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Breaking the burnout cycle

Through the “Breaking the burnout cycle: keeping dentists and patients safe” campaign Dental Protection is making a range of policy recommendations that, if taken seriously, would help to improve the mental health and wellbeing of dentists and mitigate the risks of burnout in the profession.

News and updates

Update on potential issues posed by section 46 of the NHA

09 May 2013

In March 2012, section 46 of the National Health Act 2003 came into effect. The legislation states:

'Every private health establishment must maintain insurance cover sufficient to indemnify a user for damages that he or she might suffer as a consequence of a wrongful act by any member of its staff or by any of its employees.'

As outlined in our statement on 7 January 2013 DPL and MPS believe that this legislation is unclear and has been in the process of actively seeking clarification on its intended purpose.

DPL’s position

DPL/MPS are advised that the vast majority of doctors and dentists are not affected by section 46 of the National Health Act. The legislation refers to 'a wrongful act by any member of its staff or by any of its employees'. Since the vast majority of doctors and dentists are neither members of staff or employees of private health establishments, we are advised that section 46 refers to employer’s liability cover for non-clinical acts, such as public liability for slips and trips.

However, the legislation remains ambiguous for a small number of health professionals who may be deemed to be employed by private health establishments. In the interests of these doctors, DPL/MPS are taking a number of steps to seek clarity. We believe that the Department of Health must confirm that section 46:

1. Relates to indemnity or insurance for damages arising from non-clinical acts

2. Is intended to indemnify the private health establishment and not the ‘user’

3. Is liability cover and not insurance cover

We also believe that where patients are harmed by clinical negligence they should be able to access fair compensation. We have written to the HPCSA to urge them to expedite regulations that require all doctors and dentists to have adequate professional indemnity or insurance protection for clinical negligence.

What do DPL members need to do?

Members do not need to take any action at the moment. We will keep members informed of developments through Riskwise, the DPL website.

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