PORTFOLIO COMMITTEE ON HEALTH

PORTFOLIO COMMITTEE ON HEALTH

Nursing Colleges in South Africa02 August 2009By SA Mchunu-Acting Registrar

Regulate the nursing and midwifery professionsto ensure safe and quality practice

PRESENTATION FORMAT

1. Context of nurse training & education2. Differentiation of Nursing Education

Institutions( NEIs)3. The brief: The number of nursing colleges /NEIs Funding of Nursing Colleges/NEIs Accreditation & Registration of NEIs4. Conclusion


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


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.


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


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


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


Numbers of Colleges/ NEIs

Universities/of technology=21 Nursing colleges =34 campuses Public Nursing Schools =88 Private Nursing Schools =81 Total of active schools =224Table below provides breakdown

according to provinces Total of inactive schools =????177


Breakdown per provinceGP KZN L MP NW FS EC WC NC TOTA

L

Universities

7 3 2 0 2 1 3 3 0 21

Colleges

6 11 3 1 3 3 5 2 1 34

Nursing schools

4 15 16 16 8 9 14 6 0 88

Private Nursing Schools

28 30 0 4 2 4 3 10 0 81

TOTAL

45 59 21 21 14 17 25 21 1 224


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 professions

to ensure safe and quality practice

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


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)


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


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 professions

to ensure safe and quality practice

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.


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


Strategic Partners For Accreditation


SANC

CHE NEIs UMALUSI

DOE (private)

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


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


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


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


THANK YOU


PORTFOLIO COMMITTEE ON HEALTH

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