Case Law[2022] ZAGPPHC 555South Africa
Leyka v Minister of Health and Others (69302/2019) [2022] ZAGPPHC 555 (18 July 2022)
Judgment
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# South Africa: North Gauteng High Court, Pretoria
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## Leyka v Minister of Health and Others (69302/2019) [2022] ZAGPPHC 555 (18 July 2022)
Leyka v Minister of Health and Others (69302/2019) [2022] ZAGPPHC 555 (18 July 2022)
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sino date 18 July 2022
IN
THE HIGH COURT OF SOUTH AFRICA
GAUTENG
DIVISION, PRETORIA
CASE
NO: 69302/2019
REPORTABLE:
NO
OF
INTEREST TO OTHER JUDGES: NO
REVISED.
YES
18/07/2022
In
the matter between:
YANNICK
MOUSSA LEYKA
Applicant
And
MINISTER
OF HEALTH
First Respondent
DIRECTOR-GENERAL:
NATIONAL
Second Respondent
DEPARTMENT
OF HEALTH
HEALTH
PROFESSIONS COUNCIL OF SOUTH Third
Respondent
AFRICA
MEDICAL
AND DENTAL PROFESSIONAL BOARD Fourth
Respondent
THE
REGISTRAR OF THE HEALTH PROFESSIONS
COUNCIL
OF SOUTH
AFRICA Fifth
Respondent
MEMBER
OF THE EXECUTIVE COUNCIL,
GAUTENG
DEPARTMENT OF HEALTH
Sixth Respondent
HEAD
OF DEPARTMENT,
GAUTENG
DEPARTMENT OF HEALTH
Seventh Respondent
CHRIS
HANI BARAGWANATH ACADEMIC HOSPITAL
Eighth Respondent
JUDGMENT
BAQWA
J:
Introduction
[1]
It is a requirement set by the First Respondent (The Minister) that
any person with
a medical qualification as prescribed by the Health
Professions Act is required to do a medical internship prior to being
entitled
to be registered as a medical practitioner.
[2]
An intern has to undergo a two-year medical internship at a training
hospital or an
accredited training facility and whilst the interns
are funded, there are limited instances where unfunded internship/ is
granted.
[3]
This application is about whether the Applicant is entitled to funded
internship.
Factual
Matrix
[4]
The application was initially brought as an urgent application on 16
September 2019
when the Applicant sought an order reviewing and
setting aside the “decision to refuse the Applicant’s
2018/2019 cycle
of applications for placement as a medical intern
lodged on 15 August 2018 and 23 May 2019 respectively.”
An order
was also sought for the Applicant to be placed in the next
available medical intern position, alternatively to ensure that the
Applicant was placed during the first 2020 cycle of applications.
[5]
The application was struck from the urgent roll for lack of urgency.
[6]
Subsequently the Applicant had a change of mind and entered into a
contractual arrangement
with the Respondents to be placed in an
unfunded medical intern post.
[7]
The Applicant subsequently amended the relief initially sought by him
on 21 October
2020. He presently seeks to review and set aside
the decision to offer him the unfunded internship. He further
seeks
an order that the Court substitute it with its own decision and
grant him a funded medical internship post.
[8]
The Applicant also seeks an order that in the event that the
Respondents oppose the
application on the basis that there are no
approved and funded health facilities available to accommodate the
Applicant, that the
Medical and Dental Professional Board (The Fourth
Respondent) take the necessary urgent steps to either accredit
further health
facilities as may be required to accommodate the
Applicant and other unplaced interns if necessary, alternatively to
prescribe
alternative equivalent training for the Applicant and other
unplaced intern Applicants. Further, that the Respondents be
directed to ensure that the required funding is provided to fund any
further required accredited posts/equivalent training and directing
the Minister, the Second Respondent (The Director General) and the
Medical and Dental Professional Board to report to the Court
on the
plans that they have adopted to give effect to the order.
[9]
At the commencement of these proceedings, Counsel for the Applicant
indicated that
the Applicant will now confine the relief sought to
the issue of the funded internship regarding Dr Leyka, the Applicant.
[10]
The Respondents oppose the application mainly on two grounds.
