PORTFOLIO COMMITTEE ON HEALTH

1. PORTFOLIO COMMITTEE ON HEALTH Nursing Colleges in South Africa 02 August 2009 By SA Mchunu-Acting Registrar Regulate the nursing and midwifery professionsto ensure safe and quality practice

2. PRESENTATION FORMAT • Context of nurse training & education • Differentiation of Nursing Education Institutions( NEIs) • The brief: • The number of nursing colleges /NEIs • Funding of Nursing Colleges/NEIs • Accreditation & Registration of NEIs 4. Conclusion Regulate the nursing and midwifery professionsto ensure safe and quality practice

3. 1. Context of nurse education & training • Located within nursing education institutions (NEIs) • Accreditation by the Nursing Council • Categories of NEIs • Universities –nursing science units • Universities of Technologies • Nursing colleges • Nursing Schools-public & private Regulate the nursing and midwifery professionsto ensure safe and quality practice

4. Context (contd) • Offered programs lead to awarding of • Short course certificates • One-two year certificates • Diplomas-both pre-and post-graduate • Degrees all levels • Offering dependant on nature of NEI • Higher Education Institution(HEI)or • Further Education & Training Inst. Regulate the nursing and midwifery professionsto ensure safe and quality practice

5. Differentiation of NEIs • Nursing colleges • Post-secondary education institutions • Not defined as Higher Education Inst. • May be declared as HEIs • Cooperative agreements –universities • Own councils and senates • Provincial competencies-Health Dept. • Offer any programme except degrees Regulate the nursing and midwifery professionsto ensure safe and quality practice

6. Differentiation(contd) • Universities/of Technology • Established or deemed as HEIs • National competency • Budget-National Dept. of Education • Can offer all nursing programs and award certificate to degree Regulate the nursing and midwifery professionsto ensure safe and quality practice

7. Differentiation (contd) • Public Nursing Schools • Hospital administration including budget • Under nursing service managers • Private Nursing Schools • Entities of hospital groups or • Individual or groups of persons • Both become juristic persons Regulate the nursing and midwifery professionsto ensure safe and quality practice

8. Numbers of Colleges/ NEIs • Universities/of technology=21 • Nursing colleges =34 campuses • Public Nursing Schools =88 • Private Nursing Schools =81 • Total of active schools =224 Table below provides breakdown according to provinces • Total of inactive schools =????177 Regulate the nursing and midwifery professionsto ensure safe and quality practice

9. Breakdown per province Regulate the nursing and midwifery professionsto ensure safe and quality practice

10. Funding Of Nursing Colleges • Various models depend on province: • College budget- Provincial DoH-personnel, operations, affiliation/agency agreements • Bursary system for students • Stipend-salary or remnant of bursary • Self-funding of post-grad. Students • Private-Public Partnership(private sector students) Regulate the nursing and midwifery professionsto ensure safe and quality practice

11. Accreditation & Registration • Previously sole mandate of Council • Currently managed by: • Different laws-(complementary/ conflicting) • Several strategic partners-different legal mandates • Processes –overlapping, complex • Cooperation critical –education& health Regulate the nursing and midwifery professionsto ensure safe and quality practice

12. Overarching Legislation • Constitution of the RSA Act • Right to provisioning of education • Responsibility to maintain standards • National Health Act, 2003 • Delegated function to regulate nursing profession-set standards for nursing education NB Health Care System(Health Ministry) Regulate the nursing and midwifery professionsto ensure safe and quality practice

13. Core Legislation • Nursing act,2005 – Council may: √ Accredit institutions as nursing education institutions √ Accredit nursing programs √ Withdraw or suspend accreditation of NEI for failure to comply with prescribed requirements SANC responsible for standards and quality of nursing education & training Regulate the nursing and midwifery professionsto ensure safe and quality practice

14. Other Legislation (Education Ministry) • South African Qualifications Authority Act, 1995- SAQA as powerhouse (National Qualifications Act,2008) • One National Framework for all qualifications in SA • Generation, registration of all qualifications by SAQA • Professional Bodies(Councils) & SETAs as quality assurance bodies Regulate the nursing and midwifery professionsto ensure safe and quality practice

15. Other legislation (contd) • Higher Education Act, 1997 (Amendment Act, 2008) Council on Higher Education (CHE) • All statutory responsibility for higher education (all 12 learning fields- health, engineering, science etc.) • Accreditation of institutions and programs, including nursing. Regulate the nursing and midwifery professionsto ensure safe and quality practice

16. Other Legislation(contd) • Further Education &Training Act,1998 (Amendment Act , 2008) Council for FET- Umalusi • Overall responsibility for education in FET-all learning fields • Nursing schools fall in this category Regulate the nursing and midwifery professionsto ensure safe and quality practice

17. Strategic Partners For Accreditation DOE (private) Regulate the nursing and midwifery professionsto ensure safe and quality practice

18. Registration of NEIs • Not for public nursing colleges and schools • Only for private institutions • Additional accreditation criteria • Accreditation by CHE & Umalusi, then • Registration with Department of Education Regulate the nursing and midwifery professionsto ensure safe and quality practice

19. Process of Accreditation • Application in writing • Self –assessment by NEI • Information & Documentation • Site visit to institution • Site visit to practical learning sites • Overall evaluation of capacity • Granting or not, of Accreditation Regulate the nursing and midwifery professionsto ensure safe and quality practice

20. Role of other DoE Councils • Require compliance with own criteria by institutions • Require accreditation reports of SANC • Request registration with DoE on compliance with both above • FUTURE • Process to be outlined in line with 2008 legislation and changed roles Regulate the nursing and midwifery professionsto ensure safe and quality practice

21. CONCLUSION • Nursing affected by education legislation of the country • Affected same way as other non-education learning filelds • Colleges face unique challenge- offer mixed bag of higher and further education qualifications • One leg in HE and another in FET Regulate the nursing and midwifery professionsto ensure safe and quality practice

22. THANK YOU Regulate the nursing and midwifery professionsto ensure safe and quality practice