Nicholas Crisp, a key figure behind South Africa’s National Health Insurance programme, is preparing to leave the National Health Department. Crisp heads the NHI programme and serves as acting director-general of health. He said he would leave government service after September 2026. The Cabinet previously allowed him to remain in his position for another two years. This extended his service…
Tag: public health funding
-
NHI ConCourt Challenge: What’s At Stake For The Health System
South Africa’s National Health Insurance Act is one of the most ambitious legislative reforms since democracy’s advent. Its goal, universal health coverage, is widely supported. But ambition alone does not make legislation constitutional, and the upcoming NHI ConCourt Challenge will test this. The Board of Healthcare Funders (BHF) will appear before the Constitutional Court from 5 to 7 May. Its…
-
HIV Funding in South Africa Faces Serious Cuts
South Africa has less than eight years before one of its most important external funding streams for HIV and TB programmes ends. Allocation letters sent in March confirm that the Global Fund to Fight Aids, Tuberculosis and Malaria plans its final grant to South Africa in Grant Cycle 9. This cycle will run from April 2031 to March 2034. At…
-
EC Medico-Legal Claims: SCA Overturns Public Care Remedy
The Supreme Court of Appeal (SCA) has struck down a High Court approach that could have reshaped the way the Eastern Cape Department of Health handles escalating medico-legal claims. The appeal court ruled on Wednesday, 11 February 2026, that allowing the department to provide future healthcare services instead of paying damages “violated the child’s best interests”. Appeal Court judge Ashton…
-
Moving toward NHI and primary care focus
Since emerging from apartheid three decades ago, South Africa has worked to ensure access to healthcare, food, and social assistance, as promised in the 1996 Constitution’s Bill of Rights. Yet, despite investments, the public healthcare system remains hampered by resource inequity, unmet needs, and insufficient primary care access. The proposed National Health Insurance (NHI) seeks to reshape healthcare delivery, prioritising…