The first is that the Respondents
are not possessed with the
financial resources to fund the Applicant’s internship, nor to
pay him a stipend. Further,
the issue of placement of the
Applicant as a medical intern was settled between the parties when
the Applicant signed a contract
accepting a contract for an unfunded
internship.
The
law
The
Health Profession Act 56 of 1974
[11]
The Health Professions Act (HPA) established the Health Professions
Council of South Africa (HPCSA)
and professional boards- for the
purpose of controlling education, training, registration, and
practising of health professionals
registered under the HPA and to
regulate related matters.
[12]
Medical practitioners and medical interns must be registered in terms
of section 17(1) of the
HPA.
Regulations
for the Registration and Training of Interns in Medicine (GN R57 OF
2004)
[13]
The Regulations for the Registration and Training of Interns were
published by the Minister in
terms of section 61(1)(e)(i) and (ii) of
the HPA and they provide that:
13.1
Any person who holds a prescribed qualification shall, after or in
connection with obtaining such a qualification
and before he or she
is entitled to registration as a medical practitioner in any category
of such registration, undertake training
to the satisfaction of the
board as an intern in medicine for a prescribed period, unless the
board exempted him or her partially
or in full from such requirement
on submission of documentary evidence to the satisfaction of the
board of internship or equivalent
training undergone or experience
obtained outside South Africa.
13.2
Regulation 3(4) provides that internship training which commenced
after June 30 2006 shall be for a period
of not less than twenty-four
months duration subject to leave and sick leave provided for.
13.3
The period of twenty-four months must be completed within a period of
three years from the date of having
been registered in terms section
17 of the HPA.
13.4
If an intern does not complete his or her internship within a period
of three years, his or her registration
in terms of section 18 of the
HPA shall be cancelled unless he or she provides satisfactory reasons
to the board for the registration
not to be cancelled.
13.5
The training must be undertaken in a facility approved by the board.
Where such facility is not available
the board may accept alternative
training which in its opinion is equivalent to training at a facility
approved by the board.
Refugees
Act 130 OF 1998
[14]
The
Refugees Act defines
an asylum seeker as a person who is seeking
recognition as a refugee in South Africa. A refugee is defined
as any person
who has been granted asylum in terms of the
Refugees
Act.
[15
]
Section 27(b)
of the
Refugees Act provides
:
“
A refugee –
(a)
…
..
(b)
Enjoys full legal protection, which includes the rights set out in
Chapter 2 of the Constitution of the Republic of South Africa
1996,
except those rights that only apply to citizens”
.
[16]
Notably, refugees are entitled to seek employment whilst there are no
stipulated corresponding
rights in respect of asylum seekers.
[17]
An asylum seeker must apply to be recognised as a refugee and once
such recognition is granted,
he or she becomes entitled to the rights
specified in
section 27
of the
Refugees Act which
include the right
to seek employment.
[18]
Section 27A
of the
Refugees Act provides
, inter alia, that an
asylum seeker is entitled to the rights in the Constitution “in
so far as these rights apply to an asylum
seeker.”
Applicable
Policies
[19]
The Policy Guideline on the Requirements for Practice of Medical
Professionals in South Africa
(25 June 2018) is applicable to South
African Citizens and Non-Citizens wishing to register as medical
practitioners and as medical
interns in South Africa.
[20]
The Policy Guideline does not address the issue of asylum seekers
with pending permit applications
who are not refugees.
Regarding Non-South African citizens, it provides for three
categories, namely: Permanent resident,
Refugee and Critical
Skills Visa.
[21]
The Policy Guideline provides that for both permanent residents and
refugees, posts for internship
are not guaranteed and would be
offered to Non-South African citizens within available resources once
all South African Citizen
have been accommodated. The Policy
also provides for self-funded internship as a supernumerary.
[22]
Clause 5.3 of the Guideline deals with Non-South African citizens who
completed their medical
degrees at South African universities and in
clause 5.3.2 provides as follows: “The internship programme is
not an automatic
progression for Non-South Africans who have
completed a medical degree at a South African university recognised
to provide medical
training and limitations apply”.
