HPCSA Complaints Process

vvankleef

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Hi everyone,

I’m considering lodging a formal complaint with the HPCSA about a medical practitioner and would really appreciate hearing from anyone who has gone through the process.

If you’ve done this before, would you mind sharing:
  • Did you submit via the online form or by email/post?
  • How long did it take to receive acknowledgement and/or feedback?
  • Were you satisfied with how the matter was handled?
  • Is there anything you wish you had done differently when drafting your complaint?
I’m not looking to discuss specific details publicly — just hoping to understand what to expect and any practical tips from those who’ve been through it.

Thank you in advance.
 
Hpcsa complaints are lodged online. Mine was unacknowledged in a couple of days, however, they are toothless and useless. Either they protect their stakeholders or believe any crap the drs feed them.

I lodged a complaint obo a client against a dr booking someone off for 'headache' for 5 days in the future.....

They refused to share the drs response nor explain how a dr can foresee someone will have an incapacitating headache in the future.

I implemented other measures to address the matter.

Use other avenues if available, depending on the issue at hand.
 
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you can also loge a complaint with national consumer council.
some laws have changed to now include medical complaints.

there was fierce legal debate a while back because medical practitioners are now exposed to an additional avenue of censure.

The law of contract, the Consumer Protection Act and medical malpractice law


The Consumer Protection Act (CPA) | Applicability to Healthcare Services and Products

Thank you, I was not aware of this and will look into this as well.
 
Hpcsa complaints are lodged online. Mine was unacknowledged in a couple of days, however, they are toothless and useless. Either they protect their stakeholders or believe any crap the drs feed them.

I lodged a complaint obo a client against a dr booking someone off for 'headache' for 5 days in the future.....

They refused to share the drs response nor explain how a dr can foresee someone will have an incapacitating headache in the future.

I implemented other measures to address the matter.

Use other avenues if available, depending on the issue at hand.
Thank you for the feedback. I am disappointed to hear you did not get a good result via the HPCSA. I am also worried that they might just be protecting stakeholders. Our case relates to a procedure performed without informed consent, the procedure was botched resulting in severe brain damage and death 2 weeks later. Because the patient was elderly with no dependents, I can't find any legal firm that will take the matter on a no win no fee case as no compensation will be awarded even if we win the case. That is how the legal firms get their very expensive legal costs back but unless you are younger, earn a good income and have dependents still, the courts wont award any compensation even if you win the case. In SA it seems as if your value is tied to your income which is very sad. And I suspect this is how some doctors continue to get away with the worst.
 
Hpcsa complaints are lodged online. Mine was unacknowledged in a couple of days, however, they are toothless and useless. Either they protect their stakeholders or believe any crap the drs feed them.

I lodged a complaint obo a client against a dr booking someone off for 'headache' for 5 days in the future.....

They refused to share the drs response nor explain how a dr can foresee someone will have an incapacitating headache in the future.

I implemented other measures to address the matter.

Use other avenues if available, depending on the issue at hand.

The dr can very easily foresee the condition causing problems into the near future. A simple example. The term headache was used but it could be a placeholder term or it could be a symptom of a wider problem. Eg the patient has underlying issues causing severe headaches. These may be of a personal or sensitive nature ergo the term headache is used. In some situations, a severe migraine (tension headache, viral meningitis, other causes etc) can also last well for a good 5 days or longer.

HPCSA would only investigate cases of fraud or malpractice. This does not look like it. They don't police doctors' clinical judgement unless it follows from malpractice. This, unless the patient was not consulted, was not malpractice, from what you described here.

Medical conditions don't follow work related time lines. You have to understand this. If you think the employee is abusing the system and has a repeated pattern of sick notes with vague diagnoses there are HR things you can follow. But you will not win with the doctor via the HPCSA for what you described here.
 
Thank you for the feedback. I am disappointed to hear you did not get a good result via the HPCSA. I am also worried that they might just be protecting stakeholders. Our case relates to a procedure performed without informed consent, the procedure was botched resulting in severe brain damage and death 2 weeks later. Because the patient was elderly with no dependents, I can't find any legal firm that will take the matter on a no win no fee case as no compensation will be awarded even if we win the case. That is how the legal firms get their very expensive legal costs back but unless you are younger, earn a good income and have dependents still, the courts wont award any compensation even if you win the case. In SA it seems as if your value is tied to your income which is very sad. And I suspect this is how some doctors continue to get away with the worst.
I'm sorry for your loss. I would have assumed you could have sued with compensation going to the deceased's estate?
 
