The situation with regard
to SA public nursing
colleges
FUNDISA
May 2012
New Qualifications Framework for
Nursing in South Africa
 Three entry levels
 1 Year certificate to become a registered
assistant nurse
 3 year diploma to become a staff nurse
 4 year B degree to become a professional nurse
 All at Higher Education level (level 5 or above)
 Public Nursing Colleges currently train about 70%
of all nurses, including professional nurses
A Higher Education Institution
Higher Education Act 101 of 1997
 Any institution that provides higher education on a full-time,
part-time or distance basis and which is:
 Established or deemed to be established as a public higher education
institution under this Act;
 Declared as a public higher education institution under this Act; or
 Registered or conditionally registered as a private higher education institution
under this Act.
 Public higher education institution means any institution
that is established, deemed to be established or declared
as a public higher education institution under this act
 Higher education means all learning programmes leading
to qualifications higher than grade 12 or its equivalent in
terms of the NQF and includes tertiary education.
Rest of the Act
 Chapter 1: CHE
 Chapter 2: Public Higher Education Institutions
 Chapter 4: Governance of Public Higher Education
Institutions
 Chapter 5: Funding of Public Higher Education
 Chapter 6: Independent assessors
 Chapter 7: Private Higher Education Institutions
 Chapter 8: General
 Chapter 9: Transitional and other arrangements
Question
 Can provincial DOH Colleges of Nursing offer
Higher Education?
 Answer: In terms of a letter received from the CEO
of the CHE, they can
 But all their programmes have to be accredited by
the Higher Education Quality Committee.
Question 2
 Should the Nursing Colleges advocate declaration
as a Higher Education Institution?
 Implications:
 They will be funded by DHE&T according to the
current formula, which will be less than 50% of
what they receive currently
 There is little political will to do this
HE funding formula
University income
Student fees
T&L subsidy
Research
So what is the way forward then?
 Colleges can stay as they are, where they are, but
apply for all their programmes to be accredited.
 Let us explore this option
Council for Higher Education HE
Quality Committee (HEQC)
 They do not accredit institutions, but only programmes.
 They are funded by the DHE&T
 Who will fund programme accreditation of nursing programmes?
Agricultural programme accreditation is funded by DAF.
 Application is made online, by the institution with two
components:
 Institutional information
 Programme information
 The Criteria for Programme Accreditation is the foundational
document.
 Process of approval for new programmes:
 Candidacy phase
 Accreditation phase
Candidacy phase
 An institution has to demonstrate, firstly, that it meets
the HEQC criteria for candidacy phase (input criteria)
or that it has the potential or capability to meet these
criteria in a stipulated period of time.
 The institution’s application should be based on a
critical self-evaluation of the new programme against
requirements of the HEQC programme input criteria.
 Secondly the institution should submit a plan for the
implementation of the new programme specifying
implementation steps (including time frames and
resource) and strategies to meet process, output and
impact criteria.
Criteria
Criteria
Numbers
Input
1-9
Process
10-16
Outcomes and impact
17-19
Some major problems
 FINANCIAL ISSUES:
 Colleges cannot have developmental funds –
something without which no modern HEI can exist.
 They do not control their own student fees.
 They do not have their own financial policies and
systems.
 STAFFING ISSUES:
 Colleges have no independent HR policies
 A single discipline staff teaching (in B degree) in a
multidisciplinary programme.
Questions
 Can these problems be solved within provinces?
 Perhaps in some, but not everywhere.
 The majority has no provincial Acts to legitimize
NE
 Is there another option?
 Agriculture is developing a national Act for
Agricultural Colleges
 This might be the way to go for nursing:
 A Public Nursing Colleges Act (PNC Act)
Arguments for and against a PNC
Act
 It may be an acceptable political solution:
 The DOH get what they want – nursing stays in
Health;
 The DHE&T gets a legal way to not have to take
on a whole new sector.
 It allows issues in nursing colleges to be
addressed to improve control and quality
 External funding
 HR policies
If this is the solution, what is the
way forward?
 IINITIAL LOBBYING
 Objectives:
 1. Get support in principal
 2. Clarify process and timelines
 Targets:
 CHE
 Department of Agriculture and Fisheries
 DOH and DHE&T
 DEVELOPING AND PROMULGATING THE ACT
 Getting it approved by the sector
 Submitting it to DOH
Document for initial lobbying
 Set out legislative and practical problems
 Suggest the PNC Act as a possible solution
 Outline main principles of the Act
 Suggest a Task Team
 Suggest a timeline
Conclusion
 This is a period of intense activity which should be
planned carefully and executed with the support of
all Nursing Education Stakeholders
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Public Nursing Colleges