[23]
Clause 5.3.3 of the Guideline provides
“
Internship
programme
a)
Posts for internship are not guaranteed and will be offered to
Non-South African citizens within available resources once all South
African Citizens and permanent residents who studied at South African
universities have been accommodated.
b)
In the event that there are HPCSA accredited posts for
internship that are not funded and all South African citizens and
permanent
residents who studied at South African universities have
been accommodated, applicants will be permitted to provide
self-funding
for the prescribed period for the internship programme
as a supernumerary. Funding for the salary for the internship
must
be for the cost of the sponsor and formal confirmation of
self-funding will be required prior to registration with HPCSA.
c)
Endorsement letters for critical skills work permitted for
community service are not an automatic progression from internship as
in some instances the intention of providing endorsement letters for
internship is on the basis of completing training requirements
for
registration in the Applicant’s country of origin and not for
the purposes of immigration to South Africa”.
Progressive
Integrated Plan
[24]
When the matter first came before this Court on the urgent court roll
on 29 November 2019 it
was postponed to 13 December 2019 for the
Second Respondent to provide the Applicant with their progressive
integrated plan as
to how the remaining unplaced asylum seekers,
permanent residents and refugees who have studied and qualified in
South African
universities would be allocated to medical internship
positions in South Africa for the year starting January 2020 and
going forward.
This plan would have to indicate whether the
Applicant in this matter would be allocated a position in January
2020 or not.
[25]
On 10 December 2019 the National Department of Health (NDOH) provided
Applicant with the Progressive
Integrated Plan (The Foreign Intern
Policy) which was the result of litigation instituted by 49 refugees
who took the Respondent
to Court in 2018 demanding to be placed in
medical internship posts.
[26]
The plan provides for two types of medical internship posts which are
26.1 South African
Government funded medical internship posts which are reserved
for South African citizens and;
26.2 Self-funded
medical internship posts which are reserved for non-South African
citizens who are refugees and asylum seekers.
[27]
Regarding the placement of asylum seekers, the plan records that:
“
Asylum seekers
have not yet been granted permission to stay longer than a period of
six months in South Africa. It is therefore
imperative for an
asylum seeker to first provide proof that they have been granted
permission to be in South Africa for a period
of at least two years
prior to being placed in a medical intern post. The NDOH will
be able to process their applications
as medical interns and place
them in HPCSA accredited posts in health facilities only as
self-funded medical interns for the two
year- internship programme
subject to availability of posts. This self-funding method is
not limited to self-funding and
includes sponsorship”.
Right
to Internship
[28]
The duty of Government to facilitate opportunities for graduates to
comply with the requirements
for registration arises out of section
27(1) of the Constitution in terms of which everyone has the right to
have access to healthcare
services.
[29]
In furtherance of the section 27(1) duty, section 27(2) provides:
“
The State must
take reasonable legislative and other measures, within its available
resources, to achieve the progressive realisation
of each of these
rights.
[30]
The duty provided for in section 27(2) is however not absolute.
Although giving judgment
within the context of everyone’s right
to have access to housing, the Constitutional Court defined the
parameters within
which this has to happen in the case of
Government
of The RSA and Others v Grootboom and Others
[1]
.
The Court found that the State’s obligation is defined by three
elements, namely:
30.1
To take reasonable legislative and other measures;
30.2
To achieve progressive realisation of the right;
30.3
To do so within available resources. Further clarity was
provided by the Constitutional Court regarding
the issue of
‘available resources’ in the matter of
Soobramoney
v Minister of Health, Kwazulu-Natal
[2]
“
What is
apparent from these provisions is that the obligations imposed on the
State by ss 26 and 27 in regard to housing, health
care, food, water
and social security are dependent upon the resources available for
such purposes, and that the corresponding
rights themselves are
limited by reason of the lack of resources. Given this lack of
resources and the significant demands
on them that have already been
referred to, an unqualified obligation to meet these needs would not
presently be capable of being
fulfilled”.
[31]
As Yacoob J stated in Grootboom (supra) whilst the goal had to be
obtained expeditiously and
effectively, the availability of resources
remains a key factor in determining what is reasonable. A
balance has to be struck
between the goal and the means.
