SAQA All qualifications and part qualifications registered on the National Qualifications Framework are public property. Thus the only payment that can be made for them is for service and reproduction. It is illegal to sell this material for profit. If the material is reproduced or quoted, the South African Qualifications Authority (SAQA) should be acknowledged as the source.
SOUTH AFRICAN QUALIFICATIONS AUTHORITY 
REGISTERED UNIT STANDARD THAT HAS PASSED THE END DATE: 

Conduct an in depth investigation into the current healthcare sector in South Africa using published data 
SAQA US ID UNIT STANDARD TITLE
242575  Conduct an in depth investigation into the current healthcare sector in South Africa using published data 
ORIGINATOR
SGB Insurance and Investment 
PRIMARY OR DELEGATED QUALITY ASSURANCE FUNCTIONARY
-  
FIELD SUBFIELD
Field 03 - Business, Commerce and Management Studies Finance, Economics and Accounting 
ABET BAND UNIT STANDARD TYPE PRE-2009 NQF LEVEL NQF LEVEL CREDITS
Undefined  Regular  Level 5  Level TBA: Pre-2009 was L5  8 
REGISTRATION STATUS REGISTRATION START DATE REGISTRATION END DATE SAQA DECISION NUMBER
Passed the End Date -
Status was "Reregistered" 		 2018-07-01  2023-06-30  SAQA 06120/18 
LAST DATE FOR ENROLMENT LAST DATE FOR ACHIEVEMENT
2026-06-30   2029-06-30  

In all of the tables in this document, both the pre-2009 NQF Level and the NQF Level is shown. In the text (purpose statements, qualification rules, etc), any references to NQF Levels are to the pre-2009 levels unless specifically stated otherwise.  

This unit standard does not replace any other unit standard and is not replaced by any other unit standard. 

PURPOSE OF THE UNIT STANDARD 
This Unit Standard is intended for learners who work at a senior or strategic level in healthcare benefits administration and/or advise on medical schemes and products. They may recommend decisions related to a client's business policies and overall healthcare. They determine benefits and require a complete view of the healthcare benefits administration sub-sector. It would be useful for senior people in administration and managed care, professionals who consult to medical schemes, Risk Managers, Medical Advisors, Trustees, Medical Scheme Consultants, Principal Officers, Healthcare Intermediaries and Senior Operational Administrative Staff.

The qualifying learner is capable of:
  • Analysing the regulatory environment relating to the funding and delivery of healthcare systems in South Africa.
  • Explaining the role and influence of stakeholders in the sector.
  • Analysing the impact of disease on the healthcare system in South Africa.
  • Analysing the funding models used in the healthcare delivery system in South Africa.
  • Identifying and analysing threats and challenges to healthcare delivery in South Africa. 
    		•

    LEARNING ASSUMED TO BE IN PLACE AND RECOGNITION OF PRIOR LEARNING 
    It is assumed that learners are competent in Communication and Mathematical Literacy at NQF Level 4. 

    UNIT STANDARD RANGE 
    The typical scope of this Unit Standard is:
  • The Legislative environment includes, but is not limited to, National Health Act, Medical Schemes Act, Pharmacies Act, Medicine and Controlled Substances Act, Compensation for Occupational Injuries and Diseases Act (COIDA), Road Accident Fund (RAF).
  • Governance include, but are not, limited to, financial matters, communication, contracts, management of risk and service level agreements.
  • Prevalent diseases include dread diseases, lifestyle related diseases and communicable diseases.
  • Funding models include, but are not limited to, public, private, public-private initiatives, public private partnerships and alternative reimbursement models. 
    		•

    Specific Outcomes and Assessment Criteria: 

    SPECIFIC OUTCOME 1 
    Analyse the regulatory environment relating to the funding and delivery of healthcare systems in South Africa. 

    ASSESSMENT CRITERIA     

    ASSESSMENT CRITERION 1 
    Legislation that impacts on delivery, corporate governance and funding is identified and analysed in terms of impact on healthcare delivery systems. 

    ASSESSMENT CRITERION 2 
    Current controversial debates that could result in changes to current legislation or promulgation of new legislation are identified and an opinion is expressed and substantiated on each issue. 

    SPECIFIC OUTCOME 2 
    Explain the role and influence of stakeholders in the sector. 

    ASSESSMENT CRITERIA     

    ASSESSMENT CRITERION 1 
    Government stakeholders are identified and the role and relationships of each are explained with reference to different structures at Local Government, Provincial and National Level. 

    ASSESSMENT CRITERION 2 
    The roles of private bodies and professional associations are explained with reference to funding, providers and the influence of each on the Healthcare Delivery system. 

    SPECIFIC OUTCOME 3 
    Analyse the impact of disease on the healthcare system in South Africa. 

