Circular 5/2023 Student Ratios

Circular 5/2023 Student Ratios for Education and Training of Nurses


20 June 2023

TO:        NATIONAL DEPARTMENT OF HEALTH

               PROVINCIAL DEPARTMENTS OF HEALTH

               NURSING EDUCATION INSTITUTIONS (NEIs)

               ALL STAKEHOLDERS

SUBJECT – PRESCRIBED LECTURER: STUDENT RATIOS FOR EDUCATION AND TRAINING OF NURSES

 

  1. PURPOSE

The purpose of this circular is to share with the National Department of Health, Provincial Departments of Health, Nursing Education Institutions (NEIs) and relevant stakeholders about the revised Lecturer: Student Ratios in facilitation of theory and Work Integrated Learning (WIL).

  1. BACKGROUND

2.1     The South African Nursing Council (SANC) is a statutory body which functions in terms of the Nursing Act, 2005 (Act No. 33 of 2005). It has a responsibility to establish, improve, monitor and control the conditions, standards and quality of Nursing Education & Training and Practice within the ambit of the Nursing Act and any other applicable laws.

2.2   The SANC engaged with Education and Training Stakeholders regarding the issue of                          Lecturer: Student Ratios because of the view that the current ratios are inadequate to meet the needs of the country and many students currently being admitted to higher education studies. It was also indicated that Nursing education and training has become very expensive considering that an increase in the number of students requires simultaneous increase in the number of Lecturers and other resources to ensure quality education and training. The benchmarking exercise was conducted with other countries including African countries in particular. Although there are variations, it became clear that other countries also have approved Lecturer: Student Ratios guidelines.

2.3     The Council deliberated on this matter in the ordinary meeting held on 30-31 March 2023 and resolved to approve the revised Lecturer: Student Ratios below.

Table 1 below depicts the revised ratios for undergraduate programmes for theory and Work Integrated Learning (WIL).

 

Table 1: Undergraduate programmes

 

Programmes

Theory (Lecturer: Student Ratios)

WIL: Clinical Facilitator/Preceptor/: Student Ratios

Higher Certificate in Nursing

1:50

1:25

Diploma in Nursing

1:50

1:25

Advanced Diploma in Midwifery

1:50

1: 10

Bachelor of Nursing

1:50

1:25 and 1:10 for Midwifery component

 

Table 2 below depicts the revised ratios for Postgraduate Diploma programmes (Clinical and non-clinical) for theory and WIL.

Table 2: Postgraduate Diploma Nursing programmes

 

Programmes

Theory: Lecturer: Student Ratios

WIL/Practicals: Clinical Facilitator/Preceptor/: Student Ratios

Clinical programmes

1:50

1:15

Non-clinical (Nursing Education and Health Services Management

1:100

The practicals should be conducted in line with the Memorandum of Agreement with clinical facilities for Health Services Management and Nursing Education Institutions for Nursing Education.

  1. IMPLICATIONS

3.1       The Nursing Education Institutions must ensure that distribution of teaching workload is fair and realistic to ensure quality teaching. Other factors to be considered include e.g. the weighting of the modules in terms of credits.

3.2       Increase in student numbers is not automatic, Nursing Education Institutions must still apply for extension of accreditation scope as stipulated in Sub-regulation 7(1) of the Regulations Relating to Accreditation of Institutions as Nursing Education Institutions (Government Notice No. R.173 of 8 March 2013).

3.3       The Nursing Education Institution must have offered the programme for at least a year before applying for an increase in the number of students.

3.4       The Letter of Support is still required for utilization of clinical facilities in the public sector, especially where the clinical spaces are more than what was allocated.

3.5       The Memorandum of Agreement signed within the last five (05) years will still be valid except where the clinical placement spaces are increased more than what was approved in terms of the (MOA/MOU).

3.6       Situational analyses conducted within the last five (05) years are still valid except where there have been major changes in respect of the services offered.