[32]
It is common cause that the Applicant is an asylum seeker whose
status as a refugee has not been
approved. It has been held
that it is implicit in section 27 that an Applicant for asylum has
none of the rights in section
27 until she or he is recognised as a
refugee.
Minister
of Home Affairs and Others v Watchenuka
[3]
.
[33]
It was further held in the Watchenuka case (para 29-34) (supra) that
a person such as the Applicant
has a right to work as an asylum
seeker but he does not statutorily enjoy the right to choose his
work, that is, to practice as
a doctor.
[34]
Whilst the NDOH does not prohibit asylum seekers being allocated
internship, it is obliged to
act in terms of the foreign interns
policy document. The status of a department’s policy was
commented upon in
Kemp
N. O. v Van Wyk
[4]
as
follows:
“
(1)
A public official who is vested with a discretion must exercise it
with an open mind but not necessarily a mind that is untrammelled
by
existing principles or policy. In some cases the enabling
statute may require that to be done, either expressly or by
implication from the nature of the particular discretion, but
generally there can be no objection to an official exercising a
discretion in accordance with existing policy if he or she is
independently satisfied that the policy is appropriate to the
circumstances
of the particular case. What is required is only
that he or she does not elevate principles or policies into rules
that are
considered to be binding with the result that no discretion
is exercised at all. Those principles emerge from the decision
of this court in
Brittey v Pope
1916 AD 150
and
remain applicable today”,
Is
the Practice of the Ndoh Discriminatory
[35]
In this application the Applicant contends that policy based on
prioritisation is a violation
of section 9(1) of the Constitution
(The equality right). In
Union
of Refugee Women And Others v Director Private Security Industry
Regulatory Authority And Others
[5]
the
Constitutional Court held that in relation to the security industry,
differentiation between citizens and permanent residents
on the one
hand and other foreigners on the other, has a rational foundation and
serves a legitimate governmental purpose.
[36]
The Applicant has not challenged the legality or rationality of the
Policy Guideline and the
Plan and those policies remain valid and the
implementation thereof by the NDOH with regard to the registration of
interns is lawful.
[37]
The issue of discrimination was considered in
Union of Refugee
Women case
(supra) para 46 and the Constitutional Court found
that whilst there was discrimination the issue of whether such
discrimination
was fair had to be considered and that in doing so the
following factors had to be taken into account: (para 46)
(a)
Under The Constitution a foreigner who is inside this country is
entitled to all the fundamental rights entrenched in the Bill of
Rights except those expressly limited to South African citizens.
(b)
The Constitution distinguishes between citizens and others as it
confines the protection of the right to choose a vocation to
citizens.
(c)
In the final certification case this Court rejected the argument
that the confinement of the right of occupational choice to citizens
failed to comply with the requirements that the Constitution accord
this ‘universally accepted fundamental right’ to
everyone. It held that the right of occupational choice could
not be considered a universally accepted fundamental right.
It
also held that the European convention for the Protection of Human
Rights and Fundamental Freedoms embodied no such to occupational
choice nor does The International Covenant of Civil and Political
Rights. The distinction between citizens and foreigners
is
recognised in the United States of America and also in Canada.
There are other acknowledged and exemplary constitutional
democracies
such as India, Ireland, Italy and Germany where the right to
occupational choice is extended to citizens or is not
guaranteed to
all.
(d)
In Watchenuka, Nugent JA held that it is acceptable in
international Law that every sovereign nation has the power to admit
foreigners
only in such cases and under such conditions as it may see
fit to prescribe and held, that it is for that reason that the right
to choose a trade or occupation or profession is restricted to
citizens by s22 of The Bill of Rights”.
[39]
Rights established through the Constitution are not unlimited.
The NDOH contends that what
might appear to be discriminatory in
their implementation of the Plan is fair in the circumstances. They
rely on section 36 in
The Bill of Rights which provides:
“
36(1)
The rights in the Bill of Rights may be limited only in terms of
law
of general application to the extent that the limitation is
reasonable and justifiable in an open and democratic society based
on
human dignity, equality and freedom, taking into account all relevant
factors, including –
(a)
The nature of the right;
(b)
The importance of the purpose of the limitation;
(c)
The nature and extent of the limitation;
(d)
The relation between the limitation and its purpose; and
(e)
Less restrictive means to achieve the purpose.