    ASSESSMENT CRITERIA     

    ASSESSMENT CRITERION 1 
    Current burden of disease statistics are analysed and interpreted to identify trends. 

    ASSESSMENT CRITERION 2 
    The effectiveness of efforts to combat the most prevalent diseases is evaluated based on published statistics. 

    SPECIFIC OUTCOME 4 
    Analyse the funding models used in the healthcare delivery system in South Africa. 

    ASSESSMENT CRITERIA     

    ASSESSMENT CRITERION 1 
    Different funding models are analysed in terms of the effectiveness of each model, accessibility and affordability. 

    ASSESSMENT CRITERION 2 
    Basic risk management principles are applied to health risk management to explain the rationing of healthcare, funding, decisions of trustees and the quality of life outcomes. 

    SPECIFIC OUTCOME 5 
    Identify and analyse threats and challenges to healthcare delivery in South Africa. 

    ASSESSMENT CRITERIA     

    ASSESSMENT CRITERION 1 
    Current threats and challenges are identified in terms of accessibility to affordable healthcare. 

    ASSESSMENT CRITERION 2 
    Issues relating to funding and delivery are discussed from the point of view of users, providers, medical schemes and members. 

    ASSESSMENT CRITERION 3 
    Challenges of providing healthcare in a dual economy are discussed with reference to accessibility, affordability and equitable healthcare. 


    UNIT STANDARD ACCREDITATION AND MODERATION OPTIONS 
  • Anyone assessing a candidate against this Unit Standard must be registered as an assessor with the relevant ETQA or ETQA where a Memorandum of Understanding (MOU) exists with the relevant ETQA.
  • Any institution offering learning that will enable achievement of this Unit Standard must be accredited as a provider through the relevant ETQA or ETQA where a Memorandum of Understanding (MOU) exists with the relevant ETQA.
  • Moderation of assessment will be overseen by the relevant ETQA according to the moderation guidelines and the agreed ETQA procedures. 
    		•

    UNIT STANDARD ESSENTIAL EMBEDDED KNOWLEDGE 
    N/A 

    UNIT STANDARD DEVELOPMENTAL OUTCOME 
    N/A 

    UNIT STANDARD LINKAGES 
    N/A 


    Critical Cross-field Outcomes (CCFO): 

    UNIT STANDARD CCFO IDENTIFYING 
    The learner is able to identify and solve problems in which responses show that responsible decisions using critical and creative thinking have been made in identifying threats and challenges to the healthcare delivery system. 

    UNIT STANDARD CCFO COLLECTING 
    The learner is able to collect, organise and critically evaluate information in analysing the effectiveness of efforts to combat diseases using published statistics. 

    UNIT STANDARD CCFO COMMUNICATING 
    The learner is able to communicate effectively in discussing challenges of providing healthcare in a dual economy. 

    UNIT STANDARD CCFO DEMONSTRATING 
    The learner is able to see the world as a set of related systems in explaining the role of stakeholders in the sector. 

    UNIT STANDARD ASSESSOR CRITERIA 
    N/A 

    REREGISTRATION HISTORY 
    As per the SAQA Board decision/s at that time, this unit standard was Reregistered in 2012; 2015. 

    UNIT STANDARD NOTES 
    Search words: Healthcare Benefits Administration; healthcare delivery system; trustees; medical schemes, medical scheme administration. 

    QUALIFICATIONS UTILISING THIS UNIT STANDARD: 
      ID QUALIFICATION TITLE PRE-2009 NQF LEVEL NQF LEVEL STATUS END DATE PRIMARY OR DELEGATED QA FUNCTIONARY
    Elective  66611   National Certificate: Wealth Management  Level 5  NQF Level 05  Passed the End Date -
    Status was "Reregistered"     		 2023-06-30  As per Learning Programmes recorded against this Qual 


    PROVIDERS CURRENTLY ACCREDITED TO OFFER THIS UNIT STANDARD: 
    This information shows the current accreditations (i.e. those not past their accreditation end dates), and is the most complete record available to SAQA as of today. Some Primary or Delegated Quality Assurance Functionaries have a lag in their recording systems for provider accreditation, in turn leading to a lag in notifying SAQA of all the providers that they have accredited to offer qualifications and unit standards, as well as any extensions to accreditation end dates. The relevant Primary or Delegated Quality Assurance Functionary should be notified if a record appears to be missing from here.
     
    NONE 


    All qualifications and part qualifications registered on the National Qualifications Framework are public property. Thus the only payment that can be made for them is for service and reproduction. It is illegal to sell this material for profit. If the material is reproduced or quoted, the South African Qualifications Authority (SAQA) should be acknowledged as the source.