The dr can very easily foresee the condition causing problems into the near future. A simple example. The term headache was used but it could be a placeholder term or it could be a symptom of a wider problem. Eg the patient has underlying issues causing severe headaches. These may be of a personal or sensitive nature ergo the term headache is used. In some situations, a severe migraine (tension headache, viral meningitis, other causes etc) can also last well for a good 5 days or longer.

HPCSA would only investigate cases of fraud or malpractice. This does not look like it. They don't police doctors' clinical judgement unless it follows from malpractice. This, unless the patient was not consulted, was not malpractice, from what you described here.

Medical conditions don't follow work related time lines. You have to understand this. If you think the employee is abusing the system and has a repeated pattern of sick notes with vague diagnoses there are HR things you can follow. But you will not win with the doctor via the HPCSA for what you described here.
Not to worry, easy to resolve, we refused the employee sick leave as it is suspicious and a medical certificate is hearsay evidence, then disciplined the employee for AWOL. Obviously the employee may then call the dr as witness to try justify the absence. Then when the dr is too high and mighty to attend, the matter goes to the CCMA where he is subpoenaed and cannot refuse. So, he and the employee are both pulled in line. Further, all employees are informed that no certificates from that dr shall be accepted as he had proved to issue questionable certificates, thus, no employee ever goes to him any more.

BTW, he could not explain his wild diagnosis in the CCMA. He got laughed at by everyone.
 
Not to worry, easy to resolve, we refused the employee sick leave as it is suspicious and a medical certificate is hearsay evidence,

Not sure you understand how medical assessments work. If a patient describes his symptoms, there is sometimes no objective test to determine if the symptoms are legitimately there or not. If you're having pain, there is no test one can do to demonstrate the pain. In that way many certificates are 'hearsay' and they are valid and medically sound. If incapacity is likely, the certificate is issued.

then disciplined the employee for AWOL. Obviously the employee may then call the dr as witness to try justify the absence. Then when the dr is too high and mighty to attend, the matter goes to the CCMA where he is subpoenaed and cannot refuse.

Yes and the doctor will say, yes according to my medical assessment the patient had a migraine which will likely last 5 days and due to x and y I gave the employee time off, assuming confidentially is not in question, with employee's written permission. Nobody will fault the doctor. It's the correct approach and medically sound according to science.

Headaches can cause incapacity. The practitioner is right to call this, if the symptoms merit it. Again you have to prove the doctor was paid to write a sick note for 5 days without judging this according to professional board standards.

So, he and the employee are both pulled in line.

No, you won't pull the doctor in line. If you suspect the doctor is a mere sick certificate mill, there would other steps you'd have to take, via reports to the HPCSA or proof, eg sworn testimony by witnesses. But not for one or two cases.

Further, all employees are informed that no certificates from that dr shall be accepted as he had proved to issue questionable certificates, thus, no employee ever goes to him any more.

That's ground for defamation and possible proceedings against you and your company into the millions and you'd lose. Also further proceedings against your business according to basic conditions of employment and the employees right to health care. Possible regulatory review also and further findings.

You have to prove the certificate is invalid. One way would be for you to pay for a second opinion. Know this, that the second practitioner will probably concur with the original doctor because yes a headache can objectively give you 5 days of incapacity and doctors are bound by professional standards and not by whoever pays for their services. Patient right to confidentially also applies.

BTW, he could not explain his wild diagnosis in the CCMA. He got laughed at by everyone.

That's not going to happen. CCMA would not laugh at a witness. Sorry, that's a tall tale here. I can understand your frustration but 1. headache is a valid symptom to put on a certificate here. 2. 5 days is a valid period of time. It's not exceptionally long. You have to prove wrong doing here.
 
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Thank you for the feedback. I am disappointed to hear you did not get a good result via the HPCSA. I am also worried that they might just be protecting stakeholders. Our case relates to a procedure performed without informed consent, the procedure was botched resulting in severe brain damage and death 2 weeks later. Because the patient was elderly with no dependents, I can't find any legal firm that will take the matter on a no win no fee case as no compensation will be awarded even if we win the case. That is how the legal firms get their very expensive legal costs back but unless you are younger, earn a good income and have dependents still, the courts wont award any compensation even if you win the case. In SA it seems as if your value is tied to your income which is very sad. And I suspect this is how some doctors continue to get away with the worst.
An executor could sue on behalf of his estate. Lawyers might be interested in that… if there is no consent then lay a criminal case ?
 
Not sure you understand how medical assessments work. If a patient describes his symptoms, there is sometimes no objective test to determine if the symptoms are legitimately there or not. If you're having pain, there is no test one can do to demonstrate the pain. In that way many certificates are 'hearsay' and they are valid and medically sound. If incapacity is likely, the certificate is issued.