For further information in respect of this Circular, you are advised to contact Ms SJ Nxumalo – Deputy Registrar at (012) 420 1059 or on e-mail at: jnxumalo@sanc.co.za

____________________

PROF NG MTSHALI

REGISTRAR AND CEO

SOUTH AFRICAN NURSING COUNCIL

 

DATE:  ___________________     

 

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Circular 4/2023 2024 Annual Fees

Circular 4/2023 Annual Fees for 2024


1June 2023

TO:        NATIONAL DEPARTMENT OF HEALTH

               PROVINCIAL DEPARTMENTS OF HEALTH

               NURSING EDUCATION INSTITUTIONS

               ALL STAKEHOLDERS

This Circular serves as confirmation of the South African Nursing Council’s fees and fines as stipulated in the Government Gazette published on 26 May 2023. 

  1. ANNUAL FEES FOR 2024
    • NORMAL ANNUAL FEES

 The annual fees for the calendar year 2024 for different categories of Nurse Practitioners are provided in the table below:

CATEGORY

  ANNUAL FEE FOR 2024

Registered Nurses and Midwives

R780.00

Enrolled Nurses and Midwives

R470.00

Enrolled Nursing Auxiliaries

R330.00

  • REDUCTIONS IN ANNUAL FEES FOR AGE 60 AND OVER

The Council has resolved to introduce reduced fees for Nurses 60 years of age and over as per the table below:

  • 60 TO 64 YEARS OF AGE ON 1 JANUARY 2024 (25% REDUCTION)

 

CATEGORY

  ANNUAL FEE FOR 2024

Registered Nurses and Midwives

    R590.00

Enrolled Nurses and Midwives

    R350.00

Enrolled Nursing Auxiliaries

    R250.00

  • 65 YEARS OF AGE AND OLDER ON 01 JANUARY 2024 (50% REDUCTION)

 

CATEGORY

  ANNUAL FEE FOR 2024

Registered Nurses and Midwives

    R390.00

Enrolled Nurses and Midwives

    R230.00

Enrolled Nursing Auxiliaries

    R160.00

NB: To qualify for the discount amounts, Nurse Practitioners may be required to submit a certified copy of their identity document in order to confirm their age.

Notes:

  • The annual fees for 2024 must be received by the SANC on or before 31 December 2023.
  • The amounts in the tables above all include 15% VAT.
  1. RESTORATION FEES FOR 2024

 

The restoration fees for different categories applicable from 1 January 2024 are shown in the following table.

CATEGORY

NORMAL
RESTORATION FEE

REDUCED
RESTORATION FEE

Registered Nurses and Midwives

R2 340.00

R160.00

Enrolled Nurses and Midwives

R1 410.00

R160.00

Enrolled Nursing Auxiliaries

R990.00

R160.00

Retired Nurses

R160.00

R160.00

 

Notes:

The reduced restoration fee only applies to a Nurse Practitioner:

  • Who must have been removed from the register at his/her own request; or
  • Who must be 60 years of age or older on 1 January 2024. However, this must be confirmed with the Council before paying the reduced amount.

 

  1. VOLUNTARY REMOVAL

 

A Nurse Practitioner who no longer wishes to practise in South Africa or who is unemployed, may request, in writing, for a voluntary removal of his/her name from the register, by completing the form available from the SANC. If a voluntary removal is granted by the SANC, the Nurse Practitioner’s name will be removed accordingly on the 31st of December of the year in which the application is received. Once removed, the Nurse Practitioner will no longer be required to pay annual fees while he/she is removed from the register.

If the Nurse Practitioner requires reinstatement onto the register, he/she will, in addition to paying the reduced restoration fee, be required to complete a Restoration Form which can be accessed from the SANC website, www.sanc.co.za. It must be noted that practising while not being registered is illegal.

  1. CLOSING DATE FOR PAYMENT OF ANNUAL FEES

 

Please note that for the calendar year 2024, the closing date for the payment of annual fees is 31 December 2023. Payments must reach the SANC bank account on or before the closing date. You are, therefore, urged not to leave payment for the last minute to avoid problems associated with making payments at year end.

Remember: Bank transfers from non-FNB banks may take up to 3 working days and you are therefore advised to pay well in advance to meet the 31 December 2023 deadline.

  1. OTHER FEES

 

Please note that Annual Nursing Education Institution fees are payable from the 01 October 2023 to the 31 December 2023. Other fees and fees payable by institutions will be applicable with effect from 01 January 2024.

  1. PERSAL DEDUCTIONS

The signing of Resolution 3 of 2019 in September 2019 by the National Department of Health together with major trade unions in Public Health and Social Development Sectoral Bargaining Council (PHSDSBC), brought into effect the implementation of PERSAL deductions from the 2020 APC season for all employees falling under the scope of the PHSDSBC.

