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Dire shortage of psychiatrists at ECape state mental health facilities

Jun 8, 2018
Dire shortage of psychiatrists at ECape state mental health facilities

Three of the seven state mental health facilities in the Eastern Cape do not have permanent psychiatrists, the Democratic Alliance (DA) said on Friday.

"The current focus on conditions at the Tower Hospital in Fort Beaufort must be expanded to the other psychiatric facilities in the province as well. Shocking revelations of the systemic failure and inadequacy at these facilities are contained in a reply to a legislature question I asked the new MEC for Health, Helen Sauls-August," described Celeste Barker (MPL), DA Eastern Cape Shadow MEC for Health.

She said that in the reply to her question, MEC Sauls-August disclosed that there are currently 1 280 patients in the care of the seven facilities. However, there is a shocking shortage of psychiatrists, and vacant posts have simply not been filled:

  1. Elizabeth Donkin Hospital:Only one psychiatrist post filled out of eight posts (the other seven doctors either resigned or transferred, with posts not being filled dating as far back as 2004). There are currently 145 patients;
  2. Tower Hospital:No psychiatrist, following the resignation of Dr Kiran Sukeri on 31 March this year. The hospital is now also without a CEO, after the resignation of Ntombizandile Ngcume last Thursday. There are 321 patients;
  3. Komani Hospital: One psychiatrist post filled while the other post has been vacant since March 2014. There are 410 patients;
  4. Fort England Hospital: Five out of the six psychiatrist posts filled and one psychiatrist doing sessional duty. The hospital is currently without a CEO, following the suspension of Dr Roger Walsh, due to alleged union pressure. There are 298 patients;
  5. Dora Nginza Mbulawa Mental Health Unit: One psychiatrist employed in an acting capacity since February 2018, out of four posts. There are 35 patients;
  6. Mthatha Mental Health Unit: Nil out of three posts filled, two which have been vacant since 2015. There are 12 patients; and
  7. East London Mental Health Unit: Nil posts out of three filled, the last psychiatrist resigned in March 2018. There are 30 patients. 
  8. No mention is made in the reply to the acute psychiatric units at Holy Cross- and St Barnabas Hospitals.

For the reply, click here.

"Patients with mental health issues cannot simply be locked away and left without proper, professional care. Many of these patients do not have the capacity to look after themselves and rely on us to ensure that they are treated with dignity and respect. 

"We can never allow for a situation where parts of our mental health facilities are reminders of Victorian-era torture chambers, for example, the solitary cells I found during a visit to Tower Hospital in March this year. According to the reply by the MEC, these cells date back to 1894 and were last refurbished in 1982. Parts of Fort England Hospital date back to  1875.," Barker said.

"I was deeply disturbed and concerned about the well-choreographed show that was presented to a DA delegation that visited the Tower Hospital in Fort Beaufort on Monday 12 March 2018. It became clear to us that the hospital was cleaned up and prepared for the visit.

"I therefore caution the Health Ombudsman, prof. Malegapuru Makgoba, to ensure that he is not deceived by pretty window dressing. He and other roleplayers must be honest with themselves and they must be able to say in good conscience that our all mental health facilities are up to standard."