Yes and the doctor will say, yes according to my medical assessment the patient had a migraine which will likely last 5 days and due to x and y I gave the employee time off, assuming confidentially is not in question, with employee's written permission. Nobody will fault the doctor. It's the correct approach and medically sound according to science.

Headaches can cause incapacity. The practitioner is right to call this, if the symptoms merit it. Again you have to prove the doctor was paid to write a sick note for 5 days without judging this according to professional board standards.



No, you won't pull the doctor in line. If you suspect the doctor is a mere sick certificate mill, there would other steps you'd have to take, via reports to the HPCSA or proof, eg sworn testimony by witnesses. But not for one or two cases.



That's ground for defamation and possible proceedings against you and your company into the millions and you'd lose. Also further proceedings against your business according to basic conditions of employment and the employees right to health care. Possible regulatory review also and further findings.

You have to prove the certificate is invalid. One way would be for you to pay for a second opinion. Know this, that the second practitioner will probably concur with the original doctor because yes a headache can objectively give you 5 days of incapacity and doctors are bound by professional standards and not by whoever pays for their services. Patient right to confidentially also applies.



That's not going to happen. CCMA would not laugh at a witness. Sorry, that's a tall tale here. I can understand your frustration but 1. headache is a valid symptom to put on a certificate here. 2. 5 days is a valid period of time. It's not exceptionally long. You have to prove wrong doing here.
Wow, you seem to have rewritten the law and think to know know even more than my 40 years experience has taught me. Dream on. You miss so many points and wishful thinking of suing someone!(lol). Yes, we all had a good laugh under cross examination....his clairvoyance did not work then and he agreed he guessed ?(I love making fools of arrogant people when in court) (As I now had a chuckle at you for your views). Are you a dr?...your comments prove you are not a lawyer, maybe an amateur one, but certainty not trained.
 
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Wow, you seem to have rewritten the law and think to know know even more than my 40 years experience has taught me. Dream on. You miss so many points and wishful thinking of suing someone!(lol). Yes, we all had a good laugh under cross examination....his clairvoyance did not work then and he agreed he guessed ?(I love making fools of arrogant people when in court) (As I now had a chuckle at you for your views). Are you a dr?...your comments prove you are not a lawyer, maybe an amateur one, but certainty not trained.
Wanna try a more cogent response? if you want to counter his assertion then do so substantively?
 
Wow, you seem to have rewritten the law and think to know know even more than my 40 years experience has taught me. Dream on. You miss so many points and wishful thinking of suing someone!(lol). Yes, we all had a good laugh under cross examination....his clairvoyance did not work then and he agreed he guessed ?(I love making fools of arrogant people when in court) (As I now had a chuckle at you for your views). Are you a dr?...your comments prove you are not a lawyer, maybe an amateur one, but certainty not trained.

You are obviously wrong. You for one know nothing about medicine. You also claim a complaint to the HPCSA for this is valid. Well that complaint went straight in the trash. Secondly, the doctor in question can actually make a complaint against your business to the HPCSA again for harassing him. And the HPCSA will write you a response. Only the HPCSA regulates doctors and if you claim to defame an HPCSA doctor by your own judgment you are usurping that role, of a medical regulator. That's not legal. The HPCSA is also not there to deal with frivolous and unsubstantiated complaints. Finally doctors have adequate cover to deal with people like you. There is SAMA and MPS. MPS will defened the doctor and may prosecute you in civil proceedings if you defame a medical practitioner. So you'd better have evidence of wrongdoing and you have provided NOTHING here other than demonstrating that you don't know any medicine.
A medical practitioner is not obliged to reveal the patient's diagnosis to you. Suffice to say he chose to book the patient off for 5 days for a headache which is most definitely defensible. The onus is on you to prove there was wrong doing.

I don't know what you claim about the doctor in question in court, but it sounds far fetched or you dealt with some immigrant doctor or some junior person. Unless you have proof of wrong doing, that he did not ask the right questions and did not perform a clinical examination, nobody on earth can judge his discretion to book this patient off for 5 days. HPCSA does not judge doctors' clinical assessments unless there is some adverse outcome eg wrong diagnosis and subsquent morbidity or mortality, or there is fraud or there is some other form of abuse, eg the practitioner was molesting the patient i.e. acting unethically.
 
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Status migrainosus is a migraine complication in which the attack is unremitting for at least 72 hours and symptoms are associated with significantly more disability than migraine (Table 1), which is the second highest cause of years lived with disability according to the World Health Organization.1-3 The severity of status migrainosus with its high disability, including risk for suicide, emphasizes the importance of treatment.