As a result of this agreement, affected Nurse Practitioners are urged not to pay the annual fees on their own as the employers are required to pay on their behalf in terms of Resolution 3 of 2019.  

  1. eREGISTER

 

The SANC has made an eRegister facility available on the SANC website which can be utilised by employers to verify the registration status of all Nurse Practitioners in their employment. Employers are urged to utilise this facility in the absence of a physical Annual Practising Certificate (APC).

Visit: https://www.sanc.co.za/eRegister.aspx for more details.

 

  1. COMMUNITY SERVICE PRACTITIONERS

 

Community Service Practitioners are not eligible to be issued with an APC, and therefore, should NOT pay annual fees. They MUST pay a conversion fee on completion of their Community Service in order to be registered as Nurse Practitioners using the REGFPRA registration fee code instead of ANLFEES (e.g. 12345678REGFPRA).

Yours sincerely

______________________________

PROF NG MTSHALI

REGISTRAR AND CEO:

SOUTH AFRICAN NURSING COUNCIL                 

 

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Media Release 3/2023 SANC appoints a new Registrar and CEO

Media Release 3/2023: SANC appoints a new Registrar and CEO

9 March 2023

FOR ATTENTION :      NEWS EDITOR

SUBJECT                 :      SANC APPOINTS NEW REGISTRAR AND CEO                 

—————————————————————————————————————————–

The South African Nursing Council (SANC) is pleased to announce the appointment of Prof Ntombifikile Mtshali as the Registrar and CEO of the South African Nursing Council. The appointment is made by the Honourable Minister of Health Dr MJ Phaahla, in terms of Section 18(1) and (3) of the Nursing Act, 2005 (Act No. 33 of 2005) with effect from 01 March 2023.

Professor Mtshali is a recognised Nurse leader, academic and researcher who brings a wealth of experience and knowledge with her including a PhD from the University of KwaZulu-Natal and extensive leadership experience in higher education.

Prior to the current position, she served as the Head of the Nursing Department at the University of KwaZulu-Natal (UKZN), Director of the World Health Organisation Collaborating Centre (WHOCC) for Nursing and Midwifery at UKZN, Dean of Teaching and Learning in the College of Health at UKZN, Senior Manager Education and Training at the SANC as well as Lecturer and Associate Professor at UKZN. She served as the Manager of the International Centre for AIDS Care and Treatment Programs (ICAP) at Columbia University Nursing Education Partnership Initiative (NEPI) in South Africa. During this period, she was seconded to the office of the Chief Nursing Officer in the National Department of Health, to provide technical support to public Nursing colleges (PNC) that served as a pilot site for the integration of PNC to the higher education initiative. This initiative included developing and pilot-testing the country’s first National Policy on Nursing Education and Training.

In support of the WHO agenda Prof Mtshali provided technical support to Nursing Education Institutions in  Congo Brazzaville, DRC, Eritrea, Lesotho, Rwanda, Seychelles, Namibia, Seychelles, South Africa, Rwanda and Tanzania in developing and implementing competency-based curricula, and in building the capacity of Nurses educators as a visiting Professor.

The South African Nursing Council welcomes Prof Mtshali and wishes her every success in her new tenure.

ENDS

 

Issued by:

Mrs. Adri van Eeden

Senior Manager:  Communication and Marketing

South African Nursing Council

E-mail:  avaneeden@sanc.co.za

Website:  www.sanc.co.za

Tel:  012 426-9542

 

 

Official Spokesperson and person to be quoted:

Prof. Ntombi Mtshali

Registrar and CEO:  SA Nursing Council

 

 

For more information or to arrange for an interview with the Spokesperson, please contact Mrs. Adri van Eeden on Tel. (012) 426-9542 or email:  avaneeden@sanc.co.za

Circular 1/2023 Appointment of SANC Registrar and CEO

Circular 1/2023: Appointment of SANC Registrar and CEO


13 January 2023

TO:     National Department of Health

Provincial Departments of Health

Nursing Education Institutions

All Stakeholders

APPOINTMENT: REGISTRAR AND CEO OF THE SOUTH AFRICAN NURSING COUNCIL

The South African Nursing Council (SANC) is pleased to announce the appointment of Prof Ntombifikile Mtshali as the Registrar and CEO of the South African Nursing Council, by the Honorable Minister of Health Dr MJ Phaahla, in terms of Section 18(1) and (3) of the Nursing Act, 2005 (Act No. 33 of 2005) with effect from 01 March 2023.

