Cost-cutting at the expense of care and training : the predictable consequences of attempts at austerity by the Gauteng Department of Health

dc.contributor.authorSenkubuge, Flavia
dc.contributor.authorSoma-Pillay, Priya
dc.contributor.authorBasu, Debashis
dc.contributor.authorMadhi, Shabir
dc.contributor.authorMotara, Feroza
dc.contributor.authorLekgwara, Patrick
dc.contributor.authorMotloba, Pagollang
dc.contributor.authorVangu, Willy
dc.contributor.authorNodikida, Mzulungile
dc.contributor.authorMadini, Simon
dc.contributor.authorSathekge, Mike Machaba
dc.contributor.authorNcube, Mhlengi
dc.contributor.authorChauke, Lawrence
dc.contributor.authorBotha, Ruhann
dc.contributor.authorLedibane, Tladi
dc.contributor.authorCoovadia, Ashraf
dc.contributor.authorDhlodhlo, Ndlela
dc.contributor.authorHolland, Shakeera
dc.contributor.authorSihlangu, Cedric
dc.contributor.authorBayat, Zaheer
dc.contributor.authorChauke, Risenga
dc.contributor.authorOosthuizen, William
dc.contributor.authorMbodi, Langanani
dc.date.accessioned2026-01-15T12:14:47Z
dc.date.available2026-01-15T12:14:47Z
dc.date.issued2025-04
dc.description.abstractThe Gauteng Department of Health (GDoH) has recently initiated drastic austerity measures, including the unilateral downgrading of commuted overtime (COT) tiers, the termination of sessional contracts, and non-filling of posts following resignations and retirement. These actions were taken without meaningful engagement with affected stakeholders, and have sent shockwaves through Gauteng Province’s public healthcare system. At stake are not only overtime contracts and working hours, but the very foundations of patient care, professional training for medical students and specialist training, and the future sustainability of healthcare delivery in South Africa (SA)’s most populous province.
dc.description.departmentNuclear Medicine
dc.description.librarianam2025
dc.description.sdgSDG-03: Good health and well-being
dc.description.sdgSDG-04: Quality education
dc.description.urihttps://journals.co.za/journal/m.samj
dc.identifier.citationSenkubuge, F., Soma-Pillay, P., Basu, D. et al. 2025, 'Cost-cutting at the expense of care and training : the predictable consequences of attempts at austerity by the Gauteng Department of Health', South African Medical Journal, vol. 115, no. 4, pp. 1-2. https://doi.org/10.7196/SAMJ.2025.v115i4.3467.
dc.identifier.issn0256-9574 (print)
dc.identifier.issn2078-5135 (online)
dc.identifier.other10.7196/SAMJ.2025.v115i4.3467
dc.identifier.urihttp://hdl.handle.net/2263/107345
dc.language.isoen
dc.publisherSouth african Medical Association
dc.rightsCreative Commons Attribution - Non Commercial Works License (CC BY-NC 4.0)
dc.subjectGauteng Department of Health (GDoH)
dc.subjectCommuted overtime (COT)
dc.subjectStakeholders
dc.subjectMedical students
dc.titleCost-cutting at the expense of care and training : the predictable consequences of attempts at austerity by the Gauteng Department of Health
dc.typeArticle

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