(2)
Except as provided in subsection (1) or in any other provision of the
Constitution, no law may limit
any right entrenched in the Bill of
Rights”.
[40]
Regarding the placement of refugees, the plan further records:
“
Due to limited
resources, the refugees who studied in South African institutions of
Higher Learning who wish to complete their medical
internship in
South Africa will have their applications processed as medical
interns and be placed in HPCSA accredited posts in
health facilities
only as self-funded medical interns for the two-year internship
programme. This self-funding method is
not limited to
self-funding and includes sponsorship”.
[41]
Regarding asylum seekers, the Plan records:
“
Asylum seekers
have not yet been granted permission to stay longer than a period of
six months in South Africa. It is therefore
important for an
asylum seeker to first provide proof that they have been granted
permission to be in South Africa for a period
of at least two years
prior to being placed in a medical intern post. The NDOH will
be able to process their applications
as medical interns and place
them in HPCSA accredited posts in health facilities only as
self-funded medical interns for the two-year
internship programme
subject to availability of posts. This self-funding method is
not limited to self-funding and includes
sponsorships.”
[42]
The Plan also makes reference to the Policy Guideline which
provides:
“
It is
emphasised that due to limited resources, internship posts cannot be
guaranteed and are offered to all applicants in accordance
with the
approved internship and community service guideline that provides
prioritisation of medical intern posts to South African
citizens in
line with the
Immigration Act 2002
. This means that Non-South
African citizens will be placed subject to available resources once
all South African citizens
and permanent residents who studied at
South African Universities have been placed”.
[43]
Evidently, the Applicant, as an asylum seeker falls to be considered
in the final category.
This is what the policy provides and
absent a challenge to the validity of the policy, it would be
difficult to find fault with
and set aside the decisions of the
Respondents.
The
Binding Contract
[43]
In his amended Notice of Motion the Applicant seeks an order for a
funded internship only whereas
in the original application he also
sought to be placed on internship.
[44]
Subsequently he accepted an appointment which offered him a
non-funded position subject to the
condition “that he will not
receive any remuneration while performing medical internship at Chris
Hani Baragwanath Hospital”
on 25 March 2020.
[45]
The Respondents contend that he is bound by the contract and that he
failed to exercise the option
of rejecting the offer and continue
with the review application, The Respondents rely on the parol
evidence rule that aside from
claims for rectification of a contract,
no evidence may be given to alter or amend the clear and unambiguous
meaning of the contract.
Put differently, the applicant had freely
and voluntarily chosen the contractual option as opposed to the
review option, he cannot
thereafter cry foul and claim to have been
treated unfairly, when the contract is enforced.
Financial
Constraints
[47]
Objectively viewed, the evidence shows that the resource constraints
have been caused by firstly
an exponential increase in the demand for
medical internship posts and secondly by the lack of accredited
facilities and lastly
the lack of funding.
[48]
The situation is not getting better in that whilst the need is
growing for internship posts on
the one hand there is a coincidence
of significant decreases in the NDOH funding year-on-year from
National Treasury.
[49]
From the evidence presented by the Respondents it would appear that
the budget cuts have impacted
across the department, its operational
needs and functionality. It has resulted even in a shortage of
not only ordinary doctors
but also of specialists. The doctors
and specialists are needed in order to train the interns and for the
accreditation of
more training facilities which also come at
additional cost.
[50]
The significant budgetary challenges facing the NDOH are such that
whilst alive to their statutory
and constitutional obligations, they
cannot adequately meet the demands regarding medical internships not
only in regard to citizens
but also to permanent residents, refugees
and asylum seekers. This seems to be the prism within which to
weigh the considerations
regarding the present application.
Granting the application would not only negate the purpose of the
Integrated Plan but
render it a nullity.
