Presidents Blog

New SASOG Council election results - 16 February 2018

Dear Colleagues

The results of the newly elected SASOG council (2018-2021) are:

KZN: Dr Conrad Mashiloane, Dr Visvanathan Moodley

Free State: Dr Etienne Henn

Western Cape: Dr Haynes van der Merwe, Dr Femi Olaragun, Prof Mushi Matjila

Eastern Cape: Dr Clayton Grieve

Gauteng South: Prof Bash Goolab, Dr Gaontebale Mathlaga, Dr Deshini Packrisamy

Gauteng North: Prof Greta Dreyer, Prof Priya Soma-Pillay, Dr Miems Kleynhans

Our congratulations to all elected members. I am sure they will serve the SASOG community with great enthusiasm and dignity.

Other Members of the SASOG council:( Members by Position):

Dr Johannes van Waart (Immediate Past President), Dr Sagie Naidu (Immediate Past Secretary), Dr Malikah van der Schyff (SAMA representative), Prof Leon Snyman (President of the College of O+G), Dr Ron White (GMG) as well as all the Presidents of the SASOG Sub Societies, the President of the RSA RCOG and the Chairperson of SATOG.

The new SASOG President, Secretary and Treasurer will be elected at the next council meeting in Durban at the SASOG 2018 congress.

Thank you to all who took the trouble to vote in the election for our new council. 

Keep watching the Presidents's blog for quick and relevant SASOG communication once a week.

Warm regards

Johannes van Waart

(SASOG President)

President's Blog 11 February 2018

Dear all

Some exciting news for the week includes the results of the election of the new SASOG council. It was a close race in many provinces and I do believe the new council will be up to the tasks ahead. The results will be audited and will then will be officially posted on the President's blog later in this week. The results will then also be sent to all members via email early in next week. 

Negotiations with Discovery continues and we are all hoping for a good outcome to the benefit of all.

Watch this space for election results later in the week.

Warm regards

Johannes van Waart

(SASOG President)

 

Presidents Blog 4 February 2018

4 February 2018

Dear SASOG member

I am sorry I missed out on a blog last week, but I attended a Congress and was on my way back in the plane and when arriving back, just did not get to write a blog.

Just 2 points for this week's blog:

1. I was on call the weekend and one of the patients of a colleague had an Eclamptic convulsion (3 days past CS, Saturday night) in the post natal ward. No warning signs, BP controlled well. Out of the blue. When I arrived (5 min later), the nursing staff had put up a drip, had the BetterObs protocol file out and had the loading dose of MgSO4 running in. All was fine afterwards and the patient (and baby) is doing fine 24 h post convulsion. WELL DONE TO BetterObs and the alert and well trained nursing staff. BetterObs does work!

2. Discovery Health has come forward with a proposal to SASOG. In relation to the above case, early discharge without proper follow up is a contentious point still to be cleared out (amongst some other points). We discourage members to sign any new contract with Discovery unless endorsed by SASOG. Although finances are important in order to pay the sky high insurance, the well being of the patient (and the survival of Obstetrics as a private practice skill) is even more critical.

Watch out for the next blog, the BetterObs newsletter and the new SASOG council election results soon.

Warm regards and wishing all a great week.

Johannes van Waart

(SASOG President)

Presidents blog 16 January 2018

16 January 2018

Dear SASOG members

2018 is on the roll and SASOG/GMG is keeping pace. Just 3 things to report on:

1. Polmed (through Healthman/GMG negotiations) has really come to the party by increasing their Delivery payouts (for contracted members) significantly!  It thus seems like they are really aware of the litigation problems we as Obstetricians face. No frills or strings attached! I hope that the other funds will follow the example that Polmed has set. Well done to Healthman and GMG.

2. Prof Priya Soma-Pillay has drafted a SASOG statement for Listeria. The Listeria scare has certainly created some confusion. Please see the statement on the SASOG website.

3. All nominations for the new SASOG council is now in. There will be a voting process soon. Please watch your emails and make sure you vote for your council members of choice. 

I hope all members had a good start to 2018. Register for SASOG 2018 in Durban. See you all there.

The BetterObs Newsletter to appear towards the end of the month.

Warm regards

Johannes van Waart

(SASOG President)

2018 Wishes and Upcoming Council Elections

Dear All

Hereby I would like to wish all a wonderful start to 2018. I sincerely hope that SASOG will help to make your lives easier and will add lots of value to Women's health in RSA in the year to come. I know that there are a good number of our members still busy with a well deserved rest. I hope that you all will return safely and start the new year with lots of enthusiasm. 

SASOG new council elections are coming up soon and the nominations must be in by 10 January 2018. Please ensure that you nominate the SASOG members in your region that you want to represent you. Go to the SASOG website to find the documents needed or contact dr Sagie Naidu or Alison Shaw at the SASOG secretariat to get information as needed. If you are willing to make yourself available for election, please also let us know so that we can point you in the right direction.

Warm regards to all from a very dry Stellenbosch.

Johannes van Waart

(SASOG President)

SASOG 2030 Vission Statement and December Update

Dear SASOG Colleagues

This is the First President's blog posted from the security of my home. I hope that you all will read this on a regular basis and I hope to update this blog each Sunday evening. This blog will provide a quick communication channel to you all in order to ensure "warm off the press" information of importance to us all. There are a number of happenings that do warrant urgent attention: (1) Please all, fill in your practice questionnaires with the financial data as asked by Healthman! This is critical information to get accurate data to negotiate a better deal for all in future! (2) SASOG is negotiating a better payout deal with Discovery, but a few critical issues have not been addressed. Do not sign new contracts untill SASOG has given it's blessing. Safety of our patients is our first priority, but so is fair remuneration to all service providers. Watch this blog for updates on these negotiations. (3) New Down syndrome risk interpretation guidelines were compiled by our feto-maternal experts at the SASOG 2030 Vision meeting. Please see the December President's Newsletter that will be available in the next week. 

