Cape Times

New dawn breaks for victims of road accidents

- Dr Ntuthuko Bhengu

ANEW DAWN beckons for the Road Accident Fund (RAF) following the recent tabling of the Road Accident Benefit Scheme (Rabs) Bill in Parliament. Once signed into law, Rabs will replace the RAF, ensuring the focus moves away from assessment of fault and liability to protecting the most vulnerable, including those who do not have financial protection against death and disability. It will ensure that every road accident victim is afforded quality care and rehabilita­tion – irrespecti­ve of who was at fault.

The RAF, which marks 20 years since the end of the Multilater­al Motor Vehicle Fund, has faced significan­t challenges, persevered, overcome and conquered. It has provided consistent public service that has gone through major policy changes in order to improve the lives of ordinary people who are affected by road crashes within South Africa’s borders.

There have been many reports and studies conducted on the RAF, including the 2002 Satchwell Commission of Inquiry which was set up to inquire into and make recommenda­tions regarding a reasonable, equitable, affordable and sustainabl­e system of road accident victim compensati­on.

The recommenda­tions made were that the present system of fault-based compensati­on is inherently unfair and should be replaced with a “no fault” system.

The recommenda­tions were adopted by the cabinet in 2002, which resulted in the Department of Transport proposing the Rabs Bill which seeks to remedy the operationa­l and financial ills that have made up the RAF’s DNA.

Despite having to cope with a legacy plagued by complex and legalistic hurdles, spiralling costs, insufficie­nt funding to pay claims, and long standing insolvency, the RAF has steadfastl­y improved claims processing, expanded its footprint and brought services directly to communitie­s’ doorsteps. (This is notwithsta­nding escalating road crashes, with 64 reported accidents a week in South Africa, most of them having fatalities. An overwhelmi­ng 33 percent of these accidents are pedestrian­s who are often knocked down in hit and run crashes and some are left with serious injuries, while others lose their lives).

Claimants who require ongoing medical treatment are offered an undertakin­g certificat­e to access such treatment and rehabilita­tive services through the RAF’s post claims settlement department.

Assistance takes many forms: structural changes to motor vehicles, the workplace or house (eg ramps or bathroom and kitchen modificati­ons); payment of caregivers in the case where the injured needs assistance with their daily activities or future medical care; and access to assistive devices such as wheelchair­s.

Over the last five years, 753 565 undertakin­g certificat­es have been issued with more than R1,5 billion paid out to ensure claimants have the necessary care required.

The introducti­on of a streamline­d corporate structure with transversa­l teams consolidat­ed under the organisati­onal strategy has increased compliance and reporting mechanisms, with oversight department­s ensuring accountabi­lity and an efficient operationa­l and administra­tive environmen­t.

As a result, the RAF has been awarded several accolades within the public and private sector. This indicates a level of excellence the RAF continues to aspire to.

Improved productivi­ty has seen a significan­t reduction in claims processing over the years, especially the “backlog” of claim files. This is coupled with an improved cash management strategy and an increase in claims processing and payment.

Recently, the fund received three consecutiv­e clean audits from the auditor-general. This shows the efficient and proper management of funds and maximum value out of every rand received, maintainin­g a maximum amount of expenditur­e on claims and delivering services.

In the 2015/2016 financial year, the fund finalised 715 claims each working day, averaged 188 759 claims and settled claims worth R32.3bn. The RAF board and employees play a pivotal role in ensuring the success of the organisati­on, particular­ly during difficult periods. In recent years, the RAF has managed to introduce a reviewed strategic plan with annual performanc­e plans, aligned these plans to scorecards and risk assessment­s, which led to the formulatio­n of Smart targets for strategic objectives.

Meanwhile, fraud and corruption remains endemic, but the fund has developed a strategy that includes the detection, prevention and investigat­ion of fraud cases.

During the 2016/2017 financial year, a total of 426 fraudulent claims were detected by the forensic investigat­ion department, preventing fraudulent payments to the value of R901 557 474. In the same period, 88 people were arrested and 68 people were convicted. An amount of R413 138 was recovered.

Despite operating under challengin­g circumstan­ces, hampered further by the tough SA economic climate, the fund still has a duty and responsibi­lity to fulfil its mandate, ie to indemnify, compensate and rehabilita­te road accident victims.

The RAF will continue transformi­ng its delivery record while ensuring those who have been injured or lost loved ones in motor vehicle accidents are cared for.

The recommenda­tions made were that the present system of fault-based compensati­on is unfair and should be replaced with a ‘no fault’ system

Dr Ntuthuko Bhengu is the chairperso­n of the Road Accident Fund board.

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