Judicial
deference
[51]
In
International
Trade Administration v Scaw SA
[6]
Moseneke DCJ said:
“
[94]
For example, not infrequently courts are invited by litigants to
intervene in the domain of other branches of
government. That was the
situation in Doctors for Life. This was the case in which
pregnancy-and abortion-related legislation was
challenged on the
ground that parliament had failed in its duty to facilitate public
involvement. The purpose of the constitutional
requirement is to
facilitate participatory democracy. The court had the following to
say about separation of powers:
“
The
constitutional principle of separation of powers requires that other
branches of government refrain from interfering in parliamentary
proceedings. This principle is not simply an abstract notion;
it is reflected in the very structure of our government.
The
structure of the provisions entrusting and separating powers between
the legislative, executive and judicial branches reflects
the concept
of separation of powers. The principle “has important
consequences for the way in which and the institution by
which power
can be exercised”. Courts must be conscious of the vital limits
on judicial authority and the Constitution’s
design to leave
certain matters to other branches of government. They too must
observe the Constitutional limits of their authority.
This means that
the judiciary should not interfere in the process of other branches
of government unless to do so is mandated by
the Constitution.”
[95] Where the
Constitution or valid legislation has entrusted specific powers and
functions to a particular branch of government,
courts may not usurp
that power or function by making a decision of their preference.
That would frustrate the balance of
power implied in the principle of
separation of powers. The primary responsibility of a court is
not to make decisions reserved
for or within the domain of other
branches of government, but rather to ensure that the concerned
branches of government exercise
their authority within the bounds of
the Constitution. This would especially be so where the
decision in issue is policy-laden
as well as polycentric”.
[52]
The
dictum
quoted above essentially sets out the context in
which the present application has to be weighed and considered in
that is the
decision of the NDOH is both policy-laden and
polycentric.
[53]
A similar view is expressed in the SCA case of
Logbro
Properties CC v Bedderson NO and Others
[7]
as follows:
“…
a judicial willingness
to appreciate the legitimate and constitutionally ordained province
of administrative agencies; to admit
the expertise of those agencies
in policy-laden and polycentric issue; to accord their interpretation
of fact and law due respect;
and to be sensitive in general to the
interests legitimately pursued by administrative bodies and the
practical and financial constraints
under which they operate.
This type of defence is perfectly consistent with a refusal to
tolerate corruption and maladministration”.
[54]
This view is further endorsed in
Minister
of Environmental Affairs v Phambili Fisheries (Pty)Ltd
[8]
where
Schutz JA said
“
The important
thing is that Judges should not use the opportunity of scrutiny to
prefer their own views as to the correctness of
the decisions, and
thus obliterate the distinction between review and appeal”.
[55]
O’Regan J, referring to the judgment of Schutz JA in
Phambili
Fisheries (supra) in Bato Star Fishing (Pty) Ltd v Minister of
Environmental Affairs and Tourism and Others
[9]
said
“
46
… Schutz JA continues to say that ‘(j)udicial deference
does not imply judicial timidity
or an unreadiness to perform the
judicial function”. I agree. The use of the word
‘deference’ may
give rise to misunderstanding as to the
true function of a review Court. This can be avoided if it is
realised that the need
for Courts to treat decision-makers with
appropriate deference or respect flows not from judicial courtesy or
etiquette but from
the fundamental principle of separation of powers
itself.
[48]
In treating the decisions of administrative agencies with the
appropriate respect, a Court is
recognising the proper role of The
Executive within the Constitution. In doing so a Court should
be careful not to attribute
to itself superior wisdom in relation to
matters entrusted to other branches of government.
A
Court should thus give due weight to findings of fact and policy
decisions made by those with special expertise and experience
in the
field.
The extent to which a Court should give
weight to those considerations will depend upon the character of the
decision itself, as
well as on the identity of the decision maker.
”.
(my emphasis)
[56]
It is not in dispute that the Progressive Integrated Plan followed
intensive internal discussions
which include the Minister. The
Plan served before The National Health Council established in terms
of section 22 of the
NHA which consists of the Minister, or his
nominee, the Deputy Minister of Health, the relevant members of the
Executive Councils,
the Director-General, the Deputy Director-General
and others. Evidently the formulation and the production of the
Plan received
the highest priority at the highest level of
government.