Professor Mtshali is a recognised Nurse leader, academic and researcher.  She holds a PhD from the University of KwaZulu-Natal and brings extensive leadership experience in higher education to the table.

Prior to the current position she served as the Head of the Nursing Department at the University of KwaZulu-Natal (UKZN), Director of the World Health Organisation Collaborating Centre (WHOCC) for Nursing and Midwifery at UKZN, Dean of Teaching and Learning in the College of Health at UKZN, Senior Manager Education and Training at the SANC, Lecturer and Associate Professor at UKZN. She served as the ICAP at Columbia University Nursing Education Partnership Initiative (NEPI) Manager in South Africa. During this period, she was seconded to the office of the Chief Nursing Officer in the National Department of Health, to provide technical support to public nursing colleges (PNC) that served as a pilot sites for the integration of PNC to higher education initiative. This initiative included developing and pilot-testing the country’s first National Policy on Nursing Education and Training.

In support of the WHO agenda Prof Mtshali provided technical support to Nursing Education Institutions in Congo Brazzaville, DRC, Eritrea, Lesotho, Rwanda, Seychelles, Namibia, Seychelles, South Africa, Rwanda and Tanzania in developing and implementing competency-based curricula, and in building the capacity of Nurses educators as a visiting professor.

The South African Nursing Council welcomes Prof Mtshali and wishes her every success in her new tenure.

(Signed)

DR MC MOLEPO

CHAIRPERSON
SOUTH AFRICAN NURSING COUNCIL

 

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Media Release 2/2023 Nurse partaking in industrial action

Media Release 2/2023: Nurse partaking in industrial action

10 March 2023

FOR ATTENTION   : NEWS EDITOR

SUBJECT                   : NURSES PARTAKING IN INDUSTRIAL ACTION

———————————————————————————————————————————-

The South African Nursing Council’s mandate is to regulate Nursing and to protect the public on matters relating to health services generally, and Nursing in particular. The South African Nursing Council (SANC) has noted, with grave concern, the incidences where health care users of public health facilities have not been able to exercise their constitutional rights to access to health care due to the current industrial action.

There are dedicated Nurses who want to continue working and provide services essential to save lives and alleviate suffering especially amongst the vulnerable groups that include patients  who are in Critical/High Care units, people on chronic medication, children, pregnant women and people that are on life-saving therapies e.g. oncology treatment.  We appeal in particular, that these Nurses be assured of safety and of their lives while exercising their professional, ethical, and moral obligation to save lives and not be hindered in their duty to provide care to our patients.

The SANC wants to remind Nurses who are partaking in the industrial action about the Nurse’s Pledge that holds: “The total health of our patients will be our first consideration”.

We also would like to reiterate to the whole Nursing fraternity that their right to strike does not supersede their professional and moral responsibility to be of service to the consumers of health care.

The SANC shall further in terms of its mandate take action, in any matters of Unprofessional Conduct by a Nurse, that the SANC becomes aware of or which is reported to the SANC.

Says Prof Ntombi Mtshali, SANC Registrar and CEO: “The SANC commends measures that have been put in place, i.e. the court interdict, to deal with intimidation and look forward to interventions that would ensure that patients are not denied their right to health care services. We appeal to the Government as an employer and the unions to work together to speedily resolve this dispute that has and continues to threaten the lives of patients.”

Let us all remember that health is a human right.

