R34 of 2019 – Free State Provincial Department of Health

1. The failure by the Dept to a) establish and maintain effective and efficient systems of financial and risk management and internal controls or to adhere strictly to the provisions of any such systems in respect of i) the processing of overtime claims submitted by medical practitioners in the employment of the Dept and payments that were made in respect thereof; ii) payments that were made to medical practitioners in the employment of the Dept for services that were rendered. b) verify overtime services that were actually rendered before making payments in respect thereof; c) take effective and appropriate steps to recover financial losses resulting from criminal or irregular conduct; d) take effective and appropriate disciplinary steps against any employee in its service, who committed an act that undermined the financial management and internal control systems of the Department;
e) act upon conclusions or findings of audit reports and investigations conducted by the Dept that identified
i) irregular overtime claims by medical practitioners in the employment of the Dept and payments that were made in respect thereof; ii) that employees of the Dept held business interests in service providers that conducted business with the Dept or other organs of State; and iii) that employees of the Dept conducted remunerative work outside the scope of their employment without the permission of the executive authority of the Dept; and f ) verify the qualifications, experience and competencies of foreign medical practitioners before such practitioners are employed by the Dept to practice as medical practitioners in the RSA.
2. The failure by medical practitioners employed by the Dept to disclose to the Dept that they were engaged in business activities for remuneration outside the scope of their employment under the Public Service Act, 1994 or any other contractual relationship with the Dept or their failure to cease such unauthorised activity upon becoming employed by the Dept.
3. Any undisclosed or unauthorised interest that medical practitioners in the employment of the Dept may have had with regard to contractors, suppliers or service providers who put in bids for work or did business with the Dept.
4. Claims that were submitted to medical aids and payments that were made in respect thereof for services that were rendered by medical practitioners who performed the services in question in terms of a contractual relationship with the Dept.
5. Any unlawful or irregular conduct by employees of the Dept or any other person or entity in relation to the allegations set out in paragraphs 1 to 4 above.