They died in droves and for periods between July and September 2016 mental health patients housed by the Precious Angels nongovernmental organisation (NGO) passed away one after another often within hours of each other, revealed a health ombudsman investigation.
Many likely died cold and hungry, indicates the ombudsman report, as payments by the Gauteng health department meant to cover patients’ costs were delayed by three months. The death count at the NGO based in Atteridgeville outside Pretoria made it the most deadly of all the 27 organisations that received Life Esidimeni patients following the Gauteng health department’s 2015 decision to cancel its contract with the private hospital group.
Yesterday, more than a year after patient Virginia Machpelah became one of 23 people that died in Precious Angels’ care, the country finally heard from the woman in charge of the organisation: Ethel Ncube.
Testifying on Tuesday as part of an ongoing arbitration process into the Life Esidimeni tragedy, Ncube rejected accusations that patients died of hunger and cold.
Replying to presiding retired Deputy Chief Justice Dikgang Moseneke and legal representatives of Life Esidimeni patient families, Ncube admits that she was not qualified to care for mentally-ill adults. Instead, she describes pursuing a degree in accounting and obtaining a certificate in early childhood education.
And despite having only cared for children with intellectual disabilities, Ncube says she opened her doors to Life Esidimeni patients because she wanted to gain experience and expand her organisation. Meanwhile, she explains she felt mounting pressure from the Gauteng health department to accept increasing numbers of patients.
Listen to former Gauteng Health MEC Qedani Mahlangu describe her role in the tragedy
supports HTML5 video
The former Gauteng health MEC says it wasn't her job to visit organisations prior to transferring state patients into their care.
The subsequent ombudsman report found that Precious Angels facilities, which were never licensed, were not suitable to house patients. A ministerial advisory committee created by Health Minister Aaron Motsoaledi removed state mental health patients from Previous Angels in September 2016. The organisation closed in January.
As part of the arbitration agreement, affected families are not allowed to speak directly to the media during the process without approval from lawyers.
Ncube blamed deaths on the Gauteng health department, which she says never supported Precious Angels. She explains that when the department failed to pay the NGO, she solicited donations and took out loans to pay for patients’ upkeep.
She says: “The department really failed us.”
Arbitration is expected to continue until at least October 30, according to the head of the arbitration office Obakeng van Dyk.
Have something to say? Tweet or Facebook us on @Bhekisisa_MG
#LifeEsidimeni: Former Gauteng Health MEC Mahlangu visited deadly Cullinan NGOs
#LifeEsidimeni: More than a year later, still no prosecutions
[LISTEN] Health MEC: '#LifeEsidimeni families' voices were muffled’
#LifeEsidimeni: Patients still missing after deadly move from state care
SPECIAL REPORT: #LifeEsidimeni - How did more than 90 mental health patients lose their lives at the hands of the state?
#LifeEsidimeni: NGOs 'chose patients like cattle at an auction'
#LifeEsidimeni: 'There may still be uncounted bodies in state mortuaries'
The Bill is the first step towards learning how the government plans to fund its shift towards universal health care.
When he was the Gauteng Health MEC, Brian Hlongwa brought the department to its knees, the Special Investigations Unit has found.
New legislation will abolish co-payments and may look to go after medical aid scheme reserves.
Bhekisisa means "to scrutinise" in Zulu
In South Africa, Zulu patients who would like to be thoroughly assessed by a doctor, would ask the physician to "bhekisisa" them.