All-cause headache is estimated to represent approximately one-fourth of neurologic presentations to emergency departments (EDs); the proportion comprised by status migrainosus, which is unknown and estimated to be at least 10%.4,5 There is little data on community incidence and prevalence,6 but within a neurology practice, an unremitting migraine attack of 72 hours or more is common, especially when superimposed on a background of chronic migraine, which can be a challenge even for the most seasoned neurologist.

Although medications are available for treatment, evidence-based guidelines for management of status migrainosus are lacking with no international consensus guidelines and no randomized trials. A study showed the average duration of status migrainosus to be 4.8 weeks, raising the question if resolution was from medical management or the attack self-abating with time.6


This, just for migraines. There are many causes of headache. Medically speaking, 5 days is not indefensible. Especially if you know the cause is likely to continue for at least that long.
 
You are obviously wrong. You for one know nothing about medicine. You also claim a complaint to the HPCSA for this is valid. Well that complaint went straight in the trash. Secondly, the doctor in question can actually make a complaint against your business to the HPCSA again for harassing him. And the HPCSA will write you a response. Only the HPCSA regulates doctors and if you claim to defame an HPCSA doctor by your own judgment you are usurping that role, of a medical regulator. That's not legal. The HPCSA is also not there to deal with frivolous and unsubstantiated complaints. Finally doctors have adequate cover to deal with people like you. There is SAMA and MPS. MPS will defened the doctor and may prosecute you in civil proceedings if you defame a medical practitioner. So you'd better have evidence of wrongdoing and you have provided NOTHING here other than demonstrating that you don't know any medicine.
A medical practitioner is not obliged to reveal the patient's diagnosis to you. Suffice to say he chose to book the patient off for 5 days for a headache which is most definitely defensible. The onus is on you to prove there was wrong doing.

I don't know what you claim about the doctor in question in court, but it sounds far fetched or you dealt with some immigrant doctor or some junior person. Unless you have proof of wrong doing, that he did not ask the right questions and did not perform a clinical examination, nobody on earth can judge his discretion to book this patient off for 5 days. HPCSA does not judge doctors' clinical assessments unless there is some adverse outcome eg wrong diagnosis and subsquent morbidity or mortality, or there is fraud or there is some other form of abuse, eg the practitioner was molesting the patient i.e. acting unethically.
Oh dear, i'm not reading this. What uninformed wishful drivel displaying a deep lack of knowledge of law. The more you say, the deeper you put your foot into your mouth. It really does not justify a response, so I won't. I'd like to have you in a witness stand under cross examination though. We will have great laughs....yes we do laugh in court at idiots, most always the more arrogant and "wise", the more enjoyable.

I'm not reading more of your fables. Bye!
 
Wanna try a more cogent response? if you want to counter his assertion then do so substantively?
You want me to argue with a fool or educate him? The first I don't do, the second, I charge fees for. Also what purpose would a rebuttal serve here? I let him bask in his ignorance.
 
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I lodged a complaint obo a client against a dr booking someone off for 'headache' for 5 days in the future.....

They refused to share the drs response nor explain how a dr can foresee someone will have an incapacitating headache in the future.
Was this client your wife?
They can 100% have future headaches.
 
With respect, he's at least making an argument. You’re just I have no need nor purpose to rebut his argument here. In any forum of any relevance, the participants would already recognise his fallacies and making argument there about moot.
I have no need nor purpose to rebut his argument here. In any forum of any relevance, the participants would already recognise his fallacies making argument there about moot.
Believe his version if you want. More work & fees for my peers to get you out of the s&^%t you'll end up in.......or take my word. Why should I spend the time thereon here?
I can assure you there are several judgments already contradicting his opinions. You can look them up....I'm sure Gemini will help.
For one, start here NUMSA v Kaefer Energy Projects (2022) 43 ILJ 181 (LC) and work your way through.
 
I have no need nor purpose to rebut his argument here. In any forum of any relevance, the participants would already recognise his fallacies making argument there about moot.
Believe his version if you want. More work & fees for my peers to get you out of the s&^%t you'll end up in.......or take my word. Why should I spend the time thereon here?
I can assure you there are several judgments already contradicting his opinions. You can look them up....I'm sure Gemini will help.
For one, start here NUMSA v Kaefer Energy Projects (2022) 43 ILJ 181 (LC) and work your way through.
Sure bud. You must be kak lawyer if you're using this precedent considering it relied on the unprotected strike to establish the nature of the offense not to mention the usual hearsay arguments to invalidate a medical certificate that could be negated by simple affidavit or testimony by the medical practitioner.
 
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