No resources or plan for Esidimeni
THE arbitration hearing into the Life HealthCentre Esidimeni tragedy has heard how the health department had no proper plan and not enough resources to ensure the safety and welfare of mental patients during the relocation.
The patients’ situation was also worsened when the NGOs they were transferred to did not receive grants from the state.
The Gauteng health department’s chief director of planning, Levy Mosenogi, who was in charge of the Esidimeni project, could not supply answers to questions posed to him by Legal Aid’s advocate Lilla Crouse and the chairman of the hearing, retired Justice Dikgang Moseneke.
“Five hundred of them had no identity documents. Nonetheless the contract was terminated and people were moved. Patients were sent without grants; you told us yesterday that you delayed for three to four months to pay NGOs… it was irresponsible to do so because that placed the patients’ lives in danger. Why did this happen? Why did you not prevent that from happening?” Justice Moseneke asked.
“I was not aware that had happened, that they were moved without IDs, but we had other facilities to move them to such as Weskoppies and Cullinan.”
As a leader of the project, he should have checked to make sure everything was arranged, he said.
Health Ombudsman Malegapuru Makgoba’s investigation into the patients’ death found that inadequate vehicles such as open bakkies were used to transfer patients from Esidimeni.
Some of the chronic patients were tied to the vehicles during the transportation.
Justice Moseneke asked Mosenogi if he managed to find out the common cause of the deaths.
“Some had diabetes, high blood pressure and other chronic diseases. They needed to be looked after; it was winter and they needed clothes. All these factors contributed to the condition. They needed to be looked after by qualified people because they were in a new environment, but we did not provide for that,” said Mosenogi.
“We should have done better. I should have been much stronger, maybe I should have pulled out after seeing the children’s vulnerable position. I regret it all, I regret that people died.”
Justice Moseneke asked: “Why did the department go ahead with the transfers in the face of all that? Why did the head of department, MEC do it? Maybe you cannot answer for them but why did you as project manager do it? You were warned by specialists, lawyers, families. Why?
“Going further, the ombudsman came here and told us he was saddened by the fact that state officials, who are paid to do their jobs, were visibly scared of the people they reported to. Were you scared?”
“I was not scared but it was the conditions we worked under. I will raise this in my closing statement that maybe the Department of Health must be run by people who know about health. It would have been far better. Throughout the years in the department, I could reach out to anyone, but it was difficult to reach the MEC; maybe she was informed differently.”
Makgoba’s damning report in February, found that as many as 94 mentally ill patients who were transferred from Esidimeni to unlicensed care centres died of causes that included neglect and starvation. The death toll figure rose to 118 as more information was discovered by Makgoba.
Crouse asked Mosenogi if there has been any disciplinary processes against him.
He replied “no”. – ANA