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THE NURSING BILL

THE NURSING BILL. PRESENTATION TO THE SELECT COMMITTEE ON SOCIAL SERVICES COMMITTEE ROOM GH41 GOODHOPE BUILDING 08 MARCH 2005 TRMDLALOSE. HISTORICAL OVERVIEW OF SANC. Before 1944 nurses were regulated under the Medical and Dental Council . In 1944 the first Council was established.

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THE NURSING BILL

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  1. THE NURSING BILL PRESENTATION TO THE SELECT COMMITTEE ON SOCIAL SERVICES COMMITTEE ROOM GH41 GOODHOPE BUILDING 08 MARCH 2005 TRMDLALOSE

  2. HISTORICAL OVERVIEW OF SANC • Before 1944 nurses were regulated under the Medical and Dental Council . • In 1944 the first Council was established. • In 1957 the second Act followed based on racial lines. • In 1978 the Nursing Act no.50 of 1978 was passed.

  3. HISTORICAL OVERVIEW OF SANC • In 1994 the existing four Nursing Councils were disbanded and an Interim Nursing Council was established to prepare for a democratic permanent Council. • In 1998 the first democratic Council was inaugurated. • The term of office was 5 years.

  4. HISTORICAL OVERVIEW OF SANC • The second democratic elected Council was inaugurated in June 2003 and and its term of office ends in May 2008. • The Council currently consists of 39 members.

  5. BACKGROUND OF THE NURSING BILL • The process to transform the Council was initiated in 1994. • In November 2001 the Minister of Health accelerated the process by appointing a task team consisting of members from professional and technical Councils as well as the Department of Health to look at the transformation of Statutory Councils.

  6. BACKGROUND OF THE NURSING BILL • Some of the recommendations of the TT are as follows: - The main purpose of Professional Councils is to protect and promote the public’s interests, including ensuring delivery of quality care. - Introduction of good corporate governance. - Introduction of the Charter for Council members.

  7. BACKGROUND OF THE NURSING BILL - Council to be receptive to community and public interests. - Smaller but more productive Councils. • The Nursing Bill has incorporated these recommendations. • The Bill was published for a period of 3 months for public comments from December 2003 to March 2004.

  8. CHAPTER 1 OF THE NURSING BILL • Deals with definitions in the Bill. • Definitions in line with those in the National Health Act, 2003 (Act no 61 of 2003). • Important features: - The word nurse to be used only by someone registered with the Nursing Council. - Staff Nurse replaces “Enrolled Nurse” since all nurses will have one register. - “Rolls” for lower categories abolished.

  9. CHAPTER 2 OF THE NURSING BILL • Deals with continued existence, objects, functions and powers of the SANC. • Main feature is that Council exist to serve and protect the interests of the public not the nurses. • Section 5 deals with the composition and dissolution of Council. Number reduced from 39 to 25. Members appointed by the Minister but nominated by interest groups.

  10. CHAPTER 2 CONTINUES Chairperson appointed by the Minister. Members can serve for a maximum of 10 years. • Minister has powers to dissolve the Council if it fails to comply with the provisions of the Act. • Section 12 deals with the introduction of the disciplinary appeal committee.

  11. CHAPTER 2 CONTINUES • Section 14 deals with corporate governance which spells out the responsibilities of the Council and that of the Registrar.

  12. CHAPTER 3 OF THE NURSING BILL • Deals with Education, Training, Research, Registration and Practice. • The main features are to bring Nursing Education and training in line with the National Qualifications Framework (NQF)and related Legislation. • The Council will keep a single register for all practitioners as opposed to a register and a roll. • The revised scope of the profession will be one of the main features.

  13. CHAPTER 3 CONTINUES • Section 36 makes provision for the introduction of Continued Professional Development. • Section 37 makes provision for introduction of community service for nurses registering for the first time.

  14. CHAPTER 4 OF THE NURSING BILL • Deals with powers of the Council with regard to professional conduct. • Section 43 deals with powers to institute an inquiry into any complaint against a Director, Manager or owner of an agency registered in terms of this Act. • Section 48 deals with impairment. • Section 49 deals with powers of Council to enter any institution or premises whose learners are trained therein and to confiscate any documents/ objects

  15. CHAPTER 5 OF THE NURSING BILL • Deals with penalties for non regulated individuals, false representation and impersonation.

  16. CHAPTER 6 OF THE NURSING BILL • Deals with special provisions relating to certain nurses and midwives. • Section 55 establishes the Appeals Committee against Council decision. • Section 56 deals with a list of Regulations to be promulgated by the Minister after consultation with the Council.

  17. IMPLICATION OF THE BILL • If passed into law the present Council will be dissolved and a new Council put in place.

  18. SANC MEMBERSHIP • Statistics as on 31 December 2003 Professional Nurses/ Midwives – 96,715 Enrolled Nurses/ Midwives - 33,575 Enrolled Nursing Auxiliaries - 47,431 TOTAL -177,721

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