ENDS

Issued by:

Mrs. Adri van Eeden

Senior Manager:  Communication and Marketing

South African Nursing Council

E-mail:  avaneeden@sanc.co.za

Website:  www.sanc.co.za

Tel:  012 426-9542

 

Official Spokesperson and person to be quoted:

Prof. Ntombifikile Mtshali

Registrar and CEO:  SA Nursing Council

 

For more information or to arrange for an interview with the Spokesperson, please contact Mrs. Adri van Eeden on Tel. (012) 426-9542 or email:  avaneeden@sanc.co.za

Addendum to Circular 14/2022 Professional entrance examination

Addendum to Circular 14/2022: Professional entrance exam


6 February 2023

TO:     National Department of Health

Provincial Departments of Health

Nursing Education Institutions

All Stakeholders

 

SUBJECT: ADDENDUM TO CIRCULAR 14/2022 ON PROFESSIONAL ENTRANCE EXAMINATION PUBLISHED ON 8 NOVEMBER  2022

 

  1. PURPOSE

 

To inform the National Department of Health, Provincial Departments of Health, Nursing Education Institutions, and relevant stakeholders about the Addendum on “Guidelines on Professional Entrance Examination for Professional Registration with the South African Nursing Council” to Circular 14/2022.

 

  1. BACKGROUND

 

  • Circular 14/2022 on Professional Entrance Examination was published on the 8th  of November 2022 and it is also available on the SANC website, sanc.co.za . The “Guidelines on Professional Entrance Examination for Professional Registration with the South African Nursing Council” were not published at the same time with Circular 14/2022. It was indicated in the circular that the guidelines will be published on the SANC website and are now available on www.sanc.co.za/sanc-circulars/

 

  • The attached Guidelines serve as an addendum to Circular 14/2022 and for ease of reference by all the stakeholders.

 

  1. IMPLICATIONS

The Lecturers and student nurses should familiarise themselves with the content of these Guidelines on Professional Entrance Examination for Professional Registration with the South African Nursing Council in preparation of the said examination.

 

For further information in respect of this Circular, you are advised to contact Ms A Mnguni, Senior   Manager: Leaner Affairs at (012) 420 1065 or on e-mail at: amnguni@sanc.co.za.

 

Yours Sincerely

(Signed)

 

Ms SJ Nxumalo
Acting Registrar and CEO
South African Nursing Council

Media Release 1/2023 SANC response to the training of Nurse and Midwife Specialists

Media Release 1/2023: SANC Response to the training of nurses in SA

3 February 2023

FOR ATTENTION   : NEWS EDITOR

SUBJECT                   : TRAINING OF NURSES

———————————————————————————————————————————-

The South African Nursing Council has noted the comments made in the media, e.g. by Medbrief Africa and Business Day, regarding training of Nurses in South Africa and specifically Nurse Specialists and Midwife Specialists. The SANC acknowledges the shortage of Nurse Specialists and Midwife Specialists as indicated in both MedBrief Africa and Business Day’s articles and believe it is important to again explain the process around NEI and programme accreditation and the training of Nurses in South Africa.

The SANC is a statutory body currently functioning in terms of the Nursing Act (Act No 33 of 2005). It is responsible for developing and maintaining Nursing education and practice standards in the Republic of South of Africa. The Council of the SANC may accredit Nursing Education Institutions (NEIs) and Nursing programmes, provided that the application(s) meets the SANC requirements, criteria and conditions as stipulated in the Regulations Relating to Institutions as Nursing Education Institutions (Government Gazette No. R173 of 8 March 2013).

This is to ensure that the Nurses who qualified and qualify are competent and safe practitioners. The SANC issued a media Statement on 5 August 2022, with a thorough explanation of the factors that are considered when a decision to accredit the NEIs, Nursing programmes and student numbers by Council is made. The factors includes, relevancy and adequacy of the resources e.g. (physical, human, infrastructure, and budget) and  consideration is given for students from other programmes or even from other NEIs,  utilizing the facility. Therefore, it is not a matter of an NEI applying for a specific number of students and the Council of SANC automatically accrediting such numbers, as it would be irresponsible to do that.

The comment made by Mediclinic`s Executive, Hendrica Ngoepe that “the situation was exacerbated by most professional Nurses not having a postgraduate qualification, meaning they could not meet the criteria for a post basic specialist course” would have to be clarified prior to response thereto.

The SANC would like to clarify several perceptions:

  • The Regulations relating to the approval, and the minimum requirements for the education and training of a student leading to registration as a Nurse Specialist or a Midwife Specialist (Government Notice No. 635 of 5 June of 2020), were broadly consulted when it was published for comments by the National Department of Health before promulgation by the Minister. The issues of admission criteria and of Midwifery as a requirement to access the postgraduate diplomas in Nursing, was discussed at length by the Council of SANC. There were contrasting views about Midwifery as a requirement, but eventually the Council of SANC decision was that irrespective of the nature of clinical speciality, Nurses will manage a pregnant woman, women who have recently given birth and women in child-bearing stage. This is to address the country health needs.

