smoke be less fertile than those who don't smoke and with women that smoke, they stand a higher chance of complications during pregnancy, which includes low birth rate and miscarriages."

NHI regulations face opposition from Western Cape Government amid digital service expansion
NHI regulations face opposition from Western Cape Government amid digital service expansion

IOL News

timea day ago

  • IOL News

NHI regulations face opposition from Western Cape Government amid digital service expansion

Premier Alan Winde highlights the role of innovation and data-driven solutions in strengthening service delivery for vulnerable communities in the Western Cape. Image: Armand Hough/Independent Newspapers. The Western Cape Cabinet has reaffirmed its opposition to the draft regulations of the National Health Insurance (NHI) Act, warning that the proposed governance arrangements threaten to destabilize the provincial health system. 'The provisions of the act, in its current form, undermine the aim of universal healthcare, particularly in the Western Cape,' said Premier Alan Winde. The Cabinet maintains that the regulations are premature, invalid, and would have a 'significant and detrimental impact on all provinces and service delivery.' The province's objections mirror long-standing concerns raised during public participation, which the national Department of Health has allegedly failed to address. In contrast to its resistance on the NHI front, the provincial government is moving forward with key innovations in social services. Cabinet approved the expansion of the Social Work Integrated Management System (SWIMS) application across government departments. Launched in April 2024 and already used by over 1,000 social workers, the SWIMS app digitises social service case files and significantly reduces paperwork. Premier Winde described the system as transformative. 'Across our departments, we must explore ways to improve services. Our embrace of innovation, technology, and reliance on data and evidence strengthens our ability to boost service delivery, in the case of expanding SWIMS, to the most vulnerable in our province.' Western Cape Minister for Social Development, Jaco Londt, echoed the sentiment, emphasising the app's reach in rural areas. 'If SWIMS is utilised by other social service professionals in government and the NGO space, not only will staff benefit, but it will strengthen our case monitoring systems, we want to mitigate the risk of cases slipping through the cracks.' Video Player is loading. Play Video Play Unmute Current Time 0:00 / Duration -:- Loaded : 0% Stream Type LIVE Seek to live, currently behind live LIVE Remaining Time - 0:00 This is a modal window. Beginning of dialog window. Escape will cancel and close the window. Text Color White Black Red Green Blue Yellow Magenta Cyan Transparency Opaque Semi-Transparent Background Color Black White Red Green Blue Yellow Magenta Cyan Transparency Opaque Semi-Transparent Transparent Window Color Black White Red Green Blue Yellow Magenta Cyan Transparency Transparent Semi-Transparent Opaque Font Size 50% 75% 100% 125% 150% 175% 200% 300% 400% Text Edge Style None Raised Depressed Uniform Dropshadow Font Family Proportional Sans-Serif Monospace Sans-Serif Proportional Serif Monospace Serif Casual Script Small Caps Reset restore all settings to the default values Done Close Modal Dialog End of dialog window. Advertisement Next Stay Close ✕ Ad Loading In a further move to modernise public service delivery, Cabinet noted the implementation of a new Provincial Roads Delivery Model at the district level. The new model, developed by the Department of Infrastructure, is based on a comprehensive five-year review and aims to speed up and improve infrastructure projects across the province. Cabinet also approved the Growth for Jobs (G4J) 2025–2030 Implementation Plan, the next step in a strategic roadmap to stimulate economic growth. 'The G4J strategy is constantly evolving, requiring us to regularly revisit its key priority areas,' Premier Winde said. He acknowledged the volatility of global markets but expressed confidence in the province's ability to adapt and grow. Celebrating the success of the 2025 Premier's Cycle Tour, Winde thanked partners and provincial teams who helped deliver more than 300 bicycles to schools and neighbourhood watch groups in rural areas. 'The tour is a tangible demonstration of the 'power of the pedals' and the importance of partnerships,' he said, highlighting how bicycles can foster connectivity, promote road safety, and unlock economic opportunity. Finally, Premier Winde called for nominations for the 2025 Service Excellence Awards (SEA), which honour Western Cape Government staff who go above and beyond in their roles. 'Our staff are at the heart of our government's commitment to work as hard as we can every day for the residents of this province,' said Winde. The ceremony is scheduled for September 2025, and nominations close on June 30,2025. IOL News Get your news on the go, click here to join the IOL News WhatsApp channel.

DOWNLOAD THE APP

Get Started Now: Download the App

Ready to dive into the world of global news and events? Download our app today from your preferred app store and start exploring.
app-storeplay-store