Lots more interesting information to be read in the President's Newsletter. Keep watching your emails.

I wish you all a great festive season and a prosperous 2018.

Warm regards

Johannes van Waart

(SASOG President)

 

SASOG 2030 Vission Statement and December Update

Dear SASOG Colleagues

This is the First President's blog posted from the security of my home. I hope that you all will read this on a regular basis and I hope to update this blog each Sunday evening. This blog will provide a quick communication channel to you all in order to ensure "warm off the press" information of importance to us all. There are a number of happenings that do warrant urgent attention: (1) Please all, fill in your practice questionnaires with the financial data as asked by Healthman! This is critical information to get accurate data to negotiate a better deal for all in future! (2) SASOG is negotiating a better payout deal with Discovery, but a few critical issues have not been addressed. Do not sign new contracts untill SASOG has given it's blessing. Safety of our patients is our first priority, but so is fair remuneration to all service providers. Watch this blog for updates on these negotiations. (3) New Down syndrome risk interpretation guidelines were compiled by our feto-maternal experts at the SASOG 2030 Vision meeting. Please see the December President's Newsletter that will be available in the next week. 

Lots more interesting information to be read in the President's Newsletter. Keep watching your emails.

I wish you all a great festive season and a prosperous 2018.

Warm regards

Johannes van Waart

(SASOG President)

 

Johannes van Waart (SASOG President)

Dear SASOG member

See our inaugural President's blog ( now only on Android App. IOS will be available soon)

Adv Alan Nelson (Mediation in Motion) and I had an interview with RSG this morning. The content might be of interest to you.

Listen to the podcast on and see how we (at SASOG) are seeing the O + G way forward.

Warm SASOG Regards

Johannes van Waart

President's Newsletter

President's newsletter - May 2017

In this Newsletter:

  1. SASOG Membership
  2. GMG
  3. SASOG National CPD program
  4. SASOG Communication
  5. Discovery Feedback
  6. SAMLA/Mediation
  7. Indemnity Insurance
  8. BetterObs Management Committee inaugural meeting
  9. General

SASOG MEMBERSHIP

SASOG membership has increased to 727 registered members (Private Practice, Public Sector and Registrars). I do believe that the SASOG/GMG value proposition that we offer to our members at the moment makes membership worth the while. Welcome to all our new members. 
read more

Please print the two attached letters and use them in your practice. You are welcome to print/paste your own practice logo (along with the SASOG logo) onto the letters if you want. Please do not change the wording on the letters as they have been checked and do comply with Medico legal principles. Just note that the prenatal test document will only be available later. Point this out to the patients when handing out the patient letter. 

Standard procedure for dispute resolution Click here.
Patient Pregnancy Information Letter Click here

 

Previous Newsletters

President's Newsletter - December 2016 View document
President's Report - May 2016 View document
SASOG newsflash - February 2016 View document

Obstetricians: 'Litigated out of practice'

In the next three years, South Africa can expect to see private obstetrics practices collapse as indemnity insurance costs continue to climb and they are litigated out of practice.

Health experts have raised awareness around an escalating crisis in obstetrics during Pregnancy Awareness Week, marked from February 8 to 14. They say numerous practitioners are leaving active practice due to extremely high indemnity insurance costs, which are expected to reach up to R850 000 this year.

Health Department spokesperson Joe Maila said the department had met the South African Society of Obstetricians and Gynaecologists to work together to find sustainable solutions. Maila has warned that if they leave active practice, the health sector would not cope.

“We are aware that they are being litigated out of practice and that the indemnity cover is expensive,” he said.

 

The organisation's president, Johannes van Waart, said: “This is a real, real crisis. Our indemnity insurance in the last four years has gone from R250 000, to R330 000, to R650 000 last year, to R850 000 this year.”

He said obstetricians would need to do 17 deliveries per specialist monthly just to cover insurance. Last year, obstetricians would need to do 13 deliveries per specialist monthly.

There are no private obstetricians practising in Worcester, and only two in practice in Paarl, Van Waart said.

“At this point, one-third of the national health budget is taken up by legal claims.”

Van Waart said obstetricians were constantly trying to improve their service through the BetterObs Programme, devised with the intention of promoting safer deliveries, healthier babies, better outcomes all-round and, consequently, decreased opportunities for litigation.

Without private obstetricians, the state health system would not be able to manage the 140 000 deliveries in the country yearly, he added. “It is not sustainable.

"If it continues like this, private obstetricians will collapse in the next three years. There will likely not be private obstetrics practice, or it will cost a fortune.”

Health-care management company PPO Serve says insurance providers attribute high fees to the inconsistent way maternity care is practised in South Africa.

“There is a lot of deviation from standard-care protocols, and treatment decisions aren’t well documented. Insurers won’t risk court when doctors are sued, they choose rather to settle in the face of too little evidence over how treatment decisions were made,” said PPO Serve chief executive Brian Ruff.

According to Ruff, structural change requires the reorganisation of maternity care to a team aproach. “Obstetricians should head up multidisciplinary teams of health-care professionals who share patient information, treatment plans and the fee for their collective services.

"Indemnity insurers offer lower rates to teams because they have the capacity for holistic and proactive care, better record-keeping and better communication with patients and their families.”

Contact us

Mrs Joey Hanekom
SASOG/GMG (HealthMan)
Tel : 011 340 9041
Fax : 086 651 6649
info@sasog.co.za