 

  • Ms Ngoepe is incorrect to indicate that Nurses have to work for at least a year in the specialised units before being able to register for postgraduate courses. In terms of the Education and Training guidelines for postgraduate diploma programmes, section 7.1.1.4, states that “Experience in the area of specialisation is regarded as an added advantage for the candidates because it would not be possible for all the students who aspire to pursue post graduate Diploma to have the opportunity to have that experience, however Nursing Education Institutions may decide to include additional requirements such as experience in the area of specialization”.

 

  • Ms Ngoepe further makes unfounded statements by indicating that “private Higher Education Institutions had yet to be accredited to offer bachelor programmes”. The SANC can only accredit Nursing programmes that have been submitted and meet all the SANC criteria, requirements and standards. So far it is only one private NEI that has submitted a Bachelor of Nursing Programme, which was evaluated and feedback provided to the NEI in 2021. Ms Ngoepe is aware of the shortcomings of that programme.

 

  • Ms Ngoepe regards the SANC as an obstacle for private Institutions to train more Nurses. This statement is unsubstantiated because the SANC uses the same criteria and standards for both public and private NEIs.

 

  • Ms Toy Vermaak, Netcare Education Manager’s comment indicating that the SANC has not provided rationale for restrictions on training of Nurse Specialists, is  deliberately untrue. She is aware of the shortcomings of the submitted programmes e.g. where there is no lecturer with the relevant specialisation available and the SANC is expected to accredit such programmes. It would be reckless for the SANC`s Council to do so.

 

  • The SANC has engaged with the Hospital Association of South Africa (HASA) members on several occasions and listened to their challenges and agreed on the way forward. Their challenge regarding the registration of Nurses from India refers. The SANC has never registered a Nurse directly from India who has an additional qualification in any of the clinical and non-clinical Postgraduate Diplomas in Nursing. All Indian Nurses registered with the SANC are registered as General Nurses and/or Midwives (where applicable). In South Africa there are Registered Nurses with experience in all specialisations, but they are not classified as Nurse Specialists or Midwife Specialists. Therefore, the SANC cannot have different standards for Indian Nurses only. The updated Critical Skills list of 2022 covered in the Immigration Act (Act No. 13 00f 2002) includes only specialised qualifications. The SANC is not responsible to grant permission to HASA to recruit Nurses. The SANC only processes the applications in line with the relevant legislation and policy documents. The Memorandum of Understanding (MOU) that was initially signed between the SANC and HASA has lapsed. One condition was that HASA members should train their own specialist Nurses.
  • In terms of the Regulations relating to examinations of the South African Nursing Council (Government Notice No. R.7 of 8 January 1993 as amended), the Council may determine where the examination may be written. It needs to be noted that the Council has no accredited NEI in India. HASA members are allowed to conduct examination in India as a special concession due to judicial processes.
  • The issue of articulation for Nurses who trained under legacy Nursing qualifications to Higher Education Qualifications Sub-Framework aligned Nursing qualifications is currently receiving attention from the SANC and CHE. The allegations that the SANC and CHE are not working together is maliciously misleading. Meetings are held regularly to discuss matters of mutual interest.

 

  • The issue of migration of Nurses to other countries is an individual choice which may not be attributed to the SANC as failures.

 

Says Ms Jeanneth Nxumalo, SANC Acting Registrar and CEO:  “The SANC remains committed to ensure that competent Nurses are produced who will render quality and safe Nursing care to the population of South Africa and thus protecting the public in matters relating to Nursing services.”

 

 

ENDS

Issued by:

Mrs. Adri van Eeden

Senior Manager:  Communication and Marketing

South African Nursing Council

E-mail:  avaneeden@sanc.co.za

Website:  www.sanc.co.za

Tel:  012 426-9542

 

Official Spokesperson and person to be quoted:

Ms. Jeanneth Nxumalo

Registrar and CEO:  SA Nursing Council

 

For more information or to arrange for an interview with the Spokesperson, please contact Mrs. Adri van Eeden on Tel. (012) 426-9542 or email:  avaneeden@sanc.co.za