[57]
The Applicant’s contention regarding the Respondents’
decision is that it is neither
policy-laden nor polycentric but just
a question of available funding as he was already an intern.
Nothing could be further
from the truth. The progressive Integrated
Plan negates the applicant’s contention.
[58]
To contextualise the issue it must be recalled that the Applicant had
originally rejected the
offer of an unfunded internship on 13
December 2019. He then approached Respondents on 19 December
2019 and requested the
Respondents to revisit the unfunded internship
offer. The placement of the Applicant into the unfunded post
was a special
arrangement between the Applicant and the Respondents.
He was offered a post out of turn and as an accommodation. It
was not an allocation in the ordinary course.
[59]
The Applicant now seeks that the post be funded. This would not
only be against the policy-laden
decision of the Respondents in terms
of the Plan but would have wide ranging implications of a polycentric
nature regarding the
administration of foreign medical interns in the
country. The Applicant’s case, if successful would set a
precedent
which could possibly compel the Respondents to allocate
interns in excess of the available resources.
[60]
This is a situation which was commented upon by Mogoeng CJ in
City
of Tshwane and Metropolitan Municipality v Afriforum and Another
[10]
as
follows:
“
Sight
should never be lost of the fact that Courts are not meant or
empowered to shoulder all the governance responsibilities of
the
South African State. They are co-equal partners with two other
arms of State in the discharge of that constitutional
mandate.
Orders that have the effect of altogether derailing policy-laden and
polycentric decisions on the other arms of
the State should not be
easily made. Comity among branches of Government requires extra
vigilance, but obviously not undue
self-censorship, against
constitutionally – forbidden encroachments into the operational
enclosure of the other arms.
This is such a case”.
[61]
The NDOH is, to use a colloquial phrase, between a rock and a hard
place. It faces immense
demands not only in the sphere of
delivery of health services as demanded in the Constitution but also
in the specialised field
of providing internships. The demand
for placement for internships is growing whilst the budget is
shrinking incrementally.
They have to prioritise South African
citizens whilst not abandoning their responsibilities towards
permanent residents, refugees
and asylum seekers.
[62]
In these circumstances I find that the Plan provides the best options
for all concerned and that
the appropriate people to deal with the
implementation of those options are the Respondents.
[63]
Further, I find that such discrimination as may be occasioned by
differentiation between citizens
and foreigners is both rational and
fair in terms of section 9(5) read with section 36 and 22 of the
Constitution
COSTS
[64]
Even though the internship contract of the Applicant has expired, I
take cognisance of the Applicant’s
stated financial
circumstances and the nature of the issues raised in this application
and the fact that the Respondents do not
seek costs.
[65]
In light of the above I make the following order:
64.1
The application is dismissed.
64.2 No
order as to costs.
SELBY
BAQWA
JUDGE
OF THE HIGH COURT
GAUTENG
DIVISION, PRETORIA
Date
of hearing: 3-4 May 2022
Date
of judgment:18 July 2022
Appearance
On
behalf of the Applicants
Adv
MJ Engelbrecht SC
Adv Claire Avidon
Tel 083 675 3475
Email
engelbrechtm@law.co.za
Instructed
by CDH
Attorneys
On
behalf of the Respondents Adv
Hilton Epstein SC
Adv Kuvashkir Naidoo
Instructed
by DMS
Attorneys
Tel 083 600 0220,
Email
hillex@law.co.za
knaidoo@advnaidoo.co.za
[1]
2001(1)
SA 46 (CC) at 67H-I (Para 38).
[2]
1998(1)
SA 765 (CC) para [11] by Chakalson P.
[3]
2004(4)
SA 326 (SCA) at para [3].
[4]
2005(6)
519 (SCA).
[5]
2007(4)
SA 395 (CC).
[6]
2012
(4) SA 618
paras [94-95].
[7]
2003
(2) SA 460
(SCA) para 21.
.
[8]
2003(6) SA 407 SCA paras [52-53].
[9]
2004(4)
SA 490 (CC) at paras [46] and [48].
[10]
.
City of
Tshwane and Metropolitan Municipality v Afriforum and Another.
sino noindex
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